Test 2 section 1 Flashcards
disruption in integrity and function of tissues
wounds
wounds that are traumatic or surgical
acute
wounds that are diabetic ulcers, pressure ulcer, arterial ulcer, venous stasis ulcer
chronic
abrasion, puncture, laceration, incision
traumatic
replacement of lost cells and tissues with cells of same type
regeneration
lost cells are replaced with connective tissue
Occurs by primary secondary and territory intention
repair
normal lab limits for prealbumin
16-30
normal lab limits for albumon
3.5-5
factors impacting healing
Diabetes Uremia Steroid Age Chemotherapy
perfused fibrous connective tissue that gradually replaces fibrous clot
granulation tissue
implies tissue necrosis or infarction
eschar
3 types of dressing
Passive
Interactive
Active
protects the wound from surface contamination
hydrocolloid
maintains a moist surface to support healing
hydrogel
uses negative pressure to support healing
Wound Vacuum assisted closure V.A.C
adhesive straps affixed to the skin so as to provide a method of securing a bandage
Montgomery Ties
walled off collection of pus
abscess
is an abnormal connection between an organ, vessel, or intestine and another structure
fistula
is exuberant growth extending beyond borders of initial injury
keloid
intact skin with nonblanchable redness
Stage 1
partial-thickness skin loss involving epidermis, dermis, or both
stage 2
full thickness tissue loss with visible fat
stage 3
full thickness tissue loss with exposed bone muscle, or tendon
stage 4
is based on language, geographic area, racial characteristics, and values of the groups heritage
ethnic identity
is the process of acquiring specific knowledge, skills, and attitudes to provide culturally congruent care
culturally competent care
are illness that are specific to one culture
culture-bound syndromes
A systematic and comprehensive examination of the cultural care values, beliefs, and practices of individuals, families, and communities
cultural assessment
a subjective sense of self and a complex mixture of unconscious and conscious thoughts, attitudes, and perceptions
self-concept
Each stage builds on tasks of the previous stages
Successful mastery leads to a sense of self
Eriksons psychosocial theory
involves the internal sense of individuality, wholeness, and consistency of self
identity
involves attitudes related to physical appearance, structure, or function
body image
how individuals carry out their significant roles
role performance
overall judgement of worth and value
self-esteem
an interconnectedness between God or a higher power and other people
spiritual well-being
associated with a specific system of practice associated with a denomination, sect, or form of worship
religion
gives an individual a motivation and the resources to achieve
Hope
one who does not believe in the existence of God
atheist
one who believes that there is no known ultimate reality
agnostic
a sense of authentically connecting to ones inner self
self-transcendence
the belief that a force outside of and greater than the person exists beyond the material world
transcendence
helping patients maintain faithfulness to their belief system and worship practices
religious care
helping people identify meaning and purpose in life, look beyond and present, and maintain personal relations as well as a relationship with a higher being or life force
spiritual care
impaired ability to experience and integrate meaning and purpose in life through connectedness with self, others, art, music, literature, nature, and/or a power greater than oneself
spiritual distress
illness that is sudden and unexpected
acute illness
illness that threatens a persons independence
chronic illness
illness that involves uncertainty about death
terminal illness
psychological phenomenon close to clinical death or recovered after declared death
near-death experience
a holistic approach to care or treatment
palliative care
concept of care that provided compassion, concern, and support for the dying patients and their families
hospice
occurs when all vital organs and body systems cease to function
Irreversible cessation of cardiovascular, respiratory, and brain function
Death
irreversible loss of all brain functions including the brainstem
brain death
refers to the final phase of a patients illness,when death is imminent
end of life
term used for issues and services related to death and dying
end of life care
Last sense to diaper at end of life
hearing
is the period of time following the death of a loved one during which grief is experienced and mourning occurs
bereavement
is the normal process of reacting to loss
grief
Five stages of grief model is know as
Kubler-Ross
five stages of Kubler-Ross model
Denial Anger Bargaining Depression Acceptance
stage of the grief wheel
Normal Loss Protest Disorganization Reorganization New Normal
caregivers of parries with chronic illness often begin to grieve long before the actual death
anticipatory grief
