Medical Terminology: Chapters 1, 2Chapter 1: Evidence-Based AssessmentEvidenced Based Practice: a systematic approach to practice that uses the best evidence, the clinician’s experience, and the patient’s preferences and values to make decisions about care and treatment.Subjective: consist of information provided by the affected individualObjective: include information obtained by the health care provider through physical assessment, the patient’s record, and laboratory studiescollaborative problems: Physiological complication that requires the nurse to use nursing- and health care provider-prescribed interventions to maximize patient outcomes. first level priority: emergent, life-threatening, and immediate, such as establishing an airway or supporting breathing.second level priority: next in urgency. They require prompt intervention to prevent deterioration, and may include a mental status change or acute pain.third level priority: important to the patient’s health, but can be addressed after more urgent problems. Examples include lack of knowledge or family coping.nursing process: six phases. assessment, diagnosis, outcome identification, planning, implementation, and evaluationcomplete data base: includes a complete health history and a full physical examination. Aka totalepisodic data base: For a limited or short-term problem, Collect a mini data base, smaller in scope, more focused than complete data base, concerns only one problem, one cue complex, one body system. (same as focused?)follow-up data base: evaluates the status of any identified problem at regular intervals to follow up on short-term or chronic health problems.focused data base: used for a limited or short-term problem. It is smaller in scope and more targeted than the complete databasemedical diagnosis: Formal statement of the disease entity or illness made by the physician or health care provider. holistic health: assesses the whole person because it views the mind, body, and spirit as interdependent and functioning as a whole within the environment. Health depends on all these factors working together.Chapter 2: Cultural Competence: Cultural Careimmigrant: People who were not U.S. citizens at birth. culture: 4 parts. First, it is learned from birth through language acquisition and socialization. Second, it is shared by all members of the same cultural group. Third, it is adapted to specific conditions related to environmental and technical factors. And fourth, it is dynamic and ever changing.ethnicity: membership in a social group that claims to possess a common geographic origin, migratory status, religion, race, language, shared values, traditions or symbols, and food preferences.time orientation: one’s perspective on time and its influence. socialization: the process of being raised within a culture and acquiring the characteristics of the group. Education is a form of socialization.naturalistic: holistic. Comprehensive view of the person as a biopsychosocial and spiritual beingmagicoreligious: illness has a supernatural cause. Consequently, the cure for illness lies in the supernatural or spiritual dimension. folk healers: traditional healers from a specific heritage/background. cultural competency: process in which the health care professional continually strives to achieve the ability and availability to work effectively with individuals, families, and communities. health: **depends on cultural/personal definition! Dynamic state in which individuals adapt to their internal and external environments so there is a state of physical, emotional, intellectual, social, and spiritual well-being. illness: **depends on cultural/personal definition! Abnormal process in which any aspect of a person’s functioning is diminished or impaired compared with his or her pervious condition. Also, the personal, interpersonal, and cultural reaction to
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