culturally competent care
the process of acquiring specific knowledge, skills, and attitudes to provide culturally congruent care
Terminally ill patient
a person who is experiencing the end stages of a life-threatening disease and for whom there is no
longer hope of a cure
Culture
Beliefs, customs, and traditions of a specific group of people.
Visual Accommodation
Presbyopia is a loss of accommodation, causing an inability to focus on near objects
■ Accommodation occurs when the eye focuses on a near object and is facilitated by contraction of the
ciliary body, which changes the shape of the lens (Reading)
Visual Accommodation Assessment?
what is normal?
Why are you doing this?
■ Snelling eye chart
• Visual acuity 20/20 OU. No diplopia.
,NU 216 Adult Health Final Exam Questions With Complete Solutions.
• External eye structures symmetric and without lesions or deformities.
• Lacrimal apparatus nontender and without drainage.
• Conjunctiva clear. Sclera white.
• PERRLA.
• Lens clear.
• EOMI.
• Optic disc margins sharp.
• Retinal vessels without AV nicking, with no hemorrhages or spots.
EOMI, Extraocular movements intact; OU, both eyes; PERRLA, pupils equal, round, reactive to light and
accommodation.
Normal visual acuity is 20/20
We do this to determine a patient's visual acuity
Cataract
clouding of the lens of the eye
light scatter
significantly worse at night
Cataract assessment
■ Assess the patient's distance and near visual acuity
Cheyne stokes respirations
■ (Normal for END OF LIFE)
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an abnormal pattern of breathing characterized by periods of apnea followed by deep rapid breathing
Insomnia
Difficulty in falling asleep or staying asleep, waking up too early, or complaints of waking up feeling
unrefreshed
The most common sleep disorder is insomnia
Insomnia- How is it determined or diagnosed?
■ Self-Report-sleep diary
■ Actigraphy-a device that measures gross motor activity (worn like a watch)
■ Polysomnography-electrodes simultaneously record stages of sleep and wakefulness
Interprofessional Care- Sleep Hygiene a variety of different practices
Chlamydial infections
Chlamydia trachomatis
Most common site for infection in men is the urethra (urethritis)
Most common site for women cervix (cervicitis)
■S/S: mucopurulent discharge (mucus with pus), bleeding, dysuria, and pain with intercourse, PID