Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key


Play button


Play button




Click to flip

53 Cards in this Set

  • Front
  • Back
What is healthy poeple
Healthy People 2010 is a set of health objectives for the Nation to achieve over the first decade of the new century. It can be used by many different people, States, communities, professional organizations, and others to help them develop programs to improve health.
What Are the Leading Health Indicators?
the Leading Health Indicators reflect the major health concerns in the United States at the beginning of the 21st century.
Physical Activity
Overweight and Obesity
Tobacco Use
Substance Abuse
Responsible Sexual Behavior
Mental Health
Injury and Violence
Environmental Quality
Access to Health Care
Healthy People 2010 offers a simple but powerful idea:
provide health objectives in a format that enables diverse groups to combine their efforts and work as a team. It is a road map to better health for all and can be used by many different people
Gordons functional health patterns
Health Perception
Peoples habbits
(seat belts)
(antibotics) etc
people will not change their habits unless influenced, that is where nursing comes in
• Describe the health & safety practices of the individual• Describe previous patterns of adherence or compliance
Ear protection
Fire escape plan
Do you wear your seat belts
Domestic violence
• Use of the health care system
• Knowledge of the availability of health services
Do you get in for health screaning
Do you know how to make an appointment
• Access to health care, including financial resources, health insurance, and transportation
Can you make it to the Dr
Do you have the money that yur future health care will need
Do you know where to get health care
when someone is not sure of what to do maybe they are undecided about somthing
: individuals are less apt to engage in self-care or preventative measures when they
• Believe it is the responsibility of health team members to keep them healthy
• Do no recognize or acknowledge their susceptibility to an impending health problem
• Believe that they cannot influence their health status
• Past patterns predict future
Nutritional-Metabolic Patterns
Food and energy and the ability to metabolize it
o Satisfaction with current eating and drinking patterns _______________
may be limited by time, diet restrictions, know how to cook, motor skills
o Perception of problems associated with eating, drinking, growth and development, skin condition, and healing process
Growing ok
o Two broad categories; nutrient intake and metabolic demands
• Subjective
o 24-hour food and fluid recall and breakdown
 Breakfast:
 Lunch:
 Dinner:
 Calories total:
 Carbohydrates:
 Proteins:
 Fats:
 Fiber:_
 Fluid (including types)
o List of dietary restrictions:
o Food allergies:
o Vitamin supplements:
o Caffeine:
o Alcohol:
o Schedule of eating and drinking patterns:
o Screenings for swallowing or chewing:
o Who purchases food?
o Food preferences?
o Are financial resources adequate:_
o Is food stored properly:
o Who prepares food:
o How are foods prepared:
o Activity and energy use and needs:
2. Nutritional-Metabolic Patterns OBJECTIVE
• Objective
o Height
o Weight
o Skin
o Hair:
o Bony prominence:
o Dentition:
o Mucous membranes:
o Skin turgor:
o Do dentures fit correctly:
3 Elimination ways, patterns and questions.
(Bowel, bladder and skin)

•Regularity, quality and quantity of stool and urine:
• Methods used to achieve regularity or control:
• Pattern changes or perceived problems? Pain or discomfort:

• Amount of perspiration and associated color control:
• Roughage or fiber intake
4. Activity-Exercise Pattern:
• Movement capability
o Growth and developmental markers met?:
o Pain?
• Activity patterns
o What are your normal activity patterns?
 Leisure
 Exercise
• Type
• Duration
• Frequency
• Intensity
o Tolerance to activity
 Stairs?
 Short of breath or Dyspnea on exertion?
 Fatigue
 Muscle cramping
 Chest pain or angina
 Skin color changes
 Heart rate in response to activity
 Respiratory rate, depth, rhythm and effort in response to activity
 Blood pressure changes in response to activity
 Changes in activity patterns
• Self-care abilities
o ADL’s
o IADL’s
• Gait pattern
o Posture
o Balance
o Muscle tone and strength
o Coordination
o Range of motion
o Use of assistive devices
• Satisfaction with activity and exercise pattern
• Any perceived problems?
5. Sleep-Rest Pattern
• General info:
o Perception of adequacy of sleep
o Fatigue or negative energy levels?_
o Note: There is a wide range of sleep time that people report as being adequate
• Difficulty with sleep onset?
• Difficulty with sleep interruption?
• Difficulty with awakening?
• Dreaming or nightmares?
• Sleepwalking?
• Nocturnal enuresis
• Penile tumescence
• Daily naps
• Relaxation exercises
• Sleep quantity
o Hours of sleep time
o Regularity of time of retiring, time awakening
• Sleep quality
o Perception of sleep adequacy
o Performance level
o Physical and psychological state on awakening
• Medications taken that can influence sleep.
6. Cognitive-Perceptual Pattern
• Key issues
o Level of Consciousness
 Levels of alertness
 Levels of orientation
o Mental Status
 Memory
• Short term or recent memory
• Long term or remote memory
 Ability to understand and follow directions
 Ability to retain information
 Ability to make decisions
 Ability to solve problems
 Ability to use language
 Ability to focus attention and concentrate
 Judgment and problem-solving abilities
 Insight
o Sensory status
 Auditory
 Visual
 Olfactory
 Gustatory
 Tactile
 Kinesthetic sensation and perceptions
o Pain
 P: Provocative or Palliative: What makes it bettor or worse

 Q: Quality (sharp, dull, tingling)
 R: Range or Region: (Where it is located)

 S: Scale (1:10; 1:5; Wong Baker faces)
 T: Timing (when does it occur?)

 U: Understanding (what does the client believe the cause
 What is the current treatment?
 How does it impact function and sleep?
Avg Calorie intake
Sodium intake
2000 to 2300
14 grams to every 1000 cal
about 28 g
50% of all your kcal
30ml per kg
30% of diet
20% of diet
Cognitive perceptual
Language and Literacy
Memory short term

Memory Long term
do you remember what you were doing

Tell me about life and where you were born.
How do you test for short term memory
3 unrelated words that can be repeated within 3 min or 4 min
judgment skills of your patient.
you can not trust these people.
Ask judgment question that is pertinant to the situation, like what would you do if there was a fire or how do you store guns do you know how to take your meds.
Do I have an understanding of the way that I am. The patient understands about infections,weight gain, and cause and effect. This is where patient teaching comes in
Attention and concentration
this is a persons direct ability to learn. this can be normal or caused by stress.
this will limit the ability to teach
Language and Literacy
Can they speak read write and understand and to what level.
sick to the point that they are not the same mental status, we must notice the changes in mental status and find the physiology behind it.
Cognitive loss
This is not associated with illness, could be due to no glasses or hearing loss.. we need to find out why
Visual Function
can they see and is it changing
how do they communicate
ADL Functional
can they do self care
Psychosocial wellbeing
happy or not
Mood state
most display
behavioral symptoms
Nutritional status
feeding tubes
fluid maintenance
dental care
Drug use
we need to assess for all this
Resident assesment protocol
Minimum Data Set
Tinety Test
Fall risk assesment
Watch their gate and balance, look for shuffle,standing and ability to get up and sit down ok.... Have them close there eyes and see if they fall, this will check their balance.
Tinety Test
Fall risk assesment
Watch their gate and balance, look for shuffle,standing and ability to get up and sit down ok.... Have them close there eyes and see if they fall, this will check their balance.
Tinety test continued
a score below 19 is a high risk for falls

19-24 suggests there is a greater chance of falls but not a high risk..

but besides the numbers just use it to see if they are a fall risk and have physical therapy use the tools and clarify
For functional mobility check for