week 2 Flashcards Preview

Health Assessment > week 2 > Flashcards

Flashcards in week 2 Deck (47)
Loading flashcards...
1
Q

infant

A

birth to 1 year

2
Q

toddler

A

1-3 years

3
Q

preschool

A

3-5 or 6 years

4
Q

school age

A

6-10 or 12 years

5
Q

preadolescent

A

10-12 or 13 years

6
Q

adolescent

A

13-19 years

7
Q

early or young adult

A

20-40 years

8
Q

middle adult

A

40-64 years

9
Q

late adult

A

65+ years

10
Q

young old Vs. old old

A

greater than 85 years

11
Q

assessment of cognitive and physical development changes

A
growth
gross motor
fine motor
neurological
language
12
Q

major developmental influences in healthcare

A

Erik Erikson- societal influences

piaget- cognitive changes

13
Q

erikson’s theory

A

well known theory of development.
believed that personality develops in a series of predetermined stages and his theory describes the impact of social experience across the whole lifespan

14
Q

erikson’s stages of development

birth to year 1

A

trust V. mistrust

whether or not to trust the caregiver

15
Q

erikson’s stages of development

1-3 years

A

autonomy V. doubt

children develop self-sufficiency by ctrl activities such as eating, toileting, and talking

16
Q

erikson’s stages of development

3-6 years

A

initiative V. guilt

children begin to take more control over their environment

17
Q

eriksons stages of development

7-11

A

industry V. inferiority

children develop a sense of competence by mastering new skills

18
Q

eriksons stages of development

adolescence

A

identity V. role confusion

development of a sense of self

19
Q

eriksons stages of development

young adulthood

A

intimacy V. isolation

young adults seek out romantic love and companionship

20
Q

eriksons stages of development

middle age

A

generativity V. stagnation

nurture others and contribute to society

21
Q

eriksons stages of development

older adults

A

integrity V. despair

reflection on life, looking back with fulfillment or bitterness

22
Q

piaget said there are

A

4 stages in cognitive development of children

23
Q

piaget: sensory motor stage

A

children from birth to about 2 years

24
Q

piaget: pre-operational stage

A

children aged 2-7

25
Q

piaget: concrete operational stage

A

children aged 7-11 or 12

26
Q

piaget: formal operations stage

A

occurs in adolescents from age of 11 to 16 or more

27
Q

assessment of developmental prevention needs

A

safety- no throw rugs for elders, babyproof home, helmets, seatbelts
health and wellness

28
Q

instruments for measuring developmental changes

A

birth dates
scale
tape measure
growth charts

29
Q

global and holistic measures for developmental changes

A

Denver Developmental screening test
bright futures
ages and stages

30
Q

DDST

A

a test for screening cognitive and behavioral problems in preschool children
admin by pediatrician or other health/social service proff

31
Q

tasks in DDST

A

grouped into 4 catagories
social contact, fine motor skill, language, gross motor skill
smiles spontaneously (90% of 3mo olds)
knocks 2 building blocks together (90% of 13mo olds)
speaks 3 words other than mom or dad (90% of 21mo olds)
hops on one leg (90% of 5 yo)

32
Q

bright futures

A

prevention and health promotion for infants, children, adolescents, and their families

33
Q

bright futures materials

amt of content can be overwhelming

A

health supervision guidelines, pocket guide, PDA, health promo info sheets
practice guides on oral health, mental health, and physical activity
powerpoint pres and handouts
BF tool and resource kit
BF activity book
performing preventive services
Nutrition 3rd Ed

34
Q

ages and stages questionnaire

A

developmental and social-emotional screening for children from one month to 5.5 years
highly reliable and valid
looks at strengths, trouble spots,
educates parents about developmental milestones
incorporates parents’ expert knowledge about their children

35
Q

areas screened in ASQ

A
communication
gross motor
fine motor
problem solving
personal social
parents/caregivers complete the questionnaire, and prof score them
36
Q

developmental stages, tools, kits, milestones and charts are______

A

guides

they are not set in stone

37
Q

What is culture

A

the system of share beliefs, values, customs, behaviors, and artifacts that the members of society use to cope with their world and with one another, and that are transmitted from generation to generation through learning

38
Q

what is cultural competence

A

treating every patient with equal respect and dignity regardless of culture, race, or ethnicity

39
Q

american cultural beliefs, values, and customs

A

individualistic, freedom, power distance, equality
things are earned, patriotism
thanksgiving, politics

40
Q

in 2030 it is projected that _____% of the us will be non white

A

40

41
Q

racial and ethnic healthcare disparity

A

unequal
quality
quantity
access- people go to the ER with or without access and they will be treated, this perceived lack of access keeps people out

42
Q

patient factors relating to healthcare disparity

A
language barriers
low health literacy
lack of trust in the medical system
different health care beliefs
financial barriers
43
Q

healthcare provider factors relating to health care disparity

A

conscious/unconscious biases
ineffective communication
inability to build trust
time limitations

44
Q

how can we reduce racial and ethnic disparity

A

interpreters
patient education materials (3rd-5th grade level)
identify available health care services, referrals
integrate, accommodate, and aid assimilation; say it differently
non judgmental attitudes
listen; know what they think and what they actually need

45
Q

general survey- assessment

A

begins when pt walks in the door
use all senses
appearance, gait, clothing, height, demeanor, overall wellness

46
Q

ALWAYS begin with inspection

what to observe?

A

physical appearance- age, gender, LOC, skin color, facial features
body structure-stature, nutrition, symmetry, posture, position
mobility- gait, ROM
vitals- o2 sat, temp, pulse, respirations, bp
doppler to find pulse

47
Q

see assessment of older adult and infant

A

back of chapter 9