Midterm Review

NA

works under supervision of nurse

Role of NA (3)

Provide basic personal care

observe and report changes in pt condition

perform delegated tasks

HPH (3)

104 hrs of lecture

40 hrs of lab

80% pass and skills

OBRA (3)

enacted in 1987

LTC

sets minimum standard for NAT

Scope of Practice

Range of activities/responsibilities that a qualified practitioner can perform

5 F(x)s of a HCF

provide services for the ill and injured

reduce risk factors and prevent disease

educate pt and hcws

promote individual and community health

promote research in medicine and nursing

CMS

Centers for medicare/medicaid

HMO

Health maintenance organization (cheaper)

PPO

Preferred health provider (more expensive, better services)

Accreditation (2)

Voluntary

Recognized nationally

Attitude

single most important characteristic to bring to your job

Empathy

understanding feelings of others

Tactful

speaking and action without offending others

Sympathy

Sharing in feelings of others

Headwall unit

O2 unit, air outlet, suction, electrical, code button

Caring for pt ENV (15)

1. consider temperature
2. personal items within reach
3. low bed position
4. call light within reach
5. change soiled bed linens
6. provide h2o
7. dispose of meal trays
8. clean bedside table before meals
9. keep area free of clutter
10. report unsafe conditions
11. housekeeping to empty trash
12. close door/privacy curtain
13. keep equipment clean
14. restock supplies
15. report signs of bugs

Pt personal items (2)

send valuables home with family

personal belongings checklist

Behaviors requiring immediate attention (5)

1. change in respirations
2. lvl or restlessness
3. lvl or alterness
4. actions indicating impending harm
5. anger threats

Risks for suicide (3)

look for contraband

fam and friends cant supervise

position self near open doorway

Ethical Standards

Guide to moral behavior

Legal standards

guide to lawful behavior

Ethics

knowledge of what is right and wrong conduct

Signs of Abuse (5)

low self esteem

afraid of being alone

apathy

anxiety

alc or drug abuse

Signs of Neglect (5)

pressure injuries

dehydration

body lice

poor appetite

unclean body

Suspicious Injuries (7)

Teeth marks

bruises

burns

fractures

belt/strap mark

missing hair on scalp

discharge from vaginal area

Sagittal

left and right planes

Coronal (3)

front and back planes

anterior posterier

ventral dorasal

Transverse

superior and inferior planes

Superior

Farther up on the body

Inferior

Lower on the body

Anterior

Front of body

Ventral

Front of body

Medial

Closer to midline

Lateral

Farther from midline

Proximal

Closer to point of attachment

Distal

Farther from point of attachment

Predisposing factors

conditions that contribute to development of illness

Risk factors

behaviors of conditions that tend to promote certain diseases

Inflammation

localized protective reaction to tissue irritation, injury, and infection

Cephalo/encephalo

Brain

Neuro

nerves

Myelo

Spinal cord

Dento/odonto

Teeth

Gyngivo

gums

rhino/naso

nose

Buccal

cheek

Oto

Ear

Somato

Mouth

Optho

Eye

Sclera

Whites of eyes

Blepharo

Eyelids

Irido

Iris

Kerato

Cornea

Angio

Vessels

Veno

veins

Stasis

Still

Cyte

Cell

Megaly

Enlarge

Prolapse

Heart valves flaps become enlarged

Stenosis

Narrowing of hearts mitral valve

Laryngo

larynx

Thoraco

Thorax

Pneu

air, breathing

Tracheo

Trachea

Broncho

relating to airway

Nephro

Kidney

Hydro

water

Cysto

Bladder

Uro

Urinary systems

Anuria

Less than 100mL in 24hrs

Oliguria

Less than 400mL in 24hrs

Gastro

Stomach

Hepato

Liver

Chole

Bile ducts

Lapar

Abdominal walls

Entero

intestines

Viscero

internal organs

Procto

Anal, rectum

AOx3

Alert and oriented to person place and time

NGT

nasogastric tube

Prn

as necessary

OOB

out of bed

ROM

range of motion

po

by mouth

UA

Urinalysis

TPR

Temperature pulse respiration

Pain

not a natural sign of aging

s/s of pain (8)

* increase in pulse, respirations, BP
* sweating
* nausea
* vomiting
* tightening of jaw
* rigid posture
* agitation
* crying/moaning

Types of pain

Acute, chronic, radiating, phantom

Measures to promote pain relief (6)

* comfort
* guided imagery
* medications
* distractions
* relaxation
* back rubs

Intimacy

Feeling of closeness with another human marked by feelings of love and affection

Comfort Measures (6)

Warm blanket

back rub

clean env

careful positioning

clean/wrinkle free linen

call light within reach

Sleep (4)

* Need for sleep decreases as you age
* Body repairs itself
* metabolic needs decrease
* vs decrease

Insomnia

Deprivation of quality/quantity of sleep

Hypersomnia

Sleeping late into the morning or napping during the day

Narcolepsy

Uncontrollable urges to sleep

Measures to promote rest (7)

* warm blanket
* oral care
* provide snack
* eliminate noise
* comfortable room temp
* toileting
* straightening bed linens

Complications of bedrest (4)

* Contractures
* atrophy
* syncope
* orthostatic htn

Supine

Flat on back

Prone

on stomach