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