Term
| What is Holistic Approach to Nursing Care? |
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Definition
The individual and totality of the patient.
The integration of the psychosocial, cultural influences, religious, environmental and biological aspects of the whole person. Established risk factors that influence pharmacotherapeutic outcomes |
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Term
| Holistic Approach, What are these risk factors ? |
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Definition
Age
Genetics
Biologic characteristics
Personal habits
Lifestyle
Environment |
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Term
| Holistic approach is defined as... |
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Definition
individualized care with consideration given to each persons:
Integrated biological
Psychosocial-spiritual
Cultural-ethnic
Communicating whole
Whole person
Communal environment |
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Term
| What is the Human Integration Pyramid? |
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Definition
Framework of human functional environment and interrelationships
Impacts success of pharmacotherapy
These dimensions often overlooked
Levels are interconnected and interdependent
Holistic approach seem incompatible with Western Medicine: nurse must focus on holistic approach |
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Term
| The Human Intergration pyramid care model consists of what? |
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Definition
Psychological-Social-Spiritual Demension
Cultural and Ethnic perspectives
Community-Enviornmental factors
Genetic Predisposition
Gender Determinants
Age Corollaries |
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Term
| Psychological Dimensions include what? |
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Definition
Psychosocial – development in the social environment
Spirituality-Capacity to love
Convey compassion and empathy
Give and forgive
Enjoy life and find peace of mind |
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Term
| Beliefs Affect Pharmacotherapy What might some contributing factors include? |
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Definition
| Cultures veiw health and illness in different ways. |
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Term
| Factors That May Affect Pharmacotherapeutic Outcomes |
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Definition
Suffering,loneliness,Despair,Death,
Meaning,Value, and Hope |
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Term
| What helps with Better Drug Compliance? |
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Definition
| If the client believes treatment is important and beneficial |
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Term
| Outcomes of Pharmacotherapy Influenced By |
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Definition
Past experience with medications
Acceptability of taking medication in the social environment
Drugs carry stigma
Attitude toward personal health
Expectations of pharmacotherapy |
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Term
| Can you define culture???? |
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Definition
Culture- set of beliefs, values, norms that provide meaning for an
individual or group |
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Term
| Can you define Ethnicity??? |
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Definition
| biologic and genetic similarities |
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Term
| What is Cultural Competence? |
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Definition
Ability to provide care to people with diverse values, beliefs and behaviors, including ability to adapt care to meet the needs of these patients.
Dietary considerations
Alternative therapies
Beliefs about health and disease |
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Term
| Variables of culture and ethnicity that impact pharmacotherapy |
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Definition
Diet
Beliefs of health and illness
Alternative therapies
Genetic differences
Impacts with modern medicine |
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Term
| Health care is affected by |
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Definition
Population growth - community factors
Complex technology advances
Evolving globalization patterns
Access to health care – socioeconomic levels |
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Term
| What are the Barriers to access Healthcare? |
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Definition
Inadequate health insurance
Cost of treatment and availability of drugs
Limited medical care in rural areas
Literacy |
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Term
| Genetic Polymorphisms how do we difine it? |
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Definition
Study of genetic variations that cause differences in the way patients handle medications
Two or more versions of the same enzyme
Caused by a single-base mutation in DNA
Amino acids change in enzyme
Enzyme function changes
Structural differences appear in certain ethnic groups |
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Term
| How does genetic ploymorphism impact pharmacotherapeutics? |
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Definition
| May increase or decrease metabolism of certain drugs |
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Term
| Scandinavians, Jews, North African caucasions metabolize these drugs slower due to polymorphism. |
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Definition
| Caffeine, hydralasine, isoniazid and procainamid. |
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Term
| Poorly metabolized in Asian and African Americans? |
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Definition
| Amitripyline, imipramine,perphenazine,propranolol, metoprolol,codiene, morphine, diazepam, barbiturates, warfarin |
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Term
| How might gender play a role in drug metabolism? |
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Definition
Can affect success of medication treatment
- women seek heath care more readily that males
Side effects of medication can be gender specific and affect compliance
Local and systemic response of medications differ between genders
Body composition, cerebral flow, rate of elimination |
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Term
| FDA Requires Drug Research Studies Include what? |
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Definition
Subjects of both genders
Analysis of clinical data by gender
Assessment of pharmacokinetics and pharmacodynamics differences
Studies specific to women's health
Changes are result of reforms after 1993 |
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