module 4 holistic nursing assessment Flashcards
what are the Two Categories of Functional Assessment
1.Physical Activities of Daily Living (ADLs)
2.Instrumental Activities of Daily Living (IADLs)
what are the example of physical ADLs
Bathing
Dressing
Toileting
Transfers
Continence
Feeding
Managing Money
what are the example of instrumental ADLs
Using the telephone
Shopping
Preparing food
Housekeeping
Laundry
Transportation
Taking medicine
how to elicit data in functional assesssment?
OPEN ENDED QUESTIONS
refers to a client’s level of cognitive
functioning ( knowledge, problem solving) and
emotional functioning ( mood, behaviors,
stability)
Mental status
A state of well being in
which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her community (WHO, 2014)
Mental status
Erik Erikson’s Stages of Psychosocial Development (Basic trust vs.
mistrust)
infant
Erik Erikson’s Stages of Psychosocial Development (Autonomy vs.
shame and doubt)
toddler
Erik Erikson’s Stages of Psychosocial Development (Initiative vs.
guilt)
preschooler
Erik Erikson’s Stages of Psychosocial Development (Industry vs.
inferiority)
School aged child
Erik Erikson’s Stages of Psychosocial Development (Identity vs.
role confusion)
Adolescent
Erik Erikson’s Stages of Psychosocial Development (Intimacy vs.
isolation)
young adult
Erik Erikson’s Stages of Psychosocial Development (Generativity vs.
stagnation)
Middle aged adult
Erik Erikson’s Stages of Psychosocial Development (Ego integrity vs.
despair)
Older adult
a pattern of abusive behavior in any relationship that is used by one partner to gain or maintain control over another intimate partner
Domestic Violence
violent or threatening behavior, or any other form of behavior, that coerces or controls a family member or causes that family member to be fearful
Family Violence
a kind of abuse involved in slapping, hitting, kicking, punching, burning
physical
a kind of abuse that threats of physical harm, financial harm, harm to child or pet, or suicide harassment insults and other verbal abuse isolation intimidation mind games
throwing objects
emotional
a kind of abuse involved in incest or rape
sexual
the use of physical force to harm someone, to
damage property, etc
Violence
a forceful action or procedure (as an unprovoked attack) especially when intended to dominate or master
Aggression
what are the Theories of Family Violence
1.Psychopathology Theory
2.Social Learning Theory
3.Biologic Theory
4.Family Systems Theory
5.Feminist Theory
6.Walker’s Cycle of Violence
7.Cycle of Domestic Violence Model
batterer suffers personality disorder
Psychopathology Theory
violence is a learned behavior from childhood
Social Learning
physiologic changes from childhood trauma, head injuries, or through heredity cause violent behavior
Biologic Theory
violence grows through family system function, but some criticize this theory as blaming the victim
Family Systems Theory
male/female inequity in patriarchal societies leads to violence
Feminist Theory
cyclic nature of violence, violence occurs in a predictable manner
Walker’s Cycle of Violence
what are the phases of the Walker’s Cycle of Violence
1.Tension building phase
2.Acute battering stage
3.Honeymoon phase
physical, sexual, or psychological harm by a current or former partner or spouse progressive isolation, stalking, deprivation, intimidation, reproductive coercion
Intimate Partner Violence
any recent act or failure to act on the part
of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation
Child Abuse
includes neglect, physical abuse, sexual abuse, financial abuse, psychological abuse (including humiliation, intimidation, and threats), exploitation, abandonment, or prejudicial attitudes that decrease quality of life and
are demeaning to those over the age of 65 years
Elder Mistreatment/Elder Abuse
assessment tool used for family violence
Hurt, Insult, Threaten, Scream
The circumstance when a person gives up
the traits of his or her culture of origin as a result
of context with another culture, to variable degrees.
Acculturation
The gradual adoption and incorporation of
characteristics of the prevailing culture.
Assimilation
The co existence of a difference in behavior, traditions, and customs. A.k.a. “cultural
pluralism”
Cultural Diversity
The intrusive application of the majority group’s cultural view upon individuals and families.
Cultural Imposition
The belief that the behaviors and practices of people should be judged only from the context of their cultural system.
Cultural Relativism
The totality of socially transmitted behavioral
patterns, arts, beliefs, values, customs, lifeways, and all other products of human work and thought characteristic of a population or people that guide their worldview and decision making.
Culture
A natural conscious and unconscious
conditioning process of learning accepted cultural norms, values, and roles in society and achieving competence in one’s culture through socialization.
Enculturation
A socially, culturally, and politically constructed
group that holds in common a set of characteristics not shared by others with whom members of the group come into contact.
Ethnicity
The universal tendency of humans to think their ways of thinking, acting, and believing are the only right, proper, and natural ways.
Ethnocentrism
An oversimplified conception, opinion, or
belief about some aspect of an individual or group.
Stereotyping
A group of people with a culture that
differentiates them from the larger culture of which they are a part.
Subculture
learned beliefs about what is held to be good or bad
Values
learned behaviors that are perceived to be
appropriate or inappropriate
norms
Ask yourself how aware you are of your own biases and prejudices toward people
different from you.
Cultural awareness
Ask yourself if you can complete a
cultural assessment being sensitive to cultural differences and sensitivities.
Cultural skill
Ask yourself how much you know about different cultures and ethnic groups, about their beliefs, customs, and biologic variations.
Cultural knowledge
Ask yourself what level of interest
you have in interacting with people from different cultures or ethnicities.
Cultural encounters
Ask yourself if you really have interest
in becoming culturally competent.
Cultural desire
rituals, practices, and experiences involving a search for the sacred that are shared within a group. It is formal, organized, group oriented, ritualistic, and objective.
Religion
a search for meaning and purpose in life, which
seeks to understand life’s ultimate questions in relation to the sacred. It is informal, non -organized, self reflective, may involve
spiritual experiences, and subjective.
Spirituality
active and ongoing conversation that
assesses the spiritual needs of the client. It is formal or informal, respectful, and nonbiased.
Spiritual Assessment
addressing the spiritual needs of the client as
they unfold through spiritual assessment. It is individualistic, client oriented, and collaborative.
Spiritual Care
Refers to the process by which substances in food are transformed into body tissues and provide energy for the full range of physical and mental activities that make up human life.
Nutrition