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58 Cards in this Set

  • Front
  • Back
state of soundness or wholeness of developed human structures and of bodily & mental functioning
Health
experiences of contentment, pleasure and kinds of happiness; by spiritual experiences, movement towares one's self-ideal
Well-being
actions activities the individual does on their own behalf to maintain life, health and well-being
self-care
a person's ability to engage in self-care activities; your own agent/ability
self-care agency
ability of others to meet an individual's care needs when the person cannot do it themself
dependent care agency
Eight universal self care requisites
air, food, water, elimination, hazards, normalcy, activity/rest, solitude/social interaction
basic conditioning factors
age, gender, developmental state, health state, sociocultural orientation, health care system factors, family system factors, pattern of living
total self-care actions needed during a certain period to meed a self-care requisite (GOAL)
TSCD-therapeutic self-care demand
occurs when persons are restricted in performing their self care
Self-care deficit OR nursing diagnosis
3 types of nursing systems
1. supportive-educatitive
2. partly compensatory
3. wholly compensatory
3 limitations for performing self-care operations
1. knowing
2. judging & deciding
3. acting
S1 vs. S2
S1 loudest at apex
S2 loudest at base
APE TM
Aortic
Pulmonic
Erbs Point
Tympanic
Mitral
care provided by another person when someone is unable to meet their own self-care needs
dependent care
person who accepts responsibility for meeting the care needs of others
dependent care agent
specialized abilities that enable nurses to provide nursing care
nursing agency
IPPA
Inspect
Palpate
Percuss
Ascultate
6 phases of nursing process
assess
diagnosis
outcome identification
plan
implement
evaluate
Valves of Heart
Right AV-tricuspid
Left AV-bicuspid/mitral
Right Semilunar-pulmonic
Left Semilunar-aortic
5 Rights
Right patient, right drug, right dose, right time, right route
naturally occurring altered state of consciousness characterized by decreases in awareness
sleep
decreased motor/cognitive responses
awareness of environment maintained
rest
marked by separation and individuation
launching
developing a new sense of "you", "me" & "us"
coupling- newly married
family w/ young children, school, accept new generations into family
nesting or "diapers 'R us"
increase flexibility of family boundaries to include adolescent's independence
testing-testing-who am I?
family w/ grown children
empty nest
marked by multiple losses
golden oldies
3 parts of nursing diagnosis
problem
etiology
defining characteristics
3 types of nursing diagnoses
actual
risk
possible
adduction
moving toward midline
abduction
moving away from the midline
rotation, internal
turning joint on its axis toward midline
rotation, external
turing joint on its axis away from the midline
supination
facing upward
pronation
face downward
circumduction
moving a body part in widening circles
inversion
pointing toes toward midline
eversion
pointing the toes away from midline
opposition
touching the thumb to each finger
staggering and unsteadiness
ataxic gait
walking appears stiff and toes appear to catch & drag
spastic gait
walking with feet wide apart in a duck-like fashion
waddling gait
one leg paralyzed; person drags leg or swings around to propel it forward
hemiplegic gait
walking on toes as is being pushed, common in Parkinson's
festinating gait
when a client can perform ROM unassisted
active ROM
client needs nurses assistance to perform ROM
passive ROM
client can participate in ROM exercises with assistance
assistive ROM
client can bear weight on both feet
four point gait
bear weight only on one foot
three point gait-crutches and weaker leg move forward first
PWB on at least each foot
two point gait-each crutch moves with opposing leg
used by paraplegics
swing through gait-move crutches and then swing body beyond crutches
perceived difficulty in sleeping
insomnia
disorder of excessive daytime sleepiness characterized by short sleep attacks
narcolepsy
recurrent periods of absence of breathing for 10-15 sec. at least 5 times/hr
sleep apnea
not completely apneic, but have recurrent periods of shallow breathing
hypopnea
activities that are normal during waking but abnormal during sleep-sleepwalking (somnambulism), talking, bed-wetting
parasomnias
2 types of sleep
NREM=quiet sleep
REM=rapid eye movement