Safe and Effective Care Environment
Right task, right circumstance, right person, right communication, right supervision
What is delegation
Delirium, falls, functional decline, weight loss
What are common geriatric syndromes
Ability
a perceived lack of time
confusion about what spiritual care is
lack of knowledge and preparation for spiritual caregiving
What are barriers to providing spiritual care
substances found in nature such as herbs, foods and vitamins
What are biologically based therapies?
Foot drop, Urinary stasis, Pressure ulcer
What are complications of immobility
safety first logic:
airway comes before breathing, breathing before circulation, life before limb, safety risks before comfort.
What is prioritization
Skin assessments every shift
Reposition the patient every 2 hours
Request a specialized mattress
What are interventions to protect against pressure injury
Chronic health problems, higher rates of psychological disorders
Higher rates of sexually transmitted infections and injuries from assault
What are health effects of domestic violence
Measure the client from 3 finger widths below the axilla to 6 inches lateral to the clients heel.
How do you measure a client for crutches?
Braden score of 9
What is the greatest risk for altered skin integrity
Autonomy, beneficence, nonmaleficence, justice, fidelity, veracity
What are ethical principles
Serous drainage
serosanguineous drainage
Bright red sanguineous drainage
Purulent drainage
What is wound drainage
Animal assisted therapy, Guided imagery, Massage therapy
What are alternative therapies
Swing-through, Two-point, Three-point, Four-point alternating
What are crutch gaits?
A religion that believes in final judgement that determines Heaven or hell
What is Christianity
Giving the wrong medication to a client causing a severe allergic reaction and prolongs hospital stay
What is malpractice
wound not completely through the dermis
What is stage 2 pressure injury
Role change, self-image change, Uncertain prognosis
What are sources of emotional stress with life altering situations?
for pt with weakness in one leg: Quad cane, Single straight legged cane, Walker,
Which assistive device is most stable
Jagged edge, uncontrolled bleeding
What describes an unintentional wound
post op patient, prior to administering morphine what assessment is priority
What is respiratory rate
loss of muscle mass
increased fat tissue leading to a thicker waist
dryness of the skin and hot flashes
sleep abnormalities
What is menopause
Diet, Medications, activity allowances and restrictions
What is included in discharge planning?
Glomerulus, Proximal convoluted tubule, Loop of Henle, Nephron
What part of the kidney forms the urine
Discomfort, Nausea, ineffective breathing and fatigue
What are common symptoms of terminally ill clients?