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Chronic Midterm Winter | NURS - Nursing, Quizzes of Nursing

Class: NURS - Nursing; Subject: Nursing; University: Oregon Health & Science University; Term: Forever 1989;

Typology: Quizzes

2012/2013

Uploaded on 02/05/2013

lindseyann91
lindseyann91 🇺🇸

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TERM 1
Disease vs Illness
DEFINITION 1
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
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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