Term
| A person who is colonized with methicillin-resistant Staphylococcus aureus (MRSA). THe organism may be present in the nares, sputum, urine, an open wound, in the stool or on the skin without clinical mainfestations of disease. A carrier may transmit the organism to another person through direct contact, usually by contact with hands. |
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Definition
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Term
| Pressence of MRSA on tissue without the presence of symptoms of clinical manifestations of illness or infection. A carrier is colonized with MRSA. |
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Definition
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Term
| Elimination of MRSA carrier state through use of infection control measures and/or antibiotics. This decreases the risk of transmission to high-risk individuals (immunocompromised or otherwise highly susceptible persons) or to others in an outbreak situation. |
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Definition
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Term
| Invasion & multiplication of MRSA in tissue with the manifestation of clinical symptoms of infections such as increased white blood cell counts, fever, lesions, furuncles, drainage from a berak in skin continuity and erythema. Infection does warrant treatment. |
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Definition
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Term
| Clinical manifestation of symptoms caused by MRSA such as furuncles, cellulitis, pneumonia, carbuncles. septicemia, osteomyelitis or vascular line infection. |
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Definition
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Term
| The method by which MRSA is spread into the environment and to the other persons. MRSA is transmitted primarily by direct person-to-person contact. |
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Definition
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Term
| A gram positive that grow in clusters like grapes; growth is not inhibited by methiciliin or oxacillin and many other antibiotics. Antibiotic therapy of choice for infection in vancomycin, given intravenously. Oral vancomyocin is not effective against it. |
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Definition
MRSA
Methicillin-Resitant Staphylococcus Aureus |
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Term
| A gram-positive bacterial which is grown in colonies that look like grapes; most S. aureus are sensitive to methicillin, cephalosporins, nafcillin and oxacillin. |
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Definition
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Term
| A laboratory test to determine if an organism can be effectively treated with a particular antibiotic. |
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Definition
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Term
| A system of barrier techniques and practices used by health care workers for contact with body fluids and blood. Universal precautions is used when providing care for all patients to prevent the transmission of bloodborne pathogens. |
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Definition
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Term
| Step 1 of the nursing process |
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Definition
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Term
| Step 2 of the nursing process |
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Definition
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Term
| Step 3 of the nursing process |
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Definition
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Term
| Step 4 of the nursing process |
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Definition
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Term
| Step 5 of the nursing process |
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Definition
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Term
| to determine the extent to which the goals of care have been achieved |
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Definition
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Term
| to complete the nursing actions necessary for accomplishing the plan |
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Definition
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Term
| To identify patient goals and outcomes, determine priorities of care, to design nursing strategies to achieve the goals of care and to determine outcome criteria |
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Definition
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Term
| To identify the health needs of the patient and to formulate nursing diagnosis |
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Definition
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Term
| Gather, verify and communicate date about the patient so a date base is established. |
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Definition
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Term
| presence of an organsim without symptoms of illness |
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Definition
colonization
Occurs in nares, trachea, skin folds, rectum, or in an open wound such as a decubitis ulver. |
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Term
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Definition
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Term
| preventive measures of infection control for MRSA are: (4) |
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Definition
-Handwashing
-Gloving
-Linen handling
-Environmental cleaning |
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Term
| Recognize patients rights, identify pain, educate providers, patient and families in assessment and management. |
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Definition
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Term
| the problem is happening now |
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Definition
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Term
| the problem is not happening now, but the client has risk factors for the problem |
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Definition
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Term
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Definition
Side effects
Overdosage
Drug interactions
Allergy of adverse effects |
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Term
"Stages of Readiness to Change"
not considering change |
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Definition
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Term
"Stages of Readiness to Change"
Ambivalent about change |
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Definition
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Term
"Stages of Readiness to Change"
Cognitively committed change |
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Definition
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Term
"Stages of Readiness to Change"
Involved in change |
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Definition
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Term
"Stages of Readiness to Change"
Behavior change is stable |
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Definition
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Term
"Stages of Readiness to Change"
Undesired behaviors occur |
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Definition
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Term
"Stages of Readiness to Change"
Change is very stable |
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Definition
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Term
| Gordon's 11 Functional Health Patterns |
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Definition
1. Health perception/management
2. Nutritional/metabolic
3. Elimination
4. Activity/exercise
5. Cognitive/perceptual
6. Sleep/rest
7. Self perception/concept
8. Role/relationships
9. Sexuality/reproductive
10. Coping/stress tolerance
11. Value/belief |
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Term
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Definition
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Term
data, measurements, observations, concrete, only the facts, no judgements.
physical examination:
Inspection
Ausculation
Palpation
Percussion |
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Definition
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Term
| Basic principles and rationale for motivational enhancement |
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Definition
1. Express empathy
2. Develop discrepancy
3. Avoid argumentation
4. Roll with resistance
5. Support self-efficacy |
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Term
| Studies the outcomes or results of care |
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Definition
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Term
| studies how the care was given |
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Definition
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Term
| studies the setting in which the care takes place |
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Definition
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Term
| unexpected incidents that involve death or serious physical or physiological injury or the risk of both |
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Definition
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Term
Implementing Nursing Care for the Shift
(3) |
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Definition
1. Find out your assignment
2. Review nursing care plan and medicaton record
3.Get report
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Term
Selection of interventions
Six factors to consider: |
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Definition
1. Characteristics of nursing diagnosis
2. Goals or desired outcomes
3. Evidence base for interventions
4. Feasability of the intervention
5. Acceptability to the patient
6. Nurse's competency |
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Term
| information you obtain through your senses |
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Definition
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Term
| judgement/interpretation from those cues |
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Definition
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Term
| best source of information |
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Definition
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Term
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Definition
- source of clients medical history
- laboratory and diagnostic test results
current physical findings
- primary health care provider's treatment plan |
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Term
Nursing health history:
(11) |
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Definition
1. Biographical information
2. reason for seeking care
3. client expectations
4. present illness or health concerns
5. health history
6. family history
7. environmental history
8. psychosocial history
9. spiritual health
10. review of systems
11. documentation of history findings |
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Term
| most common reason for health care visits |
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Definition
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Term
| Need for increased dose to maintain same degree of pain control. Not as common as once thought. Rotate drug if tolerance develops, as increasing dose could contribute to hyperalgesia. |
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Definition
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Term
| Neurobiological condition with drive to obtain and take substances for other than prescribed therapeutic value. Tolerance and physical dependence are not indicators of addiction. |
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Definition
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Term
| Expected response to ongoing exposure to pharmacologic agents manifested by withdrawal syndrome when blood levels drop abruptly. To avoid withdrawal, drug should be tapered |
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Definition
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Term
| Genetic, anatomic, and physical determinants that influence how stimuli are recognized and described. |
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Definition
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Term
| Emotional response to pain experience which can be expressed as anger, fear, depression, anxiety. Studies demonstrate a link between depression and pain. Treating one can relieve the symptoms of the other. Suffering: state of severe distress associated with events that threaten intactness of the person, eased by pain relief, influenced by spirituality. |
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Definition
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Term
| Beliefs, attitudes, memories, and meaning attributed to pain. Influence response to pain and must be incorporated into the comprehensive treatment plan |
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Definition
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Term
| Observable actions used to express or control the pain. |
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Definition
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Term
| Includes demographics, support systems, social roles, and culture. |
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Definition
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Term
| is the physiologic process that communicates tissue damage to the CNS |
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Definition
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Term
| Noiciception 4 processes: |
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Definition
nTransduction
nTransmission
nPerception
nModulation |
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Term
| aching, throbbing, localized pain. Arises from bone, joint, muscle, skin, or connective tissue; arthritis pain is an example. |
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Definition
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Term
| squeezing, cramping pain. Tumor involvement or obstruction. Arises from internal organs such as the intestine and bladder. Pain associated with ulcerative colitis is an example |
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Definition
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Term
| generally caused by damage to the nervous system; patients describe it as burning, tingling, electrical, shooting; diabetic neuropathy or post herpetic neuropathy (shingles) are examples. |
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Definition
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Term
qInjury to either the peripheral or central nervous system |
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Definition
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Term
qDysregulation of the autonomic nervous system |
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Definition
nSympathetically maintained |
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Term
nUsually temporary, sudden onset, localized, lasts for less than 6 months, results from tissue injury associated with trauma, surgery or inflammation. |
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Definition
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Term
nProlonged, lasting longer than 6 months.
nOften not attributed to a medical cause & unresponsive to treatment. |
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Definition
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Term
- Acetaminophen (Tylenol) has analgesic & antipyretic effects. Main adverse effect is liver damage
- NSAIDs have a ceiling effect so increasing the dose beyond a certain point will not increase analgesia but will increase the risk of side effects. |
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Definition
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Term
nMorphine-like substances alter pain perception & emotional response to pain.
nThree types, agonists most commonly used, antagonist & drugs with mixed properties but are rarely used because of side effects. |
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Definition
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