ch 11 &12 Flashcards
1st level of maslows hierarchy
physiological
2 types of patients
inpatient & outpatient
inpatient
someone admitted to the hospital, usually in the hospital for longer than 24 hours
outpatient
comes to the hospital for diagnostic testing but does not stay / occupy bed for 24 hours
verbal communication should occur
face to face
paralanguage
language of music, pitch, tone, speech rate, & volume
3 types of touch
touching for emotional support
touching for emphasis - helps with positioning
touching for palpitation - light pressure with finger
closed awareness
patient is not made aware of their condition
DNR
do not resuscitate
advanced directed
individuals plans to direct health care professionals when the patient can not make the decision
patient autonomy
patients ethical values control treatment - the right to make their own decision about medical care
gerontology
study of aging & diseases of older adults
stages of grief (term ill patients)
isolation & denial
anger
bargaining
depression
prepatory depression- added
acceptance
2nd level of maslows hierarchy
safety
4th level of maslows hierarchy
esteem
5th level of maslows hierarchy
need to know & understand
2 types of data collection
objective & subjective information
objective information
perceivable to the senses , can be seen heard or felt
subjective information
perceived by the patient , emotions , experiences, severity, pain
silence from tech
allows the patient to elaborate
facilitation
nodding, saying yes or go on
open ended questions
non direct , non leading
eg. what type of problems are you having
6th level of maslows hierarchy
aesthetics
probing questions
focus the interview to provide more detail
when asking the patient do not use
leading questions
highest level of maslows hierarchy
self actualization
sacred seven
focuses on the specific procedure to be performed
localization
precise/ exact area of complaint
chronology
time- duration since onset , frequency, course of symptoms
quality
character of symptoms- color, consistency, size
pain - burning , throbbing, dull, sharp
severity
intensity of symptoms
onset
how long
aggravating or alleviating
what produces the problem or intensity
associated manifestations
other symptoms that accompany chief complaint