Climbing the Pyramid
In Maslow's Hierarchy of Needs: This is the most basic level of needs, including water, oxygen, food, and temperature regulation.
What are physiological needs?
The first stage of grief, often expressed by the statement, "It can’t be happening to me."
What is denial?
Because pediatric patients lack insulating subcutaneous fat, they are prone to this rapid loss of body heat in the OR.
What is hypothermia?
This patient population may view the surgical experience as a "threat" or "violence" and may have a heightened startle reflex due to chronic hyperarousal.
What are patients with PTSD (Post-Traumatic Stress Disorder)?
This religious group typically refuses blood transfusions and blood products.
Who are Jehovah's Witnesses?
This level in Maslow's Hierarchy refers to the individual’s perception that their environment is free from danger.
What are safety needs?
During this stage of grief, a patient may try to postpone the inevitable by saying things like, "Let me live long enough to see my son graduate."
What is bargaining?
A primary cause of fear for pediatric patients regarding anesthesia is the fear that they will [_].
What is go to sleep and never wake up?
To relieve pressure on the aorta and vena cava, a pregnant patient in the supine position should have a wedge placed under this hip.
What is the right hip?
This religion believes in reincarnation and that the dying person's last thoughts determine the condition of their rebirth.
What is Buddhism?
The pinnacle of the hierarchy, this is the need to fulfill one's purpose and personal growth.
What is self-actualization?
A legal document where a patient states in writing exactly what medical interventions they are willing to endure to sustain life.
What is a living will?
Neonates often respond to hypovolemic shock with this heart rate change, which is the opposite of how adults react.
What is bradycardia?
Derived from the action and effect of force on the body, this term helps providers assess trauma based on velocity, flexibility of tissue, and shape of the injuring force.
What is kinematics (or Mechanism of Injury/MOI)?
Followers of this religion may wish to have their body turned to face Mecca (southeast) immediately after death.
What is Islam (or Muslim)?
When applying Maslow’s physiological level to a trauma patient in the emergency room, healthcare providers immediately prioritize these three specific factors, known by a simple alphabetical acronym.
What are Airway, Breathing, and Circulation?
Meaning "good death" in Greek, this term refers to the painless inducement of quick death, which can be active or passive.
What is euthanasia?
In pediatric patients, this type of shock is most commonly caused by gram-negative bacteria and peritonitis.
What is septic shock?
Often seen in diabetic patients, this is the medical term for the enlargement of the heart.
What is myocardial hypertrophy?
In this faith, organ donation is acceptable, but cremation is generally discouraged or prohibited.
What is Judaism?
Contrary to Maslow's initial belief that one level must be completely satisfied before the next, modern approaches suggest that levels do this, meaning a person can be motivated by higher levels while still pursuing lower ones.
What is overlap?
This type of care focuses on mitigating suffering and improving quality of life, rather than curing the disease.
What is palliative care?
While the ethmoid and maxillary sinuses are present at birth, these specific sinuses do not develop in a pediatric patient until approximately 7 years of age.
What are the frontal sinuses?
Bariatric patients are often placed in the Reverse Trendelenburg position to expand lung volume, though it risks this vascular condition.
What is venous stasis (or deep vein thrombosis/thrombophlebitis)?
Male patients of this faith may wear "Articles of Faith" which should not be removed unless absolutely necessary for the surgery.
What is Sikhism?