Nursing 1000 Final 2
Terms
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- Primary Care
- Promotion, Prevention, Early Detection
- Secondary Care
- Diagnosis and treatment
- Tertiary Care
- Long Term, rehabilitation
- Functional Care
- Task Oriented-focus on job to be done-tasks are assigned by nurse in charge-one nurse admin all meds only
- Team Nursing
- Led by a professional nurse, a team of 2-3 people provide total care for a group of clients
- Primary Nursing
- One nurse is responsible for total care of a group of clients
- american Nurses Association
- Develops standards of nursing practice and promotes the educational and professional advancement of nurses
- national league for nursing
- development and improvement of nursing education-non nurses can become members-offers voluntary accrediation for nurses
- Nursing Process
-
A special way of thinking and acting
a systematic problem solving approach
dynamic and cyclic - Assessment
- Gathers data by examining client, talking to them and families, reading chart
- Diagnosis
- sorts, clusters, analyzes clients data, prioritizes diagnosis
- Planning
-
works with client to choose desired outcome
realistic and measurable - Implementation
- carries out interventions
- Evaluation
- determines if goal was met
- Erikson
-
8 stages of development
infancy trus vs mistrust
early childhood autonomy vs shame and doubt
late childhood iniative vs guilt
school age industry vs inferiority
adolescence idenity vs role confusion
young adulthood intamacy vs isolation
adulthood generativity vs stagnation
maturity integrity vs despair - Maslow
-
self actualism
self esteem
love an dbelonging
safety and secruity
physiologic - Inspection
- Visual assessment
- Palpation
- using sense of touch
- Percussion
- striking body surface to elicit sounds or vibrations
- Auscultation
- listening to sound produced within body
- temperature
- 96.6-99.3
- pulse
-
60-80
120-160 for infants - respirations
- 12-18
- blood pressure
-
120/80
140/80 for older adults - radiation
- transfer of heat from one object to another without contact between them
- conduction
- transfer of heat from body to another surface
- convection
- dispersion of heat through air currents
- evaporation
- changed from liquid to gas
- external respiration
- interchange of oxygen and carbon dioxide between the alveoli of the lungs and pulmonary blood
- internal respirations
- exchange of oxygen and carbon dioxide between the circulating blood and the cells in tissues
- Eupnea
- breathing that is normal rate and depth
- Systolic Pressure
- higher number and represents the ventricoles contracting
- Diastolic Pressure
- Lower number and represents the pressure within the artery between beats
- Orthostatic Hypotension
- bp that falls when a client stands or sits usually as a result of peripheral vasodilation
- bp cuff too narrow
- bp reading higher
- bp cuff too wide
- bp reading lower
- Neurologic Assessment
- LOC, orientation, ability to follow commands, behavior and appearance, language, memory, knowledge, abstract thinking, cranial nerve functions, sensory function
- Musculoskeletal assessment
- range of motion, infammation, swelling, deformities, warmth, stiffness, joint instability, skin changes
- vililigo
- patches of hypopigmented skin
- vesicle
- circumscribes, round or oval, filled with serous fluid or blood
- pustule
- vesicle filled with pus
- macule
- flat unevevated change in color(freckle)
- Papule
- circumscribed solid evevation of skin (wart)
- Nodule
- elevated solid hard mass that extends deeper into dermis
- tumor
- larger then 2 cm may have irregualr borders