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Midterm

NURS 3524 Study Guide - Midterm Guide: Inflammatory Bowel Disease, Chronic Condition, Sickle-Cell Disease


Department
Nursing
Course Code
NURS 3524
Professor
Mavoy Bertram
Study Guide
Midterm

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Chronic illnesses
Disability and home care
Diabetes
Asthma
Sickle cell anemia
Nephrotic syndrome
Inflammatory bowel disease
Chronic illness
interferes with daily functioning for more than 3 months in a year
Causes hospitalization for more than 1 month in a year
*either of the two
The impact of chronic illness of the child
Promote normal development : developmental level
Coping mechanisms
1) Normalization
2) Parenteral behavior (child rearing)
3) Hopeful and realistic future goals
4) Encourage independence
Adaption and coping - Shock and denial
Seeking second opinions
Minimizing symptoms
Refusing to believe results
Delaying consent to treatment
Optimism despite diagnosis
Keeping diagnosis a secret
Suspicion
Apathy/ disinterest

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Adjustment
Guilt
Anger
Overprotection
Rejection/Rigidity
Overcompensation
Movement towards acceptance
Reintegration and acknowledgment
Realistic expectations
Becoming an expert
Getting on with life
Interventions
Normalization
Health education
Empowerment
Self care
Collaborate w/ medical team
+ parenting behaviours promoted
Promote growth and development of
siblings

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Chronic illness
Asthma
Characterized by broncho-constriction, airway inflammation and hyper-responsive airway
Etiology
Allergy / Atopy
Genetics
Signs and symptoms
Paroxysmal/persistent dyspnea
Chest tightness
wheezing
Cough
sputum production
Triggers
smoke
Viral respiratory symptoms
Humid/cold weather
Air pollution
Strong odour paint/fumes
Aerosol spray
Diagnostic evaluation
Assessment of symptoms
Medical history
Pulmonary function tests (PFTs)
Allergy tests
Asthma varies in severity which influences treatment
Interventions
1) Airway Management”
short & long acting bronchodilators (ventolin & salmeterol)
anticholinergics atrovent (ipatropium bromide
glucocorticoids (fluticasone; predisone)
2) Position pt in a high fowler or sitting to aid in breathing
3) Record colour, amount and consistency of sputum
4) Auscultate lung sounds before, during and after
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