Mood/Affect
Minimal facial expression in assessing pt.
What is blunted affect?
Physical symptoms of stress
What are:
headaches, muscle tightness, sleeping issues, elevated heart rate?
Appropriate pain scale for 37 year old patient being seen for fracture to left femur.
0-10 Scale or Numerical Scale
Pt tells you "I have pain," "I am nauseous," etc.
What is subjective data?
Non pharmacological behaviors to reduce stress levels
What are coping mechanisms i.e. deep breathing, relaxation, visualization, exercise, pet therapy, meditation, yoga, acupuncture, biofeedback, etc.
Interventions for patient with increased ICP level.
HOB 15-30
LIMIT EXTERNAL STIMULI
STOOL SOFTENERS/LAXATIVE
DIM LIGHT
NO CAFFEINE
Factors that are seen in patients to help determine psychosocial status.
What is:
Death especially of a young person
Sudden change in behaviors
Life changes - i.e. marriage, divorce, birth of child, etc.
Defense mechanism examples are...
What are suppression, regression, repression, projection, denial, dissociation, intellectualization, etc.
Nursing considerations for pain medications.
Constipation
Nausea
Vomiting
Drowsiness
Impaired respirations
Impaired motor activity
Increased bleeding risk
How to obtain baseline data for mood and affect
What is looking at facial expressions?
What is observing body language?
What are listening skills, silence, touch, humor, open-ended questions, clarification, etc.
LOC
Orientation
GCS
Symmetry of face
Motor strength/Sensation
PERRLA
Speech/swallowing
Vision/Hearing
Age, genetics, dietary choices, sleep patterns, exercise, smoking, etc.
What are modifiable and non-modifiable factors?
Coping definition
What is the physiological and psychological process that helps patient accept change?
What are seizure precautions?
Side-lying position,
Remove obstacles,
Medications,
Neuro assessment,
Check vitals,
Safety