Week 3 concepts:
Compare different stages of growth and development in clients across the lifespan.
● Development: increase in function with progressing of skills &
thinking
● 5 major components of growth & development:
○ Psychosocial: development of personality
○ Cognitive: way people think, reason & use language
○ Moral: values
○ Spiritual: religion
○ Biophysical: biosystem from cell to organ
● Erikson ○ Infants(Birth-1year) ■ Trust vs Mistrust ■ Basic trust & sense of security vs lack of trust & sense of fear
■ Ex: breastfeeding
○ Early Childhood(18 months-3 years) Autonomy vs Shame & Doubt ■ Independence & self control vs dependence
■ Ex: Toilet training & parallel play
○ Late Childhood(3-5 years) ■ Initiative vs Guilt ■ Self Guidance/self discipline vs insecurity regarding leadership
■ Ex: Discovery & Confidence, personalities develop
○ School Age(6-12 years) ■ Industry vs Inferiority ■ Your place in the world vs incompetence/low self esteem
■ Ex: Making friends
○ Adolescence(12-20 years) ■ Identity vs Role Confusion ■ Social Alienation substance abuse, antisocial personality disorder
■ Ex: Peer Pressure
○ Young Adults(18- 25 years) Intimacy vs Isolation ■ Relationships vs Fear of Commitment ○ Adulthood(25-65 years) ■ Generativity vs Stagnation 1 / 3
■ Career, family vs only worrying about yourself, no progression ○ Maturity(65-death) ■ Integrity vs Despair ■ Peace of all with what was done, contentment vs regret, bitterness ● Piaget ○ Sensorimotor(Birth to 2 years) ■ Coordination with motor response ○ Preoperational(2-7 years) ■ Symbolic thinking, imagination, intuition ○ Concrete Operational(7-11 years) ■ Solve concrete problems/understand left & right ○ Formal Operational(11-15 years) ■ Rational thinking ■ Reasoning is deductive & futuristic
○ Primary Abilities:
■ Assimilation: encounter & react to situations with
mechanisms
■ Accomodation: problem solving
■ Adaptation: coping behavior
Examine the concept of pharmacology as it relates to the role of the registered professional nurse.● 6 Rights ○ Right Patient ○ Right Time ○ Right Route ○ Right Medications ○ Right Documentation ○ Right to Refuse ● 2 patient identifiers
○ Name: first/last
○ Birthday: month/day/year
● 3 checks:
○ Order ○ With the patient ○ Bedside
● SUBQ Injections: fat
○ 2 fingers away from inguinal area ○ Bat wings (underneath arm)
● Intramuscular:
○ 3 fingers below acromion process ○ Window on thigh, inject on the middle 2 / 3
○ Ventrogluteal: filet mignon, greater trochanter & pelvis
● Intradermal:
○ Superficial skin
● IV: through vein
● Pharmacokinetics:
○ What body does to the drug ■ absorb , distribute, metabolism, excreted
○ First pass effect: metabolism of drug & passage from liver to
circulation ■ PO=first pass effect ■ IV= bypassing first pass effect
● Pharmacodynamics:
○ What drugs does to body ○ Therapeutic effect ○ Monitor side effects
● Sentinel Event: person sustains serious injuries psychological physical
death
○ Example: loss of limb or function
Discuss the concept of cellular regulation as it relates to cancer screenings and health promotion activities of the client
● Cellular Regulation: process by which the body regulates cell
reproduction, proliferation & growth ● Related to oxygenation & perfusion ● DNA if within the nucleus of the cell, if there are any alterations could become cancerous
● Alterations:
○ Hyperplasia: increase of number or density of cells
■ Hyperplasia of cardiac cells in response to prolonged oxygen demand
■ Cardiomyopathy: enlarged heart
○ Metaplasia: change in normal pattern of different cells in
wrong body location, but under normal DNA control & are reversible ■ Smokers
○ Dysplasia: loss of DNA control of cell, cells have abnormal size &
shape ■ Cervical cells exposed to HIV virus
○ Anaplasia: regression of cell to immature state NOT under DNA
control ■ Malignancies ○ Cancer ■ Number 1 patient with cellular regulation issues ■ Give cancer patient any type of food they want ○ Anemia ■ Decreased RBCs ■ Check hemoglobin to know how much RBC
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