Wk 2 - Communication/3Ds Flashcards
(71 cards)
Health Equity
Elimination of systematic health disparities
Associated with social advantage/disadvantage
Gender Equity
Equal treatment of all regardless of gender.
No gender discrimination.
Cultural Safety
Recognizing power and resource distribution.
Awareness of institutional discrimination.
Cultural Humility
Lifelong learning.
Interpersonal respect and reflection.
Implicit V.S. Explicit Bias
unknowingly vs knowingly/recognized bias
Cultural Humility
learning we can’t possible know every culture, being aware of ourselves (values/beliefs), what are we communicating and reacting (to patients comments)
are we showing that we support them or don’t support them??
Trauma Informed Practice
understanding and responding to the impact of trauma.
ensure physical, psychological, and emotional safety
Trauma Informed Practice Prevention
prevent more harm and triggers
Trauma Informed Practice Safety
take down barriers to reduce stigma
Trauma Informed Practice Example
not restraining a patient who you know has been in a concentration camp.
We _____ treat everyone the _____, we treat based on their ______________
We don’t treat everyone the same, we treat based on their circumstance
Trauma Informed Practice - 4R’s
Realize - anyone can have trauma
Recognize - signs/symptoms
Respond - how do we react
Resist - resist urge to retraumatize (do it again)
Trauma Informed Practice - 6 Guiding Principles
Safety - self awareness that others have trauma, communicating with patient triggers to avoid, point of care risk assessment
Trust/Transparency - ask questions and listen to patients, be open with your intentions with people
Peer Support - supporting peers around you, peer support groups for patients
Empowerment, Voice & Change - giving patient autonomy, giving patient space to work on their own if needed
Collaboration & Mutuality - whole team approach to work together to care for patient
Cultural, Historical & Gender Issues - thinking about our own biases, values, and beliefs, understanding context of situation
Stages of Infection
Incubation - pathogen enters body, no symps present
Prodromal - mild/non specif signs/symps present (transmission may occur)
lllness - specific signs/symps present
Convalescence - time spent recovering from an illness or medical treatment
Examples of Normal Defenses against infection
- removal of particles by cilia in nasopharynx
- lysozyme in tears and other secretions
- intact skin
- normal flora
- mucus lining in trachea
- rapid pH change in gut
- flushing of urinary tract
- vaginal acids
What can increase the risk of infection
Age: very young/old
Nutritional status
Stress
Disease Processes
- effects on immune sys
- is it a chronic disease?
Medical Therapy
- meds that suppress the immune sys.
Stages of Infection (List first, then define if you can (definitions not on this card though)
Incubation
Prodromal
Illness
Convalescence
Localized Infection
an infection that is limited to a specific part of the body and has local symptoms
Systemic Infection
pathogen distributed throughout the body
WBC
White Blood Cell
- body produces more when there is an infection
CRP
C-reactive Protein
- a protein produced by liver that increase significantly when inflamm is present in body
- considered a sensitive marker for inflamm
Signs/Symps of Local Inflamm/Infection
- Heat
- Redness
- Swelling
- Pain
- Immobility
Signs/Symps of Infection in Older Adults
- mental status change (delirium)
- falls
- dehydration
- decreased appetite
- loss of function/incontinence
- dizziness
Gowns/gloves
contact precautions
