erikson stages of life

Trust vs. Mistrust

infancy; if needs are dependably met, infants develop a sense of basic trust

Autonomy vs. Shame and Doubt

toddler learns to exercise will and to do things independently; failure to do so causes shame and doubt

Initative vs guilt

4-5 Erikson's third stage in psychosocial development, in which children balance the urge to pursue goals with reservations about doing so

industy vs inferiority

6-11 collab with peers

identity vs. role confusion

adolescence 11-18 exploring ones self

Intimacy vs. Isolation

18-25 young adult relationships, showing responsibility

Generativity vs. Stagnation

25-65 middle adulthood

integrity vs despair

65-80 older adult

stages of grief

1. Denial

2. Anger

3. Bargaining

4. Depression

5. Acceptance

local adaptation

specific body part

General Adaptation Syndrome

Selye's concept of the body's adaptive response to stress in three phases—alarm, resistance, exhaustion. this is the parasympathetic nervous system

mild anxiety

This first level of anxiety occurs in the normal experience of everyday living and allows people to perceive reality in sharp focus.

moderate anxiety

- The pt's perceptual field narrows, but with assistance the pt is able to cope

severe anxiety

an increased level of anxiety when more primitive survival skills take over, defensive responses ensue, and cognitive skills decrease significantly; person with severe anxiety has trouble thinking and reasoning

panic

complete loss of control, terror, increased heart rate

coping mechanisms

Response to stress one uses to protect his/her feelings of self-esteem.

defense mechanisms

trying to protect yourself

Denial

not accepting or acknowledging

Displacement

Transferring emotions from the original source to another

Rationalization

explaining and intellectually justifying one's impulsive behavior

Repression

putting feelings on the back burner

Regression

return to an earlier or less advanced condition

isolation precautions

airborne, droplet, contact, and protective environment

contact isolation

MRSA, VRE, VISA, C. diff. Wear gown and gloves.

Droplet precautions

influenza

rubella

meningococcal pneumonia

surgical mask

Airborne precautions

pertusis,tb,rubeola,varcella

N95 mask

negative pressure room

inate immunity

born with

aquired immunity

gained after birth

active acquired immunity

develops following direct exposure to the pathogenic agent

passive aquired immunity

host receives antibodies rather than making them (mother, injection)

infectious cycle

Infectious agent (bacteria,virus,fungus), reservoir (host), portal of exit, means of transmission , portal of entry and susceptible host (host at risk for infection).

Optimal Immune Response

protects body from invasion, immune system working well

supressed immune system

immunocompromised

exaggerated immune response

Hypersensitivity (allergies- caused by trigger)

Autoimmune responses

risk factors for suppressed immune system

age(young, elder), non immunized persons, environmental exposure, chronic diseases, pregnancy

risk factors for exaggerated immune system

gender,race,ethnicity, genetics, food allergies, medication allergies, environmental allergies

what type of infections would you take antibiotics for

bacterial infection

order in which you asses for abdomen

inspect,oscultate,percuss,palpate

order in which you asses other body parts

inspect, osculate,palpate,percuss

Neutropenic patient

suppressed immunity, positive pressure room

Nosocomial

hospital acquired infection

iatrigenic

caused by medicine or treatment that was given to the patient