documentation, general survey, cultural assessment Flashcards

1
Q

objective components

A

physical exam ( w interpretation), vitals, diagnostics w interpretation

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2
Q

assessment components

A

diagnoses

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3
Q

what to observe for general survey

A

appearance
behavior
cognition

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4
Q

peds vitals changes

A

HR decreases w age
listen to apical heart rate
changes w fever, anxiety, pain

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5
Q

pregnancy vitals changes

A

decreased BP is normal
elevated BP is major concern

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6
Q

geriatrics vitals changes

A

less effective thermoregulation - less likely to develop fever
risk for hyper/hypotension
orthostatic hypotension

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7
Q

normal BMI

A

18.5 to 24.9

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8
Q

when should babies double/triple their birth weight?

A

6 mos/1 yr

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9
Q

who needs a head circumference measured?

A

children <2 years

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10
Q

quintuple aim

A

care team well being
population health
reducing cost
patient experiences

EQUITY & INCLUSION

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11
Q

cultural competence

A

the ability to deliver effective, quality care, to those with diverse, beliefs, attitudes, values, and behaviors

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12
Q

acculturation

A

the process occurring when an ethnic group takes on the cultural ways of the dominant ethnic group in the society, but ethnic identity is not lost

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13
Q

assimilation

A

the process of becoming similar to others by taking in and using their customs and culture

the outcome of acculturation

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14
Q

cultural relativism

A

the important practice of assessing behavior within the context of a person’s total cultural orientation

not judging a culture

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15
Q

cultural awareness

A

understanding how people acquire cultures and the cultures role in their lives

ability to perceive our own cultures

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16
Q

cultural empathy

A

capacity within a provider to ID and appreciate differences and similarities of feelings, behaviors, etc.

17
Q

cultural sensitivity

A

awareness without assigning a value

18
Q

cultural humility

A

lifelong process of self-reflection and learning, removing power differences, demonstrating equal respects for different beliefs and points of view

19
Q

cultural competence

A

how much do we know, appreciate, and understand individual behavior that is different from our own?

20
Q

3 stages of cultural assessment

A

background info
cultural assessment
ask about cultural interventions to help or hinder

21
Q

cultural guidelines for health practitioners

A

LEARN

Listen
explain
acknowledge
recommend
negotiate

22
Q

african american health risks

A

higher infant mortality rate
sickle cell trait & disease
HTN
DM

23
Q

asian american health risks

A

lactose intolerance
rencent immigrants - TB, malnutrition, hep B carrier

24
Q

latino health risks

A

T2DM
asthma

25
Q

native american health risks

A

otitis media
LBW infants
higher mortality rate
ETOH
DM

26
Q

LGBTQ+ health risks

A

health inequalities
avoid medical care
STD/HIV
substance abuse
obesity
breast cancer
intimate partner violence
mental health - depression, body image, anxiety

27
Q

military health risks

A

mental health - depression, anxiety, substance use, suicide

military trauma - TBI, loss of limbs, PTSD, chronic pain

hazardous exposures