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30 Cards in this Set
- Front
- Back
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internal variable influencing health
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biologic: gender. age. developmental level
psychological dimension: mind body interaction. self concept cognitive |
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external variable
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behavior
family and cultural beliefs socioeconomic support systems |
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primary prevention
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health promotion and illness prevention
activities to prevent or delay onset of disease |
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health promotion
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health promotion to increase wellness without a specific cause
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secondary prevention
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screenings. catch diseases in early stage
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tertiary prevention:
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rehab. palliative care. restoration. treatments. return patient to a preillness phase
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causes of diseases
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mechanical: damage to structure of the body from trauma or extreme temp.
biological: affect bodily functions and are results genetic defects like aging normative: psychological involve mind body interactions |
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acute illness stages
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1. symptom experiences
2. assumption of the sick role 3. medical care contacts 4. dependent client role 5. recovery and rehabilitation |
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interventions for stages of illness
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1. none
2. none 3. focus on education to promote independent functioning 4. patient dependent on nurse 5. patient more active/ nurse less needed |
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acute illness
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occurs suddenly and lasts for limited amount of time
acute illness a person may experience disruptions of pain. competing demands and the unknown. |
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chronically Ill patient
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permanent disabling nonreversible alteration that require rehab and long periods of care
remission occurs when symptoms are minimal to none exacerbation occurs when symptoms intensify |
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needs of the chronically Ill patient
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-live as normally as possible
-learn to adapt ADLs and self care activities - grieve the loss due to illness - learn to live with chronic pain - comply with medical treatment - maintain positive self concept and sense of hope - confront inevitability of death |
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impact of illness on patient
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anger
depression denial self concepts loss of control hardiness disability |
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impact of illness on family
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personal
social economic resources nature of disease |
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coping strategy for illnesses
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self help or support groups. educational literature meeting.
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prioritizing nursing diagnosis
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a life threatening concern of a concern that can cause further deteriation.
- oxygenation is always a concern - prevent infection from being transferred to the client - bleeding and circulatory problems |
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prioritizing #2
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bleeding
acute pain dizziness impaired skin |
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#3 prioritizing
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a patient concern
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7 rights of meds
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1. client
drug dosage time route rationale documentation |
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during administration of drugs
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perception
coordination ability to self administer drugs swallowing |
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after administration of drug
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effectiveness of the drug
for side effects for toxicity |
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oral meds
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usually less expensive
comfortable and convenient to client take longer to effect due to having to pass through the GI system but lasts longer |
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inhalants ( nasal or oral)
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-provide rapid relief for local respiratory problems
- some can cause systemic effects - spaces improve drug absorption allowing med to break down into smaller particles |
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mucous membranes
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SL. buccal. vaginal. or rectal.
do not chew. let dissolve in mouth. rapid absorption due to many blood vessels |
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topical
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applied directly yp body ditr or placed in body cavity by irrigation or installation
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transdermal
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painless.
limited side effects |
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injections/ parenteral
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cause anxiety and discomfort
can be expensive avoided in people with bleeding tendencies invasive can introduce infection |
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needle lengths
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im- 1-2 in
sub cut: 3/8-5/8 in needle |
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three checks
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before you pour.mix or draw up a med check MAR.
after you prepare it at the bedside |
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assessment of client
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client history
allergies medication data diet history clients perception or coordination problems clients current condition clients attitude and knowledge about meds |
