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What is tertiary health care services?
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Rehabilitation & restoration, support groupd, and community rehab centers
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What is tertiary prevention?
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Referrals to support groups, physical therapy, pre-op, hospice, eduction or presention of complications from treatment, and reheb cneters
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What are the purposes of the physical examination?
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For baseline data, To supplement, confirm or refute data obtained in the nursing history,
To obtain data that will help diagnose the patient and set up a care plan
To evaluate the progress of the client's health care
To make clinical judgments about a clients health status
To identify areas to educate the patient about health promotion and disease prevention
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What are some preparations to be taken prior to the physical assessment?
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* Prepare the environment
* Gather supplies
* Patient in proper dress and only expose area you are currently assessing
* Patient privacy
* comfortable during entire assessment
* compelte in timely manner
* patient can be sittinf on exam table for most of the exam...not to be in a uncomrtable positions for too long
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Secondary Health care services
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Largest segment of health care, diagnosis & treatment, and occurs in hospitals and physician offices.
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Give some examples of secondary prevention.
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All diagnostic testing, screenings: blood tests, scans, surgeries, medical procedures and teaching self exams
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What is primary prevention?
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* Education: nutrition, weight control, exercise, and stress reduction
* Indiviudal primary role in own health and wellness
* Family planning
* Wellness groups
* dental care
* immunizations
* risk assessments
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Give examples of primary health care.
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Health promotion, disease prevention, and maintaining a optimum level of helath and wellness.
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Examples of nursing
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* Educations
* Health promotion
* Maintenance
* Prevention
* Rehab
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6 elements of malpractice
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1) duty
2) breach of duty
3) foreseeability
4) causation
5) harm or inhury
6) damages
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3 required elements of informed consent
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1) consent must be voluntary
2) consent must be given by client w/capacity to understand
3) enough information to make the decision must be given
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6 nursing ethical issues
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1) Autonomy - right to choose
2) Non-maleficence - "do not harm"
3) Beneficence - promote well-being to other
4) Justice - concept of moral rightness based on ethics
5) Fidelity - being faithfully or loyal
6) Veracity - Truth/truthfulness
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Steps required for incident reporting
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1) All client information
2) incident date, time and location
3) describe facts of the incident not opinions
4) use client quotes
5) identify witness
6) identify eqipment and medications
7) Identify what was done and follow ups
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What are the 4 methods of physical examinations...in the proper order
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1) Inspections
2) Auscultation
3) Palpation
4) Percussion
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What nursing association fosters the high standard of professional nursing practice (no legal aspects involved)?
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ANA
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