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a goal of nursing measure physical, spiritual, emotional, social needs personal definition- do not impose |
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| state one is experiencing an acceptable quality of life as he defines it, full and balanced integration of all needs "Holism" |
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| body organs functioning normally |
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| one feels good about life, safe and able to handle life |
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| one feels well liked, productive and accepted |
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| inner peace in relation to them, the meaning and purpose of life |
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| state of complete physical, emotional, social and spiritual well being |
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| state of discomfort when health is impaired through disease, stress, accident or injury, highly ind state, not always related to disease |
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| 3 criteria a person uses to determine illness |
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1. symptom 2. how they feel 3. ADLs |
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| incidence of disease, disorder, or injury |
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| refers to death, number of deaths per unit of population usually calculated per 1000 |
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rapid onset; short duration usually curable can lead to long term problems if left untreated |
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develops slowly and lasts a relatively long time. usually longer than 6 months heart disease, osteoarthritis, cancer, asthma periods of remission and exacerbation |
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illness dormant presents few symptoms |
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flare up aggravation of symptoms increase in severity of disease |
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no potential cure person is approaching death end stage CHF, terminal cancer, hospice, end stage aids |
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| independent of any other disease |
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develops from a pre-existing condition Diabetes-arteriosclerosis Alcoholism- liver dysfunction |
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Heredity Congenital- dx or defect at time of birth Biochemical imbalances- water and electrolyte Trauma- injury environment- extremes hot or cold Nutrition |
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lack of oxygen reaching body tissues
ex. emphysema, anemia or if there is a lack of oxygen in the environment |
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total lack of oxygen irreversible damage caused if the brain is deprived of oxygen for more than 3-7 min ex. drowning |
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| similar to the tissue where it is found, usually does not spread, can still cause problems by crowding normal structures |
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grow and act in total disregard of body order cells differ from the tissue of origin metastasize can invade or crowd out normal tissue |
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| prolonged stress can lead to physical or emotional disturbances |
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| invasion of the body by pathogenic organisms |
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| factors effecting the development of an infection |
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Definition
number of microorganisms present virulence-capacity to cause disease resistance of the host- strength of the immune system |
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unknown cause
ex-irritable bowel syndrome |
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| external defenses against illness |
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Definition
skin and mucous membranes are the first line of defense dry skin deters as well as sweat and sebaceous glands |
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| fatty acid that kills bacteria, slightly acidic |
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| prevent other bacteria from multiplying |
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| buffering action and flow help prevent infection, enzymes in saliva inhibit bacterial growth |
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| hydrochloric acid creates an environment where most microorganisms cannot survive |
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vagina- secretions eyes- tears |
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Definition
| lower ph and discourage growth |
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red pain swelling decrease use or function warmth |
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Definition
cells release signal (histamine, etc) vasodilation (redness and warmth due to increase in blood flow) capillary walls more permeable allowing outpour of fluid (swelling) swelling causing disturbance in function |
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resolution- cell recovers without replacement regeneration- replace damaged cells with identical new ones scar formation- fibrous tissue replaces this is a non functioning substitute (keloids) |
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t lymphocytes fungi, protozoa, bacteria and some viruses |
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takes place in blood stream b lymphocytes bacteria and viral |
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immune system is stimulated; produces antibodies natural- infection has run its course active- produced through vaccinations |
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| process of injecting a weakened or killed organism into a person, stimulating antibody production; artificially acquired active immunity |
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does not involve host's immune system immunity is transferred to recipient congenital- mom to fetus or breast milk by blood in to form of immunoglobulins |
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| Why is it so serious if an infant (<6 mo) presents a fever? |
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Definition
The immune system is not fully operational until 6 months, immature thermoregulatory systems signs of infection; lethargy, not eating, restless |
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| What age does the immune system mature to one similar to adults? |
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Definition
| 3-4, this is prime opportunity to give vaccinations |
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| most common infection in early childhood |
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Definition
respiratory tract and ear communicable diseases are transferred by play Eustachian tubes are shorter and straighter resulting in more ear infections |
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| Communicable diseases are most prevalent in what age group? |
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Definition
school age most common in winter |
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| What skin diseases effect school age children |
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Definition
| impetigo, roundworm, lice |
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| Children ages 6-12 have a high incidence of streptococcal inf resulting in? |
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Definition
| pharyngitis, tonsillitis, scarlet fever |
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| immune system fully mature but may be compromised due to malnutrition or chronic illness |
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| can cause ectopic pregnancy and infertility |
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| 16 and 18 cause 70% of cervical cancers |
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| Adults have more chronic lung disease such as: |
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Definition
| COPD, Emphysema, pneumonia, bronchitis |
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| STD effect what age groups |
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Definition
| adolescents, adults and older adults |
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| effects ability to resist infections in adults and older adults |
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| What gland begins to shrink in adolescence, leading to a decline in cell-mediated and humoral immunity |
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Definition
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| Respiratory disease in an older adult is exceeded by what other diseases |
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Definition
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| What infections are most common and most lethal in older adults |
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Definition
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| Flu effects on older adults |
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| twice the incidence than young adults and mortality rate is higher |
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| vulnerable to them especially when the chest or abdomen is open |
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Term
| Immunoglobulin antibodies |
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Definition
| plasma proteins that form in the response to invading antigens |
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| antigens (virus and bacteria) |
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Definition
| foreign particles which invade the body and act as markers on the surface of cell that can stimulate the immune system |
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Definition
dust, feathers, animal dander and pollen eggs, seafood, chocolate wool, nylon, nickel penicillin (PCN), aspirin(ASA) |
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Symptoms of an allergy Vary depending on allergy |
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Definition
| sneezing, nasal congestion, itchy eyes, nausea and diarrhea |
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| Management of a food allergy |
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Definition
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anaphylactic shock (life threatening) define and symptoms |
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Definition
sudden severe reaction to allergen bp drops, pulse rapid and weak, diaphoresis, loss of consciousness, dyspnea, sob, possible convulsion |
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| Anaphylactic shock most commonly caused by |
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| PCN, insect stings, x ray contrast, dyes, food (strawberries, peanuts) |
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Definition
| microorganism that causes infection and contagious disease |
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| invasion of body by pathogenic organism |
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| not present at time of admission |
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| environment that m.o. survives and reproduces |
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| reservoir for organisms but never develops disease, no active evidence of disease |
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Definition
| recovery but harbors infectious agents |
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| time between contact and first symptom |
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| Most effective point to interfere with the infectious cycle |
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Definition
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Definition
| linens, dressings, contaminated water |
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| Ways to prevent the spread of disease |
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Definition
Hygiene nutrition sanitary conditions avoid exposure sleep exercise avoid harmful substances educate immunize food and water inspections sanitary housing- eliminate overcrowding |
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Term
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Definition
| 0.3-2.6, increased in sepsis |
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| Who should not receive live vaccines |
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Definition
| pregnant or immunocompromised |
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