Chapter 2 Flashcards
Cultural Care Nursing
Professional health care that is culturally sensitive, appropriate, and competent
Cultural and Linguistic Competence
A set of congruent behaviors, attitudes, and policies that come together in a system among professionals that enables work in cross-cultural situations
Culture
The no physical attributes of a person– the thoughts, communications, actions, beliefs, values, and institutions of racial, ethnic, religious, or social groups
Culture-bound Syndrom
A condition that is culturally defined
Ethnicity
A social group within the social system that claims to possess variable traits such as a common geographic origin, migratory status, and religion
Ethnocentrism
Tendency to view your own way of life as the most desirable, acceptable, or best and to act superior to another culture’s life ways
Folk Healer
Lay healer in the person’s culture apart from the biomedical/scientific health care system
Health/Illness
The balance/imbalance of the person, both within one’s being (physical, mental, and/or spiritual) and in the outside world (natural, communal, and/or metaphysical)
Heritage Consistency
The degree to which a person’s lifestyle reflects his or her traditional heritage, whether it is American Indian, European, Asian, African, or Hispanic
Religion
The belief in a divine or superhuman power or powers to be obeyed and worshiped as the creator(s) and ruler(s) of the universe; and a system of beliefs, practices, and ethical values
Socialization
The process of being raised within a culture and acquiring the characteristics of that group
Title VI of the Civil Rights Act of 1964
A federal law that mandates that when people with limited english proficiency (LEP) seek health care in health care settings such as hospitals, nursing homes, clinics, daycare centers, and mental health centers, services cannot be denied to them
Values
A desirable or undesirable state of affairs and a universal feature of all cultures
Stratum Germinativum
Epidermis basal cell layer
Stratum Corneum
The outer horny cell layer consisting of dead keratinized cells
Epidermis Color
Effected by Melanin, carotene, underlying vascular beds, thickness and presence of edema
Arrector Pili
Muscular area around the follicle that contract and elevate hair when skin is exposed to cold or emotional states (goosebumps)
Vellus Hair
Soft, fine hair on the body
Terminal Hair
Courser head hair
Sebaceous Glands
Produce sebum through follicles, lubricates skin & hair, and retards water loss
Eccrine Glands
Produce sweat to reduce body temperature
Apocrine Glands
Produces thick, milky secretions and open into the hair follicles during emotional and sexual stimulation (decreases with age)
Lanula
White, semilunar area proximal to the end of the nail
Nail Matrix
Where new keratinized cells are formed (covered by lanula)
Functions of the Skin
Protection, Temp regulation, Communication, Wound Repair, Absorption, Excretion, and Production of Vit D
Lanugo
Fine downy hair on a newborn
Vernix Caseosa
Thick, cheesy substance made up of sebum and shed epithelial cells (piles on newborns)
Chloasma
Increased pigment in the face during pregnancy
Linea Nigra
Darkened midline on abdomen during pregnancy
Senile Purpura
Increased vascular fragility (purple-red patches) looks like ecchymosis (bruising)
Pruritus
Itching
Macules
Freckles
Nevi
Moles
Vitiligo
Patches of much lighter skin
Hypothermia
Peripheral arterial insufficiency with circular disturbance
Hyperthermia
Occurs with increased metabolic rate from trauma, infection, or suburb
Turgor
Way to access hydration status (tenting)
Cherry (Senile) Angiomas
Red, flat, macule, both pathological
Mongolian Spot
Blueish spots on the lower back if dark pigmented infants
Café au lait spot
Coffee colored birthmarks
Large oval
Physiological Jaundice
Newborn, non-pathological yellowing
Stork Bite
Red macule in back of neck
Open Comedones
Blackheads
Closed Comedones
Whiteheads
Senile Lentigines
Liver/age spots (flat, brown, often from sun damage)
Seborrheic Keratosis
“Stuck ons” (brown)
Acrochordons
Skin tags (flesh colored)
Sebaceous Hyperplasia
Overgrowth of glands (can change face shape)
Striae Gravidarum
Stretch marks
Hirsuitism
Shaggy, excessive hair
Xerosis
Dry skin
Ephelides
Freckles
Harlequin Color Change
When laying on side infant lower half turns red and upper half blanches
Erythema Toxicum
Rash in first 3-4 days of life
Acrocyanosis
Bluish color around lips, hands fingernails feet toenails of infant
Cutis Marmorata
Transient mottling in the trunk and extremities in response to cooler room temps (red or blue pattern over skin)
Carotenemia
Yellow orange color in light skin people but no yellowing of sclera or mucus membranes
Actinic (senile or solar) Keratosis
Red tan scaly plaques that increase over the years to become raised and roughened
Sebaceous Hyperplasia
Raised yellow papules with a central depression
Patch
Macules larger than 1cm
Nodule
Solid, elevated, hard or soft, larger than 1cm
Tumor
Larger than a few centimeters in diameter, firm or soft, deeper into dermis
Plaque
Papules coalesce to form surface elevation wider than 1cm