Term
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Definition
| disruptive forces orperating within or on any system |
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Term
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Definition
| how people interpret the impact of the stressor on themselves, of what is happening, and what they are able to do about it. |
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Term
| 3 theoretical models of stress |
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Definition
1. stress as a stimulus
2. stress as a physical response
3. stress as transaction |
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Term
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Definition
| Hans& Ray developed the life event scale. change in a life situation stimulates a stress |
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Term
| Stress as a physcial response |
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Definition
| Hans Selye developed the gerneral adaptation syndrome. Body responds and compensates physcially in response to stress |
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Term
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Definition
| Lazarus states stress is a subjective experience. for stress to occur there is a dynamic relationship with a situation in the environment an individual and their coping abilites |
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Term
| General Adaptation syndrome |
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Definition
| Three stage reaction to stress. discribes how the body responds to stressors through the alarm reaction, resistance stage, and exhaustion stage. |
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Term
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Definition
| developed because of GAS. it is a hormone that act on the mind like morphine and opiates, produces a sense of well-being and reduce pain |
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Term
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Definition
| rising hormone levels result in increase blood volume, blood glucose levels. this change in body systems prepares an individual for fight or flight and last for 1 minute to many hours |
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Term
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Definition
| body stabilizes and responds in an opposite manner to the alarm stage. hormone levels, heart rate, blood pressure return to normal. and the body repairs any damage that has occured. |
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Term
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Definition
| occurs when the body is no longer able to resist the effect of the stressor and when the body has depleted the energy neccessary to maintain adaptation. |
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Term
| factors influencing the stress response |
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Definition
- magnitude
- meaning
- number of stressors
- developmental level
- social support
- previous experience
- gender
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Term
| adaptive responses to stress |
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Definition
- increased motivation
- increased decision making
- increased self control
- use of relaxation response
- use of support systems
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Term
maladaptive responses to stress
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Definition
- increased heart rate
- increased blood pressure
- depression
- smoking
- alcohol consumption
- change in weight
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Term
How stress gets expressed
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Definition
- anxiety
- fear
- hostility
- blaming others
- grief
- ego defense mechanisms
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Term
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Definition
1. situational
2. developmental |
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Term
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Definition
| external event, sudden and unexpected |
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Term
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Definition
happen because of maturational changes
ericksons stages provide a freamwork for understanding these. |
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Term
nursing care planning in relation to crisis: assessment
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Definition
- assess patients safety
- define the crisis problem
- solicit releveant history
- identify recent change sin patients behaviors
- recognize perosonal strengths
- identify social support
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Term
| Nursing care planning in relation to crisis: diagnosis |
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Definition
grieving
ineffective coping
anxiety
ineffective family coping |
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Term
| Nursing care planning in relation to crisis: planning |
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Definition
- done with everyone involved
- taking control,so include the patient in your planning
- venting feelings
- providing anticipatory guidance
- repeating information
- setting priorites
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Term
| intervention 3 step model |
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Definition
1. engaging the patient
2. exploring the problem
3. developing alternatives |
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Term
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Definition
| if patient feels supported and then the intensity of the crisis will decrease. use communication skills |
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Term
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Definition
| help the patient identify the critical elements. break the problem down, be truthful, let them know there emotions are normal |
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Term
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Definition
| which are realistic and goal directed toward resolutin of the emergency. will need follow up |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| asepsis, homeostasis, safe anesthesia |
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Term
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Definition
| prevention of complications |
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Term
| pre-operative phase: what all surgical patients have in common |
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Definition
- loss of control
- invasion of the body
- anestheasia
- fear
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Term
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Definition
- increased time on OR table
- large blood loss
- vital organs handled
- co-morbidities
- infected wounds
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Term
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Definition
- short time on table
- few or o morbidites
- out-patient furgery
- local versus general anesthesia
- no infection
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Term
| factors associated with surgical risk |
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Definition
- age
- nutriional status
- CV status
- respiratory staus
- medications
- renal status
- metabolic status
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Term
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Definition
| post anesthesia score must be this before being dischaged from PACU |
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Term
| Six W's to considter for fever |
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Definition
- wind: lung
- water: UTI, pyleonephritis
- walk: DVT, PE
- Wound: superfical infection
- Wonder drug: sulfonamides, PCN's
- Whole blood: transfusions of any blood product.
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Term
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Definition
| rare but consier strep infection, thyroid crisis, transfusion reaction |
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Term
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Definition
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Term
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Definition
could develop pheumonia, wound infection
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Term
| fever in more then 7 days |
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Definition
| could develop thrombophlebitis, DVT, anastamotic leak |
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Term
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Definition
| when are dressings usually removed after surgery? |
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Term
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Definition
| watery with decrease protein |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| combination of blood and water= pink |
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Term
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Definition
usually worn by obese patients with vertical abdominal incisions
should be worn most of the time and whenever patient sits up or ambulates
reduce the strain on the incision |
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Term
| factors influencing healing |
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Definition
1.age
2 nutritional status
3. circulation
4. diabetes
5. infection
6.previously irradiated area
7. compromised immue system |
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Term
Surgical incision complications
(Dehiscence) |
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Definition
- separtation of incision edges
- midline abdominal incision most prone
- if occrs take vital signs, call physician, may need special dressing changes.
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Term
Sugical incisions complicaitons
(Evisceration) |
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Definition
- is the protrusion of the abdominal contents out the incision
- usualy occurs POD 6-7
- cover the protruding coils with warm sterile saline dressing
- patient will return to surgery for closure.
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Term
surgical incision complications
(hemorrhage) |
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Definition
- inscision should not bleed post-op
- usually occurs within the first 48 hours
- thick bulky duressing can mask this
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Term
sugical incisions complications
(infection) |
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Definition
- first sign is an increased temperature
- wet dressing have an greater increase in this
- incision becomes red, painful and may open and drain
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Term
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Definition
| usually means infection so check lungs and incision |
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Term
| pain with nausea and vomiting |
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Definition
| usually means an anesthesia complicaiton or check the NG tube |
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Term
| Pain with fullness in lower abdomen |
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Definition
| usually means a paralytic ileus |
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Term
| pain with coldness or numbness |
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Definition
| means a circulatory problem |
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