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34 Cards in this Set
- Front
- Back
Bathing/Hygiene Self Care Deficit
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patient has impaired ability to perform or complete bathing/hygiene activities for oneself
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Dressing/Grooming Self Care Deficit
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patient has impaired ability to perform or complete dressing or grooming activities for oneself
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Feeding Self Care Deficit
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patient has impaired ability to perform or complete feeding activities for oneself
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Toileting Self Care Deficit
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patient has impaired ability to perform or complete toileting activities for oneself
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Aspiration
Risk for Aspiration |
drawing in or out by suction. foreign bodies may be aspirated into nose, throat or lungs on inspiration; purpose is to remove fluid or air from an affected area (Tabers pg. 198)
state in which an individual is at risk for entry of gastric secretions, oropharyngeal secretions or exogenous food or fluids into tracheobronchial passages due to dysfunction or absence of normal protective mechanisms (Tabers pg. 199) |
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ADL(s)
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Activity(ies) of Daily Living (Workbook, Notes)
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Risk for Injury
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patient is at risk for an injury as a result of environmental conditions interacting with the individual's adaptive and defensive resources (Workbook)
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Risk for Trauma
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patient's condition places them at accentuated risk for accidental tissue injury i.e. wound burn or fracture (Workbook)
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Risk for Falls
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patient's condition places them at increased susceptibility to falling that may cause physical harm
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Prone
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horizontal with face downward; denoting the hand with palm turned downward; opposite of supine (Tabers pg. 1905)
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Supine
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lying on back with face upward; position of hand or foot with palm or foot facing upward; opposite of prone (Tabers pg. 2241)
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Lateral
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on side (Tabers pg. 1304)
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Flexor
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a muscle that brings 2 bones close together causing flexion of the part of a decreased angle of the joints; opposed to extensor (Tabers pg. 880)
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Hyperextension
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extreme or abnormal extension (Tabers pg. 1114)
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Adduction
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movement of a limb or eye toward the median plane of the body or, in the case of digits, toward the axial line of a limb (Tabers pg. 46)
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Abduction
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lateral movement of the limb away from the median plane of the body or lateral bending of the head or trunk; movement of the digits away from the axial line of a limb; outward rotation of the eyes (Tabers pg. 4)
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Pronate
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to place in a prone position (Tabers pg. 1905)
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Supinate
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to place in a supine position
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3 Point Gait
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a manner of walking (gait); a gait in which the crutches and the affected leg are advanced first then the other leg; requires client to bear full weight on unaffected leg (Tabers pg. 919, Fund. pg. 853)
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ROM Exercises
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RANGE OF MOTION exercises maintain joint flexibility and movement when the client is unable to move or is confined to bed; stimulate circulation and relax body (Fund. pg. 845)
-exercises may be full, which includes all joints, or for selected joints -will not maintain or improve strength -need to be familiar with normal ROM of each joint -complications could include pain or joint injury if done too vigorously (Fund. pg. 845) -amount of excursion through which joint can move, measured in degrees of a circle -an exercise that moves a joint through the extent of its limitations -this exercise can be active, active-assisted or passive (Tabers pg. 1969) |
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Bed Positions
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-High Fowler's
-Fowler's -Semi-Fowler's -Low Fowler's -Sim's -Lateral -Trendelenburg |
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High Fowler's
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head of client's bed is elevated 80-90 degrees (Notes)
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Fowler's
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-head of client's bed is elevated 45-80 degrees
-semi sitting position -people breath better here at 70 degrees vs. 45 degrees |
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Semi-Fowler's
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head of client's bed elevated to 30-45 degrees
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Low Fowler's
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head of client's bed elevated 15-30 degrees
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Sim's
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-semiprone position or forward side-lying position
-trunk is rotated 15-30 degrees forward from the lateral position with superior arm and leg supported in front of body to form part of base of support (Fund. pg. 874) |
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Lateral
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-side lying position
-trunk is at a right angle to the bed to increase base of support and comfort -one or both legs are bent and both arms are extended in front of body because body weight is borne on shoulders and hips -semiprone or semisupine position is preferred (Fund. pg. 874) |
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Trendelenburg
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-position in which the patient's head is low and the body and legs are on an elevated inclined plane (Fund. pg. 874)
-may be accomplished by having patient flat on a bed and elevating foot of bed -in this position, abdominal organs are pushed up toward chest by gravity -foot of bed may be elevated by resting it on blocks -this position is used in abdominal surgery -in treating shock, this position is usually used but if there is an associated head injury, head should be kept lower than trunk (Tabers pg. 2369) |
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Contracture
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fibrosis of connective tissue in skin , fascia, muscle or a joint capsule that prevents normal mobility of the related tissue or joint (Tabers pg. 519)
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Footdrop
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-plantar flexion of the foot due to injury, paralysis or weakness of the nerves supplying the anterior tibial muscles
-may result in dragging of the foot or toes while walking |
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Impaired Physical Mobility
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patient has a limitation in independent, purposeful physical movement of the body or of one of the extremities (Workbook)
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Activity Intolerance
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patient has insufficient physiological or psychological energy to endure or complete required or desired daily activities (Workbook)
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Risk for Disuse Syndrome
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patient's condition is such that they are at risk for deterioration of their body systems as the result of a prescribed or unavoidable musculoskeletal inactivity
(Workbook) |
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Risk for Impaired Skin Integrity
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patient's skin is at risk for being adversely affected because of their condition, the treatments ordered, and medications they are taking (Workbook)
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