Rosey Health Assessment jersey college Questions and Answers

Rosey Health Assessment jersey college Questions and Answers Glascow Coma Scale (GCS) A neurological scaled used to determine the level of consciousness of a patient. TBI PHQ-2 and PHQ-9 depression screening tool SBRIT Screening, Brief Intervention, and Referral to Treatment CAGE questionnaire Alcohol Dependence AUDIT Alcohol Use Disorders Geriatric Depression Scale a tool to assess for risk of depression in older adults SAD PERSONS scale A simple and practical assessment tool to evaluate potentially suicidal patients. SLUMS Dementia/Alzheimer CAM (Confusion Assessment Method) Tool to quickly identify delirium COLDSPA C-character O- onset L- location D-duration S- severity P- Pattern A- Associated factors Hemoglobin An iron-containing protein in red blood cells that reversibly binds oxygen. Hemoglobin A1c 4-6% = good glucose control pitting edema edema that retains an imprint when touched fluid shift weight gains or losses of 6 to 10lbs in 1 week or less MAC measure mid-arm circumference calipers a pinching instrument used for determining skin folds visceral fat fat around organs BMI (body mass index) a measure of body weight relative to height Normal BMI (body mass index) 18.5-24.9 Overweight BMI 25-29.9 Obese BMI over 30 Spoon-shaped nails are a symptom of what mineral deficiency? iron beefy red tongue Vitamin B12 deficiency undernourished having insufficient food or other substances for good health and condition obesity defined as a weight more than 20% above normal body weight Overhydration or fluid retention kidney, liver and cardiac disease Cleveland Clinic diet 1. eat a rainbow diet ict diary red meat 5 constructs of cultural competence awareness, knowledge, encounters, skill, desire Religion rituals, practices, and experienced shared within a group that involve a search for the sacred Spirituality a search for meaning and purpose in life, it seeks to understand life's ultimate questions in relation to the sacred Spiritual Experience are subjective Christian Scientist frequently rely on prayer alone to heal illnesses, rarely seek mainstream medical medical care Buddhism the teaching of Buddha that life is permeated with suffering caused by desire, that suffering ceases when desire ceases, and that enlightenment obtained through right conduct and wisdom and meditation releases one from desire and suffering and rebirth Hinduism Nirvana Oneness with God. the right hand is seen as holy Judaism Rabbi, keeping Kosher is predominantly an orthodox practice Spiritual history Hope, FICA, SPIRIT Ethnocentrism Belief in the superiority of one's ways, thinking and acting Assimilation the gradual adoption and incorporation of characteristics of the prevailing culture Stereotyping creating an oversimplified image of a particular group of people, usually by assuming that all members of the group are alike Culture Shared Beliefs, customs, and traditions of a specific group of people. Communication time which is measurable space: Asians and American's eye contact and face positioning-Africans look away body language and hand gestures silence- remaining long silence, space talking touch- Asian traditions -Chinese medical practitioners, herbalists -Prevent or rebalance yin/yang, hot/cold foods and conditions, wear amulets, acupuncture, cupping, moxibustion African traditions conjurers, "old lady" "granny", magical hand culture-bound syndromes conditions that are perceived to exist in various cultures and occur as a combination of psychiatric or psychological and physical symptoms Culture Based Treatments -often misinterpreted in western health care settings, as they frequently produce marks on the skin that are interpreted as evidence of abuse. Cupping placing a heated cup on the skin to create a slight suction to treat back pain Coining -involves rubbing ointment into the skin with a spoon or coin -leaves bruises or red marks, but does not cause pain -used for "wind illness" (fear of being cold or of wind, which causes loss of yang), fever, stress-related illnesses such as headache moxibustion -attachment of smoldering herbs to the end of acupuncture needles or the placement of the herbs on the skin; this causes scars that look like cigarette burns Ataque de nervios ("attack of nerves") similar to panic disorder, but may include symptoms like aggression/screaming and suicidal impulses Rootwork Belief that illnesses are supernatural in origin (witchcraft, voodoo, evil spirits, or evil person). Anxiety, gastrointestinal complaints, fear of being poisoned or killed. bad blood African Blood contaminated, often refers to sexually transmitted infections. Zar African panic disorder Koro Fear in some Asian cultures of genitals retracting into the abdomen Amok (Malaysia) behave uncontrollably and disruptively Prepubescent children, Asians, and native Americans none or limited underarm sweat and body odor self-report a method in which a person provides subjective information about their own thoughts, feelings, or behaviors, typically via questionnaire or interview FLACC Face legs activity cry consolability (pain scale) Modulation pain is a difficult phenomenon to explain classification of pain causes, etiology, duration, intensity, location and severity nociceptive pain noxious insult or injury of tissues such as skin, muscles, visceral organs, joints, tendons or bones QUESTT Principles for Pain in Children ► Question the child. ► Use pain rating scales. ► Evaluate behavior and physiologic changes. ► Secure parents' involvement. ► Take cause of pain into account. ► Take action and evaluate results. Wong-Baker FACES scale a pain assessment tool that asks patients (often children) to select one of several faces indicating expressions that convey a range from no pain through the worst pain Cushing's syndrome centralized weight gain Marfan Syndrome Elongated fingers acromegaly overgrowth of bone and soft tissue, especially in the hands, feet, and face, caused by excess growth hormone in an adult Factors that affect blood pressure Peripheral Resistance Vessel Elasticity Blood Volume Cardiac output blood velocity, viscosity pulse pressure difference between systolic and diastolic pressure Prehypertension 120-129/80-84 Hypertension Stage 1 140-159/90-99 cardiovascular disease pulse pressure is 30-50mmHg antihypertensive drug that lowers blood pressure, less than 20mmHg. symptoms are hypotension, dizziness, lightheadedness and falliing Normal rectal temperature range 97.4-100.3 normal temporal temp 97.4-100.3 Normal oral temperature 96.6-99.5 curvature of the spine lordosis, kyphosis, scoliosis 2+ normal pulse Piaget's stages of cognitive development 1. sensorimotor 2. preoperational 3. concrete operational 4. formal operational Kohlberg's stages of moral development preconventional, conventional, postconventional Freud's structure of personality id, ego, superego Freud stages of psychosexual development oral stage, anal stage, phallic stage, latency stage, genital stage phalic stage (3-6 years) oedipal for males electra for females Erikson's Psychosocial Theory each stage builds on tasks of the previous stage, successful mastery leads to sense of self Generativity vs. Stagnation "giving back" object permanence the awareness that things continue to exist even when not perceived. about 8 months lethargy lack of energy; sluggishness dysphonia difficulty producing speech sounds, usually due to hoarseness cranial nerve X Broca's aphasia slowed speech with difficult articulation, but fairly clear meaning, Wernicke's aphasia rapid speech that lacks meaning, Parkinson's disease Shuffling gait, pill-rolling tremor deep coma no response, 3- decrebrate posturing Rigid extension and pronation of the arms and legs (down) Coma Scale: 13-15 minor head injury, some consciousness Caffeine stimulant most suicidal age 15-24 and 45 or older level of consciousness person, time, place risk diagnosis vulnerable to be sick