Jarvis Flashcards
Abc+v priority
Airway
Breathing
Cardiac/circulation
Vital sign concerns
NANDA
North American nursing diagnosis association
Cultural competency
Respect
Realize. You must know heritage Examine within cultural context Select ?'s not complex or quick Pace ?'s throughout exam Encourage pt. discuss cultural meanings Check pt. understanding Touch within cultural boundaries
PQRSTU
Provocative or palliative Quality or quantity Region or radiation Severity scale Timing Understand pt. perception
FICA ?’s
Faith
Influence
Community
Address
CAGE ?’s to determine alcohol problem
Cut down drinking?
Annoyed by criticism of ur drinking?
Guilty about ur drinking?
Eye opener? Drink in am?
HEEADSSS for adolescent
Home Education/employment Eating Activities Drugs Sexuality Suicide/depression Safety
A,B,C&T
Appearance
Behavior
Cognition
Thought process
MMSE
Mini
Mental
State
Examination
Mini-Cog
Test for older adult three words, draw clock, draw hands at specific time
Dysphonia
Voice disorder=difficult/painful speech with abnormal pitch/volume
Articulation n language intact
Dysarthria
Articulation disorder=distorted speech sounds. Word choice grammar and comprehension intact
Aphasia
Language comprehension and production disorder=true language disturbance. Defect in word choice, grammar, and/or comprehension
Secondary to brain damage
Global aphasia
Most common form.
Prognosis poor.
Comprehension absent
Spontaneous speech absent
Broca’s aphasia
Expressive. Comprehension intact.
Nonfluent, disarthric, effortful speech.
Legion in motor speech cortex anterior language area
Wernicke’s aphasia
Receptive. Fluent, effortless, well articulated speech. With paraphasias =word subs wrong
Legion in posterior language center
Delirium
> clarity, awareness, focu, attention
Change in cognition
Develops over short time
Dementia
Multiple cognitive defects.
Memory impaired
At least one of: aphasia, Apraxia, Agnosia, defected executive fx.
Amnestic disorder
Memory impairment. No other cog. Defect.
Causes impairment in social/occupational fx.
Apraxia
Defect in ability to carry out motor skills
Agnosia
Defect I ability to identify objects despite intact sensory fx
Lability
Abnormal mood and affect
Blocking
Sudden interruption in train of thought
FLACC
Face Legs Activity Cries Consolability
Tweak alcohol test for women
Tolerance Worry Eye-opener Amnesia Kut down
SMAST-G
Alcohol screening for older adult
GGT
Alcohol abuse test
Gamma glutamyl transferase
MCV
Alcohol abuse test
Mean corpuscular volume
BAC
Blood
Alcohol
Concentration
IPV
Intimate partner violence
Pulsus binge minus
Irregular and coupled. Every other beat is early
Pulsus alternans
Regular rhythm varied force with alternating beats
Pulsus paradoxus
Beats have weaker amplitude with respiratory inspiration and stronger amplitude with expiration
Claudication
Arterial insufficiency
Knowles 6 principles of adult learning
1) internally motivated & self directed-resist imposed ideas.
2) bring life experience & knowledge to learning experience
3) goal oriented-named to know?
4) relevancy oriented- what for me?
5) practical
6) want respect.
Presbycusis
Age related, gradual, progressive, sensorineural hearing loss
60% in >65
50% over 75
25-30% in 65-74
Tinnitus
Constant noise or ringing
Vertigo
Room spinning or self spinning
Most common cause of falls in older adult
Equilibrium impairment
Labyrinth is damaged or inflamed sends inaccurate info to brain
Rinne’s test
Hearing loss screening place on mastoid bone. When no longer heard put in front of ear they should still hear it
Weber or Vaber
Tuning fork to the top of head, forehead, chin. Symmetrical is normal. Lateralization is abnormal
Adult pinna position
Up and back
Child pinna position
Straight down
Romberg test
Assess ability of vestibular apparatus in inner hear to help maintain standing balance
