Unhoused, Hospice/Palliative, Violence Flashcards

1
Q

What defines chronically unhoused?

A

unhoused for at least a year or has been unhoused 4+ episodes

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2
Q

What defines intermittently unhoused?

A

multiple, short, limited episodes of being unhoused

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3
Q

What defines in-criss unhoused and unaccompanied youth unhoused?

A

1episode of being unhoused brought on by a major crisis such as natural disaster or health related issues

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4
Q

Examples of unhoused include…

A
  • sleeping outside
  • living in a supervised shelter (temporary)
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5
Q

Risk factors for unhoused populations include…

A
  • low socioeconomic status
  • abuse
  • chronic illness
  • mental health
  • substance abuse
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6
Q

Why is TB a concern for unhoused people?

A

increased risk of developing TB from shelters (bc of overcrowding)

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7
Q

Why are unhoused people typically anemic?

A

poor diet

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8
Q

What part of the body is important to assess for unhoused patients?

A

their feet; they could have peripheral neuropathy without knowing it (typically a sign of diabetes), could have fungal growth from moist shoes, or have overly dry feet where the skin can crack

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9
Q

When is a patient eligible for hospice?

A

prognosis of 6 months or less

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10
Q

Which excludes curative treatment: hospice or palliative?

A

hospice

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11
Q

Palliative care typically happens where?

A

in the hospital

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12
Q

What are the Kubler-Ross Stages of Grief?

A
  • denial
  • anger
  • bargaining
  • depression
  • acceptance
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13
Q

Hospice care typically happens where?

A

at the comfort of the patient’s home

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14
Q

Who introduces the idea of hospice to a patient?

A

hospice nurse

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15
Q

Describe the care of a deceased patient

A
  • care of body
  • care of spirit
  • care of family
  • care of self (as provider)
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16
Q

What is algor mortis?

A

temperature drops in a deceased patient

17
Q

What is rigor mortis?

A

muscle of the deceased patient stiffens

18
Q

Describe what “care of spirit” means?

A
  • joining in a prayer
  • playing certain music
  • any form of comfort care to heal the “soul” of the patient and their family
19
Q

IPV can include…

A
  • injury
  • fear
  • anxiety
  • PTSD
  • STD/STI
  • increased risk for depression, suicide, substance abuse
20
Q

Define Family Violence

A

controlling, coercive behaviors seen through the intentional acts of violence inflicted on those in familial or intimate relationships; can include IPV, child abuse

21
Q

What are the types and theories of violence?

A
  • psychological/emotional
  • economic
  • psychopathology
  • social learning/family systems
  • biological
22
Q

What are the types of abuse?

A
  • bullying
  • hate crimes
  • sex trafficking
  • war crimes
  • gaslighting
23
Q

What is the definition of a vulnerable population?

A

people who are under the care of other people
- children
- elders
- disabled

24
Q

What are the screening tools for violence?

A
  • Abuse Assessment Screen
  • Danger assessment
  • HITS (hit, insult, threaten, scream; >10 is positive score)
25
How do you document violence?
only state facts - cannot say "the patient seemed scared" the patient has to state that they're scared
26
Can a nurse report abuse for a patient is that not a vulnerable population?
not if the patient refuses (have to check with hospital and state policy)
27
Can a nurse report abuse for a patient that is a vulnerable population?
yes - ok to report without notifying