Fund. 2 Exam Flashcards
Physical dimension
genetic inheritance, age, developmental level, race, and gender
Emotional dimenstion
(how do they cope) how the mind affects body function and responds to body conditions
Intellectual dimension
cognitive abilities, educational background, and past experiences
Environmental dimension
housing, sanitation, climate, pollution of air, food, and water
Sociocultural dimension
economic level, lifestyle, family, and culture
Spiritual dimension
spiritual beliefs and values
Community Influences on the health of a member
Transportation and communication facilities
Education and recreation programs
Healthcare resources
Production of services and goods
Prevailing values and beliefs
Protection, safety, and aesthetic concerns
Acute Illness
Generally has a rapid onset of symptoms and lasts only a relatively short time
Ex: appendicitis, pneumonia, diarrhea, common cold
Chronic Illness
A broad term that encompasses many different physical and mental alterations in health
Ex: diabetes mellitus, lung disease, arthritis, lupus
Prepathogensis period
susceptibility of disease
Early pathogenesis
pre-symptomatic
Natural History of Disease
from the point of the symptoms and the process it takes
We are going to provide different care depending on where we are in the disease process
Purpose of heath promotion
encompasses health education and aimed at social and political changed necessary for conversion of individual actions
Benefits of health promotion
improved quality of life increased longevity increased productivity enhanced wellness improved fitness efficient functioning
Era of Redistribution
1960s
Era of Cost Containment
1970s
What is Healthy People
A national agenda that communicates a vision for improving health and achieving health equity
A set of specific, measurable objectives with targets to be achieved over the decade
These objectives are organized within distinct Topic Areas
Key Features of Healthy People
Strategic framework data-driven outcomes stakeholders at all levels research, program planning, and policy accountability
How are stakeholders using healthy people
Data tool, program planning and development, goal setting and agenda building, teaching, comparing, partnerships
Health People 2020 Mission
ID improvement priorities
Increase public awareness and understanding of progress
Provide objectives and goals
Engage multiple sectors to take actions
ID critical research, evaluation, and data collection needs
1980s
Include intellectual, spiritual and environmental health in HP
Before AIDS little research on STDs
Increasing self responsibility
Beginning of information revolution
Insulin administration
You should never give more than one dose of insulin; insulin is high alert and high risk drugs along with potassium and heparin
Common mediation errors
Analgesics- over sedation
Anticoagulants - no evaluation of lab findings
Diuretics - lack of monitoring vitals
Diabetic medications - use in people w/o diabetes
6+1 rights
patient medication dose route time/frequency documentation reason
8 rights
patient medication dose route time/frequency documentation reason response
10 rights
patient medication dose route time/frequency documentation hx and assessment to refuse drug-drug interaction and evaluation education and information
inspect medications for…..
look-a-like; sound-a-like
check expiration dates
max volume at deltoid site
1 mL
When to aspirate
Aspirate at IM, not at Sub Q
what is cholestasis
gallstone formation
measurement of NGT
measure from tip of nose to earlobe to xyphoid process
How often should tubing be changed per hospital policy
every 24 hours
bolus - bag system
Formula should not hang greater than 4-8 hours in bag
extracellular fluid areas
intravascular- plasma
interstitial - lymph
average fluid intake
2500-2600
cations
sodium (135-145) potassium (3.5-5.3) calcium (8.6-10.2) hydrogen magnesium (1.3-2.3)
anions
chloride (97-107)
bicarb (25-29)
phosphate (2.5-4.5)
Peripheral venous catheters site rotations
rotate site every 72-96 hours for adults and can be longer for a child
