Managing Self Care Deficit

Front 1

Bathing/Hygiene Self Care Deficit

Back 1

patient has impaired ability to perform or complete bathing/hygiene activities for oneself

Front 2

Dressing/Grooming Self Care Deficit

Back 2

patient has impaired ability to perform or complete dressing or grooming activities for oneself

Front 3

Feeding Self Care Deficit

Back 3

patient has impaired ability to perform or complete feeding activities for oneself

Front 4

Toileting Self Care Deficit

Back 4

patient has impaired ability to perform or complete toileting activities for oneself

Front 5

Aspiration

Risk for Aspiration

Back 5

drawing in or out by suction. foreign bodies may be aspirated into nose, throat or lungs on inspiration; purpose is to remove fluid or air from an affected area (Tabers pg. 198)

state in which an individual is at risk for entry of gastric secretions, oropharyngeal secretions or exogenous food or fluids into tracheobronchial passages due to dysfunction or absence of normal protective mechanisms (Tabers pg. 199)

Front 6

ADL(s)

Back 6

Activity(ies) of Daily Living (Workbook, Notes)

Front 7

Risk for Injury

Back 7

patient is at risk for an injury as a result of environmental conditions interacting with the individual's adaptive and defensive resources (Workbook)

Front 8

Risk for Trauma

Back 8

patient's condition places them at accentuated risk for accidental tissue injury i.e. wound burn or fracture (Workbook)

Front 9

Risk for Falls

Back 9

patient's condition places them at increased susceptibility to falling that may cause physical harm

Front 10

Prone

Back 10

horizontal with face downward; denoting the hand with palm turned downward; opposite of supine (Tabers pg. 1905)

Front 11

Supine

Back 11

lying on back with face upward; position of hand or foot with palm or foot facing upward; opposite of prone (Tabers pg. 2241)

Front 12

Lateral

Back 12

on side (Tabers pg. 1304)

Front 13

Flexor

Back 13

a muscle that brings 2 bones close together causing flexion of the part of a decreased angle of the joints; opposed to extensor (Tabers pg. 880)

Front 14

Hyperextension

Back 14

extreme or abnormal extension (Tabers pg. 1114)

Front 15

Adduction

Back 15

movement of a limb or eye toward the median plane of the body or, in the case of digits, toward the axial line of a limb (Tabers pg. 46)

Front 16

Abduction

Back 16

lateral movement of the limb away from the median plane of the body or lateral bending of the head or trunk; movement of the digits away from the axial line of a limb; outward rotation of the eyes (Tabers pg. 4)

Front 17

Pronate

Back 17

to place in a prone position (Tabers pg. 1905)

Front 18

Supinate

Back 18

to place in a supine position

Front 19

3 Point Gait

Back 19

a manner of walking (gait); a gait in which the crutches and the affected leg are advanced first then the other leg; requires client to bear full weight on unaffected leg (Tabers pg. 919, Fund. pg. 853)

Front 20

ROM Exercises

Back 20

RANGE OF MOTION exercises maintain joint flexibility and movement when the client is unable to move or is confined to bed; stimulate circulation and relax body (Fund. pg. 845)

-exercises may be full, which includes all joints, or for selected joints
-will not maintain or improve strength
-need to be familiar with normal ROM of each joint
-complications could include pain or joint injury if done too vigorously (Fund. pg. 845)

-amount of excursion through which joint can move, measured in degrees of a circle
-an exercise that moves a joint through the extent of its limitations
-this exercise can be active, active-assisted or passive (Tabers pg. 1969)

Front 21

Bed Positions

Back 21

-High Fowler's
-Fowler's
-Semi-Fowler's
-Low Fowler's
-Sim's
-Lateral
-Trendelenburg

Front 22

High Fowler's

Back 22

head of client's bed is elevated 80-90 degrees (Notes)

Front 23

Fowler's

Back 23

-head of client's bed is elevated 45-80 degrees
-semi sitting position
-people breath better here at 70 degrees vs. 45 degrees

Front 24

Semi-Fowler's

Back 24

head of client's bed elevated to 30-45 degrees

Front 25

Low Fowler's

Back 25

head of client's bed elevated 15-30 degrees

Front 26

Sim's

Back 26

-semiprone position or forward side-lying position
-trunk is rotated 15-30 degrees forward from the lateral position with superior arm and leg supported in front of body to form part of base of support (Fund. pg. 874)

Front 27

Lateral

Back 27

-side lying position
-trunk is at a right angle to the bed to increase base of support and comfort
-one or both legs are bent and both arms are extended in front of body because body weight is borne on shoulders and hips
-semiprone or semisupine position is preferred (Fund. pg. 874)

Front 28

Trendelenburg

Back 28

-position in which the patient's head is low and the body and legs are on an elevated inclined plane (Fund. pg. 874)

-may be accomplished by having patient flat on a bed and elevating foot of bed
-in this position, abdominal organs are pushed up toward chest by gravity
-foot of bed may be elevated by resting it on blocks
-this position is used in abdominal surgery
-in treating shock, this position is usually used but if there is an associated head injury, head should be kept lower than trunk (Tabers pg. 2369)

Front 29

Contracture

Back 29

fibrosis of connective tissue in skin , fascia, muscle or a joint capsule that prevents normal mobility of the related tissue or joint (Tabers pg. 519)

Front 30

Footdrop

Back 30

-plantar flexion of the foot due to injury, paralysis or weakness of the nerves supplying the anterior tibial muscles
-may result in dragging of the foot or toes while walking

Front 31

Impaired Physical Mobility

Back 31

patient has a limitation in independent, purposeful physical movement of the body or of one of the extremities (Workbook)

Front 32

Activity Intolerance

Back 32

patient has insufficient physiological or psychological energy to endure or complete required or desired daily activities (Workbook)

Front 33

Risk for Disuse Syndrome

Back 33

patient's condition is such that they are at risk for deterioration of their body systems as the result of a prescribed or unavoidable musculoskeletal inactivity
(Workbook)

Front 34

Risk for Impaired Skin Integrity

Back 34

patient's skin is at risk for being adversely affected because of their condition, the treatments ordered, and medications they are taking (Workbook)