documentation, general survey, cultural assessment Flashcards
objective components
physical exam ( w interpretation), vitals, diagnostics w interpretation
assessment components
diagnoses
what to observe for general survey
appearance
behavior
cognition
peds vitals changes
HR decreases w age
listen to apical heart rate
changes w fever, anxiety, pain
pregnancy vitals changes
decreased BP is normal
elevated BP is major concern
geriatrics vitals changes
less effective thermoregulation - less likely to develop fever
risk for hyper/hypotension
orthostatic hypotension
normal BMI
18.5 to 24.9
when should babies double/triple their birth weight?
6 mos/1 yr
who needs a head circumference measured?
children <2 years
quintuple aim
care team well being
population health
reducing cost
patient experiences
EQUITY & INCLUSION
cultural competence
the ability to deliver effective, quality care, to those with diverse, beliefs, attitudes, values, and behaviors
acculturation
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
assimilation
the process of becoming similar to others by taking in and using their customs and culture
the outcome of acculturation
cultural relativism
the important practice of assessing behavior within the context of a person’s total cultural orientation
not judging a culture
cultural awareness
understanding how people acquire cultures and the cultures role in their lives
ability to perceive our own cultures
cultural empathy
capacity within a provider to ID and appreciate differences and similarities of feelings, behaviors, etc.
cultural sensitivity
awareness without assigning a value
cultural humility
lifelong process of self-reflection and learning, removing power differences, demonstrating equal respects for different beliefs and points of view
cultural competence
how much do we know, appreciate, and understand individual behavior that is different from our own?
3 stages of cultural assessment
background info
cultural assessment
ask about cultural interventions to help or hinder
cultural guidelines for health practitioners
LEARN
Listen
explain
acknowledge
recommend
negotiate
african american health risks
higher infant mortality rate
sickle cell trait & disease
HTN
DM
asian american health risks
lactose intolerance
rencent immigrants - TB, malnutrition, hep B carrier
latino health risks
T2DM
asthma
native american health risks
otitis media
LBW infants
higher mortality rate
ETOH
DM
LGBTQ+ health risks
health inequalities
avoid medical care
STD/HIV
substance abuse
obesity
breast cancer
intimate partner violence
mental health - depression, body image, anxiety
military health risks
mental health - depression, anxiety, substance use, suicide
military trauma - TBI, loss of limbs, PTSD, chronic pain
hazardous exposures
