LP 7-8 Flashcards
pathology
tissue/organ
transition
from healthy to no healthy
immunocompromised patient
decreased ability to fight infection, poor nutrition, poor skin integrity
death and dying
natural progression of life
example of incident report
falls, med errors
golden hour
providing treatment within first hour for trauma victim
who signs in the case of a minor?
parent or legal guardian
surgical consent
authorizes performance of surgical intervention
urgent procedures pregnant patient
delayed until 3 trimester
obese patients
overworked heart, high BP, compromises all systems
active euthanasia
action that speeds up the process of dying
health concerns with downs syndrome
heart defects, GERD
who is responsible for consent?
surgeon
patient is surrounded by family and friends in post op area
love and belonging needs
what procedures should be first of the day?
diabetic so they can get back on regular dietary schedule
passive euthanasia
does nothing
bacteriology
cultures
rule for maslows hierarchy
lower level needs must be met in order to meet higher level
what is something witness be signed?
identification of patient, voluntary signing, mental competence
diabetic patient
infection, dehydration
special: monitor sugar levels and need for insulin
vascular system compromised
social psychologist
individuals relation to others
possible complications of a trauma patient
hypothermia, blood loss, infection
anesthesia administration
lists anesthesia provider, risks and possible alternatives
life map
your story, beginning to end of life
regression
may regress to earlier stage of light ex: pout, cry
legal guidelines for consents
freely, legal age, parent or guardian, mentally competent pt
cytology
smears, fluids
whole brain death
nonreversible loss of all brain function, no heartbeat, non responsive, lack of pupil reflexes
what is the medical record?
interaction between the patient and health care providers during illness or treatment
patients still on life support
documentation signed by family will dictate what organs
therapeutic procedures
treat or manage a diease
maslows hierarchy
physiological needs, safety, love and belonging, esteem, self actualization
cardiac death
irreversible loss of cardiac and respiratory function, no heartbeat or respirations, may HAVE BRAIN WAVES
what needs to be done if consent not done correctly?
incident report, could become a legal issue
aim of surgery
restore organs to as near normal function as possible, remove pathological processes
special consent
required for procedures that entail a higher than normal risk
ie: surgery, transfusion, chemo
patient removed from life support
corneas, skin, bone
self actualization
fulfill what one believes is ones purpose
convalescence
resolution
What can general anesthesia in pregnancy cause?
preterm labor, fetal death, low birth weight
documentation verified before surgery
H&P treatments diagnostic and therapeutic reports consent checklist vitals orders
what should documentation be?
objective
developmental psychologist
individual
organ transplant
whole brain death
preoperatively special needs
take care of anxiety, maintain nutritional status
palliative
end of life care, patient comfort
incident reports
unusual events that may have legal ramifications for staff/patients/visits
what is included on a surgical consent?
legal name and signature, procedure, signature of witness, date and time of signatures
general consent
admission to hospital
what does a medical record include?
identification patient, care team, diagnosis, tx plan, medication record
safety needs
environment is safe
what is the primary role of the ST?
the patient
who is able to witness signing of consent?
physician, NURSE, general- other hospital employees
social needs
ones identification or interaction with another individual or group
ex: family, relationship
what does JACHO develop?
standards and performance criteria, check yearly to make sure are practiced
higher brain death
nonreversible loss of higher brain function, respiration, bp, heartbeat still present
main responsibility of the ST intraop
sterile technique
purpose of consent
protects patient from unapproved and unwanted procedures, protects surgeon
what does stress do to the body?
loss of appetite, change in digestion, mental status
what needs to be done post op when count not done?
a xray
documentation intra op
anesthesia records, pts condition, counts, start/stop time
does everyone experience all the stages of grief?
no
what are anesthesia and circulator responsible for?
consent is correct, properly signed
physiological needs
most basic needs
esteem needs
positive evaluation of oneself
what are hospitals required to report?
child/elder abuse, births/deaths, criminal acts
tribute
entrust you with his life and health
surgery from a pts point of view
act of faith, invasion of privacy, act of submission
rationalization
looking for reasons this may have developed, may be a mistake
acceptance
has enough time to work through he first 4 stages
1st trimester surgery
increased chances of spontaneous abortion
medical records department
transcribes, collects, reviews and verifies medical records
trauma patient
most life threatening will be performed before lesser injuries
when does advance directive kick in?
patient no longer able to make decision
life stage development
recognition of the psychosicial concerns of patient
physical needs
activity related to genetics, physiology, or anatomy
ex: hunger, thirst
the surgical patients adaption to stress involves only physiologic changes
false
isolation precautions
prevent transmission of pathogenic microorganisms
denial
doesn’t accept the situation
how might religious values cause conflict with modern medicine?
moral values
legal problems
life sustaining therapy
without this therapy the patient would die
JACHO
state, local federal laws which regulate medical documentation
what are obese patients prone to?
tissue breakdown, clot formation, delayed healing
what can charts determine?
negligence
psychological needs
identification and understanding of oneself
ex: self esteem
what is included in a advance directive?
living will and or power of attorney
life threatening circumstances consent for surgery
2 physicians agree it is necessary and sign consent, cant be surgeon
are incident reports part of patient general record?
no
repression
ignore the medical issue ex: may skip treatment
what age do we achieve physiological stability?
2-6 years old
advance directives
the right of an incapacitated patient to self determination
3 stages of adaptation to illness
transition, acceptance, convalescence
4 components to an individual
physical needs
psychological needs
social needs
spiritual needs
how st can communicate with pt
communicate with circulator, plan for things that may help pt, introduce self, don’t joke about situation
love and belonging
social needs
consent for surgery
informed consent in understandable language
bargaining
may bargain with God to let you live until…
5 stages of grief
denial anger bargaining depression acceptance
abd surgeries pregnant
2nd trimester, fetus stable
who is PTSD mostly associated with?
military personnel
maslows hierarchy
establishes a means of prioritizing needs
depression
great loss, doom, sadness, no hope
life support systems
preserve a patients life
power of attorney
authorizes one person to take legal actions in behalf of another, health care of financial
steps taken to expedite care of a trauma patient
flexible, emergency supplies ready, move quickly
what forces a revolution in thinking, feeling, behavoir
developmental change
spiritual need
identification and understanding of ones place in an organized universe
can a patient take back a consent?
yes
responsibilities of the st when a pregnant patient has general surgery
move quickly to keep anesthesia to a minimum
3rd trimester pregnant
premature labor, enlarged uterus displaces organs
risk management departments
attempt to identify factors that caused incident
coping mechanisms
denial
rationalization
regression
repression
typical order of priority for trauma patient
head, chest, abd, extremities
what should be done if an error in documentation occurs?
justify/ and or correct
euthanasia
painless inducement of quick death
emancipated
married or independently earning a living or given birth if under 18
elective surgeries for pregnant
until recovery from delivery
surgeons point of view
necessary, art, science, risk
patients new role of dependence may manifest personality characteristics such as
anger, depression, fear
what is documentation?
placing of information into a patients record
what is surgery?
treatment of abnormal conditions of the body, or treats disease
postoperatively special needs
prevent infection
advantages of electronic health records
improves safety
done at bedside
decrease workload
blanket consent
authorizes any related procedure deemed necessary by the surgeon
intraoperatively special needs
basic physiological needs, oxygen, warmth
