Class 1 - Intro Flashcards
Pathology
study of disease and diagnosis through examination
Pathophysiology
study of abnormalities in the physiological functioning
Pathogenesis
evolution of a disease that are observed (subjective or objective)
Clinical Judgment
observed outcome of critical thinking and decision-making; thinking like a nurse
Planning
setting patient-centred goals and expected outcomes, care plans, and prioritization
Client Health History
goal is to determine patient concerns and help find solutions; SAMPLE
General Survey
Physical Appearance, Behaviour, Body Structure, and Mobility
Percussion
vibrations; direct or indirect
Collaborative Problem
work on together with other HCP’s
Dependent Nursing Intervention
require another healthcare provider
Preventative Error
failure to provide prophylactic treatment and inadequate follow-up or monitoring
Clinical Manifestations
manifestations of the disease that are observed
Implementation
completes planned actions or nursing interventions
Review of Systems
collection of data on all body systems
H2T Assessment
physical examination beginning at the head and working our way through the body strategically (in order)
Auscultation
hearing through a stethoscope
Cultural Safety
patient’s cultural identity is safe and accessible while in care
Culture of Safety
commitment to health and safety management
Treatment Implications
guided by etiology, pathogenesis, and clinical manifestations of a disorder may suggest certain treatments may be helpful
Assessment
systematic collection of data to determine a patient’s current and past health
Evaluation
5 elements
Physical Assessment
start with general survey, vital signs, height & weight, H2T, detailed systems assessment
Inspection
concentrated watching; comparing sides (symmetry)
Data Verification
verifying findings in assessment by doing other assessments
Prioritization
4 levels;
Diagnostic Error
error in the diagnosis
Epidemiology
study of patterns of disease in human populations
Diagnosis
looking for patterns or clusters in the data from the assessment
OPQRSTU
Onset, Precipitation, Quality, Region/Radiation, Severity, Timing, Understanding
Palpation
touch
Nursing Diagnosis
related factor
Independent Nursing Intervention
intervention the Nurse is allowed to do on their own
Treatment Errors
error in administering treatment, in the performance of a test/procedure
Diagnostic Error
results from the delay in the diagnosis, failure to employ the various tests