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patient care tech, patient pyisical eaminiaiton, patients rights laws and…

- - - - legal record owned by the healthcare facility or provider
      - surce of comincation
      - acessed by the healthcare team and physician
  - - - unsual event
      - uinjusry to patient visitor or medical personnel
- - - - shared grup dynamics
    - - shared grouo socal and cutural heritage
    - - groups woith simular biological traits
  - - - avoid steriotying
        
        making generalizaized expectations
      - avoid ethnocentrism
        
        believing that own culture and practices are best
  - - - third word belifs involve riturtals or repentence
  - - - can be farther or closer in some cultures
- - - - providing accurate infromation
      - never discolose perosnal opinions
      - roport unethical beharior
    - - onlyb discuss patien infromation with htoe involoveed in the oaientsd care
      - patinet must dign concent for any other dsicslosures
    - - look for oppertunties to be of help
    - - be willing to assist othersa s needed
- - - - physiological needs
        
        air
        
        food and water
        
        shelter and warmth
        
        sleep
    - - safety and security
        
        protection
        
        lw and order
        
        freedom from fear
    - - love and belonging
        
        feeling of belonging
        
        need for interpersonal relationships
    - - self esteem
        
        esteem, or regard, for ones reputation forones eelf
        
        the desire for a repitation and respect
    - - self actualization
        
        realizea ones own potential
        
        seeks personal growh
        
        seeks peak expereinces
- - - - use of observation
        
        genal appearance
        
        injuries
        
        fruity breath
        
        defoormities
      - istruments
        
        otoscope
        
        nasal speculum
        
        ophthalmoscope
    - - sence of touch used o determine condition of a body part
    - - method of listening
        
        stethoscoope
        
        bruit
        
        an abnormal sound or murmur
    - - tapping or striking the body with fingers or small hammer
    - - process of measuring
    - - passie movment of a joint range of motion
- - - - continuous
        
        will rise and fall i 24 hour oeriod
      - intermittent
        
        alternates elevated and normal
      - remittent
        
        fluctuates higher or lower by 3 percent
    - - chills
      - anorexia
      - weakeness
      - thirst"body aches
    - - oral mtympanic or termporal artery 98.6 37 celsius
      - axillary
        
        97.6 f 36.4 celsius
      - rectal
        
        99.6 f 37.5 c
  - - - newborn
        
        98.2 f
        
        36.8
      - 1 year
        
        99.7
        
        37.6
      - 6 years tro adult
        
        98.8
        
        37
      - elderly over age 70
        
        96.8
        
        36
  - - - digital oral thermmopmeter
        
        both f and c
        
        uses disposibele probe covers
        
        beeps when process is complete
        
        led screen displays temperature
    - - digtital
        
        placed in er
        
        temporal artery
    - - fordhead
    - - placed in armpit
- - - - 120-160
        
        140
    - - 80-140 ``
        
        120
    - - 75-120
        
        100-
    - - 75-120
        
        95
    - - 60-100
        
        80
- - - - ia the normal rapid or slow
    - - does the rythm appear regular and rhythmic
  - - - 30-50
    - - 20-30
    - - 18-26
    - - 16-22
    - - 12-20
  - - - measures volume of air inhaled and exhaled
    - - measures oxygen saturation
- - - - bo between 120/80 and 139/ 90
      - stage 1 bp bertween 140 / 90 and 159/99
      - stage 11 bp is 160/100 or higher
- - - - now called "patient care partnership"m
- - - - withdrawal
      - talk of death
      - giving away possessions
      - drug alchohol abuse
      - neglect in appearance
      - extrem anxiety
- - - - weaknesss
      - rapib pulse
      - syncope
      - vertigo
  - - - 113-115
      - relieves muscle soreness or spasms
  - - - only used if ordered by physician
        
        20 - 30 minutes a day
        
        three times a day
  - - - cornstarch , or other solutions used
        
        relieves itching
        
        reduces tension
        
        provides relaxation
- - - - pintch skin and wait for skin to go back to hand, if slow dehydratiin
  - - - tissue areas rubbing together
      - friction from other items
      - reposition patient every 2 hours
      - use dra sheet to moe patient
    - - stage 1 reness of skin that does not retuen to normal after application of pressure
        
        satge 2 appearance is simular to a blister
        
        stage 3 full thicknessss loss of skin layers with visualization of subcutaneous tissue
        
        stage 4 resembles a crater wkith damage to underlying muslce and bone
- - - - tug down and break the seal to remove
      - place cup of luke warm water or cleansing solution
- - - - rubber
      - metal
  - - - fluid intake
        
        at least 2000 ml per dy
      - cleanse are with soap and water with incontinence
- - - - BM
      - bowel movement
      - stooling
      - prevent contamination with urine
      - note cosistancy
  - - - carbonated beverages
      - cabbage
      - bans
      - surgery
      - medications
      - decreased activity
  - - - prepare patient in the sims posiion
      - prepe equiptment
      - soluton container 750-1000 ml for adults
- - - - alcohol wipes
        
        used to clen stethoscope
      - detergent water and isopropyl alchohol
        
        used on hard surfaces
      - bleach and water solution 1:10
        
        used to clea the commode
    - - used forsurgical asepsis
      - uses steam under pressure
      - kills all patjgens and spores
      - follows sanitization
      - iteam are wrapped
      - sterilization indicator used
    - - application of steri strips
      - suturing
      - cyst removal
      - lncision and drainage I&D
      - biopsies
    - - electrosurgery
        
        electrocautery
        
        burns or destroys tissue
        
        ground pad placed against patient
- - - - hypertension
      - arteriosclerosis
      - congestive heart failure CHF
        
        leg edema
        
        nocturia
  - - - B 12 injections
      - 25 % malnutrition
  - - - difficult regulation of temperature
  - - - presbycusis
      - stand in line of vision when speaking
      - eliminate background noise
      - speak in short senntences
- - - - use on stronger side
      - handle at level of hips
    - - use handgrips to support full body wiht
      - use 15-20 degrees of elbow flexion
      - put the tips of the crutches flat on floor
  - - - medications
      - treatment s
      - alternatives available
      - privacy of personal and medial information
      - advnace directive
        
        document provides instructions about type of care wanted if patient becomes incapacitated
        
        patient care can provide info about document
- - - - pinching pushing and slapping
      - feeding is forced or withheld
      - restraints placed
      - medications given
      - observations
        
        welts
        
        abrasions
        
        bruises
        
        dehydration
        
        thirst
        
        dry skin
        
        sedated
    - - abuser spending or stealing
        
        assets used by abuser
        
        obseration
        
        caregiver control
        
        not allowing the patient to speak
    - - bullying
      - insults
      - ridicule
      - intimidation
      - ignoring
      - involuntary isolation
      - threats
      - observations
        
        repetitive behaviours
        
        anxiery
        
        heklplessness
        
        lack of eye contact
    - - unnecessary for hygiene care
        
        observations
        
        gential trama
        
        dried blood in areas
      - sexually aggressive comments
- - - - walk on the patiens weaker side
        
        walk slightyl behind the patient
        
        loosen after abulatinon
- - - - use pillow over
  - - - anxious
      - apprehensive
      - restless
      - fatigued
  - - - flow rate COPD nrequired 2 liters min
      - transtracheal delivery requires 1 liter min
- - - - increase metabolism and growth
        
        erythema redness can occure afterone hour
- - - - wound gains strength
    - - wound gains strength
    - - primary
        
        union of tissu
      - secindary
        
        granulation of tissue
      - teriary
        
        wound left open to heal
    - - drink pleanty of water
      - protien rich foods with vitamins a and c
  - - - allows oxygen but not air
    - - medicaton may be administered by the nurse for a painful procedure
      - montgomery strap used with frequent dressing changes
    - - used with woiund care and dressing changes
      - protection from healthcare ssociated infection
      - follow stanbdard precaustions
    - - unable to absorb large amounts of drainage
        
        allow the passae of fluids and substances from wound
        
        aloows wound to breath
        
        dressings are chages every 324 hours when used for granulation of tissue
      - drainage system
        
        assists gravity in removal of drainage from wound cavity
        
        inserted into secondary puncture wound
        
        penoose - open system
- - - - active pushing
- - - - has the potential to cuase harm to another
    - - failure to deliver needed care
    - - abuser is taking advantage of a vulnerable individual
    - - lack or personal care
        
        malnourishment
        
        physical signs of trama
        
        inconsistancy of explnanations
        
        reports of abuse
- - - - first year
        
        breas milk or iron fortified formula
      - first food
        
        cerial
      - first solids
        
        between 4-6 months
  - - - supervise eating habits
        
        nutritious meals and snacks
  - - - nutritional requirments increase
      - encourage healthy eatig
  - - - decrease in mobility
        
        nutrient dense foods rewuired limit extra calories
    - - common in ong term care facilities and home are
        
        ensure proper training in nutrition care
        
        inadequate fluid intake
- - - - can see through
    - - for diverticulosis
    - - milk product restrictions
    - - 1000 ml divided
        
        400 dietary
        
        600 nursing ml
        
        fluid intake
        
        10n ounces water
        
        6 ounces tea 180
  - - - nasogastric NG tube
      - percutaneous endoscopic gastrostomy PEG tube
      - gastrostomy tube
- - - - felt at another site
    - - iuntenseand short duration
    - - ongoing
  - - - effecive pain managment
      - appropriate assessment on a regula basis
      - involvment in care decisions