Special Assessments Flashcards
HOPE Assessment of Spiritual Beliefs
H:
O:
P:
E:
H: Sources of hope
O: Organized Religion
P: Personal/Spiritual Practices
E: Effects on Medical Care and End of Life Issues
Cultural Beliefs can affect food:
P:
P:
B:
FOOD PREFERENCES
FOOD PREPARATION AND CONSUMPTION
FOOD BELIEFS (cause or cure illness, used in rites or ceremonies
Culture and C\_\_\_\_\_ are interrelated. Effects: E\_\_\_ of F\_\_\_\_ Role of t\_\_\_\_\_ Signs of R\_\_\_ and D\_\_\_\_
COMMUNICATION Expression of Feelings Primary Language Role of Touch Signs of Respect and disrespect
Cultural Assessment should include: Beliefs regarding H\_\_\_\_ R\_\_\_\_\_\_\_\_ L\_\_\_\_\_\_\_\_\_ Role of \_\_\_\_\_\_\_\_ Sources of s\_\_\_\_\_\_\_ D\_\_\_\_\_\_\_
HEALTH RELIGION LANGUAGE ROLE OF FAMILY SOURCES OF SUPPORT DIET
CULTURE-A _____/_____ way of life of a group of people. Includes _____, ___, ___, _______
learned/socially transmitted
beliefs, values, customs and norms
RACIAL GROUPS-Classifications of individuals based on b_________s______t______ such as
s___ t____,
f____ f_____
b____ b_____
RACIAL GROUPS- Biological shared traits skin tone facial features body build
ETHNIC GROUPS- Share
R_____ O_______
s________ c______
L_____
regional origin
social culture
language
ADL's: EATDBC 1. 2. 3. 4. 5. 6,
Eating Ambulating Transferring Dressing Bathing Continence
Functional Status- individual’s ________ to ______ normal d______ a_______ required to meet b______ n______, fulfill usual r_____, and maintain health and well-being
Functional status is an individual’s ability to perform normal daily activities required to meet basic needs, fulfill usual roles, and maintain health and well-being
functional capacity:
maximum capacity to perform daily activities
functional performance:
activities people actually do
Common symptoms of altered mental health S\_\_\_\_\_ \_\_\_\_\_\_\_ A\_\_\_\_\_ \_\_\_\_\_\_\_ A\_\_\_\_\_ M\_\_\_\_\_ or A\_\_\_\_\_ H\_\_\_\_\_\_\_\_\_
Suicidal ideation
Aggressive behavior
Altered mood and affect
Hallucinations
Mental Health Assessment:
R_____ F_____
P______ ______ ______ _______
M_________ S_________
Role of RN in assessing Mental Status
risk factors
preexisting mental health conditions including substance abuse, depression, suicidal ideations
mental status including appearance, behavior, cognition, and thought processes
Developmental Theories: P\_\_\_\_\_ F\_\_\_\_\_ E\_\_\_\_\_ K\_\_\_\_\_
Piaget
Freud
Erikson
Kohlberg
ERIKSON (THEORY OF P______)
Follow a P_____ of G_____
Each stage B____ on previous stage
M____ a C_____ during each stage
Personality
plan of growth
builds on previous stage
master a crisis during each stage
KOHLBERG (M_____ DEVELOPMENT)
Moral
When conflict occurs among universal values such as affection, authority, truth and justice. One makes a moral choice which includes problem solving
Freud- P_______ Development
Behavior is motivated by u___- m_____
p_________- and psychosocial identity develop through
accumulated e________
unconscious mind;
personality and psychosocial identity developed through accumulation of interactional experiences
PIAGET - C_____ DEVELOPEMENT
Age related s_____ s_____
develop c______ skills in order to adapt
PIAGET (COGNITIVE DEVLOPMENT)
Age related sequential stages.
develop cognitive
5 Developmental Stages
Infants and children Adolescence Young adult Middle age adult Older adult
2 growth spurts occur at
first
first year of life and puberty
Puberty can begin as early as
8-9 years old
Girsl develop body hear at ____ and menarche at ____
9-10;
2 years after start of body hair and breasts
Boys testicular development starts at
and body hair at
9 and 12
Causes of aging:
B___ ____
D___ D____
Biological Clock
Damage to DNA from environment or inability to repair
Symptoms of Malnutrition Changes in H\_\_\_, N\_\_\_\_, S\_\_\_\_ Inability to \_\_\_\_ Intolerance to \_\_\_\_ or \_\_\_\_ Change in w\_\_\_\_\_\_ Change in e\_\_\_\_ l\_\_\_\_
Changes in hair, nails, and skin Ability to heal Tolerance of hot or cold weather Recent change in weight Recent change in energy level
Anthropometrics:
H___-, W____, B_____
S____ F____ T_____
M_____ C_______
W_____ to H_____ R______
Height and Weight
Body Mass Index
Skin-fold thickness
Mid-arm Circumference
Waist-to-hip Ratio: waist circumference
hip circumferenceUnhealthy Waist to hip ratio
men
women
A ratio of >1.0 in men or >0.8 in women is android or upper body obesity and is indicative of increased risk of obesity-related diseases.
3 Malnutrition screening questions
Unintentional weight loss
how much
decreased appetite
Food:
provides e______ for a____ and for b____ and m____ t_____
r_____ body p_______
PROVIDE ENERGY FOR ACTIVITIES
BUILDING AND MAINTAINING BODY TISSUE
REGULATE BODY PROCESSES
MACRONUTRIENTS-
1
2
3
CARBOHYDRATES, PROTEIN AND FAT
MICRONUTRIENTS-
VITAMINS AND MINERALS
Most vital nutrient
Water
most common symptoms of malnutrition include
significant weight loss, fatigue and dizziness
Purposes for assessment: S\_\_\_\_\_\_ A\_\_\_\_\_ C\_\_\_\_\_ S\_\_\_\_\_ M\_\_\_\_ D\_\_\_\_\_ R\_\_\_\_\_\_ E\_\_\_\_\_\_ P\_\_\_\_\_\_
Screening Assess change Staging Management /placement decisions Research Eligibility Payment
