Chapter 22: Assessing Health Status
Data Collection and Assessment
- Continual process for assessing the pts condition and progress
- Assess lung sounds, identify abnormal heart sounds, determine when something is wrong in
abdomen, monitor circulatory sta
Running head: ROYS ADAPTATION MODEL WOMEN COPING WITH MENOPAUSE
Application of Roys Adaptation Model when caring for a group of Women coping with
Application of Roys Adaptation Model when caring for a group o
Definition: Stretching or tearing of muscle or tendon.
Etiology: An acute strain occurs when a muscle becomes pulled often occur in the
following ways: Slipping on ice, Running, jumping or throwing, Lifting a heavy object or lifting
Definition: Inflammatory arthritis characterized by the deposition of urate crystals in the
joints and other body tissues
Etiology: More prevalent in men in their 40s and 50s. Most cases are unknown, but genetic
and environmental factors co
Disorder: Rheumatoid Arthritis
Definition: A chronic, progressive inflammatory disease. Systemic disorder. Most notable
effect of RA is on diarthroses (synovial joints).
Etiology: Peak onset in people 30-60 yrs. and is more common in women than in men. No
Disorder: Knee Replacement
Definition: Total knee arthroplasty is a surgical procedure in which parts of the knee joint
are replaced with artificial parts (prostheses). A normal knee functions as a hinge joint
between the upper leg bone (femur) and the lo
Definition: Injuries to ligaments.
Etiology: Stretched during a sudden pull. The ligaments at the side of the ankle are the ones
most commonly sprained.
S/S: Pain, Swelling, Bruising, Limited ability to move the affected joint, At the ti
Definition: Deterioration of the articular cartilage. Shock absorbing protection is gradually
lost. New bone growth is stimulated by exposed bone surfaces, causing bone spurs to
develop. Even though its classified as a non inflamm
Disorder: Hip Replacement
Definition: Hip joint is replaced by a prosthetic implant. Hip replacement surgery can be
performed as a total replacement or a hemi (half) replacement. Such joint replacement
orthopedic surgery is generally conducted to relieve
Definition: Bones become brittle and weak because bone absorption exceeds bone
Trabecular bone loss occurs first. Cortical bone loss begins later in life, but begins earlier and
faster in women.
Etiology: Risk fa
Case Study: Guillain-Barre Syndrome
Romi Sher PNS Block 2
McFatter Technical College
July 7, 2016
N.I. is 57 year old female with a medical history of Guillain-Barre Syndrome and came to
live at Memorial Manor because that was where her mother
Definition: IOP is (norm is 10-20mm Hg) b/c of interference with aqueous humor flow.
Excess pressure damages back of eye. Impairs blood flow to optic nerve and retina visual
impairment. Peripheral vision is lost first, then vi
Definition: Stye. Sudden onset localized swelling of eyelid. An acute staph infection of the
eyelid at the lash follicle.
Etiology: Staph infections. Untreated blepharitis (inflammation of hair follicles along eyelid
Definition: Infection of the bone. Complication of fracture.
Etiology: Contamination of open wound assoc with fracture. Contamination on indwelling
hardware used to repair broken bone. Through the blood from a distant infe
Disorder: Bone tumor and Amputation
Definition: Very large and invasive tumors lead to need for amputation and disarticulation
of entire limb.
Etiology: Primary bone tumors occur most frequently in adolescents (1/3 are 11-20 yrs old).
Definition: Distention of the renal pelvis and calices of the kidneys caused by an obstruction
of normal urine flow. The urine becomes trapped proximal to the obstruction.
Etiology: calculi, tumors, scar tissue, ureter obstruction
Definition: Immunologic disease that is characterized by inflammation of the capillary loops
in the glomeruli.
Etiology: Respiratory tract infection caused by group A-negative hemolytic streptococcus.
An antigen-antibody react
Definition: Inflammation of the urethra.
Etiology: Microorganisms, trauma, hypersensitivity to chemicals in vaginal deodorants,
spermicidal jellies, or bubble bath detergents. The causative microorganisms are
Definition: Inflammation of the urinary bladder.
Interstitial cystitis is usually chronic inflammation. Chronic inflammation causes bladder to
become stiff and scarred which reduces its capacity.
Etiology: Bacterial contamination, immob
Definition: Inflammation of the renal pelvis. May affect one or both kidneys. Chronic
pyelonephritis may be persistent or recurrent and result in damage to the renal parenchyma
(functional tissue) It most often is the result of. P
Disorder: Breast cancer
Definition: Most prevalent form of cancer in American women. 3 major types: ductal,
lobular, and nipple.
Highest incidence among Caucasian, non-Latino women. African Am women are most likely to
die from it.
Stage 1: tumor
Saunders page 746
Disorder: Renal cancer
Definition: 80% are adenocarcinomas. Malignancies metastasize to liver, lung, long bones,
and other kidney.
Etiology: Men 50-70 yrs old. African Am, American Indians, and Alaska natives are at higher
Saunders page 727
Disorder: Acute Kidney Injury (Kidney failure)
Definition: Rapid loss of kidney fct from renal cell damage. Rapid onset (1-7 days). May be
Initial: 1-3 days. BUN and serum creatinine. Normal or urine output.
Disorder: Renal Calculi
Definition: Urolithiasis. Stones that form anywhere in the urinary tract- most frequent site
is the kidneys. Most common in Caucasian men and may be recurring. Most calculi form in
the kidney (nephrolithiasis) and travel t
Disorder: Bladder Cancer
Definition: Most common malignancy of urinary tract. Ureteral orifices and bladder neck
are most common sites.
Etiology: Occurs mostly in men aged 60-70. Tar in cigarette smoke, aniline dyes, tryptophan,
exposure to chemi
Disorder: Carpal Tunnel
Definition: Median nerve in the wrist becomes compressed, causing pain and numbness.
Etiology: Pressure on median nerve as it passes through structures of the wrist. People who do
repetitive wrist movements such as typing are at ri
By: Romi Sher
Period of life beginning with appearance of secondary sex
characteristics and ending with cessation of growth and
with emotional maturity.
Establishing an identity
Disorder: Emphysema (COPD)
Definition: Degenerative, nonreversible disease characterized by enlargement of the
airways beyond the terminal bronchioles.
2 types: centriacinar and panacinar
Assoc with cigarette smoking and a
Disorder: Pulmonary embolism (PE)
Definition: An embolus that travels to the lungs
Etiology: Arises from thrombi that originate in the deep venous system of the lower
extremities; they rarely originate in the pelvic, renal, upper extremity veins, or the R
Disorder: Acute Bronchitis
Definition: common condition that may follow a viral infection such as a cold or influenza.
Etiology: usually viral in origin but bacterial causes such as streptococcus pneumonia or
S/S: fever, co
Used to Treat:
Used to Treat:
Opioid Analgesic. Opioid agonist
Binds to opiate receptors in the CNS. in severity of pain
Moderate or s
(Bactericidal) inhibits bacterial synthesis of folic acid resulting in cell death
(gram and +) UTIs, otitis media, staph, shigella, E coli, travelers diarrhea, strep,
Used if a
Used to Treat:
(fungistatic) Inhibits synthesis of fungal sterols (component of the cell membrane). May
be fungicidal in higher concentrations.
Oropharyngeal or esophageal candidiasis, Serious sy
Used to Treat:
None assigned. Natural/herbal product
Therapeutic effects are produced by glycosides isolated from the fresh or dried rhizome
with attached roots. Mechanism of action is unclear. Has no effect on vagin