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45 Cards in this Set

  • Front
  • Back
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