extra Flashcards
bereavement
subjective response
experience by the surviving loved ones
mourning
behaviour process through which grief is eventually resolved/altered
palliative care
“an approach that improves the quality of life of individuals and their families facing the problems associated with life threatening illness, through the prevention and relief of suffering… treatment of pain…other problems, physical, psychological and spiritual…”
hospice care
focuses on support and care of the dying person and their family - aims to facilitate peaceful and dignified death
what is algorithm mortis
decrease in body temperature (1degree per hour) - RBCS break down
what does SaO2 measure?
it measures the clients arterial blood oxygen saturation and is attached to the finger, toe, nose, earlobe or forehead
what is the purpose of hygiene
comfort cleanliness mental health infection control body image
what are the 2 types of wound healing
primary intention: sutured, stapled, glued wounds - no tissue loss
secondary intention - tissue loss where the wound is filled with granulation tissue, contracts and epithelium grows (pressure injuries, leg ulcers, burns)
list the wound healing complications
haemorrhage
infection
dehiscence (stitches fall apart)
evisceration (organs fall out)
list the types of wounds
surgical
trauma
pressure injuries
skin tears
what is consent
a person can provide their consent to DISCLOSE INFORMTION. it can be expressed or implied
what is confidentiality
refers to the issue of DISCLOSING and COMMUNICATING information (sharing info with people)
what are notifiable medical conditions that must be reported?
aids
cholera
hepatitis A
typhoid
whats the difference between faecal incontinence and faecal impaction (constipation). what are the causes of constipation?
faecal incontinience - involuntary loss of poo faecal impaction (constipation) - a collection of hardened faeces in the folds of the rectum - caused by meds, inadequate fluid intake, overuse of laxatives, stress
what is nutrition
what a person eats and how the body uses it
what is nutrients
organic and inorganic substances found in foods, required for body functioning (3 functions)
why are vitamins and minerals important?
metabolic balance
list the factors effecting nutrients
what could prevent a person from having adequate intake of good food?
development
gender
ethnic background
economics
how many Macrominerals and Microminerals should we be taking in daily?
Macrominerals – daily amount > 100mg
• Microminerals – daily amount < 100mg
what is Basal metabolic rate
BMI is the rate at which body metabolises food to maintain the energy needed when awake
and at rest.
whats the formula to measure a persons BMI?
BMI = weight(Kg)/height(m2)
what is the BMI range for normal, overweight, obese, severely obese and morbidly obese?
18.5, 25, 30, 35, 40
what are the problems associated with nutrition in the elderly?
difficultly chewing Lowered glucose tolerance Decreased social interaction, loneliness Loss of appetite and sense of smell and taste Limited income Difficulty sleeping at night
what are the impacts of inadequate nutrition on the body?
- Marked weight loss
- Generalised weakness
- Delayed wound healing
- Susceptibility to infection
- Decreased immunocompetence
- Prolonged length of hospitalisation
what does PEG stand for?
Percutaneous Endoscopic Gastrostomy tube
before feeding through a NGT the pH of the continents should be?
Gastric pH 1-4
for accurate measurement of Sa02 levels, what must you do?
minimise motion
use best location for pulse oximeter
compare the results form previous levels
document
list some nursing comfort measures
medications/analgesia hot pack cold pack massage elimination needs quite safe envirnonment shower/wash
what is sleep apnoea
parasomnia
sleep deprivation
and sleep insomnia
Apnoea - freq short breathing pauses during sleeping
parasomnia - sleep walking, talking and teeth grinding
sleep deprivation (from illness, noise, caffeine, stress etc)
insomnia - inability to fall and stay asleep
pain
an unpleasant sensation landing from mild discomfort to agonising distress
what is the order of tissue repair?
a) haemostasis, inflammation ,reconstruction, maturation
b) inflammation, haemostasis, maturation, reconstruction
c) haemostasis, inflammation, maturation, reconstruction
a) haemostasis, inflammation ,reconstruction, maturation
Haemo - mat
what are the risk factors of pressure injuries? (imagine yourself in bed, what would happen?)
- immobility
- weight gain
- compromised circulation
- incontinence
what does SMART stand for? when do we use it
specific measureable attainable relevant timely
we use SMART when setting goals (plan)
what are the 3 (types) of nursing care plans
Standard - a formal plan that specifies the nursing care for groups of patients with common needs
Individualised - tailored to meet the unique needs of specific clients
Informal - a strategy for action that exists in the nurse’s mind