Healthy/Unhealthy
Child gets attention from external sources for doing good and learns their worth is based on their achievements.
Golden Child
Dysfunctional
You made me angry.
dysfunctional
should use I- "I felt sad when this happened"
Healthy People 2030 overacrching goal
When does discharge planning start?
from the beginning
Who should be involved in the discharge planning?
person and family/caregivers
Family is going through a hard time and they decide they do not want anyone to know
dysfunctional- healthy is to seek out support
Why did chose to do that?
Why questions are not therapeutic- puts person on the defensive
What are the ask me 3?
What is wrong?
What needs to be done and why?
What are the benefits of doing this?
Name 5 SDOH?
safe housing, transportation, neighborhoods, education, jobs, income, access to food, physical activity,
Education access and quality, economic stability, healthcare access and quality, neighborhood and built environment, social and community
What age group: Use imagination play to coney health care information
Preschool 3-5 yr old
toys colorful objects- infant/toddler
games, role-playing, interactive activities- school age
discussion, multimedia, videos- adolescent
Parent style is rigid and has high control and discipline. They expect their rules will be obeyed without question.
Authoritarian
Disfunctional
You are so lazy!
not therapeutic- instead- "doing this will be so nice"
Don't degrade or name call
screening tests, Pap smears, mammograms, cholesterol test,
What is secondary prevention?
What is VARK?
Visual, auditory, read/write, kinesthetic
What do you document when teaching?
•Always Document what you do
•What was taught
•What method was used
•Handouts or resources provided or used
•Evaluation of client understanding
A 6 year old child is disciplined with a timeout. The parent tells the child to sit in the corner and don't move for 30 min.
Unhealthy
timeouts- 1 min per age in year
"Your mom and I are having some problems" "we love you and it has nothing to do with you"
therapeutic- discuss early, let child know they are loved and not their fault, Don't bad mouth other parent, don't fight in front of child
Teaching role for the LPN vs RN.
LPN does reinforcement of teaching or basic care teaching.
RN does initial teaching
What is domains of learning?
cognitive, affective, psychomotor
Cognitive- remember, understand, apply, analyze, evaluate, create
What is family APGAR?
Adapt, partnership, growth, affection, resolve
Identify 5 ACE risk factors?
child with special needs, caregivers who were abused/neglected, young caregivers, single caregivers, low income/low education, inconsistent discipline, low level supervision, isolated, high rates violence/crime, substance abuse, unstable housing, divorce
Identify 5 good communication techniques.
Active listening (eye contact, put phone down, turn away from electronics), demonstrate warm feelings, physical affection, validate feelings, use "I", focus on behavior not personal characteristic, focus on solution vs person, pay attention to child when behaving well and verbalize "well done"
Identify 4 red flags for health literacy.
missed appt, incomplete registration, lack of follow-through on tests/referrals, unable to name med or purpose or dosing, asks fewer questions, unable to give history
What stage of the TTM model- Will be planning on making change within the next 30 days?
precontemplation- not thinking of change
contemplation- thinking of change
preparation- change within next 30 day
action- actively making change
Maintenance- after making the change for 6 months
Identify 5 barriers to learning
health literacy, language and communication, cultural, discomfort, cognitive/sensory impairments, lack of support, medical jargon, client resistance, limited follow-up, perceived irrelevance, low motivation or desire to change, time restraints, inadequate learning resources, uncomfortable environment,