pt 1 Flashcards
disadvantage of assessment tools are
responses may be subjective bc of self reporting
disadvantage of assessment tools are
efficacy and reliability are not measured in the ADL and IADL
disadvantage of assessment tools are
interaction is needed to complete ADL and IADL assessments
disadvantage of assessment tools are
FAQ and FSS are determining functional status.
balancing a check book, prepare a meal, and grocery shopping are all
in the IADL assessment
dressing ones self and brushing teeth are
in BADL assessment
promoting rest and sleep and exercise and ambulation are interventions for what
poststroke pt 30 days after and now in home care rehab
• The nurse is caring for an 85-year-old woman 6 weeks following a hysterectomy secondary to ovarian cancer. The patient will need chemotherapy and irradiation on an outpatient basis. The nurse should identify and address which barriers to healing? (Select all that apply.)
Has no transportation to the oncology clinic, lives alone and has no nearby relatives, and experiences stress incontinence
“individual’s ability to perform the normal daily activities required to meet basic needs; fulfill usual roles in the family, workplace, and community; and maintain health and well-being.” is ____
functional ability
“Cognitive, social, physical, and emotional ability to carry out the normal activities of life required to meet basic needs; fulfill usual roles in family, workplace, and community; and maintain health and well being” is ____
functional ability
basic activities of daily living
BADL
relate to personal care and mobility
BADL
bathing, mouth care, and toilet are
BADL
dressing and eating are
BADL
these relate to personal care and mobilty
BADL
there are instrumental activities of daily living
IADL
these relate to more complex skills essential for living
IADL
managing money, grocery shopping and cooking are
IADL
house cleaning and laundry are
IADL
taking meds and using telephone are
IADL
accessing transportation are
IADL
developmental abnormalities, trauma or disease are
think increase or decreasefunctional impairment
Situations that increase risk for functional impairment
social and cultural factors are
think increase or decrease functional impairment
Situations that increase risk for functional impairment
advanced age, cog function, and depression level/mental health issues are
think increase or decrease risk of functional impairment
Situations that increase risk for functional impairment
comorbidities and SES factors are
Situations that increase risk for functional impairment
preclinical disability is
task modification w/o report or difficulty performing a specific activity
preclinical disability has been found to be an ___ predictor of future decline and disability
impt
preclinical disability is a
think if this increases or decreases FI
Situations that increase risk for functional impairment
self report tools provide info on the patients ____ of functional ability
perception
problems with self report measures stem from the ______ of an individuals personal characteristics and perferences and environmental factors
effect
problems with self report measures lie in the _____
interpretation that can vary
problems with self report measures are ability can be ____ or underreported by individuals based on personal reasons
overreported
performance based tools involve
actual observations of tasks, and completion judged by objective data
performance based assessments
think avoid or cause inaccurate measurement in self report
avoid potential for inaccurate measurement inherent in self report
performance based assessment can
measure functional ability with repetition and if task completed on time
functional ability changes across the lifespan, mostly in what stages
infant, toddler, preschool, school age, adolescent, young adult
in kids and infants, you see ____ milestones
developmental
in young and middle adulthood, you want to ___ problems ass with aging
ID
for older adults, functional status refers to the safe, ___ performance of ADL
effective
for the older population, do ___ focused on factors that will decline the functional ability
think screening or assessing
screening
this should be done on all ppl
comprehensive, interprofessional assessment, focused on observed functional, social, or cognition changes
if problems with ability develop, milestones in ____, gross and fine motor skills, and cog domains will be reviewed.
Think lang
language
how can you reduce risk and intervention
think….teach how to maintain high or low levels of FA
teach pts and families about factors maintaining high level functional ability
how can you reduce risk and intervention….teach about
well balanced nurtition and exercise
how can you reduce risk and intervention….teach about
checkups and stress management
how can you reduce risk and intervention….teach about
think what kind of activity
participate in meaningful activity
how can you reduce risk and intervention….teach about
fall prevention and don’t do drugs
how can you reduce risk and intervention….teach about
self care assisstance for IADL and BADLs
how can you reduce risk and intervention….teach about
assistive devices
if there is an ID’ed risk, you want to reduce it as a ___
priority
pts need teaching and guidance to develop ____ action plans designed to decrease the specific risks
effective
ongoing assessment of an individuals functionality can provide continual adjustment of resources to _____ independance over dependance
maximize
a ___ month old child can pay attention to faces
2
a ___ month old child can follow things with eyes and recognize ppl at a distance
think youngest age
2
a ___ month old child can begin to act bored (cries and fuss) if activity doenst change
think earliest tested on
2
a ___ month old child can hold head up and begins to pushing on then lying on tummy
think youngest age
2
a ___ month old child can make smoother movements with arms and legs
2
a ___ month old child can look around at things nearby
think second youngest age tested
6
a ___ month old child can bring things to mouth
6
a ___ month old child can show curiosity about things and tries to get things that are out of reach
think second youngest age tested
6
a ___ month old child can begin to pass things from one hand to another
think second youngest age
6
a ___ month old child can roll over in both directions
think second youngest
6
a ___ month old child can stand, support weight on legs and might bounce
6
a ___ month old child can roll back and forth , sometimes crawling backward before moving forward
6
a ___ month old child can watch the path of something as it falls
think middle age tested
9
a ___ month old child can look for things he sees you hide
think middle age tested
9
a ___ month old child can play peek-a-boo
9
a ___ month old child can put things in mouth
9
a ___ month old child can move things smoothly from one hand to another
think middle age
9
a ___ month old child can pick up things like cereal between thumb and index figer
9
a ___ month old child can stand while holding onto things
9
a ___ month old child can get into sitting position
9
a ___ month old child can sit without support
9
a ___ month old child can pull to stand
9
a ___ month old child can crawl
9
a ___ year old child can count 10 or more things
5
a ___ year old child can draw a person with at least 6 body parts
5
a ___ year old child can print some letters or numbers
5
a ___ year old child can copy a triangle and shapes
5
a ___ year old child knows about things used every day, like money and food
5
a ___ year old child can stand on one foot for 10 seconds or longer
5
a ___ year old child can hop and maybe skip
5
a ___ year old child can do a somersault
5
a ___ year old child can use a fork and spoon and table knife
5
a ___ year old child can use the toilet on their own
5
a ___ year old child can swing and climb
5
the ability of individuals and/or their caregivers to engage in the daily tasks required to maintain health and well-being or to manage the physical, psychological, behavioral, and emotional sequelae of a chronic disease based on their knowledge of the condition, its consequences, and the plan of care co-developed with their health care team.”
self management
this is assessing if the pt can take care of themselves in the BADL and IADL
functional ability
the scope for ___ ___ is from completed dependence to complete independence
functional ability
the scope for __ ___ is from disability to full function
functional ability
the ability to care for oneself is influenced by what?
developmental stage and environment
the ability to care for oneself is influenced by what?
social and cognitive factors
the ability to care for oneself is influenced by what?
psychosocial and physical health
interventions for functional ability are
mulitdisciplinary approach
interventions for functional ability are
dependent on the cause like visual-hearing, mobility, cognitive, mental health and physical
nursing interventions for functional ability are
assist with IADL and BADL, fall prevention and education
The advantage to self reporting are
Less time to complete and no tools needed
The disadvantage for self reporting are
Pt perception of ability
The advantage of performance based assessment tools are
It involves direct observation of pt
The advantage of performance based assessment tools are
Measuring with repetition
The advantage of performance based assessment tools are
Timed tasks
The MoCA are use for ________ cog impairement
Mild
The TUG assess for risk of _____ and the ability to maintain balanced gait
Falls
The MMSE assess ____ impairment
Cognitive
The Lawton assess ____ living skills
Independent
The Katz is used for older adults and the ability to perform ____
ADL
Once pts ability to self manage own care is determined, you need to ______
Find the best way to teach/edu them
The nurse wants to help the pt discover their ability to change a behavior or lifestyle with
Self management
With self management, you need to believe you can make the change and have the power to do so….this is called
Self efficacy
With self management you need to determine learning needs like:
Age and developmental stage
With self management you need to determine learning needs like:
think EL and HB
Edu level and health beliefs
With self management you need to determine learning needs like:
Motivation and readiness to learn
With self management you need to determine learning needs like:
Health risks and knowledge and skills
When facilitating learning you…..
Have a partnership and readiness to learn as the learner
When facilitating learning you…..
think relevant or nonrelevant info
Have relevant info to the learner
When facilitating learning you…..
think neg or pos encounter and to start or end with what ur pt knows
Need a pos encounter and to start with what your pt knows
When facilitating learning you…..
think lang and culture
Use lang the pt understands and to be culturally sensitive
Self management involved pt edu and the need to
think: want pt to be ready or not ready to learn; want to see barriers or nonbarriers to health; and beneficial or non beneficial to change
be aware of if the pt is ready to learn and if they see a barrier in their health and if it will be beneficial to change poor health behaviors
this is the ability of the pt to manage their health care
self management
this is the ability to manage symptoms, treatment, physical and psychological aspects, and lifestyle changes
self management
if pt is going to self manage health, it needs to be their own ___ and ____
actions and initiative
the day to day tasks a person must undertake to control or reduce the impact of disease on physical health status
self management
the individuals ability to manage symptoms, treatment psychological and physical consequences and changes with chronic conditions.
self management
ability of individuals and/or their caregivers to engage in the daily tasks required to maintain health and well-being or to manage the physical, psychological, behavioral, and emotional sequelae of a chronic disease based on their knowledge of the condition, its consequences, and the plan of care co-developed with their health care team
self management
ability of individuals and/or their caregivers to engage in the daily tasks required to maintain health and well-being or to respond to the changing physical, psychological, behavioral, and emotional sequelae of a chronic disease based on their knowledge of the condition, its consequences, and the plan of care developed in cooperation with their healthcare team within the context of the daily demands of life
self management
the pt needs knowledge of chronic conditions and treatments for
self management
the pt must mon the condition and respond to info about disease state with
self management
the pt must be bale to convey impt info about condition and management to HCP with
self management
the interaction of health behaviors and related processes that patients and families engage in care for a chronic condition is
self management
having the confidence in ones knowledge and abilities to reach a desired outcome is
self efficacy
linked to self efficacy
pt engagement
having the knowledge, skills, ability, and willingness to be an active participant in ones health and care
pt engagement
any combo of learning experiences designed to help pts and caregivers improve health/condition
health edu
you want to enhance their knowledge, skills and confidence or influence attitutes
health edu
pt takes responsibility for their health/condition and HCP is the vehicle thru which self management occurs
pt provider relationship
system of coordinated health care interventions and communications for pts with chronic conditions that require significant self management efforts
disease management
this can increase thru education, doing tasks well, be part of health with HCP, link to services
self efficacy
the primary goal of what is to improve population health and reduce healthcare costs by mitigating the future complications of chronic conditions through effective self-care
disease management
this is based on the idea that an individuals expectations influence their behavior
Social Cognitive Theory
there is high efficacy ass with
Social Cognitive Theory
in good health remain confident can maintain health with pos health behaviors this is ass with
Social Cognitive Theory
there are person factors, behavior and environmental factor ass with( and all are intercorrelated)
Social Cognitive Theory
this is based on idea that individuals expectations influence their behavior
Social Cognitive Theory
there is observing other and modeling behavior ass with
Social Cognitive Theory
this takes into account a persons past experience and that factors into whether behavioral action will occur
Social Cognitive Theory
interventions for self efficacy are
pt engagement and health edu
interventions for self efficacy are
pt provider relationship and disease management
health enhancement and wellness interventions are
pts attend well visits and screening appts
predisease/disease preventions are
edu on factors that contribute to disease and risk of developing disease based on health status and risks
disease/new diagnosis interventions are
edu on disease and its management
acute event management interventions are
edu on new or old meds, changes or same lifestyle, and what health services(A)
edu on mew meds, changes in lifestyle, and ancillary health services
nursing interventions are finding the causes and ____ of common chronic disease
consequences
nursing interventions are med or symptom management and social ____
support
nursing interventions are
lifestyle and health promoting behaviors and comm with providers
there are four areas of self management one being ____
health enhancement and wellness
there are four areas of self management one being ____
predisease/disease prevention
there are four areas of self management one being ____
disease/new diagnosis
there are four areas of self management one being ____
acute event management
health enhancement and wellness include
welllness visits and screening appts
health enhancement and wellness include
lifestyle behaviors like good BMI, diet, exercise, sleep, manage stress, and reduce injury
health enhancement and wellness can be a _____
think 1 on 1 or 2 on 1
one on one
predisease/disease prevention includes
risk of developing full disease based on current health status and risk
predisease/disease prevention
is a state in which individuals dont meet the full diagnostic criteria for a diagnosistic but have one plus clinical markers indicating they arent healthy
predisease/disease prevention includes
prediabetic, prehypertension, and precancer lesions
predisease/disease prevention includes
can the pt make the changes and use suncreen
predisease/disease prevention includes
take low dose meds, dont smoke, and exercise and diet
predisease/disease prevention includes
consider the pt as a whole or parts, and the ____ to make changes is critical to successful management over time
consider pt with chronic disease holistically and understanding the capacity for making changes is critical to successful management over time
disease/new diagnosis includes
think making what kind of lifestyle changes
making significant lifestyle changes
disease/new diagnosis includes
edu abt disease
disease/new diagnosis includes
• considering patients with chronic disease holistically and understanding their capacity for making changes is critical to successful management over time
acute event management includes
stroke and MI
acute event management includes
asthma and hip fractures
acute event management includes
frequently life changing occurances
acute event management includes
achieving the best health possible given disease and preventing a recurrance of the event, the comorbidities, or even mortality
acute event management includes
self manage new meds
acute event management includes
changing lifestyle behaviors
acute event management includes
greater health are utilization due to increased monitoring, specialty care and ancillary health services
self management interventions include
education on preventative and supportive health measures
acute event management includes pt centered care plan that includes
think respect and partner
respect pt wishes and desires and they are a partner in their care
discharge planning needs to begin ______ the pt is alert, and able to learn and day one
the day
when discharging a pt, keep in mind the ways to facilitate ____
learning
when looking at self management, look at the ____ context to determine level of support pts need to successfully manage health
social
poverty involves __ AND IS PART OF SOCIAL CONTEXT
think paying for what two things
paying for health care and health insurnace
neighborhood violence and transportation to HCP are part of ___ context
social
once pt is discharged, they must adhere to their health care regime of ___, diet and exercise
think meds or treatment
meds
the extent to which a person actions coincide with HCP advice to maintain behaviors by result of participation and agreement
adherence
The nurse is assessing learning needs for a patient who has coronary artery disease. The nurse finds that the patient has recently made dietary changes to decrease fat intake and has stopped smoking. Which is the best initial response by the nurse?
“You did an excellent job of changing your eating habits and quitting smoking. This is so important for your heart health. Nice work!”
• A patient being treated for tuberculosis (TB) with a standard four-drug regimen continues to have positive sputum smears for acid-fast bacilli. Which actions should the nurse implement?
o Assist the patient with short-term goals and plan teaching according to these goals.
A patient being treated for tuberculosis (TB) with a standard four-drug regimen continues to have positive sputum smears for acid-fast bacilli. Which actions should the nurse implement?
Provide the patient with all the educational materials about drug-resistant TB.
A patient being treated for tuberculosis (TB) with a standard four-drug regimen continues to have positive sputum smears for acid-fast bacilli. Which actions should the nurse implement?
think what do you ask about meds?
Ask the patient whether medications have been taken as directed.
A patient being treated for tuberculosis (TB) with a standard four-drug regimen continues to have positive sputum smears for acid-fast bacilli. Which actions should the nurse implement?
Ask the patient about any barriers to obtaining medications
