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67 Cards in this Set

  • Front
  • Back

Culture

Nonphysical traits; values, beliefs, customs shared by group of people & passed from 1 generation to the next.

Acculturation

People borrow traits or adapt to traits from other culture

Assimilation

Process of individuals developing a new cultural identity (become like members of dominant group)

What are the Aspects of Diversity?

1) Age


2) Race


3) Gender


4) Sexual Orientation


5) Physical Abilities


6) Ethnicity


7) Marital Status


8) Educational Background


9) Religion/Spirituality


10) Income


11) Geographic Location


12) Field of employment

What are the Barriers to Cultural Sensitivity?



Prejudice: a negative belief or preference that is generalized about a group and that leads to "prejudgement"

What are the Barriers to Cultural Sensitivity?



Stereotyping: assuming all members of a culture or ethnic group are alike

What are the Barriers to Cultural Sensitivity?

Discrimination: differential treatment of individuals or groups based on categories such as race, ethnicity, gender, social class

What is magico-religious belief?

health and illness are controlled by supernatural forces. Health may be dependent on God’s will

Scientific Belief

health is controlled by physical and biochemical processes such as drugs, treatments, and surgery

Holistic Belief

the forces of nature must be maintained in balance or harmony for a person to be healthy

What is Spirituality?

That part of being human that seeks meaningfulness through intra-, inter-, and transpersonal connection.

What would differ in Verbal Communication in various cultures?

Vocabulary

Grammatical structure


Voice qualities


Intonation


Rhythm


Speed


Pronunciation


Silence

What would differ in Non Verbal Communication in various cultures?
Use of silence

Touch


Eye movement


Facial expression


Body posture

What is the Space Orientation for intimate space in Western society?

0-1.5 feet

What is the Space Orientation for Personal space in Western society?

1.5-4 Feet

Social Space distance?

4-12 feet

Public Space distance?

12 Feet

What kind of questions should you use in an Cultural Assessment?

Open Ended Questions about




Cultural Affiliation




Beliefs about illness




HC Practice





What is the Code of Ethics for Nurses?

Nurse provides services with respect for human dignity and the uniqueness of the client unrestricted by considerations of social or economic status, personal attributes, or the nature of the the health problem

Culture

A view of the world. A set of values, beliefs and traditions that are handed down from generation to generation.

What are the Characteristics of Culture?

Learned by each new generation.



Guides behavior into acceptable ways in for people to behave within a specific culture.




Often influenced by the groups social and physical environment.




Practices and beliefs tend to remain constant.


Influences the way people view themselves.

Ethnicity

Sense of identification with a collective cultural group, largely based on the group’s common heritage. (Sense of belonging to a larger group.)

Race

Related to Biology - distinguishing physical characteristics

Cultural Competence

Appreciating, respecting and accepting people’s cultural influences as well as incorporating them into appropriate wellness and illness client care.

What are some barriers to cultural competence?

Ethnocentrism (one's way is the best way)




Prejudice ( Rigid, Negative attitudes base on faulty generalizations)





What is the single most effective way to prevent the spread of harmful microorganisms?

Washing Hands

Washing Hands





What are the 6 factors in the Chain of Infection?

  1. Infectious Agent
  2. Reservoirs
  3. Portal of Exit
  4. Means of Transmission
  5. Portal of Entry
  6. Susceptible Host

What are the 4 stages of Infection?

  1. Incubation
  2. Prodromal
  3. Illness
  4. Convalescence

What happens in the Incubation stage?

interval between invasion of the body bypathogen and development of symptoms.



Organisms are growing and multiplying



What happens in the Prodromal Stage?

What happens in the Prodromal Stage?

Early signs of the disease are present but are often vague and non specific




Most Infectious stage!!

Illness Stage??

Illness Stage??

Specific signs and symptoms of the infection are present





Convalescence??

Recovery from infection and signs and symptoms disappear

What are the two types of Infection?

Local and Systemic

Local Infection signs?

Local Infection signs?

  • Redness
  • Swelling
  • Painor tenderness
  • Edema
  • Restrictedmovement in the area
  • Yellow,green or brown drainage
  • Pain
Systemic Infection??

Systemic Infection??

  • Occurs when pathogens spread and damage different parts of the body
  • Enlarged Lymph Nodes
What infections is this??

What infections is this??

MRSA

Super infection??

When somone on antibiotics develops an additional infection because of the Antibiotic




Ex. yeast infection

Nosocomial Infection

  • Infection that are associated with the delivery of Healthcare services in a Healthcare facility

What are the 3 stages of Inflammatory Response?

  1. Vascular/cellular response
  2. Exudate Production
  3. Reparative Stage

What happens during Vascular/cellular stage?

Blood vessels at injury site constrict and rapidly dilate to increase blood flow to area (redness, swelling, and heat?

What is the 2nd Stage of Inflammatory response?

Exudate Production

What happens during the Exudate Stage(2nd)?

Fluid that escapes from the blood vessels (hallmark sign of infection)

What is the third stage of inflammatory response?

Reparative Stage

What happens during the Reparative Stage?


  • Repair of injured tissue
  • Regeneration of destroyed tissue with healthy tissue

Most common infection causing microorganisms

Bacterial

Must enter living cells in order to reproduce??


  • Viral
  • Examples: HBV, HIV, Herpes

Can viral infections produce bacterial infections ?

YES!


Due to weakened immunity




Flu can result in bacterial pneumonia

What does Culture and Sensitivity do?

Distinguishes between an inflammatory response and an infection

What are the signs of inflammation? Infection?

Inflammation = swelling


Infection = pus

What is the treatment for infection?

Broad Spectrum Antibiotics

What does broad spectrum antibiotics do?

limit the growth of a wide variety of microorganisms

What lab value indicates infection?

Fluctuations in WBC differential

What are the Nursing Assessments for infection?


What would you look at? 8 things

  1. Assess immunization status
  2. Past history of infections
  3. Current and past antibiotic treatment
  4. Temp
  5. BodySystemAssessments (DAT)
  6. Eating habits
  7. Level of Stress
  8. Sleep patterns

What Nursing Interventions can you do?

  • Cool Moist Compress for fever
  • Warm blanket or layers of blankets for shivering Provide clear fluids
  • Warm liquids can break up sooth sore throat Change sheets and provide sponge baths for Diaphoresis
  • GiveAntibiotics with food
  • Encourage resting/naps
  • Provideemesis basin, kleenex

What is Orthostatic Hypotension?

Vasocontriction occurs when going from a laying to upright position




Blood pools in LE & BP drops

What is the Nursing Intevention for Orthostatic Hypotension?

Elevate head of bed!


Dangle at bedside


Do not transfer when dizzy

How do you prevent Cardiac Overload?

Don't Strain


Prevent Constipation


Assist with bed mobility


Don't hold breath when repositioning

What is Diuse Syndrome?

A result of decreased cardiac output




Result of being bedridden





What is imbalanced for supply and demand?

O2

What is NREM?

Non rapid eye movement




this is 75% to 80% of night time sleep

What are the 4 stages of NREM?

  1. light sleep (minutes)
  2. Body processes slow down

3-4. Deepest level of sleep muscle reflexes diminished

What are physiological changes during sleep?

  • arterial blood pressure falls
  • pulse decreases
  • peripheral blood vessels dilate
  • cardiac output decreases
  • skeletal muscles relax
  • metabolism decreases
  • growth hormone peaks

What does opiods do to sleep?

decrease REM

What is REM?

Rapid eye movement

How long does REM last?

occurs every 90 min




lasts 5-30 minutes




brain highly active

What are the physiological changes during REM?

  • distinctive eye movement
  • brain waves resemble wakefulness
  • deep tendon reflexes absent
  • difficult to arouse
  • gastric juices increase
  • heart/resp. increase

What factors can affect sleep?

  • illness
  • chronic disease
  • pain
  • environment
  • lifestyle
  • emotional stress
  • stimulants/alcohol
  • diet/smoking
  • medications