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What is the role of the primary care provider in mental health? - Screen for mental health issues - Improve outcomes and reduce health care costs - Assess and give care to mild-moderate disorders or patients with stable severe mental disorders - From strong links with mental health specialty care for complex cases Sharing patient info (ex: meds used) about PHQ2 - what does it screen for, what are the questions, scoring - Screens for MDD - It is the first two questions of the PHQ9 ...

Overview of the Blood •Blood •5000ml •Plasma •3000ml Hematocrit defined - % of RBCs [higher value = higher viscosity = thicker blood) - Example: Polycythemia may have Hct of 60-70% Types of Blood Cells - Erythrocytes [RBCs) - Transport O2 - Small disc shape - Lifespan = 120 days - Carry Hgb [ferrous oxide, also an acid/base buffer) - Made in the bone marrow - Iliac crest for sample in leukemia [after age 20 in the vertebrae, sternum, ribs, iliac) - Hgb Levels...

A runner has depleted all the oxygen available for muscle energy. Which of the following will facilitate his continued muscle performance? Answer: Anaerobic glycolysis What causes the rapid change in the resting membrane potential that initiates an action potential? Answer: Sodium gates open, and sodium rushes into the cell, changing the membrane potential from negative to positive. A 12-year-old male is diagnosed with Klinefelter syndrome. His karyotype would reveal which of the...

What is the role of the primary care provider in mental health? - Screen for mental health issues - Improve outcomes and reduce health care costs - Assess and give care to mild-moderate disorders or patients with stable severe mental disorders - From strong links with mental health specialty care for complex cases Sharing patient info (ex: meds used) about PHQ2 - what does it screen for, what are the questions, scoring - Screens for MDD - It is the first two questions of the PHQ9 ...

Components of Health History Biographic data, reason for seeking care, history of present illness, past medical history, family history, review of systems, functional assessment or activities of daily living Subjective Data things a person tells you about that you cannot observe through your senses; symptoms Objective Data information that is seen, heard, felt, or smelled by an observer; signs Types of Health History Focused, episodic/emergent, Complete Complete H...

Safe Patient handling for immobile patients transfer devices, lift teams Safe Patient handling for patients that can assist •Wide base of support •Lower center of gravity •Equilibrium of an object is maintained as long as the line of gravity passes through the base of its support •Facing the direction of movement prevents abnormal twisting of the spine •Dividing balanced activity between arms & legs reduces the risk of injury •Leverage, rolling turning, or pivoting requ...

nursing process systematic problem solving approach to identifying and treating human responses to actual or potential health problems 5 phases of nursing process assessment, diagnosis, planning, implementation, evaluation assessment the systematic process of gathering, verifying, and communicating data 4 types of assessment initial comprehensive, ongoing, focused, emergency initial comprehensive assessment occurs when client first presents to health care system,...

The Nursing Process A systemic problem solving approach to identify and treating human response to actual or potential health problems 5 phases of the Nursing Process assessment diagnosis planning implementation evaluation Example of the Nursing process A: reddened area on patients sacral area D:Potentital for impaired skin integrity, could be because of excessive bed rest P:patient will maintain intact skin while in hospital I: Make sure patient is moved frequently E:lo...

Nursing Process Identifying and treating human responses to actual or potential health problems; continual; revise as necessary Nursing Process 5 Steps Assessment, Diagnosis, Planning, Implementation, Evaluation Nursing Diagnosis Clinical judgement about clients, family, community responses to actual or potential health problems Assessment Collecting subjective and objective data; establish data base with client's wellness, health practices, past illnesses, and establis...

Which of the following is NOT a likely sign of pain in a patient who cannot verbally communicate with you? a.Eyes clenched shut when turning the patient b.Decreased respiratory rate c.Patient resists bending of her elbow when you try to contract her arm d.Heart rate of 120 in a 54 year old male B. a decreased respiratory rate is not commonly associated with pain. This could actually be due to too much opioid analgesia depressing the patient's respiratory system You are assessing you...