Term
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Definition
| ___ loss - cant be recognized by others |
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Term
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Definition
| _______ loss - is felt by person but intangible to others |
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Term
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Definition
| _____ loss versus _________ loss |
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Term
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Definition
| _______ loss - experienced as a result of natural developmental process |
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Definition
| _______ loss - experienced as result of unpredictable event |
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Term
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Definition
| ________ loss - loss has not yet taken place |
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Term
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Definition
2 Definitions of death:
-irreversible cessation of spontaneous respiration & circulation |
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Term
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Definition
2 Definitions of death:
-irreversible cessation of all functions of entire brain |
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Term
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Definition
3 Definitions of death:
-irreversible loss of all "higher" brain function |
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Term
| 1. inability to swallow 2. pitting edema 3. decreased GI & UT activity 4. bowel & bladder incontinence 5.loss of motion, sensation, reflexes 6. elevated temp, cold/clammy skin, cyanosis 7. dec BP 8. noisy/irreg R 9. Cheyne-Stokes R |
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Definition
| 9 Clinical signs of impending Death |
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Term
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Definition
| GOAL is to give pts w/ life-threatening illnesses the best quality of life they can have by the aggressive treatment of symptoms. |
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Term
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Definition
| are written instructions ergaurding ur medical care preferences. Your family & drs will consult them if you're unable to make your own HC decisions. Will reduce confusion or disagreement. (Anyone age 8 or older may prepare advance directives) |
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Term
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Definition
| written, legal doc spells out the types of medical treatments & life-sustaining measures you do & don't want, such as mechanical breathing, tub feeding or resuscitation. May be also called HC declarations or health care directives. |
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Term
| Medical Power of Attorney |
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Definition
| is a legal doc that designates an indivual to make medical decisions for you in the event that you're unable to do so. |
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Term
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Definition
| request to not have CPR if your heart stops or if you stop berathing. Advcd directives do not include this. A Dr can put on in your medical chart. |
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Term
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Definition
| intense, emotional action to the loss of a loved one; the reaction is a biopsychosocial response that often includes spontaneous expression of pain, sadness, and desolation |
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Term
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Definition
| process of mourning, begins immediately after the loss, but it can last months or years |
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Term
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Definition
| acceptance of loss; person learns to deal w/ loss |
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Term
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Definition
| occurs when gried response is either absent or exaggerated; occurs if person fails to move from one bereavement plase to another; often leads to DEPRESSION |
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Term
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Definition
Phases of Bereavement:
-hrs to weeks
-varying degress of disbelief & denial of the loss |
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Term
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Definition
Phases of Bereavement:
-becomes gradually aware of the loss
--intense feeling, social w/drawl, identification w/ deceased |
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Term
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Definition
Phases of Bereavement:
-return of feeling of well-being |
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Term
| depression, PTSD, anxiety, other mental health problems |
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Definition
| Victims who survive w/ injuries are more likely to experience __________, _______, ________, & _________. |
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Term
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Definition
| _____________ often suffer psychological effects |
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Term
A-arousal
B-behavior
C-cognition |
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Definition
| ABC's of Psychological 1st Aid |
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Term
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Definition
Psychological First Aid:
-intervention goal is to dec excitement by providing safety, comfot, and sonsolation |
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Term
| abnormal/irrational behavior |
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Definition
Psychological First Aid:
-survivors should be assisted to function more effectively in the disaster |
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Term
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Definition
Psychological First Aid:
-reality testing & clear information should be provided |
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Term
1. sexually active women
2. postmenopausal women
3. w/ indwelling urinary catheter
4. w/ DM
5. elderly ppl |
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Definition
Pts @ risk for UTIs (5):
1. women need to void immediately after intercourse
2. 2ndary to atrophy of vag/urethral mucosa dur to dec estrogen prod
3. 4. 5. |
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Term
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Definition
| bladder is composed of three layers of muscle tissue called the ______ |
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Term
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Definition
| process of emptying the bladder |
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Term
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Definition
| absence of uring <50cc/day (kidney shutdown or renal failure) |
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Term
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Definition
| meds that cause inc urine prod |
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Term
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Definition
| painful or difficult urination |
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Term
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Definition
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Term
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Definition
| presense of sugar in the urine |
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Term
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Definition
| excessive urination @ nighttime |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| causes orange to oragne-red urine |
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Term
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Definition
| causes green or blue-green urine |
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Term
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Definition
| causes brown or black urine |
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Term
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Definition
| ____ is responsible for obtaining signed consent before sedation and/or surgery. |
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Term
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Definition
| ______'s role is to carify facts presented by physician & dispel myths that the pt or family may have about surgery. |
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Term
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Definition
| indicates infections; inc in band cells or immature neturophils in the WBC differential count |
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Term
| pressure ulcers - wound infection - wound dehiscence - wound evisceration - skin rashes - contact allergies |
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Definition
| post-op skin complication (6) |
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Term
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Definition
Types of Anesthesia:
-administration of drugs by inhalation, intravenous, rectal, or oral route
-reversible loss of consciousness induced by inhibiting neuronal impulses in several areas of the CNS |
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Term
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Definition
Types of Anesthesia:
-anesthetic agent injected near a nerve or nerve pathway or around operative site. |
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Term
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Definition
Types of Anesthesia:
-used on mucous membrans, open skin, wounds, burns
-delivered topically & by local infiltration
-pt remains conscious & Able to follow directions |
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Term
| conscious sedation/analgesia |
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Definition
Types of Anesthesia:
-used for short-term procedures
-can respond to verbal commands
(ex) etomidate, diazepam, midazolam, meperidine, fentanyl, alfentanil, & morphine sulfate |
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Term
| Chlorhexadine or Hibiclens |
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Definition
Pre-op skin prep: pt may be asked to shower using antiseptic solution
(ex) ________ or ________ |
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Term
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Definition
| the need to reach one's potential thru full development of one's unique capability |
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Term
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Definition
| the need to feel good abt oneself & believe others hold one in high regard |
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Term
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Definition
| the mental image or picture of self |
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Term
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Definition
| the composite of the facts, qualities, images, and feelings one holds abt oneself |
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Term
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Definition
| refers to person's ability to perform a job/role in life |
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Term
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Definition
| refers to moral-ethical principles guiding a person's life |
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Term
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Definition
| refers to control ppl have over their lives |
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Term
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Definition
| study of patterns of disease distribution & determinants of helath w/i population |
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Term
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Definition
| involved defining clinical ?'s, finding and analyzing the evidence, applying the research in practical manner, and evaluating outcomes |
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Term
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Definition
| many drugs used for many conditions in the elderly |
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Term
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Definition
| delirium in children can be relation to ____________ or ___________ |
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Term
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Definition
-chronic, cognitive impairment;
-syndrome that involves a slowly progressive cognitive decline(chronic confusion)
-differentiated by cause, not symptoms |
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Term
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Definition
| -degenerative, progressive neuopsychiatric disorder that results in cognitive impairment, emotion and behavioral changes, physical & functional decline, & ultimately death |
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Term
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Definition
Diagnosis of AD:
-alteration in language |
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Term
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Definition
Diagnosis of AD:
-impaired ability to execute movement |
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Term
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Definition
Diagnosis of AD:
-failure to recognize/identify objects |
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Term
| MCI-mild cognitive impairment |
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Definition
| a transitional state between normal cognition & AD; when mem probs occur, but symptoms do not meet the diagnostic criteria for dementia |
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Term
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Definition
| never suction longer than ______ secs. |
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Term
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Definition
| measures the arterial oxyhemoglobin saturation of arterial bld |
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Term
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Definition
| inflam/infection of the muxous membs of the maxillary sinuses |
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Term
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Definition
-inflam of mucous membs lining the larync
-acute hoarseness, dry cough, difficulty swallowing, temporary voice loss |
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Term
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Definition
| sore throat is common inflam of the mucous membrans of the pharyns.; strep throat |
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Term
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Definition
| inflam of the nasal mucosa; "hay fever" or "allergies" |
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Term
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Definition
| excess of fluid in the lungs resulting from an inflammatory process; inflam triggered by infectious organisms & inhlation of irritants |
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Term
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Definition
| "fly"; highly contagious acute viral resp infection; manifestation include sever headache, muscle ache, fever, chills, fatigue, weakness, and anorexia |
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Term
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Definition
| ______ test = PPD test; purified protein derivative given intradermally in the forearm |
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Term
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Definition
| PPD reaction is evaluated in ____hrs after placement. |
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Term
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Definition
2Step PPD:
-if 1st test +, person is... |
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Term
| given a 2nd test 1-3 weeks after 1st injection. |
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Definition
2Step PPD:
-if 1st test -, person is... |
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Term
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Definition
2Step PPD:
-if 2nd test is +, person is ________ |
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Term
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Definition
2Step PPD:
-if 2nd test is -, person is ... |
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Term
| reticular activating system |
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Definition
| aka RAS; poorly defined network; extends from hypthalamus to medulla; mediates arousal; optimal arousal state; monitors and regulates incoming sensory stimuli |
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Term
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Definition
| bcuz we become use to constant stimuli, a stimulus must be variable or irregular to evoke a response |
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Term
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Definition
-environment w/ decreased or montonous stimuli(ICU)
- impaired ability to receive environmental stimuli (hearing or vision loss)
- inability to process environmental stimuli(Alz, mental illness) |
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Term
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Definition
-pt experiences so much sensory stimuli that the brain is unable to respond meaningfully or ignore stimuli
-pt feels out of control & exhibits manifestations observed in sensory deprivation
-nursing care focuses on reducing distressing stimuli & helping pt gain control over environment |
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Term
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Definition
| reduced awareness,easily distracted, easily startled by sensory stimuli, alternates btween drowsiness & excitability, resembles minor form of delirium state |
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Term
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Definition
| disorientation, restlessness, confusion, hallucinations, agitation, alternating w/ other conscious states |
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Term
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Definition
| difficulties w/ spatial orientatino, memory, language, changes in personality |
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Term
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Definition
| nearsightedness (can see near) |
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Term
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Definition
| farsightedness (can see far) |
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Term
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Definition
| age-related problem in which lens loses its elasticity |
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Term
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Definition
| curve of the cornea is uneven |
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Term
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Definition
| Eardrum ____________ are quite painful & BLEED. Usually heal w/24hrs. NEVER use eardrops unless prescribed. do NOT irrigate ear |
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Term
1. restrict head motions & move more slowly
2. maintain adequate hydration
3. antivert drugs
4. prevent loss-of-balance accidents |
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Definition
| Advise pt w/ vertigo to (4) .... |
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