Download Chronic Midterm Winter | NURS - Nursing and more Quizzes Nursing in PDF only on Docsity!
Disease vs Illness
Disease refers to biomedical aspects. Illness refers to living with the disease and its symptoms and the impact on everyday life TERM 2
Chronic disease (condition)
DEFINITION 2 Any condition that requires ongoing adjustments by the affected person and interactions with the health care system. TERM 3
How many people are affected with 1+
chronic conditions in the US
DEFINITION 3 133 million, 1/2 the population TERM 4
Chronic Illness Characteristics
DEFINITION 4 Uncertain etiologyLong latency periodImpacts multiple aspects of daily lifeProlonged courseUsually not contagiousCould be "invisible"There may be functional impairment of disability TERM 5
Risk factors for chronic illness
DEFINITION 5 agelifestylegeneticsenvironmentoccupation
Physical chronic illness
examples
cystic fibrosisrheumatoid arthritisfibromyalgiaHIV/AIDSCancerCOPD TERM 7
Chronic mental conditions
examples
DEFINITION 7 Anxietydepressionbipolar disorderschizophreniaOCDADHD/ADD TERM 8
Co-morbidity
DEFINITION 8 Having 1+ chronic diseases in addition to s primary chronic illness TERM 9
acute illness vs chronic
DEFINITION 9 acute: sudden onset, signs and symptoms related to the disease process, time limited, outcome either recovery or death.Chronic: indefinite, becomes a part of the person's identity, exacerbation and remission pattern, contant balance between care regimens and quality of life TERM 10
chronic illness trajectory
DEFINITION 10 defined as a course of illness that is shaped by the actions of patients, families, and providers. Predictability of course varies. Symptoms wax and wane. Outcomes less certain
social well being
financial burden- job loss, cost of care, job change, decreased oppurtunitiescaregiver burden, roles and relationships, isolation, stigma, decreased participation, affection, sexual function, appearance TERM 17
psychological impact of chronic illness
DEFINITION 17 depression, anxiety, loss of self-esteem, body image, grieving, frustration TERM 18
developmental factors of chronic illness
DEFINITION 18 impact on normal growth, impact on age-appropriate activity, self-image, socialization needs, prolonged independence TERM 19
dementia
DEFINITION 19 develops slowly and is characterized by multiple cognitive deficits from a previous level of functioning without impairment in consciousness. Includes memory impairment and one or more of the following cognitive disturbances: aphasia, apraxia, agnosia, disturbances in executive functioning TERM 20
primary dementia
DEFINITION 20 progressive and irreversible. Accounts for most (80%+) of dementia cases.
60%+ of primary dementias are:
Alzheimer's Disease type (AD) TERM 22
6th leading cause of death in USA
DEFINITION 22 AD TERM 23
types of primary dementia
DEFINITION 23 alzheimer's diseasevascular dementialewy body diseaseparkinson's diseasehuntington's choreacreutzfeldt- jakob disease TERM 24
secondary dementia
DEFINITION 24 often reversible and secondary to another disease TERM 25
secondary dementia types
DEFINITION 25 AIDS relatedviral encephalitispernicious anemiafolic acid deficiencyhypothyroidismthiamine deficiency relatedtoxin exposure
tangles
dead and dying nerve cells contain tangles, made up of twisted strands of another protein TERM 32
10 warning signs of AD
DEFINITION 32 memory loss that effects daily lifechallenges in planning and solvingdifficulty completeing familiar taskconfusion with time or placetrouble understanding visual images and spatial relationshipsnew problems with words in speaking or writingmisplacing thins and losing the ability to retrace stepsdecreased or poor judgementwithdrawal from work or social activiteschanges in mood and personality TERM 33
stage 1 AD
DEFINITION 33 Mildshort term memory lossaware of deficits, depression common TERM 34
stage 2 AD
DEFINITION 34 progressive memory lossdecline in executive functional abilitiesdenial, depression commonproblems intensified when out of familiar environment TERM 35
stage 3 AD
DEFINITION 35 ADL lossesreasoning, safety planning, verbal communication lossesinstitutionalization may be needed
stage 4 AD
family and self recognition disappearsforgets hot to chew, eat, swallowadverse effects of immobilityincontinentmay develop seizures TERM 37
in early stages of AD, person may
compensate for memory loss through
DEFINITION 37 denialconfabulationperservationavoidance of answering questions TERM 38
symptoms/behaviors that patients with AD
will exhibit at one point in the disease
DEFINITION 38 agitationaggressionconfusiondepressionhallucinationssuspicionsl issues and sundowningrepetitionwandering TERM 39
delirium
DEFINITION 39 disturbance ofconsciousnesswith impaired attention and disorganized thinking or perceptual disturbances TERM 40
delirium syndrome causes
DEFINITION 40 surgerydrugsUTI or pneumoniaCVACHFchildren with feverterminally ill
EMTALA
emergency medical treatment and active labor act TERM 47
living will
DEFINITION 47 protects rights to refuse medical treatment you do not want, or to request treatment you do not want, in the event that you lose the ability to make decisions yourself TERM 48
durable power of
attorney
DEFINITION 48 lets you name someone to make decisions about your medical care if you can no longer make decisions for yourself TERM 49
POLST vs Advanced Directive
DEFINITION 49 POLST: any age with chronic illness, medical orders for current treatment,AD: over 18yo, future treatment TERM 50
mandatory reporting:
DEFINITION 50 communicable diseases, abuse or neglect of vulnerable population, impaired nurses
