| Terms |
Definitions |
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hyperopia
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farsightedness
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CRIES
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crying
requires O2 for saturation >95%
increased vital signs
expression
sleepless
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pain
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highly complex and subjective experirence that originates from the CNS or PNS or both
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diaphragm
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used for high-pitched sounds
breath, bowel, normal heart murmurs
held FIRMLY to the the skin
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what tool is developed for postoperative pain in preterm and term neonates?
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CRIES
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nociceptors
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designed to detect painful sensation from the periphery and transmit them to the CNS
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which aperture of the ophthalmoscope is used to determine fixation pattern and to assess size/location of lesions on the fundus?
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grid
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how is neuropathic pain described?
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burning, shooting, tingling
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somatosensory areas
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areas that characterize the sensation of pain
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functional assessment
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measures a person's self-care ability in the areas of general physical health or absence of illness
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pleximeter
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the middle finger of the stationary hand
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what are the three types of transmission-based precautions?
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airborne
droplet
contact
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bell
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used for low pitched sounds
extra heart sound and murmurs
held LIGHTLY against the skin
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amplitude
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aka intensity
how loud or soft a sound is
↑ force = ↑ sound = ↑ of this percussion note
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women are 6 times more likely of having what disease?
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fibromyalgia
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substantia gelatinosa
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a specified area of the spinal cord
lamina II
receives sensory input from various areas of the body
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what are the different components of asking the patient, "what makes your pain better/worse"
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behavioral interventions
pharmacologic interventions
non-pharmacologic interventions
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objective data
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gathered from the physical exam and lab studies
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what is included in the self-esteem/self-concept part of the functional assessment?
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education
financial status
value-belief system
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the lens indicator
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part of the
ophthalmoscope head shows a number (diopter) that indicates the value of the lens in position
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otoscope
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funnels light into the ear canal and onto the tympanic membrane
five specula
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standard precautions
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intended for use with all patients regardless of their risk or presumed infection status
designed to reduce the risk of transmission of microorganisms from both recognized and unrecognized sources
apply to blood, all body fluids, secretions/excretions (except sweat), non-intact skin, and mucuous membranes
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what are the two methods of percussion?
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direct
indirect
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reflexive sympathetic dystrophy (RSD) or complex regional pain syndrome (CRPS)
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a chronic progressive nerve condition, characterized by burning pain, swelling, stiffness, and discoloration, of the affected extremity
affects both men and women 40-60 years old
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initial pain assessment
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clinician asks patient to answer 8 questions concerning location, duration, quality, intensity, and aggravating/reliving factors
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data base
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subjective data + objective data + lab studies
used to make a judgment or diagnosis about the health status of the person
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influence question (FICA)
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how does your religious faith or spirituality influence the way you think about your health or the way you care for yourself
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Eye-opener CAGE question
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do you drink in the morning? (eye-opener)
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bimanual palpation
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requires the use of both hands to envelop or capture certain body parts/organs
kidneys, uterus, adnexa
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chandelier sign
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elicited when placing a cold end piece on a warm chest
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brief pain inventory
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asks the patient to rate the pain within the past 24 hours using graduated scales (0-10) with respect to its impact on areas such as mood, walking ability, and sleep
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what are infants' and children's pain assessment dependent upon?
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behavioral and physiologic cues
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what can poorly controlled pain in infants lead to?
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poor weight gain
learning disabilities
psychiatric disorders
alcoholism
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what are the components of the OB history part of past health?
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gravidity
term
preterm
abortions (S or I)
living
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address question (FICA)
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would you like me to address any religious or spiritual issues with you?
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what are the two tiers of CDC precautions?
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standard precautions
transmission-based precautions
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numeric rating scales
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asks a patient to choose a number that rates a level of pain
0 = no pain // 10 = most pain
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what happens at 20 weeks gestation in infants?
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ascending fibers, neurotransmitters, and the cerebral cortex are developed and functioning to the extent that the fetus is capable of feeling pain
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community question (FICA)
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are you a part of any religious or spiritual community?
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what determines the loudness of the note when performing indirect percussion?
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the force of the blow
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what does the "periphery" include?
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the skin, as well as somatic and visceral structures
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1. A delta fibers
2. C fibers
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the two primary sensory fibers by which nociceptors carry the pain signal to the CNS
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what method of interview should be used with an adolescent when completing the health hx and why?
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the HEEADSSS method because it minimizes the stress → moves from expected and less threatening questions to those that are more personal
green = essential
blue = explore if time permits
red = delve in more deeply if the situation demands it
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what is the most accurate report of pain?
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the self report from the patient
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what does the complete health history include?
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Bigmama Reba Prefers Peanuts For Real Food
biographical data
reason for seeking care
present health or history of present illness
past history
family history
review of systems
functional assessment or ADLs
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what is the grasping action of the fingers and thumb during palpation used to asses?
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the position, shape, and consistency of an organ/mass
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what is the present health or history of present illness?
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for the well person: a short statement about general state of health
for the ill person: a chronological record of the reason for seeking care, from the time the symptoms first started until now
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