Exam 1 Flashcards
Define Emotional Intellegence
The ability to evaluate, perceive and control emotions
What is Gerontology
The study of older adults
What is an inpatient?
Someone who has been admitted to the hospital for diagnostic studies or treatment
What is a outpatient
A patient who goes to a health care facility for treatment but does not stay overnight
What is patient assessment
The evaluation and determination of the status of a patient
What is patient autonomy
Patients ability and right to make independent decisions regarding medical care
Why should a patient understand the purpose of their treatment? (3)
- So they show up
- So they ask questions
- So they want to be there
Should you discuss rad dose with patients?
Yes, they deserve to know all aspects of their treatment
Which treatments need a special diet? (5)
- Head and neck
- GI
- GU
- Abdomen
- Pelvis
How can RT nurses help patients?
Inform them of medication options
What are the types radiation used in health care (4)
- Photon
- Electron
- Proton
- Gamma Knife
What are the dose differences (4)
- CT
- MRI
- PET
- X-Ray
What is horizontal communication
Communication between people on the same hierarchical level
What is a real world/post grad horizontal communication example
Therapist to another therapist or staff
Current would be classmates
What is vertical communitcation
Communication between different hierarchial levels (your boss)
Types of communication (4)
- Written
- Verbal
- Visual
- Non-verbal
Written communication is
Recorded information that can be read by others
Example of non-verbalcommunication
Nodding head to show that you agree or engaaged in conversation
Factors that may impair a patients communication skill are (2)
- Grieving
- Emotional Status
_____ and ____ communication may vary across different cultures
- Verbal
- Non-verbal
Communication may differ with different _______, _______ and _______
- Cultural beliefs
- Values
- Practices
What are the 5 stages of greif
- Denial
- Anger
- Barganing
- Depression
- Acceptance
When communicating with elderly patients you should
Speak loudly and clearly
Why should a caretaker be present when giving a patient instructions (2)
- They may have dementia
- To ensure best possible PT care
What is important to remember for communicaton for adolescents (2)
- They are building self esteem
- Maintain as much privacy for the PT as is safe and allowed
What should you do/remember when speaking with children?
- Speak to them on their level
- Speak in terms they can understand (laymans terms)
- Make sure the parent is present, but talk to the child
What assessments should you make before tranfering a patient (5)
- Strenght
- Range of motion
- Pain
- Cognitive abilities
- Movement dysfunctions
When tranfering a patient you should always ______ equipment
Stabilize
What should you secure before tranfering a patient?
All Lines
1.IV
2. Peripheral/Port,PICC
3. Urinary Catheters
4. Any other drains
When in doubt of tranfering a patient you should use a _____
Assistant
Always lift patients with your
legs
What is independent transfer
Patient needs no assistance with movement or transfer
What is partial tranfer
Patient needs some assistance with movement or transfer
What is dependant tranfer
Patient needs full assistance with movement or transfer
What is standby assistance
Patient can transfer on theor own but may require verbal cues
What is close guarding tranfer
Patient can tranfer on their own but has a likelyhood of needing assistance
What is contact guarding tranfer
Pateint can tranfer on their own but needs constant contact to ensure saftey
What is minimal assistance
When patients can do 75% of the transfer or activity
What is moderate assistance
When patients can do 50% of the transfer or activity
What is maximum assistance
When patients can do 25% of the transfer or activity
When tranfering feet should be at _____ width
shoulder
When lifting keep back ____ and ____ at the knees
- Upright
- Bend
Avoid ____ or ____ when moving a patient
- Pulling
- Lifting
When moving a patient or heavy object you should ___ or ___
- Roll
- Push
The point at which body weight is balanced is known as ____ or ____
- Center of gravity
- Body weight
Where is the body center of gravity located?
S2/ Mid portion of pelvis
Equipment used for pateint tranfers are (5)
- Wheel Chairs
- Stretchers
- Hydraulic Lift
- Gait Belts
- Sliding Board
What angle should a wheel chair be when moving a patient to the table?
45 degrees
What is the weigh capacity for hydraulic lifts
450lbs
________ acts as a supporting bridge when seated slide tranfers are preformed
Sliding boards
When postioning patients pads can be placed under what body prominces (3)
- Sacrum
- Heels
- Mid thoracic curvature
Lordotic =
Concave
Kyphotic =
convex
Vital signs that are part of PT assessement include (4)
- Blood Pressure
- Pulse
- respiration
4.Tempature
In Rad oncology when will a patient have their vitals taken
Weekly when the visit with the doctor
___ is the blance between heat produced on body tissue and heat loss to the environment
Body Tempature
The ___ controls body tempature
Hypothalamus
Factors that can change body tempature include (8)
- Environment
- Time of day
- Age
- Weight
- Hormone Levels
- Physical activity
- Disease
- Injury
Normal body tempature for adults 14 and over is
97.8 - 98.6 F
A patient whos body tempature is elevated above normal levels is said to have a ___. Aka ___.
- Fever
- Pyrexia
As body tempature increases so does the demand of ___
Oxygen
A person can die when body temp goes above ___ to ___
105.8 - 111.2 F
A person can die when body temp goes below ___
93.2 F
What are the 4 areas of the body to measure temp
- Mouth
- Ear (tympanic)
- rectum (Anal)
- Armpit (Axillary)
What is the most relaible site to take temp?
rectal
9 locations to measure pulse
- Apical
- Radial
- Carotid
- Femoral
- Popliteal
- Temporal
- Dorsalis Pedis
- Posterior Tibial
- Brachial
Apex of the heart is called
Apical
Carotid =
Neck
Femoral =
Groin
Popliteal =
Posterior knee
Temporal =
front of ear
Dorsalis pedis =
top of foot
Posterior tibial =
inner side of ankle
Brachial =
groove of elbow
Avg. adult pulse rate
60 - 90 BPM
Abnormally rapid heart rate is called
Trachycardia (over 100 bpm)
Abnormally slow heart rate is called
Bradycardia
Which pulse is most convient to take on an adult
Radial pulse
How long should you wain when taking a pulse
1 minute
Function of the ___ is to exchange o2 and co2
respitory system
Avg. adult respiration is
15 - 20 breath/min
Blue tint to skin is know as
Cyanosis
Another work for shortness of breath
Dyspnea
Blood ____ affects its resistance to flow
viscosity
Blood pressure depends on (5)
- Peripheal resistance
- Pumping action of heart
- Blood voulme
- Blood viscosity
- Velles wall elasticity
The amount of resistance of blood flow when ejected from the left ventricle (Systole) is known as
Blood pressure
Other factors that can change blood pressure (6)
- Age
- Weight
- Temp
4.Disease - Excercise
- Stress
Why is blood pressure higher when taken by a doctor
the stress of knowing blood pressure is being taken raises blood pressure
Normal BP range for adults systolic and dystolic
- 110 - 140
- 60 -80
A patient with higher than normal systolic and dystolic blood pressure is said to be
Hypertensive
A patient with lower than normal systolic and dystolic blood pressure is said to be
Hypotensive
2 types of bp equipment are
- Sphygmomanometer
- Stethoscope
When taking BP the first sound u hear is ___ pressure and the second is ___ Pressure
- Systolic
- Diastolic
Patents legs should ___ ___ ___ when taking BP
Not be crossed
Percentage of patients who did not die from cancer during a certain period of time after diagnosis is called
Disease specific survival
Percentage of cancer patients who have survived a period of time after diagnosis compared to those who do not have cancer is called
Relative survival
Percentage of patients with a specific of cancer and stage who did not die from any cause during a period of time after diagnosis is called
overall survival
Percentage of patients who have no signs of cancer after treatment is called
Disease free survival
Legal document that states how you want medical decisions to me made in event that you can not
Advanced directive
What are the 3 types of advanced directives
- Mediacl power of attorney
- Directive to physicans
- DNR
Document that lets others make medical decsions for you if you are unable to
Medical power of Attorney
Document that allows you to state your wishes about medical care in terminal and irreversiable condition cases
Directive to physicians
Document states that you do not want to be resuscitated
Out of hospital DNR
Where do you check if a patient is DNR
Charts
Hospice maily focuses on ___ ___ ___ for patients
Quality of life
T/F hospice is usually started late for oncology patients
T
_____ is the lack of proper nutrition
malnutrition
Three types of malnutrition are
- Starvation
- Chronic disease
- Acute disease
Ex of starvation - pure chronic starvation
Anorexia nervosa
Ex of chronic disease - related malnutriton (2)
- Organ failure
- Pancreatic cancer
Ex of acute disease - injury related (4)
- Major burns
- Closed head injury
- Trauma
- Infection
Six indicators of malnutrition
- Insufficent energy intake
- Weight loss
- Loss of muscle mass
- Local fluid accumilation
- Decreased functional status (hand grip strenght test)
_____ is the loss of appetite or desire to eat
Anorexia
____% - ____% of cancer patients have anorexia at diagnosis
15% - 25%
Anorexia can be a ____ ____ of treatment or secondary to the tumor itself
Side effect
Chemo and radiation can worsen anorexia due to (3)
- Taste change
- Nausea
- Vomiting
___ and ___ can make anorexia worse and lead to malnutrition
- Anxiety
- Depresion
Progressive wasting syndrome is called
Cachexia
Progressive wasting sighns
Significant loss of body fat and muscle
What can increase risk of cachexia
GI tract tumors
Sever muscle depletion is called
Sarcopenia
Patients with lower skeletal muscle indes at diagnosis typicall have a ___ prognosis
worse
Patients with sarcopenia have a lower survial rate when undergoing ___
Chemotherapy
Sacropenia is thought to occure in ___% of patients with advanced stage cancer
50%
Patients undergoing rad therapy with sarcopenia can experience these 3 things
- Treatment initerruptions
- Dose reductions
- Increased side effects
Head and neck patients may require a ____ for nutritional support
PEG tube (enteral nutrition)
Besides head and neck patients may require a ___ for nuritional support
Intravenous infusion of nutrients (parental nutrition)
What does PEG stand for and what is it
- Percutaneous endoscopic gastronomy
- Feeding tube
A patient my need a PED if they can’t (2)
- Cant swallow
- Get all nutrition by mouth
Karnofsky Performance scale 100 is
Normal
No complaints
No evidence of disease
Karnofsky Performance scale 90 is
Able to do normal activity
Minor signs of disease
Karnofsky Performance scale 80 is
Able to do normal with effort activity
some signs of disease
Karnofsky Performance scale 70 is
Unable to do normal activity
Cares for self
Karnofsky Performance scale 60 is
Requires some assistance but able to care for most of needs
Karnofsky Performance scale 50 is
Requires considerable assistance and frequent medical care
Karnofsky Performance scale 40 is
Disabled
Requires special care and assistance
Karnofsky Performance scale 30 is
Severly disabled
Hospital admission is indicated
Death not imminent
Karnofsky Performance scale 20 is
Very sick
Hospital admission necessary
Karnofsky Performance scale 10 is
Morinund
Fatal processes
Karnofsky Performance scale 0 is
Dead
Any substance that alters physical function is a ___
drug
___ is administered with therapeutic intent
Medication
T/F All medications are drugs, but not all drugs are medications
T
Seven rights of drug safty
- Right patient
- Right Medication
- Rigth dose
- Right time
- Right rout
- Right documentation of delivery
- Right reason or indication
What are the responsibilities of a therpaist is an emergency (3)
- Call a code
- Deliver O2 and perform CPR
- Know location of emergency supplies
Most common contrast used in GI exams
Barium Sulfate
What are 2 administration routs for barium sulfate
- Oral
- rectal
Baruim sullfate coats the lining of
Alimentary Organs
Barium sufate absorbs x-rays, so it creats high levels of ___
Contrast
Barium sulfate requires additives to ___ ___ and ___ ___
- Facilliate ingestion
- Prevent clumping
If barium irritates the colon, what does that cause?
Cramping
Barium can cause a rare disease called known as ___ (fluid overload) or ___ ___ where there is an excess of fluid volume in blood
- Hypervolemia
- Pulmonay edema
___% of people have some sort of reaction to contrast
54%
Routs of druf admisinstration (4)
- Oral
- Rectal
- Parenteral
- Mucous membrance