Module T - W Flashcards
condition vs disease
state of being diseased vs. body is ill
what is aphasia
cannot speak
dementia definition
chronic, progressive condition marked by multiple cognitive deficits
alzheimer’s is caused by
clumps of protein referred to as tangles in the brain
signs of stage 3 Alzheimer’s mild decline
mild memory difficulties
stage 5 Alzheimer’s signs moderately severe decline
significant confusion but still can be independent. doesn’t remember the telephone number or address
final stage of alzheimer’s stage 7
nearing death, practically dead can barley swallow talk move
delirium
sudden states of confusion and hysteria
delirium can be ______
deadly
what is sundowning
increased agitation, confusion, and hyperactivity that begins in the late afternoon and builds throughout the evening (think of a baby)
behavior is a response to a ____
need
sundowning is a efffect of ___
dementia
6 causes of mental illness
physical factors (like chemical imbalances), weak relationships, trauma, inherited traits, and disability to cope
a manic episode of bipolar disease is simply
extreme activity
when dealing with mentally ill patients, keep weight ___
evenly balanced
maintain distance of _____ when speaking with mentally ill
two arms
keep hands ____ when speaking with mentally ill
open and out
minimize _____ such as _____ when dealing with mentally ill
body movements, fidgeting
refrain from _____ finger with mentally ill
pointing
refrain from ____ mentally ill
touching
great _____ is the key to de-escalation
day to day relationships
how long does acute pain last
few hours up to six months
acute pain comes _____
suddenly as a result of injury, inflammation, or disease
acute pain goes away when
the healing process completes
acute pain can cause ___ and increased ____-
pale sweaty skin, vital signs
chronic pain is long term, meaning it lasts _____
over six months
chronic pain comes on ____ and perists AFTER the ____
gradually, healing process
chronic pain _____ the vital signs
decreases
pain can have an effect on the ______
immune system
if a resident is in pain their favorite ___ is acceptable
food and drinks
who created the “five stages of grief
dr. elizabeth kubler-ross
five stages of grief
denial, anger, bargaining, depression, and acceptance
psda stands for
patient self determination act
psda and obra allows for people to:
make advance directives
advance directives are
legal documents that tell what to o when patient cannot make decisions for themselves
advanced directives include (2)
living wills and durables powers of attorney
hospice care is given to people who have how many months in life
six months
what is palliative care
care given to minimize pain and complications while terminally ill
the ____ of dying patients is important
environment (room)
offer drinking water as ____ to dying patients
often as possible
offer food in ___ to dying patients
small amounts
a ___ diet is not a concern for dying patients
balanced
clean the mouth of dying patients because of __ and ___
sores, bleeding
should cna’s spend time with dying resident even when not providing care?
yes!
what is mottling
bruise like discoloration
what is cheyne strokes breathing
shallow breaths followed by no breathing for 5, 30, 60 seconds
last sense to go
hearing
what is post mortem care
upkeeping the appearance of the body after death
what is rigor mortis
STIFF
cover ____ with pad after death
perrineal
rigor mortis occurs when after death
two to four hours
what position to put body in postmortem
supine, hands over abdomen
nurse aid should do what for the family after the resident dies
give privacy room, provide water, no cliche’ sayings