Term
| Electroconvulsive Therapy(ECT) |
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Definition
Indications:Need for rapid, definitive response when a patient is suicidal or homicidal.
Extreme agitation or extreme stupor
Refusing food and fluids.
History of poor drug response.
Useful in MDD and bipolar especially wheerse reaction:Transient short term memory(loss of immediate or recent events) |
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Term
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Definition
| For MDD not responding to anti-depressants. Pacemaker implanted to send current that stimulates vagus nerve. Takes 3 months for response. |
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Term
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Definition
| Effective in mild-moderate depression, not severe. Whole plant product with antidepressant properties. |
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Term
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Definition
| bright light for 30 min a day. |
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Term
| Cognitive-behavioral Therapy |
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Definition
| Challenging negative thought patterns. Teach person to "talk back" to negative thoughts. |
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Term
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Definition
Must have manic or mixed episode(racing thoughts, depressed mood).
May have depressive episode.
Period of "abnormally elevated, expansive, or irritable mood"
Period of mood disturbance lasts at least a week.
Often feel confident and have heightened sense of positivity. |
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Term
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Definition
Shown in depression. Expressed as problems with bodily functions.
Disturbed sleep, lack of energy, changes in appetite, decreased libido, constipation. |
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Term
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Definition
| Presence or history of one or more major depressive episode. Presence of hypomanic episode. If hypomania is not treated, it crashes into depression. |
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Term
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Definition
Sex
Age
Depression
Previous Attempts
Etho(alcohol)
Rational thinking loss
Social Support
Organized plan
No spouse or significant other
Sickness |
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Term
| Internal protective factors |
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Definition
| Positive coping skills, sense of reality, internal resilience(rebound from a difficult situation), spirituality. |
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Term
| External protective factors |
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Definition
| feeling of responsibility towards others, positive relationships and social support, stable financial picture |
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Term
| Medicare hospice benefits eligibility |
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Definition
| eligible for medicare part A, certified 6 months or less to live if disease runs normal course. Client signs consent. Client recieves care from a medicare approved hospice program. |
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Term
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Definition
Block receptors in the CNS and prevent release of chemicals in pain transmission.
codeine, morphine, hydromorphone, fentanyl, methadone, oxycodone. |
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Term
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Definition
| Opioids to dilate vessels, decrease congestion and alter perception of dyspnea. Bronchodilators for pulmonary edema. Diuretics for CHF, corticosteriods, Benzos to decrease anxiety. Positioning, pursed lip breathing, energy conservation, fans. |
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Term
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Definition
| combination of anti-nausea, anti-histamine, and anti-cholinergic given in suppository. |
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Term
| Medicalization of end-of-life |
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Definition
| effrots to cure and eliminate dysfunction overshadow appropriate treatment and compassionate care. We allow death to become a medical event vs. a natural process |
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Term
| Philosophy of hospice care |
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Definition
| Allows disease to progress in normal course. Dying is a part of the normal life cycle. Unique for every person. Care focuses on enhancing quality of remaining life. Interventions neither hasten or postpone death. Most care in homes and nursing homes. |
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Term
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Definition
signal the brain imparts when there is tissue inflammation or damage. ex:
Cardiac ischemia and arthritis.
Somatic pain-aching, throbbing, stabbing due to external injury. or visceral pain-gnawing, cramping, aching due to injury to internal organs
Interventions:NSAIDS |
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Term
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Definition
nerves are damaged. pain feels burning, electrical or tingling ex: diabetic neuropathy.
Interventions"anti-convulsants, antidepressants, and opioids |
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Term
| Client's presenting with severe pain should recieve higher doses initially rather than risk periods of prolonged pain. |
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Definition
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Term
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Definition
| for mild to moderate pain. No more than 4g or less daily to avoid liver damage. Caution with liver disease and alchohol use. Risk for GI bleeding. |
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Term
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Definition
| Need to allow for 6-8 hours of sleep.(small dose of Ativan,Lorazepam can be added) Dosages need to be titrated upwards within a range so the nurse can assess comfort. Always worry about constipation and respiratory depression. Tolerance is developed in 5-7 days and will no longer experience respiratory depression. Renal failure patients can accumulate metabolites. |
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Term
| Effects of Dehydration/ lack of food in dyign client |
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Definition
| Slowed metabolis, decreased dyspnea, decreased secretions and cough, mild euphoria(some pain relief) |
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Term
| Constipation in the dying client |
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Definition
| Usually caused by opioids. When opioids are started usually stool softeners are too. Monitor for BM every 3 days. Use stimulants, prune juice, enema. IMPACTS comfort. NO bulk laxatives |
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Term
| Treatment of Nausea and Vomiting |
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Definition
| Anticholinergics, Benzos, Steriods to treat nausea BEFORE chemo. Antiemetics, magic bullet. Zofran is very effective |
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Term
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Definition
| dry mouth. Offer ice chips frequently if able to swallow. lip balm. |
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Term
| Teach family about signs of death |
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Definition
| Progressive weakness, mostly bedbound and increased sleep, no interest in food or drink, not oriented to time, shorter attention span, lowering BP,incontinence, vivid dreams/nightmares, changes in respirs(apnea and irregular rate) noisy breathing(death rattle), mottling and coolness of skin, weak pulse, restlessness, agitation |
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Term
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Definition
1)Relieve symptoms
2)sedation
3)depression of vital signs.
respiratory depression is not an incontrollable consequence. |
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Term
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Definition
| What impact does spirituality have on your life? Do your beliefs relate to the way you take care of yourself or your illness? Does your faith help you in stressful situations? Who do you see when medically ill or mentally upset? Are there special health care practices within your culture that address your mental health problem? |
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Term
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Definition
| Care of the human spirit including health, illness or loss, relationships with god or others. The goal is peace. Do not have to have all the answers of share beliefs |
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Term
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Definition
| Autopsy's are not permitted and organ donations must be discussed with rabbi. Some dead can not be left alone and burial within 24 horus. Funeral or Shiva(7 day mourning) is help after burial. |
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Term
| Evangelical-Born again christians |
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Definition
| strong belief in christ and holy spirit. Thinks illness if cause by sinfulness or wrong doing. |
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Term
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Definition
| Pray 5x a day facing east(towards mecca), non-muslims can't tough body after death. buried within 24 hours facing mecca usually wrapped in white linen cloth. |
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Term
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Definition
| only family can deal with dead body, same sex. Cremation preferred. |
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Term
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Definition
| view death as a companion. Value suffering, endure stoicly. |
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Term
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Definition
| Direct eye contact is sign of disrespect. Talking about death causes bad luck. Some asians avoid visiting the sick because they think they will catch it. |
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Term
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Definition
Awareness
Knowledge
Skillfulness
Encounters
Desire |
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Term
| Common characteristics of personality disorders |
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Definition
| Inflexible and maladaptive, Problems in work/love relationships, tendency to evoke interpersonal conflict, capacity to get under skin of others. LONG pattern of non-functional behaviour, not instances. |
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Term
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Definition
Odd or eccentric. Avoid Interpersonal relationships, have unusual beliefs, indifferent to reactions of others.
PARANOID PD
SCHIZOID PD
SCHIZOTYPAL PD |
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Term
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Definition
| constantly suspicious of others intentions. Believes others are lying/cheating/exploiting/trying to harm them. Find malicious meaning in benign comments. Collectors of injustic(world is against them) |
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Term
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Definition
| Increased prevalence in men. Restricted range of feeling, no interests, no friends. Detached. Chooses solitary activities. |
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Term
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Definition
| most closely resembles schizophrenia. Belief that they can control actions of others. Behavior and appearance are odd/eccentric, Perceptual variations but not psychotic. Paranoid/isolated |
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Term
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Definition
Dramatic, emotional, erratic
Antisocial, Borderline, Narcissistic, Histrionic |
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Term
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Definition
| increased prevalence in men. pattern of disregard for violating others, impulsive, decieptful, feel no remorse/guilt, sense of entitlement. Many are in jail. |
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Term
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Definition
| Increased prevalence in women. pattern of unstable relationships, frantic effort to avoid being left. Chronic feeling of emptiness. Intensity, instability, fear of abandonment. SPLITTING-idealizing then devaluing the same person. self mutilation, manipulation. |
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Term
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Definition
| Self importance, constant need of special treatment. No sense of empathy towards others. Has grandiose sense of personal achievements. |
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Term
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Definition
| patterns of dramatic, attention-seeking behaviors. Displays a temper when not receiving attention. Often sexually provocative. |
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Term
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Definition
Anxious or fearful PD
Dependent PD, Obsessive-compulsive PD, Avoidant PD |
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Term
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Definition
| excessive need to be taken care of. Rely on others, submissive |
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Term
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Definition
| Pre-occupied with orderliness, perfectionism, control and neatness. Obsessed with rules and details, usually high achievers. |
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Term
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Definition
| socially inhibited, extremely shy, fearful of disappointment,views self as socially enept or unappealing. |
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Term
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Definition
| Loss or abnormality at organ level. Can be temporary or permanent |
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Term
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Definition
| Altered functional ability. Restriction on ADL's |
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Term
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Definition
| Limits a persona usual social role. Can be preventable/reveresible |
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Term
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Definition
| Preventative phase. (diet, exercise,smoking) |
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Term
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Definition
| How we are diagnosed(3 P's for diabetes) |
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Term
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Definition
| Goal is to remain in this phase. Symptoms are under control at home. |
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Term
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Definition
| Symptoms are unrelieved. (high bp, blood sugar.) Poor compliance can lead to this. |
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Term
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Definition
| Symptoms are more severe and unrelieved. DKA, stoke, MI |
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Term
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Definition
| Medical intervention needed |
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Term
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Definition
| return to an acceptable way of life |
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Term
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Definition
| Other body systems affected.(Diabetes leads to renal failure, amputation) |
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Term
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Definition
| person is fully dependent on someone else (ICU) |
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Term
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Definition
| client can perform some care with medical assistance |
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Term
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Definition
| Client can perform all self care but is still being taught. |
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Term
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Definition
| Aging process effects more quickly and at a younger age. Need more support after they age |
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Term
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Definition
| May develop fatigue 10-40 years after diagnosis |
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Term
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Definition
| measures ADLs. Bathing, dressing, toileting, transfer, continence, feeding. |
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Term
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Definition
| Measures iADLs. telephone use, shopping, food preparation, house keeping, laundry,transportation, medications, finances. |
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