Infant (5 months)
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Birth weight doubled
Better at being able to sit
Takes in environment
Responds readily to sounds
Palmar grasp-grasps objects with whole hand
Infant (9 months)
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, May say one word in addition to "mama" & "dada"
Crawls or pulls whole body along floor
Creeps using hands & knees to keep trunk off floor
Recognizes sound w/o difficulty
What has the HIGHEST RATE of DEATH of ANY mental illness?
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Anorexia nervosa
Which 1 in 5 deaths is by suicide?
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Patients with anorexia
School age nutrition
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Nutritional needs increased with growth spurt
Help choose nutritious foods
Good dental care encouraged
Alcohol withdrawal/alcohol withdrawal syndrome signs/symptoms
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Illusion - based in realty, something is there, but you're misinterpreting it
Hallucination- is not real, does not exist
Ask her what she is seeing and that you are not seeing it.
Signs of anxiety, uncontrollable fear, tremors, irritability, agitation, insomnia,
and incontinence
Delirium tremens may be precipitated by acute injury or infection
(pneumonia, pancreatitis, hepatitis) and is the most severe form of alcohol
withdrawal syndrome- life threatening condition and carries a high
mortality rate if untreated
Addiction Assessment
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*History and physical exam across the lifespan
*Clinical Institute Withdrawal assessment for Alcohol (CIWA Scale)
*Labs: Urine drug and alcohol screenin
Normal pregnancy findings
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, -Gums become hyperemic, gingivitis, swollen, and friable and tend to
bleed easily, saliva is acidic, ptyalism (excessive salivation),
-Pyrosis (Heartburn)
-Nausea and Vomiting
-Striae gravidarum (stretch marks)
-Linea Nigra (Pigmented line from umbilicus to pubic area)
-Increased heart rate, cardiac output, blood volume, plasma volume,
anemia
-Gestation hypertension (increased blood pressure)
-Edema in legs in turn increases venous thrombosis
-Increased urination
-Diaphragmatic breathing
-Penguin waddle/swayback walk (Lordosis-curvature of back)
-Hyperpigmentation mainly seen on nipples, areola, umbilicus, perineum,
and axilla (generalized and mild)
-Hair loss and growing of nails (increased brittleness)
-Facial melasma (Mask of pregnancy- hyperpigmentation on face)
-Varicose veins (purple bluish veins) or even vascular spiders (appearance
of small blood vessels)
-Palmar erythema (pinkish area on palmar surface of hands)
Primary prevention of Addiction
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*Stress management
-Substances can be viewed as a coping mechanism for high stressors,
teach healthy coping mechanisms early then people fall back on those and
not substances
Infant (2 months)
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Give this one a try later!
Birth weight doubled
Better at being able to sit
Takes in environment
Responds readily to sounds
Palmar grasp-grasps objects with whole hand
Infant (9 months)
Give this one a try later!
, May say one word in addition to "mama" & "dada"
Crawls or pulls whole body along floor
Creeps using hands & knees to keep trunk off floor
Recognizes sound w/o difficulty
What has the HIGHEST RATE of DEATH of ANY mental illness?
Give this one a try later!
Anorexia nervosa
Which 1 in 5 deaths is by suicide?
Give this one a try later!
Patients with anorexia
School age nutrition
Give this one a try later!
Nutritional needs increased with growth spurt
Help choose nutritious foods
Good dental care encouraged
Alcohol withdrawal/alcohol withdrawal syndrome signs/symptoms
,Give this one a try later!
Illusion - based in realty, something is there, but you're misinterpreting it
Hallucination- is not real, does not exist
Ask her what she is seeing and that you are not seeing it.
Signs of anxiety, uncontrollable fear, tremors, irritability, agitation, insomnia,
and incontinence
Delirium tremens may be precipitated by acute injury or infection
(pneumonia, pancreatitis, hepatitis) and is the most severe form of alcohol
withdrawal syndrome- life threatening condition and carries a high
mortality rate if untreated
Addiction Assessment
Give this one a try later!
*History and physical exam across the lifespan
*Clinical Institute Withdrawal assessment for Alcohol (CIWA Scale)
*Labs: Urine drug and alcohol screenin
Normal pregnancy findings
Give this one a try later!
, -Gums become hyperemic, gingivitis, swollen, and friable and tend to
bleed easily, saliva is acidic, ptyalism (excessive salivation),
-Pyrosis (Heartburn)
-Nausea and Vomiting
-Striae gravidarum (stretch marks)
-Linea Nigra (Pigmented line from umbilicus to pubic area)
-Increased heart rate, cardiac output, blood volume, plasma volume,
anemia
-Gestation hypertension (increased blood pressure)
-Edema in legs in turn increases venous thrombosis
-Increased urination
-Diaphragmatic breathing
-Penguin waddle/swayback walk (Lordosis-curvature of back)
-Hyperpigmentation mainly seen on nipples, areola, umbilicus, perineum,
and axilla (generalized and mild)
-Hair loss and growing of nails (increased brittleness)
-Facial melasma (Mask of pregnancy- hyperpigmentation on face)
-Varicose veins (purple bluish veins) or even vascular spiders (appearance
of small blood vessels)
-Palmar erythema (pinkish area on palmar surface of hands)
Primary prevention of Addiction
Give this one a try later!
*Stress management
-Substances can be viewed as a coping mechanism for high stressors,
teach healthy coping mechanisms early then people fall back on those and
not substances
Infant (2 months)
Give this one a try later!
