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| Quality and safety goal #1 |
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Definition
| to reduce the risk of health care associated infections (nosocomial) |
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Term
| world health organization WHO |
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Definition
monitor disease incidence, patterns, changes (worldwide)
recommend guidelines for prevention and intervention |
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| center for disease control CDC |
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Definition
similar to WHO but focused on the united states
only recommendations |
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| occupational safety and health administration OSHA |
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Definition
set standards
levy sanctions and fines
require their recommendations to be followed |
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isolation guidelines
tier one |
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Definition
standard, universal precautions
-handwashing
-PPE
-management of linens and medical waste
-client placement |
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Definition
| to prevent the spread of microorganisms |
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isolation guidelines
tier two |
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Definition
transmission categories
-airborne (nuclei < 5 microns)
-droplet (nuclei > 5 microns)
-contact - infected wounds |
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Definition
infectious agent
reservoir
portal of exit
mode of transmission
portal of entry
susceptible host |
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Term
nosocomial infections
exogenous |
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Definition
infection you get from the outside
-urinary tract infection |
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nosocomial infections
endogenous |
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Definition
from the inside
flora in the body grows rampant |
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Term
Nosocomial infections
iatogenic |
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Definition
| health care associated complication of care in the hospital |
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Term
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Definition
reduce and prevent the spread of micro organisms
-hand washing
-universal precautions
-clean vs dirty |
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Definition
eliminate micro organisms
sterile technique
sterile vs not sterile |
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admission
each office visit
before/after surgery or invasive diagnostic procedure
before/after medication administration or nursing intervention
per physicians order
change in patient condition |
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heat production
shivering, goosebumps |
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| factors affecting temperature |
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Definition
age
exercise
smoking/drinking/eating
hormone levels
circadian rhythms
stress
environment- hyperthermia, hypothermia |
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Term
| factors influencing pulse |
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Definition
volume of blood being pumped
elasticity of vessel walls
contraction strength of left ventricle |
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Definition
rate- bradycardia <60, tachycardia >100
rhythm- regular, irregular
strength- 0 to +4
equality |
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Definition
| pulse rate X stroke volume |
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Definition
| amount of blood pumped out of the heart in one pulse |
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Term
| factors influencing pulse rate |
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Definition
exercise
temperature
emotions/stress
drugs
hemorrhage
postural changes
pulmonary conditions |
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Term
| external vs internal respiration/oxygenation |
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Definition
external - ventilation
internal - diffusion, perfusion |
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Term
| assessment of respiration/oxygenation |
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Definition
rate
depth
rhythm
pulse oximeter |
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Definition
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Term
| tachypnic respiration rate |
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Definition
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Term
| bradypnic respiration rate |
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| factors affecting respirations |
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Definition
exercise
pain
anxiety/stress
smoking
body position
medications
neurological injury
hemoglobin function |
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Term
| most reliable indicator of pain |
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Definition
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Definition
acute <6 months
chronic >6 months |
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subjective vs objective data
location
qualiity
pattern
intensity
aggravating/alleviating factors
physical exam |
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Definition
age
gender
culture
meaning of pain and attention paid to pain
anxiety and fatigue
previous experiences with pain/coping/strategies/support |
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non=pharmacologic interventions
pharmacologic interventions
surgical inventions |
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multi dimensional
physical, emotional, intellectual, social, developmental, spiritual
involves health promotion, risk reduction, disease prevention, self care |
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Term
| healthy people 2020 goals |
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Definition
increase quality and years of healthy life
eliminate health disparities
create environments for good health
promote quality of life, healthy development and behaviors across al life stages |
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Definition
relationship between beliefs and behaviors and their impact on ability to comply with health care therapies
-perception of susceptibility
-perception of seriousness
-likelihood that a person will seek preventative action |
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health is a positive, dynamic state with health promotion directed at increasing level of well-being
-individual experiences
-behavior-specific knowledge
-behavioral outcomes |
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physiological
safety and security
love and belonging
self esteem
self actualization
-must satisfy basic needs first |
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the client is the expert
natural healing abilities of the body
complementary/alternative interventions |
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| internal variables influencing health |
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Definition
-developmental stage
-intellectual background
-perception of functioning
-emotional factors
-spiritual |
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| external variables influencing health |
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Definition
-family practices
-socioeconomic factors
-cultural background |
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| risk factors to good health |
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Definition
situation, habit, social or environmental condition, either physiologic or psychological that increases potential for illness or accident
modifiable vs non modifiable |
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| state of diminished or impaired health compared to previous experiences |
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behavioral and emotional changes
altered body image and self concept
changes in family roles in dynamics
the hospital system promotes the sick role by making patients dependent |
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maintain or enhance level of health through positive actions
therapeutics
passive vs active strategies |
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Term
illness (disease) prevention
primary, secondary, tertiary |
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Definition
the ability to avoid decline in health or functioning focusing on screening and treatment
primary- activities you perform to eliminate or prevent illness
secondary- early detection and treatment
tertiary- long term care or rehabilitation |
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Definition
| activities directed toward enhancing protective behaviors and avoid risks |
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