FOUNDATION OF RESPIRATORY CARE – Flashcards
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American Association for Respiratory Care, ithe professional oganization for the field
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AARC
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(COMMITTEE ON ACCREDITATION OF RESPIRATORY CARE PROGRAMS) an organization that provides accreditation for respiratory care with various add-on tracks. Set the educational standards. Crt , rrt etc
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CoARC
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(diagnosis-related group) statistical system of classifying any inpatient stay into groups for the purposes of payment.
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DRG
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payment model where services are unbundled and paid for separately.
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FEE-FOR-SERVICE
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(Fellowship of the American Association for Respiratory Care) prestigious designation awarded to health care professionals who have gone above and beyond in some aspect of RC profession.
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FAARC
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FRIENDLY ASSOCIATION ESP. PEOPLE WHO SHARES SAME INTEREST
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fellowship
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legal or ethical relationship of trust between two or more parties.
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fiduciary relationship
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A MEDICAL GUIDELINE OF document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare.
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HEALTH CARE PROTOCOLS
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A type of INSURANCE in which the CARRIER is responible for the financing & delivery of health care.
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MANAGED CARE
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A health care payment program sponsored by federal & state governments
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MEDICAID
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A federal health-insurance program that covers U.S. residents over the age of sixty-five. The costs are met by a tax on wages and salaries.
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MEDICARE
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National Board for Respiratory Care (organization responsible for the respiratory credentialing examinations)
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NBRC
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OUTCOME-ORIENTED ESSENTIALS
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former theory of combustion (disproved by Lavoisier) where flammable compounds were supposed to contain a substance released when they burned
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PHLOGISTON THEORY
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a medical research facility in Bristol, England, in 1799-1802. It was established by physician and science writer Thomas Beddoes to study the medical effects of the gases that had recently been discovered. • 1798 - Thomas Beddoes
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PNEUMATIC INSTITUTE
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PROCESS-ORIENTED ESSENTIALS
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PRODUCT-ORIENTED ESSENTIALS
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Prospective Payment System -Reimbursement and home vent pt. -method of reimbursement in which third party payment is made based on a predetermined, fixed amount, based on the classification of type of service, Medicare DRGs are a major example
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PPS
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RCP -license professional who specializes in the care of patients with disorders of the cadiopulmonary system, respiratoins, and sleep disorders that affect the patient's breathing
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respiratory care practitioner
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Job: evaluate resp status and provide prescribed resp treatments including O2 therapy, chest physiotherapy, inhalation therapy, and artificial mechanical ventilation
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respiratory therapist
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"The performance of delegated clinical and administrative duties within the supervising physician's scope of practice consistent with the medical assistant's education, training, and experience"
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scope of practice
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Sugarloaf Conference
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PPP
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Consists of those rules and procedures established by regulatory agencies.
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ADMINISTRATIVE LAW
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A physical attack or threat of attack
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ASSAULT
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Independence or freedom of pt. to make a decision
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AUTONOMY
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A device that produces electricity
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battery
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- the care given is in the best interest of the client; doing good for others
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beneficence
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Decisions of state and federal courts.
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case law
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A legal system based on custom and court rulings.
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common law
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the act of holding information in confidence, not to be released to unauthorized individuals
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confidentiality
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Deals with the rights of the federal gov. state gov, and anyone who falls under them.
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constitutional law
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Act of harming or ruining another's reputation
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defamation
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An individual or group being sued or charged with a crime.
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defendant
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A phase in the litigation process during which the opposing parties may obtain information from each other and from third parties prior to trial.
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discovery
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The ethical theory that something can be known to be right and good when it is in compliance with God's will and wrong or bad when God condemns it.
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divine command ethics
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Idea that something is right because God commands it, God commands it because it is right
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divine command theory
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What concept is applied to situations where a provider is treating a patient who was in severe pain and unintentionally kills the patient? The provider's intent was to ease suffering and is not liable for the death b/c he/she was treating to the level that the patient required to ease suffering.
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double effect
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A set of moral principles that may be held by a society, a group or an individual.
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ethics
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-making a person stay against their wil
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false imprisonment
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A serious crime
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felony
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The law can prevent a person from harming others. As is physical, threatening, harassing, damaging reputation and livelihoods
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harm principle
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Health Insurance Portability and Accountability Act -a federal law protecting the privacy of patient-specific health care information and providing the patient with control over how this information is used and distributed
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HIPAA
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A written agreement to participate in a study made by an adult who has been informed of all the risks that participation may entail.
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INFORMED CONSENT
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A document containing a list of questions that must be answered in writing.
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INTERROGATORY
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A violation of the right to be left alone and the right to control personal information.
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INVASION OF PRIVACY
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Applying laws
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JUSTICE
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An amount owed by a business.
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LIABILITY
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A written defamation of a person's character, reputation, business, or property rights.
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LIBEL
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A crime of lesser gravity than a felony, punishable by a fine and/or imprisonment in a county jail
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MISDEMEANOR
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Behaviors that are judged to be consistent with good ethical thinking and decision making
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MORALS
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Careless neglect, often resulting in injury
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NEGLIGENCE
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"Do no harm" -requires to protect individual who can't protect themselves
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NON MALEFICENCE
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express how we should behave
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NORMATIVE ELEMENTS
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A person or party filing a lawsuit
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PLAINTIFF
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define activities in which rt may engage, state the legal requirements and titles for rt licensure. Designed to protect the public, and they define the legal scope of practice.
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PRACTICE ACTS
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(civil law) the body of law that deals with relationships between private individuals
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private law
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"Let the master answer"
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respondeat superior
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to understand the limits of their role and to practice with fidelity.
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role duty
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False charges and malicious oral statements about someone
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slander
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"Let the decision stand"
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stare decisis
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Law passed by the U.S. Congress or state legislatures
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statutory law
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A ruling by the court that no trial is necessary because some essential facts are not in dispute
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summary judgement
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(law) any wrongdoing for which an action for damages may be brought
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tort
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An ethical system stating that the greatest good for the greatest number should be the overriding concern of decision makers
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utilitarianism
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truthfulness
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veracity
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A perspective that goes beyond the conventional rules of society by suggesting that what is moral must also come from what a mature person with good "moral character" would deem right.
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virtue ethics
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ETHICS & MORALS
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duties of ethical practice:
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-RESPECT FOR PERSONS -CONFIDENTIALITY -veracity -autonomy -beneficence -non maleficence -justice
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Basic Principles of Health Care Ethics
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-VISUAL -AUDITORY -KINESTHETIC (PHYSICAL STYLE)
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PT. LEARNING STYLES
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!!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! * ALWAYS INFORM PT. WITH THE SIDE EFFECTS AND PURPOSE OF THE TREATMENT
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!!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! ELDERLY PT. NEEDS MORE PATIENCE AND FLEXIBILITY DUE TO LACK OF CONTROL
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!!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! AGE MATTERS WHEN GIVING A TREATMENT
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!!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! HEALTH EDUCATION = LIFE LONF PURSUIT
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!!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! ALWAYS DOUBLE CK. IF THE PT. KNOWS HOW TO USE THE DEVICE TREATMENT
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!!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! ITS BETTER TO INVOLVE FAMILY MEMBERS WHEN EXPLAINING AN IMPORTANT INFO.
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METHOD OF EDUCATING ON TAKING THE PT. RX. IN TERMS OF TIME AND TYPE OF RX.
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HEALTH LITERACY
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!!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! CONSTANTLY REPEAT EVERYTHING TO THE PT.
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-ORAL LANGUAGE -DECODING -LITERAL COMPREHENSION -INFERENCE -CRITICAL THINKING -PROBLEM SOLVING
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6 LEVELS OF READING PROCESS
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CULTURAL ISSUE
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ORAL LANGUAGE
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"CAN THE PT. HEAR/READ THE WORDS ACCURATELY?" !!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! NEVER USE AN ACRONYM/ABB. ON PT. PAPER
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DECODING
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"CAN THE PT. EXPLAIN IN THEIR OWN WORDS?" !!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! ALWAYS ASK THE PT. TO REPEAT AND EXPLAIN
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LITERAL COMPREHENSION
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-ACTION - WHAT + HOW
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INFERENCE
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"DOES THE PT. WANT TO USE THE EQPT.?" !!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! ASK THE PT. TO EXPLAIN THEIR OWN TREATMENT.
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CRITICAL THINKING
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IMMEDIATE RESPONSE !!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! EDUCATE THE PT. WHO TO CALL INCASE OF EMERGENCY
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PROBLEM SOLVING
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!!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! -KEEP INSTRUCTIONS SIMPLE -CK. THE SPELLING -AVOID JARGON, ABB.
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PUTTING IMPT. INFOR FIRST IN LOGICAL ORDER
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SEQUENCING
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!!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! DONT ASSUME PT. KNOWS EVERYTHING
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-BROCHURES -FACT SHEET -BOOLETS
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TYPES OF PT. EDUCATION MATERIALS
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-HEALTHY FOOD -REST -EXERCISE
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3 WAYS ON PROMOTING GOOD HEALTH
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!!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! support your pt. -EMOTIONALLY -PHYSICALLY -PSYCHOLOGY
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-CAUTION -DIAGNOSTIC TEST (CXR) -IMPROVE FUNCTIONING (NURSING HOME/REHAB)
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3 LEVELS OF PREVENTION
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-AHA (AMERICA HEART ASSOCIATION) -ADA (AMERICAN DIABETES ASSOCIATION) -NURSING HOME -COMMUNITY RESOURCES
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ADDITIONAL EDUCATIONAL RESOURCES OF THE PT.
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Arterial blood gases -MEASURES 02 AND C02
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ABGS
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!!!!!!!!!! REMEMBER !!!!!!!!!!!!!!!! READ CHAPTER 40 PT. ASSESMENT/CASE STUDY
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VITAL SIGNS
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VSS
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COLLAPSED LUNG
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ATELECTASIS
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STEPS OF PT. INTERVIEW 1. PHYSICIAN ORDER -SPECIFIC OR CONSULT 2. CK THE PT. CHART -ADMISSION DIAGNOSIS -RECENT LAB, DX (DIAGNOSTIC) TEST, NOTES PROM RN/MA OR PHM (PAST MEDICAL HISTORY) 3.INTERVIEW STAGE -INTRO YOURSELF -CK IF THE PT. IS READY -PRIVACY -INVESTIGATE 4. CC (CHIEF COMPLAIN) -KEEP IT RESP.SCOPE -INSPECTION -FOCUS ON PT. CONDITION
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(Acute Respiratory Distress Syndrome) also a sudden onset of severe lung dysfunction affecting both lungs, making breathing extremely difficult.
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ARDS
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Condition caused by insufficient intake of oxygen that can lead to death or brain damage
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ASPHYXIA
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inhaling foreign fluid or object
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aspirate
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A chronic allergic disorder characterized by episodes of severe breathing difficulty, coughing, and wheezing. -ALLERGIES
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ASTHMA
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ANY MEDICATION THAT CAUSES BRONCHI TO DILATE
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BRONCHODILATOR
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Lung cancer; , Cancerous tumor originating in a bronchus
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BRONCHOGENIC CARCINOMA (BRONCH= BRONCHUS) (GENIC=PRODUCE) (CARIN=CANCER) (-OMA=TUMOR)
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CARDIOPULMONARY RESUSCITATION; , A first aid technique to use when someones breathing and heartbeat have stopped
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CPR
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Chronic Obstructive Pulmonary Disease THE AIR FLOW IN THE LUNGS IS DECREASED THAT CAN CAUSE DYSPNEA WITH EXERTION AND COUGH (COLD)
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COPD
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'Seal-bark' cough; do NOT agitate, humidify O2 -acute viral infection in infants and children
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croup
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Cystic Fibrosis -CONDITION OF PRODUCING A THICK MUCUS IN RESULTING IN SEVERE CONGESTION WITHI THE LUNGS AND DIGESTIVE SYSTEM
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CF
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A serious disease that destroys lung tissue and causes breathing difficulties.
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EMPHYSEMA
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The act of placing a cuffed tube into the "windpipe" to maintain oxygen and anesthesia support during surgery and/or CPR
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ENDOTRACHEAL INTUBATION
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Breathing faster and deeper than necessary reduces carbon dioxide concentration resulting in respiratory alkalosis
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HYPERVENTILATION
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A reduction in the amount of air entering the alveoli causing an increase in carbon dioxide concentration and subsequent respiratory acidosis.
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HYPOVENTILATION
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lack of oxygen
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HYPOXIA
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Infant respiratory distress syndrome: because surfactant is one of the last things to form in the prenatal infant, a rather common cause of death fir infants born early is this disease, which results in babies having too much pressure on alveolar sacs and not being able to breath.
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IRDS
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Intermittent Positive Pressure Breathing, device that supplies positive pressure to the airways following a patient inspiratory effort
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IPPB
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Commonly referred to as "flu".Caused by a virus.*Acute contagious condition of upper respiratory tract accompanied by generalized aches and pains and occasionally gastrointestinal symptoms.*
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INFLUENZA
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THICK MUCUS SECRETED BY THE MUCOUS MEMBRANE
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PHLEGM
