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20 Cards in this Set

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what does presbycusis mean
age-related hearing loss in which there is decreased ability to distinguish higher frequencies
What is a nursing diagnosis
actual or potential health problems that can be prevented or resolved by independent nursing intervention. (focuses on unhealthy responses to health and illness).
Key element that differentiates a nursing diagnosis from a medical diagnosis or a collaborative problem
medical diagnosis cannot be changed.
Explain the phrase "analyze and interpret data".
look for relationships and patterns.
Define a collaborative problem
Give examples
certain physiologic complications that nurses monitor to detect onset or changes in status.
example: 42 yr old woman ; 1 hr after delivery, spinal anesthesia; 1,500 ml fluid infused in past 4 hrs w/o patient voiding; unable to void
Define a data cluster
Give an example
grouping of patient data or cues that points to the existence of a patient health problem.
diagnosing a patient recovering from gallbladder surgery with Ineffective Coping solely on the basis of tears may misinterpret the patient's crying which may be a healthy release of emotion. If the same patient begins to exhibit a cluster of significant cues such as refusing to eat, preferring bed rest to scheduled ambulation, and reporting increasing discomfort, an unhealthy pattern is emerging.
What is a medical diagnosis
Medical diagnosis refers to the process of attempting to determine and/or identify a possible disease or disorder and the opinion reached by this process.
The steps of the nursing process are:
Assessment (collect data)
Nursing Diagnosis (group your assessment data, shop and match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnosis to use)
Planning (write measurable goals/outcomes and nursing interventions)
Implementation (initiate the care plan)
Evaluation (determine if goals/outcomes have been met)
what is hemiparesis
is weakness on one side of the body. It is less severe than hemiplegia - the total paralysis of the arm, leg, and trunk on one side of the body. Thus, the patient can move the impaired side of his body, but with reduced muscular strength
what is dementia
organic impairment of intellectual functioning, gradually leading to interference with social or occupational functioning, memory and often personality integration.
what is alzheimers
type of dementia in which discrete patches of brain tissue dengenerate;this devastating disease eventually affects all body functions.
what is sundowning syndrome
when a person habitually becomes confused or disoriented with darkness
Erik Erickson
Integrity-reminiscence
Ego Integrity vs. Despair-task of the older adult
-inner search for meaning and order of the life cycle
-importance of reminiscence
Developmental goals are affected by social environment and significant others
each stage is characterized by a developmental crisis to be mastered
developmental tasks of other stages can be and do re-surface in older adulthood
Robert J. Havighurt
Focus on maintaining social contacts and maintaining relationships
Living and growing are based on learning. A person must continuously learn to adjust to changing societal conditions.
learned behaviors are developmental tasks that occur at certain periods of life.
Successful achievement leads to unhappiness and difficulty with later tasks
quality improvement
committement and approach used to continously improve every process in every part of an organization with the intent of meeting and exceeding customer expectation and outcomes.
internally driven, focuses on patient care rather than organizational structure, focuses on processes rther than individuals and has no end points.
quality assurance
ongoing evaluation program designed and implemented to secure the excellence of heathcare, may involve an assessment of structure,process, and outcome standards.
Protocols
written plans that detail the nursing activities to be executed in specific situations.
standing orders
empower the nurse to initiate actions that ordinarily require the order or supervision of a physician.
quality assurance program: promote excellence in nursing
structure evaluation
focuses on the environment in which care is provided.
quality improvement: goal is to improve quality
concurrent evaluation
is conducted by using direct observation of nursing care, patient interviews and chart review to determine if criteria are met.