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Intro to Surg Chapter 3

Chapter 3 ~ Intro to Surg Enviro.
STUDY
PLAY
Maslow's Hierarchy of Needs
establishes a means of prioritizing needs effective for basic understanding of individuals and for quick recognition of patient concerns
Maslow's Hierarchy of Needs
a model developed by Maslow that expresses human development and progression using developmental stages that prioritize needs
Patient
the person receiving medical treatment
Physical Need
any need or activity related to genetics, physiology, or anatomy
Psychological Need
any need or activity related to one's identification and understanding of oneself
Psychological Need
a mental requirement or necessity for fulfillment as a person
Social Need
any need or activity related to one's identification or interaction with another individual or group
Social Need
a need to fit into society and to be accepted by one's peers
Spiritual Need
any need or activity related to the identification and understanding of one's place in an organized universe (expressions may involve theology, philosphy, mythology, and intuition
Spiritual Need
a need for a connection with a higher order
Roy Adaptation model
views the patient as a biopsychosocial individual that is constantly interacting with the environment with the ability to adapt by using coping skills in dealing with internal and external stressors - interprets the environment as all conditions, circumstances, and influences that surround and affect the development and behavior of the person
Distress
type of stress that has negative implications
Eustress
term for the positive, desirable form of stress
Factors of Stress
- type and nature of the illness, trauma, or disease
- severity of the illness, trauma, or disease
- patient's previous experiences with illness, trauma, or disease
- age of patient
- evironmental differences
- family role
- economic factors
- religious beliefs
Common types of Coping Mechanisms
- Denial
- Rationalization
- Regression
- repression
Three Accepted definitions of Death
1) Cardiac
2) Higher brain death
3) Whole-brain death
Cardiac Death
irreversible loss of cardiac and respiratory function. The permanent loss of heartbeat and respiration
Higher Brain Death
irreversible l oss of higher brain function. Lower brain stem continues to provide respiration, blood pressure, and a heartbeat without the assistance of a respirator
Whole-Brain Death
irreversible loss of all functions of the entire brain. Flat EEG, unresponsiveness, lack of pupil relexes, and low body temp
Stages of Grief
1 - Denial
2 - Anger
3 - Bargaining
4 - Depression
5 - Acceptance
General Categories of Death
- accidental
- terminal
- prolonged (chronic)
- sudden
Palliative Procedures
intended to provide the patient with symptom relief, the avoidabce if symptoms, or relieft from conditions secondary to the progressive local disease
Life Support
refers to a set of therapies that preserve a patient's life when body systems are not functioning sufficiently to sustaing life
Euthanasia
"Good Death"
Two catergories of Euthanasia
1 - Passive
2 - Active
Passive Euthanasia
when the physician does nothing to preserve life
Active Euthanasia
requires actions that speed the process of dying.
Advance Directives
general term that refers to one of two legal documents used to speak for the patient in the event that they cannot make decisions for themselves.
Living Will
allows the patient to state in writing to endure to sustain life.
Power of Attorney
legal way to appoint a health care proxy who will make medical decisions for the patientin the event that he or she cannot do so
DNR/DNI
Do Not Resuscitate / Do Not Intubate