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z FALL06 SPIRITUALITY, MOBILITY, OSTEOPOROSIS, Nursing Dee

Terms

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Spiritual well being is?

A feeling of being “generally alive, purposeful, & fulfilled” (Ellison,1983)

A lifestyle that views & lives life as purposeful & pleasurable

Seeks out life-sustaining & life-en
Spiritual well being is?
Spiritual Health is dependent on what two factors?


Spiritual well being

Spiritual Need
Spiritual Health is dependent on what two factors?
The expression of inner self looking for meaning & relationships with self, others, & supreme being describes?

Spiritual Needs
The expression of inner self looking for meaning & relationships with self, others, & supreme being describes?
Spirituality fulfills specific needs such as?


Meaning to life, illness, crises, & death

Sense of security for present & future

Guides daily habits

Elicits acceptance or rejection of other people<
Spirituality fulfills specific needs such as?
Name ways people enhance spirituality?

Development of ones inner self or world

Expression of a person’s spiritual energy to others in loving relationships & service to others
Name ways people enhance spirituality?
In what ways does an individual develop their inner self or their world?


Prayer
Meditation
Analyzing dreams
Communion with nature through walks in the woods or by the sea
Listening to music
Art
Drama
Da
In what ways does an individual develop their inner self or their world?
People express their spiritual energy to others in loving relationships and service to others in what ways?


Joy & laughter
Participation in church
Fellowship gatherings,
Expressions of compassion, empathy
Forgiv
People express their spiritual energy to others in loving relationships and service to others in what ways?
To believe God’s reality is unknown and unknowable is a spiritual pattern defined as?

Agnosticism
To believe God’s reality is unknown and unknowable is a spiritual pattern defined as?
On who does not believe in God is said to be?


Atheist
On who does not believe in God is said to be?
Agnosticism is?

a. Belief in the existence of one God

b. Belief in more than one God

c. Believes God’s reality is unknown and unknowable

d. Does not believe in God
Believes God’s reality is unknown and unknowable
Atheism is?

a. God is a personal reality, spirit, perfect creator and sustainer

b. Believes God’s reality is unknown and unknowable

c. On who does not believe in God is said to be

d. On who does not believe i
On who does not believe in God
Monotheism is?

a. Belief in more than one God

b. Belief in the existence of one God

c. Belief in the existence of one God
Belief in the existence of one God
Polytheism is?

a. Belief in more than one God

b. Belief in the existence of one God

c. Belief in the existence of one God
Belief in more than one God
The capacity to reach out beyond oneself, to extend oneself beyond personal concerns and to take a broader life perspectives, activities, and purposes is called?
Transcendence
A process of anticipation that involves the interaction of thinking, acting, feeling, and relating, and is directed toward a future fulfillment that is personally meaningful is called?
Hope
To believe in or be committed to something or someone & act it out in everyday living is called?


Faith
To believe in or be committed to something or someone & act it out in everyday living is called?
Factors that affect an individuals health are?


Culture
Gender
Previous experience
Crisis and Change
Separation from spiritual ties

Moral issues regarding therapy

Inadequate or inappropriate care
Factors that affect an individuals health are?
Ways to detect that an individuals spiritual function has been altered?


Verbalization of distress
Altered behavior
Impact on ADL’s
Ways to detect that an individuals spiritual function has been altered?
Examples of Spiritual Referrals are?

Hospital Chaplin’s office
Pastoral care
(Must be requested by the patient and/or family)

Visit from Pastor, Rabbi, Priest, etc.

Nurse needs to provide information the patie
Examples of Spiritual Referrals are?
Ways to promote spiritual health are?

Explore own (nurse) philosophy & belief system

Providing Presence
Spiritual Support
Spiritual Referral
Ways to promote spiritual health are?
A religious sect that require a ritual bath of their dead by family member?

a. Jews

b. Moslems

c. Mormons
Jews
What are Amulets?

a. devices used in religious ceremonies

b. scarves worn by Islamic women

c. prayers of the Jewish

d. Holy underwear worn by mormons
Holy underwear worn by Mormons

– Requirements: in good standing (worthy) and have gone through the temple

– Look like a t-shirt and boxer short to the knee

– Totally white

– May be in one piece

– Must be worn at all times to protect them
What are Biorhythms?

inner rhythms that appear to control a variety of biologic processes.
What are Biorhythms?
What is hypopnea?

Abnormally shallow & slow respirations
What is hypopnea?
What is a Sleep study?

an electrodiagnostic test used to diagnose obstructive sleep apnea (OSA)
What is a Sleep study?
An electrodiagnostic test used to diagnose obstructive sleep apnea (OSA) is used for?

sleep studies
An electrodiagnostic test used to diagnose obstructive sleep apnea (OSA) is used for?
Abduction is?


Movement of the limb away from the body
Movement of the limb away from the body is called?
Activity Tolerance is/

The type and amount of exercises or daily activities an individual is able to perform
The type and amount of exercises or daily activities an individual is able to perform is called?
Adduction is?

The movement of the limb towards the body
The movement of the limb towards the body is?
Aerobic Exercise is?

An activity during which the body takes in more or an equal amount of oxygen than it expends
An activity during which the body takes in more or an equal amount of oxygen than it expends is called?
Anaerobic Exercise is?

Involves activities in which the muscles cannot draw out enough oxygen from the bloodstream; used in endurance training
An activity in which the muscles cannot draw out enough oxygen from the bloodstream; used in endurance training is?
Ankylosed is?

Permanently immobile joints
Permanently immobile joints is called?
Atrophy is?

Wasting away; decrease in size of organ or tissue (e. g. muscle)
Wasting away; decrease in size of organ or tissue (e. g. muscle) is called?
Contracture is?

Permanent shortening of the muscle & subsequent shortening of the tendons and ligaments
Permanent shortening of the muscle & subsequent shortening of the tendons and ligaments is called?
Foot Drop is?

Abnormal neuromuscular condition of the lower leg and foot; characterized by an inability to dorsiflex, or evert, the foot caused by damage to the common peroneal nerve
bnormal neuromuscular condition of the lower leg and foot; characterized by an inability to dorsiflex, or evert, the foot caused by damage to the common peroneal nerve is called?
Hypertrophy is?

Enlargement of a muscle or organ
Enlargement of a muscle or organ is called?
Isokinetic exercise is?

Muscle contraction or tension against resistance
Muscle contraction or tension against resistance is called?
Isometric exercise is?


Tensing of a muscle against an immovable outer resistance that does not change muscle length or produce joint motion
Tensing of a muscle against an immovable outer resistance that does not change muscle length or produce joint motion is called?
Isotonic Exercise is?

Exercise in which muscle tension is constant and the muscle shortens to produce muscle contraction and active movement
Exercise in which muscle tension is constant and the muscle shortens to produce muscle contraction and active movement is called?
Pronation is?

The ventral surface of the body faces downward
When the ventral surface of the body faces downward it is called?
Range of Motion Exercise is?

Any body action involving the muscles, joints, and natural movements, such as abduction, adduction, extension, flexion, pronation, supination, and rotation
Any body action involving the muscles, joints, and natural movements, such as abduction, adduction, extension, flexion, pronation, supination, & rotation is called?
Supination is?
A position in which the ventral surface of the body faces upward is called?
Affective Domain is?

Known as the “feeling” domain & is divided into categories that specify the degree of a person’s depth of emotional response to tasks; includes feelings, emotions, interests, attitudes, & appreciations.
Known as the “feeling” domain & is divided into categories that specify the degree of a person’s depth of emotional response to tasks; includes feelings, emotions, interests, attitudes, & appreciations is called?
Andragogy?

The art & science of helping adults learn
The art & science of helping adults learn is termed?
Cognitive Domain is?

The “thinking” domain, includes six intellectual abilities & thinking processes beginning with knowing, comprehending, & applying to analysis, synthesis, & evaluation.
The “thinking” domain, includes six intellectual abilities & thinking processes beginning with knowing, comprehending, & applying to analysis, synthesis, & evaluation is called?
Geragogy is?

The term used to describe the process involved in stimulating and helping elderly persons to learn
The term used to describe the process involved in stimulating and helping elderly persons to learn is?
Pedogogy is?

The discipline concerned with helping children learn
The discipline concerned with helping children learn is called?
Psychomotor Domain is?

The “skill” domain; includes motor skills such as giving an injection
The “skill” domain; includes motor skills such as giving an injection is called?
Osteoarthritis is?

A type of arthritis marked by progressive cartilage deterioration in synovial joints and vertebrae
A type of arthritis marked by progressive cartilage deterioration in synovial joints and vertebrae is called?
Crepitus is ?

(crepitation)

Crackling sound or grating sensation as a result of friction or broken bone or cartilage bits in joint
Crackling sound or grating sensation as a result of friction or broken bone or cartilage bits in joint is called?
Degenerative joint disease is?

Now called osteoarthritis, the most common form of joint (articular) disease in North America, is a slowly progressive non-inflammatory disorder of the diarthrodial (synovial) joints.
Now called osteoarthritis, the most common form of joint (articular) disease in North America, is a slowly progressive non-inflammatory disorder of the diarthrodial (synovial) joints is a ?
Herberden’s nodules are?


Occur on the DIP joints as an indication of osteophyte formation and loss of joint space.
Occurs on the DIP joints as an indication of osteophyte formation and loss of joint space * is called?
Osteoarthritis is?


The most common form of arthritis

Chronic condition caused by deterioration of joint cartilage

Usually effects weight bearing joints such as knees, hips, feet, lumbar vertebrae

Increase
Osteoarthritis is?
A Chronic condition caused by deterioration of joint cartilage is?

Osteoarthritis
A Chronic condition caused by deterioration of joint cartilage is?
Osteoarthritis is relieved by?

rest
Osteoarthritis is relieved by?
Pathophysiology of Oseoarthritis is?

Degeneration over time

Wears away joint cartilage

Closure of bony surfaces

Fragmentation of cartilage

Rice mice

Inflammation of synovial membrane
Pathophysiology of Oseoarthritis is?
Types of Osteoarthritis are?


Primary (idiopathic)

Secondary
Neurological disorders

Skeletal disorders

Hematological

Selected drugs
– Stimulate collagen-digesting enzymes in the join
Types of Osteoarthritis are?
Primary Osteoarthritis is?

(idiopathic)
Unknown cause

Degeneration of articular cartilage
Primary Osteoarthritis is?
Secondary Osteoarthritis is due to?


Trauma

Dislocation/fractures

Mechanical Stress

Sports activity

Inflammation

Joint instability

Damaged supportive structures
Secondary Osteoarthritis is due to?
Neurological Osteoarthritis is?

Pain/loss of reflexes

Diabetic neuropathy
Neurological Osteoarthritis is?
Skelital Disorders that cause osteoarthritis are?

Congenital/acquired
Skelital Disorders that cause osteoarthritis are?
Characteristics of Osteoarthritis are?

Normal bluish translucent cartilage becomes soft, opaque and yellow

Fissures, pitting, and ulcerations develop and the cartilage thins.

Surface of joint becomes rough and wears away<
Characteristics of Osteoarthritis are?
Risk Factors for Osteoarthritis are?

Age
due to the wear and tear

Age does not cause OA

Genetics

Family history

Obesity

Particularly the knees

Post menopausal women
Risk Factors for Osteoarthritis are?
Assessment data for Osteoarthritis are?

Systemic Fatigue/Fever

Joint Stiffness/ pain
am less than 1 hour`

aggravated by cold damp weather, barometric pressure

Loss of coordination

Stiff dull ach
Assessment data for Osteoarthritis are?
Psychosocial Assessment of Osteoarthritis?

Permanent changes in life style

Decreased socialization

Role changes

Work place

Grieving process / Anger

depression
Psychosocial Assessment of Osteoarthritis?
Nursing Problem Statement's for Osteoarthritis?

Chronic pain
Impaired Physical Mobility
Activity intolerance
Self Care deficit
Disturbed Body Image
Impaired Walking
Ineffective Coping
Nursing Problem Statement's for Osteoarthritis?
Drug Management for Osteoarthritis?

First line:
Acetaminophen / Tylenol
Not to exceed 4 g in 24 hours

Liver Damage
Give with meals
Topical agents
Capsaicin
Preparation with cayenne pepper

Sec
Drug Management for Osteoarthritis?
Drug Management of Osteoarthritis also include?

New Generation
– Celebrex, Miobic
• Less GI problems
• Intrarticular

injections
– Steroid
• Inflammation
– Hyaluronic Acid (HA)
• Infl
Drug Management of Osteoarthritis also include?
Health Promotion for Osteoarthritis is?

Lose or maintain weight

Excess body weight is magnified 5 times in the hip and 3 times through the knee

Use assistive devices if indicated

Canes/walkers

Avoid
Health Promotion for Osteoarthritis is?
Coping strategies for Osteoarthritis are?

Help cope with living with the disease

Patients exhibit these themes for coping

Refusal to give up

Understanding toward treatment strategies

Staying in charg
Coping strategies for Osteoarthritis are?
Pain management for Osteoarthritis includes?

Local Rest

Immobilizing the joint with a splint or brace

Systemic Rest

Resting the entire body
Sleep approx. 10 hours per night

Additional 1-2 hours
Pain management for Osteoarthritis includes?
Nursing Management for Osteoarthritis is?

Take medication for pain/inflammation

Positioning
Supine w/Small pillow under head or neck

Large pillow under the knees or head can cause flexion contractures

Reco
Nursing Management for Osteoarthritis is?
Surgical Management of Osteoarthritis?

Last resort for pain management

Total joint replacement
Knee – hip
Surgical Management of Osteoarthritis?

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