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Psychosocial Theory, personality evolves throughout life-span ego integrity vs despair over 65yoa |
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Development through 4 A's..(adolescense,adaptation, assimilation & accomodation) |
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Psychoanalytic,ID (urges pleasure and gratification), Ego,(what is wanted vs what is possible to achieve),Superego,(conscience), defense mechanisms (developed by daughter but still part of psychoanalytic theory) |
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people care for themselves before they care for others, only accurate for 1/2 of population (boys) |
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children develop by imitating their parents, start to move away as they learn & grow. |
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3-6yoa rapid language development |
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12-18 yoa establish identity |
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19-40yoa, Healthiest Stage |
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65+, Fastest growing age group,frail, chronic disorders |
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Temperature goes up Heart rate goes up |
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sounds like rubbing hair btwn fingers, low-pitched,bubbling |
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piercing, high-pitched; in someone with an obstructed airway |
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low-pitched,gurgling,secretions in lung airways, clear with coughing |
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"death-rattle",increase in depth of respirations, gradual decrease and period of apnea |
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labored-breathing that produces a snoring sound |
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Resp:12-20 Pulse:60-80 Temp: 97.1 to 99 BP: 100/60- 120/80 |
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(Fahrenheit degrees-32)x5/9=C |
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alternates regularily btwn periods of fever and periods of normal or below-normal temp w/o pharmacological intervention |
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fluctuations in temp, all above normal,during a 24 hr period |
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fluctuate slightly but is always above normal |
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short periods of fever alt with periods of normal temp lasting 1-2days |
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SOB,wheezing, rhonchi,restlesness, hypoxemia, cyanosis, use of accessory muscles |
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pursed lip breathing, breathlessness,chronic cough,sputum production |
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(Acute)cough,initially nonproductive, later productive,later productive,rhonchi,wheezes (Chronic)cough copious amts of mucopurulent sputum,dyspnea,& cyanosis |
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cough with mucopurulent sputum, hemoptysis,dyspnea |
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cough w/sputum production,dyspnea, chestpain, chills,fever,hypoxemia |
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Rectal:MOST ACURATE use only when options fail Oral:simple convenient,comfy and safe, no smoking,eating,drinking 30min prior bradypnea may cause false reading Axillary: safe, easy to use, can be used on children & uncooperative or unconscious patients,(LEAST ACCURATE), diaphoresis can affect,takes long time |
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produced when antigen encountered 1st time large molecule; can't pass through placenta to protect a fetus |
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most common immunogobulin; body recognizes antigen & special B memory cells form to produce and respond to subsequent infection 10 days to produce |
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responsible for allergic response attempts to destroy or excrete allergen |
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membranes secrete around the body openings provide additional protection for vulnerable portal entries |
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form on the surface of B cells trap pathogens to prevent replicating causing disease |
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acts to destroy body cells that are infected (viruses) Direct destruction by Tcells |
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acts directly against antigens helper T cells stimulate B cells produce antibodies |
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Contract infectious disease producing immunity against vaccinations |
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First Tier of protection Apply to care of all patients |
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NEW ELEMENTS STANDARD PRECAUTIONS |
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added protection of pts of more than of healthcare personnel Include:respiratory hygiene,cough etiquette,safe injection practices,wearing mask when performing LP's |
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Organisms NOT KILLED BY ALCOHOL BASED HAND HYGIENE |
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DIRT SPORES C-DIFF BACILLUS ANTHRACIS |
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removes perspiration and bacteria on skin helps prevent body odor warmth of bath water and friction of bathing dilates the blood vessels near skin surface, increasing circulation stimulate depth of respirations provides sensory input |
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itching can lead to breaks in skin by scratching |
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softening of skin prolonged moisture makes epidermis more susceptible to injury(urinary tract infection) |
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loss of superficial layers of skin caused by scratching & by digestive enzymes in feces |
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rubbing away of epidermal layer of skin happen over bony areas caused by friction moving in bed |
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decubitus ulcers lesions caused by tissue compression &inadequate perfusion |
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inflammation of sebaceous glands common adolescents and young adults |
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type traumatic injury caused by:thermal, chemical or radioactive agents |
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Pale darkskin ashen gray,or yellow color |
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redness of skin related to vasodilatation and inflammation Dark skin people have to feel the skin |
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yellowing impaired liver; sclera of eye |
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blue decreased peripheral circulation decrease 02 of blood related:cardiac, pulmonary or peripheral problems Dark skin people: see conjunctivae, tongue, buccal mucosa, and palms or soles dark dull color |
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Hair loss from stress or autoimmune |
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excessive hair on women that aren't normally there |
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painful growths caused by virus |
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abrasion,a torn or worn off area of skin |
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improperly trimmed toenails; wearing poorly fitted shoes |
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Problems of Phenytoid Therapy |
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cause generalized dermatitis, toxic epidermal necrolysis Cause of hirsutism |
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