Stress
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Adaptation
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Adaptation
Name 2 manifestation of stress
Dry mouth
increased perspiration
tremors
tachycardia
increased bp
dilated pupils
crying
restlessness
rapid speech
pacing
lack of facial expression
heart palpitations
difficulty breathing
issues with appetite or sleep
changes in sexual desire
feelings of sadness, apprehension, anger, mistrust, helplessness, hopelessness
adjustment of living with other living things and environmental conditions
What is adaptation.
Injury and underlying diabetic neuropathy, peripheral arterial disease, diabetic foot structure; located below the ankle
What are diabetic ulcers
What are hydrocolloid dressings
localized response of the body to injury or infection; protective mechanism that eliminates invading pathogens and allows for tissue repair to occur
What is an inflammatory response?
A client who responds to bad news concerning laboratory results by crying uncontrollably is handling stress by using:
Coping Mechanism
patterns of behavior used to neutralize, deny, or counteract anxiety
What are coping mechanisms?
Cutting or sharp instrument; wound edges well approximated and aligned; surrounding tissue undamaged; bleeds freely and least likely to become infected
What is an incision
This dressing absorbs exudate, aids in debridement, strays in place for 1-3 days, used for stage 3-4 pressure injuries, used for tunneling wounds, NOT used for wounds with minimal drainage.
Alginates
The chronological order of the Chain of infection.
What is;
1. Infectious Agent
2. Reservoir
3. Portal of Exit
4. Mode of Transmission
5. Portal of Entry
6. Susceptible Host
A client loses control and expresses irrational thinking is experiencing which level of anxiety?
What is Panic Level?
occurs when coping and defense mechanisms are no longer effective, resulting in high levels of anxiety, disorganized behavior, and the inability to function normally
What is Crisis?
Blunt or sharp instrument puncturing the skin; intentional (such as venipuncture) or accidental; consider penetrating object when considering infection probability
What is a puncture
This stage of pressure wound has full-thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because it is obscured by slough or eschar.
What is an unstageable pressure injury
Age group that relates to Erikson's Industry vs. Inferiority
School Age
A nurse with 11 years of experience has been frequently absent or late for shifts, has been verbally abusive with coworkers she feels are unskilled at the technological tasks of the job, and cursed under her breath at a distraught family member today. The nurse manager is threatening to suspend her if it happens again. The ICU nurse may be experiencing:
What is Burnout
forms of self-deception; unconscious process the self uses to protect itself from anxiety or threats to self-esteem
What is are defense mechanisms
Compromised circulation secondary to pressure or pressure combined with friction; classified by Stages 1–4, Unstageable, and Deep Tissue injury
What is a pressure ulcer
This stage of pressure injury has intact or nonintact skin with localized area of persistent nonblanchable deep red, maroon, or purple discoloration or epidermal separation revealing a dark wound bed or blood-filled blister.
What is a deep tissue pressure injury
The highest level of hierarchy needs according to Maslow
What is self-actualization
The client who is now paralyzed informs a support group that he earned a scholarship based upon his athletic abilities and not his academic performance, and after his injury, he focused his energies on his studies. He has been on the dean's list for two semesters. What defense mechanism is illustrated in this scenario?
What is compensation
the body preparing itself against threat, to either resist (fight) or evade (flight) the danger
What is Fight or Flight Response?
Blunt instrument, overlying skin remains intact, with injury to underlying soft tissue; possible resultant bruising and/or hematoma
What is a contusion
this type of dressing is a non invasive device that applies "pressure", stays in place for 2-3 days, is used on stage 3 - 4 pressure injuries, is used on draining, exuding, and nonhealing wounds of any kind
What is negative pressure wound therapy
Which age group according to Erikson experience a change in productivity goals and evaluation of success?
What is the later adult years?