Term
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Definition
| hope, love, meaning, dignity |
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Term
| Throughout their life span, people grow more or less spiritual? |
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Definition
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Term
| The Joint Commission requires health organizations to provide ..... |
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Definition
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Term
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Definition
To assess patient's spirituality
Faith - meaning of life
Importance and Influence - of the faith
Community - religious/spiritual groups
Address/Action of care - accordingly to religion |
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Term
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Definition
: an individual’s conceptualization of himself or herself
- Subjective sense of self
- Complex mixture of unconscious and conscious thoughts
- Directly affects self-esteem |
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Term
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Definition
an individual’s overall feeling of self-worth
- Overall judgment of worth or value |
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Term
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Definition
| when a person has to simultaneously assume two or more roles that are inconsistent, contradictory, or mutually exclusive |
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Term
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Definition
| unclear role expectations |
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Term
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Definition
| combination of role conflict and role ambiguity – when it manifests in the things you do = become forgetful. |
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Term
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Definition
| having more roles or responsibilities than are manageable |
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Term
| The sense of self is often negatively affected in .... |
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Definition
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Term
| Erikson’s psychosocial theory |
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Definition
Each stage builds on tasks of the previous stage.
Successful mastery leads to a sense of self.
Infancy: Trust vs. Mistrust
Early Childhood: Autonomy vs. Shame & Doubt: potty training, self maitenance
Early School: Initiative vs. Guilt
School Age: Industry vs. Inferiority
Adolescence - Identity vs. Role Confusion
Young Adulthood - Intimacy vs Isolation
Maturity: Generativity vs. Stagnation - nurturing children
Old Age: Integrity vs. Despair - wisdom |
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Term
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Definition
| Involves the internal sense of individuality, wholeness, and consistency of self |
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Term
| Three Ds of Cognitive Impairment |
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Definition
Dementia
Delirium
Depression |
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Term
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Definition
- Irreversible state that progresses over years in decline of intellectual function
- Clinical features of syndrome of dementia include at least one of the following:
- Aphasia — speech impairment
- Apraxia — loss of ability to carry out movements
- Agnosia — inability to recognize objects or persons
- Disturbances in executive functioning |
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Term
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Definition
Primary
- Alzheimer’s disease (AD)
Secondary
- Effects of alcohol – brain injury or tumor.
Mixed
- Combination of AD, vascular brain changes, prior alcoholism |
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Term
| Delirium: Incidence, Consequences, Confusion |
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Definition
Avoidable
Incidence
- Affects 14% to 80% of all older adults hospitalized for treatment of acute physical illness
Consequences
- Associated with high morbidity and mortality, functional decline, increased length of hospital stay and hospital readmissions, increased services after discharge, high rates of institutionalization
Confusion
- Cognitive changes in older people often labeled as confusion by nurses and physicians; frequently accepted as part of normal aging |
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Term
| Delirium: Risk Factors and Assessment |
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Definition
Risk factors
- Acute illness, infections, metabolic disturbances, alcohol or drug abuse (or quitting while in the hospital), sensory impairments, surgery, hip fracture, cognitive impairment
Assessment
- Mini-Mental State Examination
Confusion Assessment Method
NEECHAM Confusion Scale |
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Term
| Delirium - Prevention and treatment |
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Definition
Multidisciplinary approaches, includes focus on managing 6 risk factors for delirium:
Cognitive impairment
Sleep deprivation
Immobility
Visual impairments
Hearing impairments
Dehydration |
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Term
| Developmentally Disabled Elders |
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Definition
Number of developmentally disabled elders (DDEs) rapidly increasing, primarily because of medical advances and healthier living conditions that have extended life expectancy
Many aspects of aging process are prematurely experienced by developmentally disabled |
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Term
| Tests for function and congition |
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Definition
Function and Cognition
- Blessed Dementia Score
- Clinical Dementia Rating Scale
- Global Deterioration Scale
Cognitive Measures
- Mini-Mental State Examination
- Short Portable Mental Status Questionnaire
- Clock Drawing Test |
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