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Mental status > Acronyms > Flashcards

Acronyms Flashcards

1
Q

PIE

A

problem define particular problem POMR
Intervention
Evaluation

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2
Q

SOLER

A 
Sit squarely.   interview techniques
Open positive
Lean toward other
Eye contact
Relax
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3
Q

COLDSPA

A 
character illness assessment
onset
Location
Duration
Severity
Pattern
Associated factors
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4
Q

SOAP

A

Subjective. format narrative documentation
Objective
Assessment
Plan

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5
Q

Focus charting

DAR

A

Data. format narrative documentation
Action
Response

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6
Q

cbe

A

Charting normal assessment/ routine care unless otherwise WDL/WNL
By
Exception

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7
Q

PES

A

P problem (nanda label) writing diagnosis
Etiology (R/T)
Symptoms (AEB)

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8
Q

SBAR

A

Situation. tool comm among HC providers
Background
Assessment
Recommendation

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9
Q

SURETY

A 
Sit at angle facing pt
Uncross legs & arms
Relax
Eeye conact
T ouch (therapeutic "& acceptance tp pt)
Y our intuition (know w/out reasoning)
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10
Q

AIDET

A 
Acknowledge.  staff comm with pt& families
Introduce
Duration
Explanation
Thank u
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11
Q

SACCIA

A 
Suffiecieny help nurses comm effectively
Accuracy
Clarity
Contextualization
Interpersonal
Adaptation
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12
Q

AAPIE

A 
Assessment
Analysis
Planning
Implementation
Evaluation
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13
Q

SMART

A 
SMART expected outcome
Measurable
Attainable
Realistic
Timed
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14
Q

PICOT

A

Population/pt Intervention based on scientific research
Intervention. help choose which int better
Comparison
Outcome
Time

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15
Q

ABCT

A

Appearance. mental status assess check emotional
Behavior. n cognitive function
Cognition
Thought process

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16
Q

GCs

A

Glasgow
Coma
scale

17
Q

PQRST

A 
Provoke.  present illness or health conc guidance assess
Quality
Radiate
Severity
Time
18
Q

CAGE

A

Cut down uncontrolled drinking 2 or more= abuse
Annoyed
Guilty
Eye opener

19
Q

FICA

A

Faith does religious play imp role in life
Influence. how does religion influence way think art ur health
Community r u part religion congregation
Address. u want address any religious concern w u

20
Q

RACE

A

Rescue n remove pt
Activate alarm
Confine fire
Extinguish fire

21
Q

PASS

A

Pull. use fire extinguisher
Aim
Squeeze
Sweep

22
Q

TUG

A

Timed get. assess mobility (balance, sit, stand walk)
Up
Go

23
Q

SPLATT

A 
Symptoms at time fall assess previous fall
Previous fall
Location fall
Activiy fall
Time fall
Trauma after fall
24
Q

HEEADSSS

A 
HOME.     psychosocial interview for adolescents
Education/emplyment
Eatng
Activities
Drugs
Sexuality
Suicide/depression
Safety
25
Q

ABCDE

A

A: Ask about pain regularly. Assess pain systematically.
B: Believe patient and family in their report of pain and what relieves it.
C: Choose pain control options appropriate for the patient, family, and setting.
D: Deliver interventions in a timely, logical, and coordinated fashion.
E: Empower patients and their families. Enable them to control their course to the greatest extent possible.

26
Q

PEARL

A 
Pupils 
Equal, 
Round,
 React to Light, and
 Accommodation.
27
Q

SPICES framework

A 
S: Sleep disorders
P: Problems with eating or feeding
I: Incontinence
C: Confusion
E: Evidence of falls
S: Skin breakdown
-Tool for Overall Assessment of Older Adults
28
Q

F.A.S.T. plan

A 
• F = Face drooping
• A = Arm weakness
• S = Speech difficulty
• T = Time to call 9-1-1
- remember the sudden signs of stroke
29
Q

PLISSIT (patient with dyspareunia)

A

P:ermission to discuss sexuality issues
L:imited Information related to sexual health problems being experienced
S:pecific Suggestions—only when the nurse is clear about the problem
I:ntensive Therapy—referral to professional with advanced training if necessary

30
Q

ABCDEF

A
  • A:symmetry (not regularly round or oval, two halves of lesion do not look the same)
  • B:order irregularity (notching, scalloping, ragged edges, poorly defined margins)
  • C:olor variation (areas of brown, tan, black, blue, red, white, or combination)
  • D:iameter greater than 6 mm (i.e., the size of a pencil eraser), although early melanomas may be diagnosed at a smaller size.
  • E:levation or Evolution
  • F:unny looking (refers to the “ugly duckling” sign, in which the suspicious lesion stands out as looking different compared with its neighboring nevi
31
Q

acronym NAVEL

A

(Nerve, Artery, Vein, Empty space, Lymphatics)- palpate for hernia

32
Q

Self-Care—Testicular Self-Examination (TSE)

A
  • T = timing, once a month. (check testicular cancer)
  • S = shower, warm water relaxes scrotal sac
  • E = examine, check for changes, report changes immediately
33
Q

CUS Tool,

A

I am C oncerned, (health care communic when pt condition changes)
I am U ncomfortable
this is a S afety issue

34
Q

CUS

A

C:concerned. (To communicating tool for nurses used to convey to physicians important changes in the health status of patients)
U: uncomfortable
S:safety

35
Q

(6) ACCESS :

cultural factors that influence pt education outcomes

A
  1. Assessment of a patient’s lifestyle, health beliefs, cultural traditions, and health practices.
  2. Communication with an awareness of the many variations in verbal and nonverbal responses.
  3. Cultural negotiation and compromise that encourages awareness of characteristics of a patient’s culture and one’s own biases.
  4. Establishment of respect for a patient’s cultural beliefs and values; creating a caring rapport.
  5. Sensitivity to how patients from diverse backgrounds perceive their care needs and the patterns of communication they use.
  6. Safety that enables patients to feel culturally secure and avoids disempowerment of their cultural identity.
36
Q

LEARN

A

(Acquiring the willingness to practice cultural desire)
• L:isten to the patient’s perception of the problem. Be nonjudgmental and use encouraging comments, such as “Tell me more” or “I understand what you are saying.”
• E:xplain your perception of the problem.
• A:cknowledge not only the differences between the two perceptions of the problem but also the similarities. Recognize the differences but build on the similarities.
• R:ecommendations must involve the patient.
• N:egotiate a treatment plan, considering that it is beneficial to incorporate selected aspects of the patient’s culture into the plan.

37
Q

RESPECT:

A

Rapport, Empathy, Support, Partnership, Explanations, Cultural Competence, Trust

38
Q

ETHNIC

A

Explanation, Treatment, Healers, Negotiate, Intervention, Collaboration

39
Q

C-LARA

A

Calm, Listen, Affirm, Respond, Add

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