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43 Cards in this Set

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Nursing process

Assess


Analyze


Planning


Implement


Evaluate

SBAR

Situation


Background


Assessment


Recommendation

Levels of health promotion

Individual, family, community, society

Class 1

Emergent - close to death: can be saved

Class 2

Urgent

Class 3

Non urgent

Class 4

Expectant: going to die. Can’t be saved

Healthy people 2020

National guidelines to promote health

Levels of prevention

Primary - health promotion


Secondary - early diagnosis and screening


Tertiary - restoration and rehab: disease already occurred

Primary prevention

Passive: not personally involved (public health efforts)


Active: personally involved (lifestyle changes)

Six stages of change

Precontemplative


Contemplative


Preparation


Action


Maintenance


Relapse

Evidence based practice

Using research findings to make decisions

Types of values

Active: values of a person physically acts out


Cognitive: verbal and intellectually expressed

Patient-centered communication is ..

Attentive, caring, empathetic, friendly, comfortable, calm, interested, sincere, respectful

Empathy

Feeling WITH someone

Sympathy

Not connecting

Communication process

Input- taking info


Output- further info exchange


Feedback- monitoring system for comm. can be neg. and pos.


Situational context- physical, psychosocial, cultural dimensions

Verbal communication

Includes spoken and written


Sign language, Braille, touch language


To inform, to trigger response, to describe

Nonverbal communication

Gestures, facial expression


Messages not spoken or written

Nonverbal communication

Gestures, facial expression


Messages not spoken or written

Metacommunication

Meaning behind a message

Effective communication steps

Firmly stating case


Clarifying message


Seeking feedback


Being receptive to recurved feedback

Health literacy key factors to consider

- education level


- reading comprehension level


- native language

Health literacy grade level for reading

5 or 6 grade level and using 1-2 syllable words

Motivational Interviewing key components

Engaging - address issues, establish trust


Focus- narrowing focus to area of change


Evoking - eliciting motivation for change


Planning - developing steps to create change

Relationship stages (Therapeutic relationships)

Orientation or introductory phase - establishing connection, active listening


Working phase - promoting health


Termination phase - end of therapeutic contract, can cause anxiety

Transtheoretical model stages of readiness to change

Precontemplation- not considering change


Contemplation- considering change


Planning and prep- planning change


Action- implementing change


Maintenance- maintaining change

Most common deficiencies for vitamins are

Iron and calcium

Maslows hierarchy of needs

Top:


Self actualization


Self esteem


Love and belonging


Safety and security


Physiological

Maslows hierarchy of needs

Top:


Self actualization


Self esteem


Love and belonging


Safety and security


Physiological

Physiological needs

Oxygen


Circulation


Nutrition


Elimination


Rest and sleep


Activity and exercise


Fluid balance

Safety and security

Safe environment


Income


Shelter

Love and belonging

Love


Affection


Relationships

Self esteem

Self respect


Personal worth


Social recognition

Self actualization

Personal growth


Fulfilling own potential

ABC

Airway


Breathing


Circulation

Priority of initial assessment


All critical to survival

ABC

Airway


Breathing


Circulation

Priority of initial assessment


All critical to survival

Airway

Highest priority action


Open and clear

Safety and risk reduction

Assigns priority to situation that is posing the greatest safety risk to the client

Risk reduction... types of risk

Internal: lab values and vital signs outside expected range


External: risks in clients environment

Least restrictive/ least invasive

Priority to least invasive and restrictive


(Essential oils and 1:1 before restraints)

Survival potential

Chance client has for survival during mass casualty event

Acute vs. chronic

Acute - may pose more of a threat


Chronic - needs usually develop over period of time