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Unit Three: Community Health Nursing

Terms in this set (25)

Role of the Nurse: Non-Mass-Casualty Situation
Triage -The nurse prioritizes client care so that clients who have conditions of the highest acuity are evaluated and treated first.
Non-Mass-Casualty: Nonurgent:
minor injuries that DON'T require immediate treatment; slightly injuried
Non-Mass-Casualty: Urgent
major injuries that require immediate treatment
Non-Mass-Casualty: Emergent:
immediate threat to life; critically injured
Role of the Nurse: Mass Casualty Disaster Triage
-The field and emergency services are presented with a number of casualties and are unable to treat everyone. Staff must provide the greatest good for the greatest numbers
Mass Casualty: Emergent or Class I (Red Tag):
immediate threat to life; do not delay treatment
Mass Casualty: Urgent or Class II (Yellow Tag):
major injuries that require treatment; can delay treatment 1-2 hours
Mass Casualty: Nonurgent or Class III (Green Tag):
minor injuries that do not require immediate treatment, can delay treatment 2-4 hours
Mass Casualty: Expectant or Class IV (Black Tag):
expected and allowed to die; prepare for morgue
Tag -> Airway obstruction
Red
Tag -> "Walking Wounded"
Green
Tag -> Requires Immediate Attention
Red
Tag -> Closed Fracture
Green
Tag -> Shock
Red
Tag -> Expected and allowed to die
Black
Tag -> Contusions
Green
Tag -> Profound Hemorrhage
Black
Tag -> Treatment Within 30 min-2 Hours
Yellow
Tag -> Cardiac Arrest
Black
Tag -> Open Fracture
Yellow
Tag -> Treatment can be delayed more than 2 hours
Green
African Americans
-Church/Religion is very important
-Mental illness may be viewed as a lack of spiritual balance
-Deceased are respected -Organ donation is rare
-Cremation is AVOIDED -Eye contact is GOOD
-Touching/Hugging is ok -Women is head of the household
-Health Risks: hypertension, coronary artery disease, sickle-cell anemia, diabetes mellitus, protate/breast/colorectal cancer, renal disease
Asian Americans
-Buddhism, Christianity, and Hindu
-Illness is caused by imbalance of Ying and Yang
-External influences block vital energy "Chi"
-Breastfeeding is normal
-Eats a special diet after giving birth
-Organ donation/autopsy uncommon
-Certain foods are "hot/yang" or "cold/yin"
-Avoid Eyecontact
-Physical touching is not typical "head is sacred"
-Health Risks: hypertension, stomach, cervical, liver cancer, osteoporosis, thalassemia anemia, tuberculosis
Hispanic
-Very religious -Catholic/Christian
-Health is controlled by fate, environment, and God
-Breastfeed -Mother eats special diet -Circumcision is rare
-Organ donation/autopsy is discouraged
-Avoid direct eye contact
-Handshaking is considered polite
-Soup and herbal teas may be thought to speed healing process
-Siesta is a traditional period of rest after the midday meal
-Health Risks: Diabetes mellitus, childhood obesity, hypertension, Vitamin B12 deficiency anemia
Native Americans
-Belief in the Creator, sacred myths and legends provide spiritual guidance
-No circumcision
-Organ donation is usually not desired or autopsy
-AVOID eye contact
-rushing is considered rude and disrespecful
-keep a respecful distance
-Medicine man -Medicine bag is leather pouch is sacred
-Health Risks: Alcohol use disorder, gallbladder disease, diabetes mellitus, coronary artery disease, tuberculosis, maternal-infant mortality, obesity, hypertension
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