Term
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Definition
| 1)ask a question 2)collect the most relevant and best evidence 3) critically appraise the evidence 4) integrate all evidence 4) evaluate the practice decision or change. |
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Definition
| patient population, intervention of interest, comparison of interest, outcome |
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Definition
| is the highest level of experimental research. cause and effect |
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Definition
| a study where researchers study a group of subjects with a certain condition. determines if there is an association between one or more predictor variables and the condition. |
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Term
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Definition
| is a way to identify new knowledge improve professional education and practice, and use resources effectively. |
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Definition
| the foundation of research and the most reliable and objective of all methods of gaining knowlege. |
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Definition
| the study of nursing phenomena that offers precise measurement and quantification. I.E pain severity, wound healing. |
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Definition
| experimental study, conditions are tightly controlled to eliminate bias, and ensures findings can be generalized to larger groups. |
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Term
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Definition
| obtain info from populations regarding the frequency, distribution, and interrelation of variables among subjects in the study. |
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Definition
| a form of quantitative research that involves finding out how well a program, practice, procedure, or policy is working. |
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Definition
| this method describes information obtained in a nonnumerical form. involves INDUCTIVE REASONING |
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Term
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Definition
| develop generalizations or theories from specific observations or interviews |
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Term
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Definition
| Conceive the study, design the study, conduct the study, analyze the study, use the study. |
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Term
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Definition
| 1-full and complete information about the purpose of the study. 2-are capable of fully understanding the research and the implications of participation. 3- have the power of free choice to voluntarily consent or declines. 4- understand how the researcher maintains confidentiality or anonymity |
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Term
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Definition
| occurs when even the researcher cannot link the subject to the data. |
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Definition
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Definition
| striving to understand an event as it has meaning in the life of the other |
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Term
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Definition
| being emotionally present to the other |
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Term
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Definition
| doing for the other as he or she would do the self if it were possible |
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Term
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Definition
| facilitating the others passage through life transitions and unfamiliar events. |
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Term
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Definition
| sustaining faith in the others capacity to get through an event or transition and face a future with meaning. |
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Term
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Definition
| a person to person encounter conveying closeness and a sense of caring. being there, or being with |
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Term
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Definition
| skin to skin, or eye contact. |
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Term
| transpersonal communication |
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Definition
| interaction that occurs within a persons spiritual domain. |
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Term
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Definition
| motivates one person to communicate with another. |
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Term
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Definition
| are means of conveying and receiving messages through visual, auditory, and tactile senses. |
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Term
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Definition
| the message the receiver returns. |
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Term
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Definition
| are factors within both the sender and the receiver that influence communication |
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Term
| intimate zone of personal space |
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Definition
| 0-18 inches. holding a crying infant, performing a physical assessment, bathing, grooming, dressing, feeding, and toileting a client. changing a client's dressing. |
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Term
| personal zone of personal space |
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Definition
| 18in-4 feet. sitting at a client's bedside, taking nursing history, teaching, Report |
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Term
| social zone of personal space |
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Definition
| 4-12 feet. rounding with physician, head of conference table, teaching a group, conducting a family support group. |
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Term
| social zone- zone of touch |
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Definition
| permission not needed, hands, arms, shoulders, back |
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Term
| consent zone-zones of touch |
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Definition
| permission needed, mouth, wrists, feet |
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Term
| vulnerable zone- zone of touch |
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Definition
| special care needed, face, neck, front of body |
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Term
| intimate zone- zone of touch |
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Definition
| great sensitivity needed, genitalia, rectum |
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Term
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Definition
| SOLER-- sit facing the client, observe an open posture, lean toward the client, establish and maintain eye contact, relax |
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Term
| purpose of client education |
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Definition
| to assist individuals, families, or communities in achieving optimal levels of health. |
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Term
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Definition
| perceived need to provide person with info, establishment, of relevant learning objectives by teacher |
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Term
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Definition
| teacher who performs activities aimed at helping other person to learn |
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Term
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Definition
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Term
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Definition
| determination of whether client achieved learning objeectives |
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Term
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Definition
| includes all intellectual behaviors and requires thinking |
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Term
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Definition
| deals with expression of feelings and acceptance of attitudes, opinions, or values |
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Term
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Definition
| involves acquiring skills that require the integration of mental and muscular activity, i.e the ability to walk, or to use a utensil |
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Term
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Definition
| a concept included in social learning theory, refers to a person's perceived ability to successfully complete a task |
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Term
| adaptation to illness, and grief |
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Definition
| 1- denial, 2- anger, 3- bargaining, 4- resolution, 5- acceptance |
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Term
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Definition
| describe a behavior that identifies the client's ability to do something upon completion of teaching. |
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Term
| when to plan teaching activities |
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Definition
| when pt is most attentive receptive, and alert. |
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Term
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Definition
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Term
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Definition
| controls heat productions |
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Term
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Definition
| is the transfer of heat from the surface of one object to the surface of another w/o direct contact between the two. |
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Term
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Definition
| a constant body temp continuously above 38 degrees Celsius, has little fluctuation |
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Term
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Definition
| fever spikes interspersed with usual temperature levels. temp returns to acceptable levels at least once in 24 hr period |
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Term
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Definition
| fever spikes and falls w/o return to normal temp levels |
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Term
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Definition
| periods of febrile episodes and periods with acceptable temp values. febrile episodes and periods of normothermia are often longer than 24 hr |
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Definition
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Term
| body position to promote full chest expansion |
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Definition
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Term
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Definition
| rectum, tympanic membrane, temporal artery, esophagus, pulmonary artery, urinary bladder |
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Term
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Definition
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Term
| when to measure vitals signs |
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Definition
| on admit, before and after surgery, before during and after ambulation, before blood transfusion, before, during and after med admin, when general physical changes. |
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Term
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Definition
| elevated body temp related to the body's inability to promote heat loss of reduce heat production. |
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Term
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Definition
| prolonged exposure to sun or high environmental temps. S&S giddiness, confusion, delirium, excess thirst, nausea, muscle cramps, visual disturbances. HOT DRY SKIN NO SWEAT!! |
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Term
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Definition
| profuse diaphoresis results in excess water and electrolyte loss. |
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Term
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Definition
| ice crystals form inside the cell, and permanent circulatory and tissue damage occurs. |
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Term
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Definition
| infectious agent-reservoir-portal of exit-mode of transmission- portal of entry-host |
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Term
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Definition
| interval between entrance of pathogen into body and appearance of 1st symptoms. |
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Term
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Definition
| interval from onset of nonspecific signs and symptoms |
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Term
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Definition
| signs and symptoms are SPECIFIC to type of infection |
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Term
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Definition
| acute symptoms of infection disappear. |
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Term
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Definition
| a protective reaction that serves to neutralize pathogens and repair body cells |
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Term
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Definition
| do not cause disease, but participate in maintaining health. |
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Term
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Definition
| applies to blood, body fluids, except for sweat. These precautions provide protection to the client as well as the health care worker. |
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Term
| critical items that must be sterile. |
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Definition
| surgical instruments, cardiac or intravascular catheters, urinary catheters, implants |
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Term
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Definition
| transferred from one person to another |
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Term
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Definition
| an active, organized, cognitive process used to carefully examine one's thinking and the thinking of others. |
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Term
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Definition
| recognize, analyze, evaluate, conclusion (make). |
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Term
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Definition
| look at the meaning and significance of findings. |
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Term
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Definition
| reflect on your experiences. Identify the ways you can improve your own performance. |
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Term
| levels of critical thinking |
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Definition
| basic, complex, committment |
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Term
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Definition
| early step into reasoning, right or wrong answer. the nursing student |
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Term
| complex critical thinking |
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Definition
| analyzing and examining choices more individually. the solution has benefits and risks that you weigh before making a final decision |
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Term
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Definition
| problem, collection, formulation of question or hypothesis, test the question, evaluating the results. |
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Term
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Definition
| requires careful reasoning so that you choose the options for the best client outcomes on the basis of the condition, and the priority of the problem |
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Term
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Definition
| comparison of data with another source to determine data accuracy |
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Term
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Definition
| a type of active listening that encourages the client to go on. i.e uh huh, go on |
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Term
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Definition
| always within the nursing domain of nursing practice and a condition that responds to nursing interventions. |
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Term
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Definition
| describes the human response to the health condition or life processes that exist in an individual, family, or community |
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Term
| health promotion nursing diagnosis |
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Definition
| a clinical judgment of a person's, family's, or community's motivation and desire to increase well being and actualize human health potential as expressed in their readiness to enhance specific health behaviors, such as nutrition and exercise |
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Term
| wellness nursing diagnosis |
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Definition
| describe human responses to levels of wellness in an individual, family, or community that have a readiness of enhancement. |
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Term
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Definition
| the 3rd step of the nursing process, this is when the nurse sets CLIENT-CENTERED goals and expected outcomes and PLANS nursing interventions |
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Term
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Definition
| ability to be independent in society...i.e shopping, writing checks, prepping meals, taking meds |
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Term
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Definition
| activities normally performed throughout the course of the day. i.e ambulation, eating, dressing, bathing, brushing teeth, and grooming. |
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Term
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Definition
| integration of cognitive and motor activities |
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Term
| preventative nursing actions |
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Definition
| promote health and prevent illness to avoid the need for acute or rehabilitative health care. |
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Term
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Definition
| is the minimum level of care accepted to ensure high quality of care to clients |
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Term
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Definition
| is a term for managing the individual clinical outcomes of clients as a result of prescribed treatments. |
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Term
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Definition
| health promotion. care that has a lot to do with health promotion. I.e wellness check ups |
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Term
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Definition
| emergency care, acute care med surg, radiological procedures. |
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Term
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Definition
| federally administered program, for people 65 years and older |
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Term
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Definition
| federally funded-state operated program that provides health insurance to low income families, health assistance to low-income ppl with long term care, and supplemental coverage with medicare for older adults for nursing homes. |
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Term
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Definition
| a service that provides short-term relief or time off for persons providing home care to an ill, disabled or frail older adult |
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Term
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Definition
| care is palliative care, not curative care |
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Term
| nursing sensitive outcomes |
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Definition
| client outcomes that are directly related to nursing care. i.e HAI, DVT, UTI, pressure ulcers, falls, failure to rescue, 30 day mortality. |
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Term
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Definition
| providers received fixed amount per client or enrollee of a health care plan. |
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Term
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Definition
| provides comprehensive preventative treatment services to specific groupd of voluntarily enrolled persons. |
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Term
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Definition
| physicians are salaried employees of the MCO |
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Term
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Definition
| MCO contracts with single group practice |
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Term
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Definition
| MCO contracts with multiple group practices and/or integrated organizations |
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Term
| independent practice association (IPA) |
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Definition
| MCO contracts with physicians who usually are not members of groups and whose practices include fee for service and capitated clients. |
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Term
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Definition
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Term
| factors that affect the circadian rhythm |
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Definition
| light, temp, social activities, work routines |
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Term
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Definition
| major sleep center in the body, as well as heat regulation |
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Term
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Definition
| stages 1-4. contributes to body tissue restoration. biological functions slow. |
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Term
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Definition
| HGH is released for the repair and renewal of epithelial and speciialized cells such as brain cells. |
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Term
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Definition
| obstructive sleep apnea-occurs when muscles or structures of the oral cavity or throat relax during sleep. upper airway becomes partially of fully blocked. may result in snoring or snorting. |
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Term
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Definition
| excessive daytime sleepiness, most common complaint of people. |
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Term
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Definition
| decline in arterial O2, cardiac dysryhtmias, R sided heart failure, pulmonary HTN, angina attacks, stroke, HTN.EDS |
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Term
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Definition
| central sleep apnea- involves dysfunction in the brain's respiratory control center. impulse to breath temporarily fails, and nasal airflow and chest wall movement fails. |
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Term
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Definition
| sudden muscle weakness during intense emotions such as anger, excitement, or anger that occur at anytime during the day. |
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Term
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Definition
| a dysfunction of mechanism that regulate the sleep and wake states |
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Term
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Definition
| a problem many clients experience as a result of the dyssomia. causes include illness, emo stress, meds, environmental |
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Term
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Definition
| at rest people usually feel mentally relaxed, free from anxiety, and physically calm. YOGA |
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Term
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Definition
| drugs, lifestyle, usual sleep patterns, emotional stress, environment, exercise and fatigue, food and caloric intake. |
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Term
| benzodiazepines for sleep |
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Definition
| best for older adult b/c cause relaxation, antianxiety and hypnotic effects by facilitating action of the neurons in the CNS that suppress resposiveness to stimulatio, Decreasing arousal. |
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Term
| opioids for someone with sleep apnea |
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Definition
| WATCH AND ASSESS diligently, opiods suppress respiration |
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Term
| maslow's hierarchy of needs |
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Definition
| 1) Physiological 2)safety and security 3) love and belonging 4)self esteem 5) self actualization |
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Term
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Definition
| pain that is fast onset, has a reason, and lasts less than 6 months |
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Term
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Definition
| last longer than 6 months, can cause weight gain and fatigue, unidentifiable cause |
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Term
| gate control theory of pain |
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Definition
| pain has emotional and cognitive components in addition to a physical sensation |
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Term
| sympathetic reactions to pain |
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Definition
| Inc. RR, HR, B/P, glucose level, muscle tension. Diaphoresis. dilation of pupils. Dec. GI motility |
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Term
| parasympathetic reactions to pain |
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Definition
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Term
| first step in treating pain? |
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Definition
| is successfully identifying the cause of pain |
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Term
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Definition
| somatic and visceral pain. responsive to nonopoids and opoids. pain is aching and throbbing |
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Term
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Definition
| treatment include adjuvent analgesics. due to damage to pain nerves. |
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Term
| what does cold and heat application do for pain? |
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Definition
| relieve pain and promote healing |
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Term
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Definition
| have not used opioides, no longer naive after one week |
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Term
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Definition
| IV med for resp depression, must reasess every 15 min for 2hrs once administered |
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Term
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Definition
| can ONLY be used for patients who are opioid tolerant! b/c 100X more potent than morphine. |
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Term
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Definition
| can ONLY be used for patients who are opioid tolerant! b/c 100X more potent than morphine. |
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Term
| analgesic ladder- first line |
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Definition
| acetaminophen, NSAID/apsirin |
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Term
| analgesic ladder-second line/pain outta control |
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Definition
| opoids-sustained release, immediate release. NSAIDS |
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Term
| analgesic ladder-refractory pain |
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Definition
| spinal/epidural, opioids, nerve blocks, sedation. |
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Term
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Definition
| pain that is predcitable and elicited by specific behaviors such as PT or wound dressing changes |
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Term
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Definition
| pain occurs at end of the usual dosing |
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Term
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Definition
| unpredictable and not associated with anything. |
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Term
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Definition
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Term
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Definition
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Term
| max dose of acetaminophen/day |
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Definition
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