NURS 317 Flashcards
Alopeica
Hair Loss or baldness
Caries
Cavities of the teeth
Ceruman
Wax of the ear canal, consisting of heavy oil and brown pigment
Ageism
Stereotypic and often negative perception of older adults
Types of exercise (muscle contraction)
- Isotonic
- Isometric
- Isokinetic
- Aerobic
- Stretching
- Strength
Isokinetic
Muscle contraction with resistance
Isotonic
Muscle shortening with movement (e.g. walking, running, swimming)
Isometric
Muscle contraction without shortening
Aerobic
Sustained muscle movement that increases O2 need
Stretching
Stretching through full ROM (e.g. warm up/cool down, yoga)
Strength
Weight training, isometric
Body alignment is a function of______
Mobility
Balance
Postural reflexes.
Relates to body positioning and where limbs and body parts are
Coordinated movement
Lifting, moving objects, mobility
Labyrinthine
relates to auditory balance and equilibrium. Fluid plays a major role here
Age-Related Changes Musculoskeletal System: Bones
- Decreases bone mass
- Potential for osteoporosis
Age-Related Changes Musculoskeletal System: Muscles
- Decline in motor function
- Loss of muscle mass and strength
- Decreased endurance
Age-Related Changes Musculoskeletal System: Joints and connective tissue
- Wear and tear
- Loss of cartilage
- Decreased synovial fluid
- Degeneration of collagen
- Impaired flexion and extension
- Decreased flexibility
Physical Assessment for mobility
- General ease of movement and gait
- Alignment
- Joint structure and function
- Muscle mass, tone, and strength
- Endurance
ADL
Activities of Daily Living
Contractures
Condition of shortening and hardening of muscles, tendons, or other tissue, often leading to deformity and rigidity of joints
Cause of contractures
Inactivity and prolonged bed rest
Method to prevent contractures
Passive and active range of motion activities
ROM
Range Of Motion
Fowler’s position
Head elevated and legs extended
Supine or dorsal recumbent position
Laying on back
Side-lying or lateral position
SIMS or laying on side
Prone position
Laying on tummy
How frequently should a Pt be re-positioned?
Q2H
ADL’s essential for daily living:
Bathing Dressing Eating Elimination Mobility
What defines the primary cause of disability?
Lack of ADL
Katz Index
Used to evaluate ADL independence
IADL
Instrumental Activities of Daily Living:
- telephone
- transportation
- shopping
- preparing meals
- housework
- medication
Factors affecting Personal hygiene
Culture Socioeconomic class spiritual practices developmental level heath state personal preferences
Self care
Completely independent
Partial assistance
Nurse provides equipment, positions client in bed, and client completes bath expect for back and feet
Complete assistance
Nurse completes all tasks
Factors to consider when examining skin:
Cleanliness color temperature turgor (elasticity) moisture sensation vascularity evidence of lesion
Urgency
feeling that a person needs to void
Polyuria
abnormal increase in urine
Dysuria
voiding that is painful
anuria
not producing urine
Nocturia
waking 2 X or more a night to void
Oliguria
Low urine output
Healthy BMI range for adults
20 - 25
Underweight BMI
Overweight BMI range
25 - 29
Obese BMI
> 30
`urinary distention
inability to urinate causes distention in stomach
sexual active women; women who use contraceptive diaphragms; postmenopausal women, diabetics, indwelling catheter patients are prone for…..
UTI
4 types of incontinance
Stress - sneezing, laughing
Urge - Sudden need to go
Functional - Fully continent but immobility causes incontinence
Overflow - Full bladder, BPH
bowel incontenance
Loss of voluntary bowel control
Xerostomia
dry mouth and dsyphasia
fecal impaction
collection of hardened feces; only liquid fecal seepage seen
GERD
Gastroesophygeal reflux disease; burning in the esophagus
gastrostomy
into stomach
Jejunostomy
into the jejunum
Iliostomy
into the ilium, permanent or temp
Colostomy
into the colon; can be placed anywhere in the colon
Red beefy color in a stoma indicates what?
normal appearance
BMR
Basic Metabolic Rate
TPN
Total parenteral nutrition
Nasal canula flow rate
2 - 6 L @ 25 - 45%
Non-rebreather mask
10 - 15 L @ 100%
Simple mask
5 - 8 L @ 40 - 60%
ABG measures?
Oxygen, CO2, pH levels, HCO3 (bicarb)
peak flow
expiratory flow rate
Kussmaul breathing
respirations seen with acidosis
orthopnea
elevated sleeping
tachypnea
respirations above 20 minute
Badypnea
Respirations below 10 per minute
gasps of air followed by long periods of non-breathing
Cheyne Stokes