WILKES NSG 526 Exam 3|2023 LATEST UPDATE|GUARANTEED SUCCESS

Primary prevention Actually preventing the thing Secondary Prevention early identification and treatment Tertiary prevention Avoiding complications Norms are considered The right patterns of behavior for a society Crisis is a time limited response lasting 4 to 6 weeks What initiates a crisis A crisis is initiated by internal or external demands that are perceived as a threat to a persons physical or emotional functioning. Precipitating event is stressful and unusual or rare. maturational crisis Describes unfavorable person-environmental relationships that relate to maturational events such as leaving home for the first time, completing school or accepting the responsibility of adulthood. Situational Crisis Occurs whenever a specific stressful event threatens a person's biopsychosocial integrity and results in some degree of psychological disequilibrium Aventitious Cirsis Initiated by an unexpected unusual events that can affect an individual or a multitude of people. National and natural disasters. During an adventitious crisis (e.g., flood, hurricane, forest fire) that affects the well-being of many people, the interventions of the PMH-APRN will be a part of the community's efforts to respond to the event. Goal for people experiencing crisis To return to pre-crisis level of functioning. Role of APRN in Crisis he role of the PMH-APRN is to provide a framework of support systems that guide the client through the crisis and facilitate the development and use of positive coping skills. Assess risk of homicide/suicide/self-injury Assess coping skills Assess perception of problem and support mechanisms Assess biologic items - sleep, eating, hygiene, etc Assess psychological - emotions and coping Asses social - individual, family, community. Social support Disaster A disaster is a sudden ecological or man-made phenomenon that is of sufficient magnitude to require external help to address the psychosocial needs as well as the physical needs of the victims MCI triage category: Expectant Injuries are extensive and chances of survival are unlikely even with definitive care. Separate and provide comfort Unresponsive patients with penetrating head wounds, high spinal cord injuries, wounds involving multiple anatomical sites and organs, 2nd/3rd degree burns in excess of 60% of body surface area, seizures or vomiting within 24hr after radiation exposure, profound shock with multiple injuries, agonal respirations; no pulse, no BP, pupils fixed and dilated MCI Category: Immediate Injuries are life-threatening but survivable with minimal intervention. Individuals in this group can progress rapidly to expectant if treatment is delayed. Sucking chest wound, airway obstruction secondary to mechanical cause, shock, hemothorax, tension pneumothorax, asphyxia, unstable chest and abdominal wounds, incomplete amputations, open fractures of long bones, and 2nd/3rd degree burns of 15%-40% total body surface area MCI Category: Delayed Injuries are significant and require medical care but can wait hours without threat to life or limb. Individuals in this group receive treatment only after immediate casualties are treated. Stable abdominal wounds without evidence of significant hemorrhage; soft tissue injuries; maxillofacial wounds without airway compromise; vascular injuries with adequate collateral circulation; genitourinary tract disruption; fractures requiring open reduction, débridement, and external fixation; most eye and CNS injuries MCI Category: Minimal Injuries are minor and treatment can be delayed hours to days. Individuals in this group should be moved away from the main triage area. o Upper extremity fractures, minor burns, sprains, small lacerations without significant bleeding, behavioral disorders or psychological disturbances Psychological Assessment Assess the victim for behaviors that indicate a depressed state, presence of confusion, uncontrolled weeping or screaming, disorientation, or aggressive behavior. Ideally, the PMH-APRN should assess the coping strategies the victim uses to normally manage stressful situations.