I EXAM 1 | COMPREHENSIVE NURSING
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,FLACC pain scale F:face
L:legs
A:activity
C:cry
C:consolability
Things to know about pain assessment PQRST
If treatment works
It's subjective
Ginko Biloba Depression and memory (dementia)
Ginseng fatigue and depression
Echinacea common cold
Goldenseal Stimulates immune system and bile secretion
Chamomile calming and soothing properties.
Melatonin sleep
When dealing with maslow hierarchy of needs, what is ABCs!!
done first?
Maslow Hierarchy of needs Self-Actulaization, Esteem, Safety & Security, Love & Belonging, & physiological
SelfActualization Met when the person reaches maximum potential and acts in an unselfish manner.
Examples of self actualization (e.g., extent to which goals are achieved, role performance, Personal growth,
reaching one's highest potential)
Catholic End-of-Life indviduals may be brought to hospitalized patients by a priest, deacon, or designated lay Eucharis-
tic minister
A Roman Catholic who is seriously ill might wish to receive the sacrament of anointing the sick. (last rites)
Last Rites Anointing of the Sick (Catholic)
Mormons follow a strict health code, known as the Word of Wisdom
,Word of Wisdom (Mormon Culture) advises healthful living and pro- hibits the use of tea, coffee, alcohol, and
tobacco
Mormons believe in life before and after death; thus, death repre- sents the passage into another life
phrase
(Mormon) Nurses may remove garments before surgery, but it must at all times be considered intensely private and be
treated with respect
Mormons wear garments at all times except for hygiene, elimination, or being intimate in marriage
Nursing Interventions to achieve self actualization Provide art supplies
Esteem Met when a person feels a sense of accomplishment and are recognized by
others for that achievement.
Esteem tier consists of? (Maslow Hierarchy of needs) 1. Feeling of accomplishment
2. Body image
3. Pride in achievements
4. Admiration from others
Self-Actualization tier consists of? (Maslow Hierarchy of 1. Achieving one's full potential
needs) 2. Extent to which goals are achieved
3. Role performance
Nursing Interventions to achieve esteem Facilitating visits from loved ones
Safety and security freedom from physical harm and feelings of fear and anxiety.
, Safety and security tier consists of? (Maslow Hierarchy of 1. Protection from physical harm
needs) 2. Adequate shelter
3. Freedom from fear and anxiety
4. Safe from falls
5. Treatment
6. Side effects
7. The need for psychological security
Physiological tier consists of (Maslow Hierarchy of needs) -Air-Food
- Nutrition
-Water
- Temperature regulation
- Elimination
-Rest
- Sleep effects
-Sex
- Physical Activity
- mobility assessment
- Blood flow (perfusion) is necessary to meet other basic needs
Nursing Interventions to achieve safety and security Prevent falls & Communicating concerns
Love and belonging needs are met when the person seeks personal relationships with others.
Love/Belonging tier consists of? (Maslow Hierarchy of 1. Intimate relationship
needs) 2. Friends
3. Social supports
Nursing Interventions to achieve love & belonging Referring a patient to a support group
Physiological needs are essential for maintenance of life
Examples of physiological needs (e.g., oxygen, water, food, air, water, shelter, sleep and rest, elimination, activity,
temperature regulation)
Nursing Interventions to achieve physiological needs 1. Helping patient to eat dinner
2.Changing a patients oxygen tank
3.Ensure patient is getting enough rest
Basic physiological needs (needs that are essential for Air, Food (Nutrition), water, temp regulation, elimination, rest (sleep effects), sex,
the maintenance of life) physical activity (mobility assessment), blood flow (perfusion) is necessary to
meet other basic needs