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Semester 5 November > CPI > Flashcards

CPI Flashcards

0
Q

Define cultural competency

A

Refers to the need for professional Al’s to honor cultural diversity of families in the provision of services. It refers to the ability to respect those beliefs, interpersonal styles, attitudes and behaviors of the families receiving service.

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1
Q

Describe appropriate care for patients suffering from coma

A 
Atmosphere 
Breathing
Introduction
Touch
Observation with interpretation
Feedback
Copying
Amplifying
Resisting
Enabling expression
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2
Q

Four areas in which cultural competency is NB when counseling RE TOP

A

Religious beliefs
Language
Cultural background
Informed consent

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3
Q

Three sections of GCS

A

Best verbal response
Motor response
Eye response

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4
Q

Define locked in syndrome

A

Patient is aware and awake but unable to communicate due to complete paralysis of voluntary muscles (except eyes)

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5
Q

Define vegetative state

A

Absence of responsiveness and awareness due to overwhelming cerebral hemisphere dysfunction. Autonomic and motor reflexes are often sparred and sleep wake cycle is often intact. May also have complete reflexes (yawn, eyes) but has no awareness of self or environment.

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6
Q

Biological factors that may contribute to depression

A

Genetic
Neurochemical
Neuroendocrine
Neurophysiological

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7
Q

Four theories of aetiology of depression

A

Psychodynamic theory
Cognitive theory
Learned helplessness theory
Life-event theory

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8
Q

Factors that may cause people not to present to HCW with depression

A

Lack of awareness
Stigma, fear, shame
Cost

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9
Q

Sign and symptoms to diagnose depression

A 
Depressed mood
Markedly diminished interest/ pleasure
Weight loss
Insomnia/ hypersomnia
Psychomotor agitation
Fatigue
Feelings of worthlessness, guilt
Diminished ability to think, concentrate
Recurrent thoughts of death
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10
Q

Define attachment

A

The disposition of a child to seek proximity to and contact with a specific figure. Including the tendency to do so in stressful situations (tired, scared, ill)

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11
Q

Three types of attachment

A

Secure attachment
Anxious resistant attachment
Anxious avoidant attachment

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12
Q

Approach to care of stoke patient’s caregivers

A

Family centered approach.
False hope and unrealistic expectations dealt with.
Transition out of hospital and all care related to that.
Disability grants etc.
Reconcile HCW goals for patient and family’s.

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13
Q

Four communication elements of cultural competency

A

Communication repertoire
Situational awareness
Adaptability
Knowledge (of culture)

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14
Q

Define cultural relativism

A

Individuals beliefs and activities should be understood in the context of their culture

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15
Q

Define kinship

A

Relationship between any entities that share a genealogical origin (decent or marriage)
The basic principle of organizing individuals into social groups, roles and categories.

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16
Q

Define stigma

A

An attribute linking a person to a set of undesirable characteristics that may produce prejudice or discrimination

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17
Q

Reasons for not leaving a violent relationship

A
  1. Fear leaving > staying
  2. Economic factors
  3. Perceived needs of children
  4. Self blame
  5. Expectations of others
  6. Hope that abuse will stop
  7. Concern for spouse
  8. Learned helplessness
  9. Beliefs
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18
Q

Approach to helping those in abusive relationship

A 
Identify abuse
Not alone/ blame
Right to live without fear
Listen and believe her
Encourage other sources of help
Safety plan
Support her decisions
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19
Q

Risk factors for injury/death in abusive relationship

A 
Increasing severity of abuse
Available weapon
Threats to kill
Previous attempts to kill
Suicide attempt by abused
Stalking
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20
Q

Define unnatural death

A 
Death causes by:
External factors
Acts of omission / commission
Sudden unexpected death (until proven otherwise)
Procedure related death
21
Q

Doctors obligations regarding death

A 
Aware of process of dying
Able to diagnose death
Distinguish natural vs unnatural 
Complete DNF
Know when autopsy needed
22
Q

Autopsy legislation

A

Inquest act

National health act

23
Q

Criteria for alcohol abuse

A

Failure to fulfill major obligations
Recurrent alcohol use that is physically harzardous
Legal problems
Continued use despite social and interpersonal problems
(PHLO)

24
Q

Criteria for alcohol dependence

A

Tolerance (increased amount needed, diminished effect)
Withdrawal (symptoms, or taken to avoid symptoms)
Larger amounts for longer periods
Unable to cut down despite trying
Time spent (obtaining, recovering)
Give up on social, occupational and recreational activities
Continued use despite having adverse effects

25
Q

Factors that caused a delay in seeking TOP

A 
Sociodemographic
Pregnancy recognition, confirmation & response
Contraceptive use
Personal and emotional factors
No knowledge of legislation 
Difficulty accessing service
Stigma
Religious views
26
Q

Rights of disabled

A 
Equality before law
Non discrimination
Equal opportunity
Independent living
Full integration 
Personal freedom
Security of person
27
Q

Effects of language barrier

A 
Decreased work efficiency 
Concern about accuracy of interpretation 
Enhanced by lack of training
Medico-legal dilemmas
Neg influence on attitudes between staff and pts
Decreasing quality of care
Decreasing satisfaction with care
Cross cultural misunderstandings
28
Q

Levels of consciousness

A

The cortex : contents of consciousness
The brainstem : level/state if consciousness
Extended consciousness
Emotion and consciousness

29
Q

Four basic emotions

A

Seeking - ventral tegmental
Fear - amygdala
Rage - amygdala
Panic - anterior cingulate gyrus

30
Q

Pathologies that potentially alter consciousness

A 
Stroke
TBI
Epilepsy/seizures
Encephalitis
Space occupying lesions
Hydrocephalus
Metabolic defs
31
Q

Describe extended consciousness

A 
Consciousness of consciousness 
Relies on Lang, association, inhibition of pre-frontal lobes, memory.
Reflect on conscious experience
Enables use of function words
Builds sense of self
32
Q

Brainstem system if consciousness

A

ERTAS

Extended reticular and thalamus activating system

33
Q

Medical definition of coma

A

State much like sleep where patient is unarousable and unresponsive to external stimululation and their own inner needs.

34
Q

Purposes of GCS

A

Depth and changes in level of consciousness. A drop would alert medical staff to take action.

35
Q

Effect of deafness on individual

A

Inclusion vs isolation (stigma, hard to socialize)
Has to adapt (communication skills, frustration)
Access vs barriers to social resources (school, equipment to function, telephone etc.)

36
Q

Effect on family of deaf person

A

Communication
Change in relationships (incl between parents)
Economic strain
Stress -> depression etc

37
Q

Impairment

A

Problem in a body function or structure

38
Q

Disability

A

Functional limitation

39
Q

Aspects of the innocence paradigm

A
  • disabled person is an eternal child

- disabled person is sexually dangerous

40
Q

Coma states

A

Coma
Open-eyed coma
Vegetative state
Acquired brain injury

41
Q

4 basic emotions

A
  • seeking
  • fear
  • rage
  • panic
42
Q

Functions of the hypothalamus

A
  • autonomic control
  • emotional responses
  • regulation of body temp
  • regulation of food intake
  • regulation of water balance and thirst
  • Regulation of sleep-wake cycles
  • secretion of hormones
43
Q

Define core consciousness

A

Content of consciousness combined with levels of consciousness
Awareness of how one currently feels in relation to what is happening around one

44
Q

Parts of the brain responsible for generating levels of consciousness

A
  • brainstem nuclei
  • ascending activating system
  • extended reticular and thalamic activating system
45
Q

4 basic emotions

A
  • seeking
  • fear
  • rage
  • panic
46
Q

Define ethnocentrism

A

Viewing others ways of life exclusively through ones own cultural perspective

47
Q

How to be less ethnocentric

A
  • be open to others world views
  • be respectful
  • be self-aware
  • have a sense of humor
  • learn about people’s cultures
48
Q

Guidelines for communicating with a deaf person

A
  • ensure interviewers face is well lit
  • establish eye contact before speaking
  • make sure mouth is not obscured
  • use expression
  • do not shout
  • speak clearly
  • state topic changes clearly
  • ask about quality of communication
  • rephrase if not understood
49
Q

Psychosocial impact of a stroke

A
  • May become dependent (guilt and anger)
  • lessened interpersonal skills
  • loss of abilities (Grief and mourning)
  • loss of ability to work and parent
  • reduced sexual functioning
  • loss of communication
50
Q

Attachment

A

Disposition of a child to seek proximity to and contact with a specific figure and to do so in certain situations (when tired, frightened or I’ll!

51
Q

Types of attachment

A
  • secure
  • anxious resistant
  • anxious avoidant

Semester 5 November (14 decks)

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