Jarvis vocab 1,2,3,8

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Jarvis vocab 1,2,3,8
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Jarvis vocab
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notecards about patient care from the Jarvis book.
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  1. What person says about himself/herself during history
    taking
    Subjective data
  2. What u as a health professional observe by inspecting,
    percussing, palpating, and ausculating during physical exam
    Objective data
  3. Its made up of 6 phases: assessment, diagnosis,
    outcome identification, planning, implementation, evaluation. It’s a dynamic
    interactive process used in todays clinical setting u have to be able to move
    back and forth through these steps
    Nursing process
  4. Systematic approach to practice that emphasized the
    use of best evidence in combination with the clinicians experience as well as
    patient preferences and values to make decisions about care and treatment.
    Evidence based practice
  5. Is the process of analyzing health data and drawing
    conclusions to identify diagnosis
    Diagnostic reasoning
  6. Guidelines to prevention emphasize link between health
    and personal behavior. Health as absence of disease, health and disease are
    opposite extremes on linear continuum, disease is caused by specific agents or
    pathogens, a natural progression to health promotion and disease prevention
    rounds out our concept of health.
    Biomedical model
  7. Guidelines to prevention emphasize the link between
    health and personal behavior. Prevention can be achieved primarily through
    counseling from care providers designed to change people’s unhealthy behaviors
    related to smoking, alcohol, poor nutrition, other drug use, lack of exercise.
    Disease prevention
  8. Well person opinions are inconsistent about assessment
    intervals. Advocates justify well person visits to the doctor just because of
    some recommended preventative services and reduction of patient worry.
    wellness
  9. The method from novice to becoming an expert
    practicioner is through the use of critical thinking. During your career you
    will need to sort through vast amounts of data and info in order to make the
    sound judgements to manage patient care. Being able to do this well is critical
    thinking.
    Critical thinking
  10. 1.identifying assumptions, 2. Identifying an organized
    and comprehensive approach, 3. Validation, 4. Distinguishing normal from
    abnormal, 5. Making inferences, 6. Clustering related clues, 7. Distinguisjing
    relevant from irrelevant, 8. Recognizing inconsistencies, 9. Identifying
    patterns, 10. Identifying missing info, 11. Promoting health, 12. Diagnosing
    actual and potential problems
    Critical thinking process
  11. Being aware when people with limited English
    proficiency seek health care in healthcare settings such as hospitals, nursing
    homes, clinics, day care centers, mental health care centers, services cannot
    be denied because of their lack of English. Providing a translator or language
    assisstence is appropriate.
    Linguistic competence
  12. Implies that the caregivers attend to the total
    context of immigration status, stress factors, and cultural similarities and
    differences of the patient.
    Cultural competence
  13. It is the provision of healthcare across cultural
    boundaries and takes into account the context in which the patient lives as
    well as the situations in which the patient’s health problems arise.
    Cultural care nursing
  14. Culture is that of the thoughts, communications,
    actions, values, and institutions of racial, ethnic, religious, or social
    groups.
    culture
  15. Pertains to a social group within the social system
    that claims to posses variable traits such as common geographic orgin,
    migratory status, religion, race, language, shared traditions, values, or
    symbols and food preferances.
    ethnicity
  16. When people have a condition that is culturally
    defined. People of one group that are more likely to get a certain disease etc…
    Culture bound syndrom
  17. The process of being raised within a culture and
    acquiring the characteristics of that group.
    socialization
  18. Refers to an organized system of beliefs concerning
    the cause, nature, and purpose of the universe. Especially the belief in or
    worship of God or Gods.
    religion
  19. Attempt to study the degree to which a person’s
    lifestyle reflects his or her traditional heritage.
    Heritage consistency
  20. People from most traditional heritages tend to use
    traditional healers from their own background. A folk healer is an
    unlicensed person who practices the art of healing using traditional practices, herbal
    remedies
    and even the power of suggestion. A folk healer may be a
    highly trained person who pursues his specialties, learning by study,
    observation and imitation.
    Folk healers
  21. When people with limited English proficiency seek
    health care in health care settings service cannot be denied to them.
    Title of the civil rights act of 1984
  22. Ask for specific information, they elicit short or one
    word answers such as yes or no.
    Closed or direct questions
  23. Ask for specific information, they elicit short or one
    word answers such as yes or no.
    Closed or direct questions
  24. These responses encourage the patient to say more to
    continue with the story ex mm-hmm, go on, these responses show the person you
    are interested and will listen further.
    facilitation
  25. Ethnocentrism is the tendency to believe that one's ethnic or
    cultural group is centrally important, and that all other groups are measured
    in relation to one's own. The ethnocentric individual will judge other groups
    relative to his or her own particular ethnic group or culture, especially with
    concern to language,
    behavior, customs, and religion.
    ethnocentrism
  26. A personal and/or cultural value is an absolute or relative ethical value, the assumption
    of which can be the basis for ethical action. A value
    system
    is a set of consistent values
    and measures. A principle value is a foundation upon which
    other values and measures of integrity are based.
    value
  27. Direct computer recording of the patient health
    record. Eliminates hand-written clinical data.
    Electric health recording (EHR)
  28. Use this when the person’s word choice is ambiguous or
    confusing. Clarification is also used to summarize the person’s words and make
    them clear. You are asking for agreement on ur understanding of the patient’s
    complaint the patient can either confirm or deny it.
    clarification
  29. The frame of reference shifts from the patients
    perspective to yours/ these responses now include your own thoughts and
    feelings. Ex: you look sad when u mention ur mom passing away/ or you cringe
    when I touch ur arm.
    confrontation
  30. Viewing the world from the other person’s inner frame
    of reference while remaining yourself. Recognizing and accepting the other
    person’s feelings without criticism.
    empathy
  31. With these statements you inform the patient/ you
    share factual and objective info with them/ Ex: your dinner comes at 5:30 or
    the reason you cannot eat or drink before your blood test is it will ruin the
    results.
    explanation
  32. It’s based on our inference or conclusion/ it links
    events, makes associations, or implies cause/ ex: it seems like every time you
    have that stomach pain you have some sort of stress in your life.
    interpretation
  33. It is the use of impersonal language to put space
    between a threat and the self. Ex: there is a lump in the left breast/ instead
    of using lump in my left breast you say the left breast to distance yourself
    from the problem.
    distancing
  34. Using big medical words the the patient may not
    understand/ use of jargon sounds exclusionary and paternalistic/ you need to
    adjust your vocab to the person but avoid sounding condescending.
    jargon
  35. Asking a patient questions that make one answer sound
    better then the other. For Ex: asking a man you don’t smoke do you? You are
    implying that smoking is bad and if he smokes he is bad. The man feels the need
    to give you the right answer or guilty if he gives you the wrong answer.
    Leading questions
  36. Think of yourself as a mirror reflecting the person’s
    words or feelings. This helps the person elaborate on the problem. So you might
    repeat certain significant details from the patient or reassure them.
    reflection
  37. Asks for narrative information/ it states the topic to
    be discussed but only in general terms/ use it to begin the interview and to
    introduce a new section of questions/ use it also whenever the person
    introduces a new topic/ Ex: tell me how can I help you? You mentioned shortness
    of breath, tell me more about that?
    Open ended question








  38. Keep the beginning
    short/ address the patient his/her surname shake hands if possible/ introduce
    urself state your role in the agency/ give the reason for the interview/ ask
    open-ended questions/ let patient discuss their concern early/ the purpose of
    the interview is to gather as much info as possible.


    interview
  39. Session should end gracefully/ abrupt or awkward
    closing can destroy rapport and leave person with a negative impression of the
    whole interview/ Ex: Is there anything else you would like to mention?
    Closing interview
  40. The number of vibrations per second/ more rapid the
    vibrations produce a high-pitched tone.
    pitch
  41. Difference due to a sounds distinctive overtones.
    Variations within a soundwave produce overtones.
    quality
  42. Funnels light into the ear canal and onto the tympanic
    membrane.
    otoscope
  43. Illuminates the internal eye structures. It allows you
    to look through the pupil at the fundus (background) of the eye.
    opthalmoscope
  44. An infection acquired during
    hospitalization/ an infection you get during a hospital stay.
    Nosocomial infection
  45. An ad hoc interpreter is and
    untrained person who is called upon to interpret, such as a family member
    interpreting for her parents, a bilingual staff member pulled away from other
    duties to interpret, a self-declared bilingual in a hospital waiting-room who
    volunteers to interpret, or an advanced language student.
    Ad hoc interpreter
  46. manner of communicating to older people using a slow rate of speaking, simplified syntax, vocabulary restrictions, and exaggerated prosody on the assumption
    that their age makes them cognitively impaired
    elderspeak

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