Flashcards in Transition/stress/nutrition Deck (80):
What is loss?
When something valued is changed or no longer available
What is maturational loss/stressor?
Part of life process, anticipated, sociocultural preparation (crisis potential)
What is unanticipated change with trial & error preparation (potential crisis)
What is anticipatory loss
Prepare for uncertain future, before the actual loss occurs
Significance of loss depends on:
Loss of: Aspect of ones self
An object external to oneself
Separation from an accustomed environment
Loss of live or valued person
7 tasks of chronic illness:
1)prevent manage crisis
2) carry out prescribed tx
3) controlling symptoms
4) reordering time
5) adjust to change in disease course
6) preventing social isolation
7) normalize interaction with others
Ambulatory care settings example
Ambulatory care centers
Occupational health clinics
urgent care centers
Acute care setting example
(1st point contact with HC system in older adults)
Examples: healthy promotion activities, immunization, healthy wt & diet
*before disease or dysfunction
Examples of tertiary prevention
Rehab; restorative, palliative care
*begins after illness determined irreversible
What is secondary prevention
Early detection of disease
Prompt intervention /tx
Preventin of complications & disabilities
What role does "locus of control" play in health promotion activities
If pt engages in his own health status -believes that health is largely self-determined,
NUrse uses LOC to plan internal reinforcement training to assist pt to improve health
3 or more of following:
>10lb wt loss/yr
Weakness, poor endurance,slowness , low activity
What is transitional care?
Between acute care and home
Focus on recuperation &healing
Describe geriatric rehabilitation
Focus on adapting to or recovery from disability
5 stages of acute illness
Assumption of sick roll
Medical care contact
Dependent client role
Chronic illness trajectory: (8 "steps")
What is a stressor
Any factor that disturbs the body's equilibrium, can be physical, physiological, emotional, intellectual , spiritual
Degree of stress response varies based on:
Intensity of stress
Duration of stressor
Perception of stressor by the
Factors influence transition
Determinants of health
List 3 levels of social support:
-formal system of social welfare agencies/healthcare facilities/government support
What may influence the perception of patient experience?
What influences the wAy an individual responds to stressor?
Stress perception & personal meaning attached to potential stressor
What is resilience
Being resourceful, flexible, having available source of problem solving strategies
What is family
Basic unit of society. Recognize impact of family on health, values, productivity.
What is illness behavior
Perceived susceptibility of illness.
Stage of Development-Erikson for older adult?
Factors influence family health
Position in society
Distribution of wealth
Internal variables of transition
5 cultural competences
3 types of self management tasks
1 care of body & manage condition
3 dealing with arising emotions
4 adequate training of task (IOM)
Health are delivery is effected by
Evidence based practice
Medicare A covers:
65+ or <65 disabled:
Hospital, homecare, hospice
What does Medicare B cover?
65+ or <65 disabled:
What does Medicare D cover?
65+ or <65 disabled:
Prescription drug plans
What type of inference can be corrected or cured?
Name 3 types of inferences
How to make change of location transition smoother?
Written discharge/transfer summary
Orders carried over
Orient to routines
What type of preventative care is a mammogram/pap smear?
During stress what happens in posterior pituitary, the ADH does...?
Reabsorption of H2O (increase)
Reabsorption of Na+ (increase)
Urine output decreases
What is the illness/death stage of GAS?
What happens in alarm stage of GAS?
Increased:BP,BG, Na+,K+, CO
What is the idea behind diagnostic reasoning -critical thinking NP
Promote self esteem
Support coping skills
During neuroendocrine response to a stressor, what is hypothalamus responsible for simultaneously:
Sympathetic nervous system (epinephrine & norepinephrine release)
Adrenal/Anterior Pituitary (cortisol & aldosterone)
Exchanging,perceiving,valuing & feeling are:
Affected response patterns
Definition of therapeutic communication
To express or explore patients feelings
What is active listening
Restatement, reflection, opened ended questions
Diseases that are prolonged, do not respond spontaneously and are rarely cured completely
What is meant by transition in healthcare
Passage from one state/position to another; from one part to another: requires adaptation within self, group &/or environment
What is RN responsibility when transferring a patient
Carry over orders/check for
correctness of orders
Inform oncoming HC providers
Orient to room
Notify Dr of person being there
Assess room safety issues
3 Factors contributing to placement in LTC
3) alteration in or loss of family support
What is nutrition?
Science that studies relationship of humans to food based on research
Role of Nutrition:
PREVENTION OF DISEASE
Mngmnt of chronic diseases
Provide correct texture
What is the study of the interaction of foods with specific genes to increase risk of common chronic diseases
3 function of nutrients
1) source of energy or heat
2) support growth & maintenance of tissue
3) aids in regulation if basic body processes
Carbs, fats & lipids are which type of nutrient?
What kind of nutrient can the body manufacture from raw materials?
Ex: amino acid alanine
List 6 essential nutrients:
Name the thermic effect of :
AMDR stands for ________________ & is Set By ___________________,
Changes to AMDR are based on ______________.
Set by: External Agency
Based on: Cultural norms
True or false?
Fats are metabolized more effectively than PRO & CHO
What is the process in which energy expenditure adapts to increases or decreases of food intake & energy expenditure over several days time.
(Feast or famine)
Describe high nutrient dense foods
High vitamin /nutrient content with lower calories
Metabolism increases or decreases after eating?
(Thermic food effect)
What is REE?
(Resting Energy Expenditure)
Amount of energy required to be consumed in order to maintain bodily functions while at rest.
Name 3 monosaccharides:
Name 3 disaccharides
Functions of protein:
Provision of structure
Growth, cell maintenance
Regulation of body processes
Immune system response
Fluid, Electrolyte regulation
What are the major macrominerals
What is the conduit for electrolytes ?(both positive & negative)
What is the recommended source if energy that spares muscle mass & protein?
Function of carbohydrates
Spare body protein
Enhance learning & memory
Name complex carbs
Polysaccharides (starches & fiber)
Name simple carbs
What may nurse use to determine where patient may need to be as far as level of care?
Maslow's hierarchy of needs
The sympathetic nervous system is stimulated in which stage of GAS?
(Fight or flight)
Which stage of GAS does the persons parasympathetic system kick in & hormone levels start to decrease?
What responses would you expect when patient moves from acute to chronic health status?
Depression, Anger, Bargaining, Acceptance