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27 Cards in this Set
- Front
- Back
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Pulse
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60 to 100 BPM
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tachycardia
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over 100 BPM
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bradycardia
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less than 60 BPM
-good athletic conditioning |
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respiration
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12 to 20 breaths per min
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tachypnea
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great than 23 breaths
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apnea
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absence of breathing
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bradypnea
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less than 11 breaths
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hypernea
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increased depth
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cheyne-stokes
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increased rate/depth, followed by apnea
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kussmaul
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deep, gasping breaths
-hyperventilation |
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hypertension
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greater than 140 systolic
greater than 90 diastolic |
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hypotension
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less than 90 systolic
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temperature
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oral, rectal (+1), axillary (-1), tympanic
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weight bearing status
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full
partial non-weigh toe weight |
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blocks to effective communication
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false reassurance
giving advice disapproving or changing subject rescue feelings nonprofessional involvement stereotyping sympathy arguing asking for explanations personal opinions |
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therapeutic communication techniques
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active listening
open-ended questions validation (clarifying) focusing use of silence summarizing offering self |
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active listening
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S- sit facing pt.
O- open posture L- lean towards pt. E- eye contact R- relax |
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factors effecting communication
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attention
culture emotion gender pain religion medication language |
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nutrition provides
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energy
growth maintenance |
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dysphagia
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swallowing dysfunction
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BMI
body mass index |
under 16-malnurished
16-19-underweight 20-24-normal 25-29-overweight 30-39-moderately obese greater than 40-morbidly obese |
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Nervous System
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central nerv. system
peripheral nerv. system autonomic nerv. system sensory system |
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dementia
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A progressive disorder characterized by loss of memory, reason, judgment, and language to such an extent that it interferes with a person’s daily life and activitie
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sundowning
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as sun goes down, pt. may become confused, disoriented, combative
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delirium
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confusional state characterized by sudden decreased conscience, disorientation, fear, anxiety, hallucinations, and delusions
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mental state changes
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dementia
alzheimers sundowning wandering and elopment confusion delirium |
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psychosis
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marked deviation from normal behavior and very inappropriate behavior, unable to interpret reality, kind of delirium
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