What does SMART stand for?
What is specific, measurable, attainable, realistic, and timed?
What is the difference in a goal vs. intervention?
A goal is patient-centered for what they can do. An Intervention is what the nurse can do.
Goal= "The patient will..."
Intervention = "The nurse will..."
Purpose of evaluation.
To assess if outcomes (goals) were met.
Name a non-pharmacological alternative for pain management.
What is deep breathing, cold/heat therapy, massage therapy, etc.
Pain that lasts longer than 6 months.
What is chronic pain?
Sharp pain from the skin.
What is superficial pain?
List three nonmodifiable factors that contribute to pain.
What is age, gender, culture, ethnicity, cognitive ability, and previous pain experiences?
When patients require higher doses of pain medication to control pain.
What is opioid tolerance?
Normal BMI range.
What is 18.5 to 24.9?
BMI for obesity.
What is greater than 30?
BMI for overweight.
What is 25-30?
Priority for patient with low urine output.
What is assessing for bladder distention?
Soft yellow or white tissue.
What is slough?
Type of healing that occurs when wound is left open for several days, and then the wound edges are approximated.
What is tertiary?
Pain of unknown origin.
What is idiopathic pain?
Pressure injury that may have subcutaneous fat, but bone, tendon, and muscles are not visible
What is stage 3?
What type of healing occurs with a clean surgical incision?
What is primary?
When organs protrude through an opening.
What is evisceration?
Non-blanchable redness
What is stage I pressure injury?
Pain from visceral organs (organs related to GI tract).
What is visceral pain?
Type of healing where the wound is left open for a few days and fills in with scar tissue.
What is secondary healing?
Pressure injury with partial-thickness skin loss.
What is stage II?
This is indicative of an infection and will need to be resolved for the wound to heal.
What is purulent drainage?