WILKES NSG 526 Exam 3
Primary prevention - ANSActually preventing the thing
Secondary Prevention - ANSearly identification and treatment
Tertiary prevention - ANSAvoiding complications
Norms are considered - ANSThe right patterns of behavior for a society
Crisis is - ANSa time limited response lasting 4 to 6 weeks
What initiates a crisis - ANSA crisis is initiated by internal or external demands that are
perceived as a threat to a persons physical or emotional functioning.
Precipitating event is stressful and unusual or rare.
maturational crisis - ANSDescribes unfavorable person-environmental relationships that relate
to maturational events such as leaving home for the first time, completing school or accepting
the responsibility of adulthood.
Situational Crisis - ANSOccurs whenever a specific stressful event threatens a person's
biopsychosocial integrity and results in some degree of psychological disequilibrium
Aventitious Cirsis - ANSInitiated by an unexpected unusual events that can affect an individual
or
a multitude of people. National and natural disasters.
During an adventitious crisis (e.g., flood, hurricane, forest fire) that affects the
well-being of many people, the interventions of the PMH-APRN will be a part of
the community's efforts to respond to the event.
Goal for people experiencing crisis - ANSTo return to pre-crisis level of functioning.
Role of APRN in Crisis - ANShe role of the PMH-APRN is to provide a framework of support
systems that guide the
client through the crisis and facilitate the development and use of positive coping skills.
Assess risk of homicide/suicide/self-injury
Assess coping skills
, Assess perception of problem and support mechanisms
Assess biologic items - sleep, eating, hygiene, etc
Assess psychological - emotions and coping
Asses social - individual, family, community. Social support
Disaster - ANSA disaster is a sudden ecological or man-made phenomenon that is of sufficient
magnitude to require external help to address the psychosocial needs as well as
the physical needs of the victims
MCI triage category: Expectant - ANSInjuries are extensive and chances of survival are unlikely
even with definitive care. Separate and provide comfort
Unresponsive patients with penetrating head wounds, high
spinal cord injuries, wounds involving multiple anatomical sites
and organs, 2nd/3rd degree burns in excess of 60% of body surface area, seizures or vomiting
within 24hr after radiation
exposure, profound shock with multiple injuries, agonal
respirations; no pulse, no BP, pupils fixed and dilated
MCI Category: Immediate - ANSInjuries are life-threatening but survivable with minimal
intervention. Individuals in this group can progress rapidly to expectant
if treatment is delayed.
Sucking chest wound, airway obstruction secondary to
mechanical cause, shock, hemothorax, tension pneumothorax,
asphyxia, unstable chest and abdominal wounds, incomplete
amputations, open fractures of long bones, and 2nd/3rd degree
burns of 15%-40% total body surface area
MCI Category: Delayed - ANSInjuries are significant and require medical care but can wait
hours without threat to life or limb. Individuals in this group receive
treatment only after immediate casualties are treated.
Stable abdominal wounds without evidence of significant
hemorrhage; soft tissue injuries; maxillofacial wounds without
airway compromise; vascular injuries with adequate collateral
circulation; genitourinary tract disruption; fractures requiring
open reduction, débridement, and external fixation; most eye
and CNS injuries
MCI Category: Minimal - ANSInjuries are minor and treatment can be delayed hours to days.
Primary prevention - ANSActually preventing the thing
Secondary Prevention - ANSearly identification and treatment
Tertiary prevention - ANSAvoiding complications
Norms are considered - ANSThe right patterns of behavior for a society
Crisis is - ANSa time limited response lasting 4 to 6 weeks
What initiates a crisis - ANSA crisis is initiated by internal or external demands that are
perceived as a threat to a persons physical or emotional functioning.
Precipitating event is stressful and unusual or rare.
maturational crisis - ANSDescribes unfavorable person-environmental relationships that relate
to maturational events such as leaving home for the first time, completing school or accepting
the responsibility of adulthood.
Situational Crisis - ANSOccurs whenever a specific stressful event threatens a person's
biopsychosocial integrity and results in some degree of psychological disequilibrium
Aventitious Cirsis - ANSInitiated by an unexpected unusual events that can affect an individual
or
a multitude of people. National and natural disasters.
During an adventitious crisis (e.g., flood, hurricane, forest fire) that affects the
well-being of many people, the interventions of the PMH-APRN will be a part of
the community's efforts to respond to the event.
Goal for people experiencing crisis - ANSTo return to pre-crisis level of functioning.
Role of APRN in Crisis - ANShe role of the PMH-APRN is to provide a framework of support
systems that guide the
client through the crisis and facilitate the development and use of positive coping skills.
Assess risk of homicide/suicide/self-injury
Assess coping skills
, Assess perception of problem and support mechanisms
Assess biologic items - sleep, eating, hygiene, etc
Assess psychological - emotions and coping
Asses social - individual, family, community. Social support
Disaster - ANSA disaster is a sudden ecological or man-made phenomenon that is of sufficient
magnitude to require external help to address the psychosocial needs as well as
the physical needs of the victims
MCI triage category: Expectant - ANSInjuries are extensive and chances of survival are unlikely
even with definitive care. Separate and provide comfort
Unresponsive patients with penetrating head wounds, high
spinal cord injuries, wounds involving multiple anatomical sites
and organs, 2nd/3rd degree burns in excess of 60% of body surface area, seizures or vomiting
within 24hr after radiation
exposure, profound shock with multiple injuries, agonal
respirations; no pulse, no BP, pupils fixed and dilated
MCI Category: Immediate - ANSInjuries are life-threatening but survivable with minimal
intervention. Individuals in this group can progress rapidly to expectant
if treatment is delayed.
Sucking chest wound, airway obstruction secondary to
mechanical cause, shock, hemothorax, tension pneumothorax,
asphyxia, unstable chest and abdominal wounds, incomplete
amputations, open fractures of long bones, and 2nd/3rd degree
burns of 15%-40% total body surface area
MCI Category: Delayed - ANSInjuries are significant and require medical care but can wait
hours without threat to life or limb. Individuals in this group receive
treatment only after immediate casualties are treated.
Stable abdominal wounds without evidence of significant
hemorrhage; soft tissue injuries; maxillofacial wounds without
airway compromise; vascular injuries with adequate collateral
circulation; genitourinary tract disruption; fractures requiring
open reduction, débridement, and external fixation; most eye
and CNS injuries
MCI Category: Minimal - ANSInjuries are minor and treatment can be delayed hours to days.
