Chronic Illness Flashcards

1
Q

how many nurses according to the ANA in 2022

A

over 4 million

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2
Q

guideline for how a nurse is expecting to perform roles

A

code of ethics

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3
Q

legally binging roles you are allowed to perform

A

scope of practice

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4
Q

where do you find the scope of practice

A

State Board of Nursing

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5
Q

NP, CRNA, CNM - educated practicing nurse under state board of nursing

A

advanced practitioner

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6
Q

DNP - uses research to implement and execute new EBP

A

nursing leader

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7
Q

finding and reading information for EBP

A

nurse researcher

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8
Q

physiological needs

A

food, shelter, water, ABCs

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9
Q

safety needs

A

fall risk, environmental, bed positioning, isolation, med rights, allergies

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10
Q

social needs

A

home life, therapeutic relationships

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11
Q

Maslow’s hierarchy of needs - bottom to top

A

physiological
safety
social
self-esteem
slef-actualization

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12
Q

define health

A

state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity

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13
Q

define wellness

A

various aspects of life that lead to health: emotional, environmental, financial, intellectual, occupational, physical, social, and spiritual

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14
Q

examples of health promotion

A

screening
genetic testing
lifetime health monitoring
environmental and mental health programs
nutrition and health education

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15
Q

regulatory bodies

A

Occupational Health and Safety Administration (OSHA) – keeping ourselves and pts safe – protocols
The Joint Commission – facilities and equipment checklists
Patient Protection and Affordable Care Act 2010 – insurance - affordable, quality care
Centers for Medicare and Medicaid Services – guaranteed money to hospitals
Department of Public Health – covid, RSV, etc – assesses the community and reports to hospitals

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16
Q

Occupational Health and Safety Administration (OSHA)

A

– keeping ourselves and pts safe – protocols

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17
Q

The Joint Commission

A

facilities and equipment checklists

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18
Q

Patient Protection and Affordable Care Act 2010

A

– insurance - affordable, quality care

19
Q

Centers for Medicare and Medicaid Services

A

guaranteed money to hospitals - insurance

20
Q

Department of Public Health

A

covid, RSV, etc – assesses the community and reports to hospitals

21
Q

HEALING acronym - therapeutic regimen

A

-Health summary
-Expert
-active support
-look for a second opinion
-involve yourself
-no – speak up if something does not seem right
-give thanks to outstanding medical providers

22
Q

steps of the nursing process

A

Assessment
Diagnosis
Planning and Outcomes
Implementation
Evaluation

23
Q

trying to get out ahead of certain situations and diseases – ex: immunizations

A

healthy people 2030

24
Q

relative definition of chronic illness

A

persistent and recurring health problems, and a duration measured in months and years, not days and weeks

25
Q

reasons for increase in prevalence of chronic illnesses

A

obesity starting in adolescence
social determinents
demographics
access

26
Q

palliative care vs hospice care

A

P: goals of the pt - alleviate symptoms - can transition to hospice
H: “die with dignity” - 6 months or less to live

27
Q

Genetic factors or lifestyle behaviors that place a person or community at risk for a chronic condition

A

Pre-trajectory

28
Q

Appearance or onset of noticeable symptoms associated with a chronic disorder; includes period of diagnostic workup and announcement of diagnosis; may be accompanied by uncertainty as patient awaits a diagnosis and begins to discover and cope with implications of diagnosis

A

trajectory onset

29
Q

Illness course and symptoms are under control as symptoms, resulting disability and everyday life activities are being managed within limitations of illness; illness management centered in the home

A

stable

30
Q

Characterized by an exacerbation of illness symptoms, development of complications, or reactivation of an illness in remission

Period of inability to keep symptoms under control or reactivation of illness; difficulty in carrying out everyday life activities

May require more diagnostic testing and trial of new treatment regimens or adjustment of current regimen, with care usually taking place at home

A

unstable

31
Q

Severe and unrelieved symptoms or the development of illness complications necessitating hospitalization, bed rest, or interruption of the person’s usual activities to bring illness course under control

A

acute

32
Q

Critical or life-threatening situation requiring emergency treatment or care and suspension of everyday life activities until the crisis has passed

A

crisis

33
Q

Gradual recovery after an acute period and learning to live with or to overcome disabilities and return to an acceptable way of life within the limitations imposed by the chronic condition or disability; involves physical healing, limitations stretching through rehabilitative procedures, psychosocial coming-to-terms, and biographical reengagement with adjustments in everyday life activities

A

comeback

34
Q

Illness course characterized by rapid or gradual worsening of a condition; physical decline accompanied by increasing disability or difficulty in controlling symptoms; requires biographical adjustment and alterations in everyday life activities with each major downward step

A

downward

35
Q

Final days or weeks before death; characterized by gradual or rapid shutting down of body processes, biographical disengagement and closure, and relinquishment of everyday life interests and activities

A

dying

36
Q

what is the focus of nursing care for a patient in pre-trajectory phase

A

-refer for genetic testing
-provide prevention education for modifiable risk factors

37
Q

what is the focus of nursing care for a patient in trajectory onset

A

-provide clear expectations of diagnostics
-reinforce info about given by provider
-emotional support

38
Q

what is the focus of nursing care for a patient in stable condition

A

-reinforce positive behaviors
-ongoing monitoring
-provide education about health promotion
-encourage participation in health screening

39
Q

what is the focus of nursing care for a patient in unstable condition

A

-provide guidance and support
-reinforce teaching

40
Q

what is the focus of nursing care for a patient in acute condition

A

-provide direct care
-emotional support

41
Q

what is the focus of nursing care for a patient in crisis condition

A

-direct care
-collaboration to stabilize pt

42
Q

what is the focus of nursing care for a patient in comeback condition

A

-assist in coordination of care
-rehabilitative focus
-positive reinforcement

43
Q

what is the focus of nursing care for a patient in downward condition

A

-provide home care
-help pt and family come to terms with change
-assist pt to integrate new treatment and management
-encourage ID of end-of-life preferences and planning

44
Q

what is the focus of nursing care for a patient when dying

A

-provide direct and supportive care for hospice programs