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28 Cards in this Set
- Front
- Back
what is holism
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concept that considers the whole person
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Anger effects of illness and disability |
common response to an illness or disability, those who need nursing home care are often angry, the person might direct anger at you. The person is usually angry at the situation, ask for help with problems from a persons anger |
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demanding behavior |
nothing sees to please the person, critical of others, wants care given at a certain time and a certain way |
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self-centered |
person only cares about his or her own needs, the needs of others are ignored |
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aggressive |
person might swear, bite, hit, pinch, scratch, or kick caused from pain, fear, anger, and dementia; protect the person others and yourself from harm |
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inappropriate sexual behavior |
some people make inappropriate sexual remarks or they touch others in the wrong way; some disrobe or masturbate in public places; these may be on purpose or caused by disease, confusion, dementia, or side effects of drugs |
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withdrawal |
person has little to no contact with friends, family, or staff, spends time alone, and does not get involved in group activities |
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effective communication with dementia patients |
do not use slang or vulgar words; ask one question at a time then wait for the answer; do not shout whisper or mumble |
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non-verbal communication
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nonverbal messages more accurately reflect a person's feelings than words do |
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What are accident risk factors? |
age, awareness of surroundings, agitated and aggressive behaviors, vision loss, hearing loss, impaired smell and touch, impaired mobility, medications |
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hemiplegia |
paralysis on one side of the body |
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mild airway obstruction |
some air moves in and out of the lunches; the person is conscious and usually can speak; forceful coughing can remove object |
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self-administered abdominal thrusts |
make a fist with one hand; place thumb side of fist above your navel and below the lower end of the sternum; grasp your fist wit your other hand; press inward and upward quickly; press the upper abdomen against a hard surface if the thrust did not relieve obstruction (back of table, chair, or railing); use as many thrusts as needed |
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What is used on all electrical items |
three-pronged plugs; 2 prongs carry electrical current; third prong is a ground that carries leaking electricity to the earth and away from the electrical item |
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What must a container always have? Procedure if it does not? |
must always have a label; if the label is damaged on removed do not use the substance then take it to the nurse and explain the problem. do not leave container unattended |
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what does R.A.C.E. stand for? |
rescue, alarm, confine, escape |
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what does P.A.S.S. mean? |
pull, aim, squeeze, sweep |
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What increases the risk of falling |
age and history of falls |
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what is the most common accident in the nursing center? |
falls |
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Safety measures for call lights and alarms to prevent falls |
answer call lights promptly; bed, chair, floor mat, and belt alarms are used to sound when the person tries to get out of bed, open the door, and get up; respond to alarms at once |
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Preventing freedom of movement |
furniture or barriers can prevent movement; device used with chair that cannot be easily removed by the patient such as trays, tables, bars and belts |
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How often do you remove a restraint |
every 2 hours or as noted in care plan to meet basic care needs and reposition, |
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hand hygiene |
easiest and most important way to prevent the spread of infection |
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who prevents the spread of infection |
the health team |
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Nosocomial infection |
infection acquired in the hospital, nursing center, clinics and home care settings |
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How long do your wash your hands for
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20 seconds but longer if they are dirty or soiled in blood, body fluids, and secretions |
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How do you dry your hands |
start at the finger tips and work toward the wrist; use new paper towel for each hand |
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control transmision |
make sure all people have their own personal care equipment; do not take equipment from one persons room to use for another even if item is unused, good hygiene, assist the person with hand washing before and after eating, hold linens and equipment away from uniform |