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