The nursing process
What are the two types of data?
Subjective & objective
How much of our lives is spent sleeping?
1/3
What is population health?
The health outcomes of a group of individuals, including the distribution of such outcomes within the group
What is the definition of family?
Whatever the patient says it is
Infants?
Back to sleep, breastfeeding exclusively for the first 6 months, educate on risks ( drowning, suffocation, poisoning, falls, safe car seat, assess for signs of neglect/ abuse
What are smart goals?
S - smart
M- measurable
A - attainable
R - realistic
T - time oriented
What are the roles of neurotransmitters during sleep?
Serotonin - lessens response to stimuli
GABA - shuts off activity in the RAS
Pineal gland - secretes melatonin
What are the 5 social determinants of health?
Economic stability
Education access & quality
Healthcare access & quality
Neighborhood & built enviornmemt
Social & community context
What are the family theories?
Family systems theory
Family stress theory
Developmental theory
Toddlers?
Well-child visits, immunizations, dental visits, check for iron deficiency, education on nutrition, sleep, toilet training. Draws a circle, runs @ 1-2 years old, visual acuity improves
What are some recognizing cues?
Light headed
Guarded - tender on palpation
BloodRespiration
Infection
When does the circadian rhythm begin?
Around 6 weeks of life
Daily stressors of poverty, lower earning potential associated with?
Community violence
Health inequities, including:
Lower life expectancies
Higher rates of homicide
Worse health outcomes overall
What is the family systems theory?
A theory that views the family as a complex system of interconnected and independent individuals
Pre-school aged?
Limit screen time to 1 hour or less per day, scissors, brush teeth, button clothes, throws a ball overhand, learning letters and numbers, dramatic play, develops and uses all parts of speech
What is the tanner model?
Noticing
Interpreting
Responding
Reflecting
What are the four stages of sleep?
N1 - light sleep, easily awoken, lasts only a few minutes
N2 - light sleep, body process slows down, brain waves slow, 50% of sleep
N3 & N4 - deep sleep, difficult to wake, no eye or muscle movement, if awakened patient is disoriented or sleepwalks
REM - 70 to 90 minutes after sleep starts, dream state, distinctive regular eye movementsHow can you think upstream?
Address the root causes, rather than the symptoms
Improving factors such as financial stability, education, food access, and healthcare access
What is the family stress theory?
Illness and injury affect the well-being of the whole family
Adolescents / adults?
Routine exams, education on sexual health and risks, breast & testicular exams, Pap smears, eye exams, diabetes testing , check bp and cholesterol
What is the NCSBN clinical judgement model steps?
1. Recognize cues
2. Analyze cues
3. Prioritize hypothesis
4. Generate solutions
5. Take action
6. Evaluate outcomes
Newborn (0-3 mo) 14-17
Infants (4-11 mo) 12-15
Toddlers (1-2 years) 11-14
Preschoolers (3-5 years) 10-13
School aged children (6-12 years) 9-11
Teenagers (13-17 years) 8-10Middle aged adults (18-64 years) 7-9
Older adults (>65) 7-8
What are the barriers to upstream healthcare?
Tunneling: the tendency to focus on moving forward without addressing obstacles. Blindness: problems can be so ingrained that they are not seen.
Lack of ownership: it can be difficult to determine who is responsible for solving a problem.
Lack of trained providers: providers who aren't trained in certain procedures can't offer patients access to the full range of methods.
What is developmental theory?
families develop and change in similar ways
Elders?
immunizations (tetanus, flu, shingles)
Eye exams for glaucoma or other eye diseases
Check bp & cholesterol
Breast exams, mammograms, testicular exams (annually)
Colonoscopy every 10 years (begin at 50)