Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training.
a strong push into the region between the thorax and pelvis (diaphragm) Hemlick maneuver
goes between the legs; it helps keep the legs spread
The intentional mistreatment or harm of another person
an unfortunate event resulting from carelessness or ignorance
things that are done for enjoyment, often as part of education and often in groups.
special equipment that helps a person who is ill or disabled to perform ADLs; also called assistive devices.
Activities of daily living
the act or process of admitting
the individual being accepted into a Long Term Care Facility
a weakened side from a stroke or injury; also called the "weaker" or "involved" side.
the natural occurrences in the body that produce the changes associated with growing old
commotion, excitement; uneasiness
alternating pressure mattress
[P]:alt pressure increase/decreases with use of pump; [TNI]:Assess on admit/schedule limited mobility + drainage, body fluids, contained pus, Stage III/IV; post operative flap, pain management; [R]: pressure can be reduced under bony prominences but increased under others
a progressive form of presenile dementia that is similar to senile dementia except that it usually starts in the 40s or 50s; first symptoms are impaired memory which is followed by impaired thought and speech and finally complete helplessness
walking or moving from one place to another
an individual who has had a limb removed
a strong feeling of displeasure
stockings made of elastic fabric that provide support promote blood flow and prevent the formation of blood clots
An emotional state of high energy, with the stress response as the body's reaction to it.
inability to use or understand language (spoken or written) because of a brain lesion
a reply that is made that is suitable for the circumstances
inflammation of a joint or joints
free from disease-causing microorganisms
see addaptive devices.
Temperature taken at the armpit
hurting ones back
single-celled organisms that lack a nucleus; prokaryotes
occurs when patients accept death but want more time to live
These are the things people cannot live without, such as food, clothing, and shelter.
basic skin care
Clean and moisturize your skin daily. Block the sun. Seek professional help for skin problems. Eat a balanced diet. Self screening.
the act of washing yourself (or another person)
the act of washing a patient
a metal or plastic frame suspended over the hospital bed to keep the weight of the linen off the resident's body
The level of a patient's bed
the position the bed is in. also controlled by buttons on the control of the bed.
a shallow vessel used by a bedridden patient for defecation and urination
goal is to gain control of urination done as directed by nurse and care plan person uses toilet/pan at frequent regular intervals and is slowly increased. Person has catheter which is clamped to prevent urine flow for periods of time (1-2hrs at first then up to 3-4hrs) to train bladder
the inability to see
the pressure that is exerted by the blood against the walls of blood vessels
the way the head, trunk, arms, and legs are aligned with one another; posture
tears, saliva, sputum (mucous coughed up), urine, feces, semen, vaginal secretions, and pus or other wound drainage
nonverbal communication through gestures, facial expressions, behaviors, and posture
The proper use of the body to facilitate lifting and moving and preventing injury.
Program that manipulates factors within a person's control (timing of defecation, exercise, diet) to produce a regular pattern of comfortable defecation without medication or enemas
The process involving alternate inhalation and exhalation of air that ventilates the lungs.
exhaustion of physical or emotional strength or motivation, usually as a result of prolonged stress or frustration
allows the patient to call for help via light and/or sound
disorder in which some of the body's own cells lose the ability to control growth
held on strong side, goes forward with weak side before the strong side step after
Sudden, unexpected stopping of heart action; sudden cardiac death
doing most if not all of the ADLs for an impaired resident
a written plan for each resident created by a nurse; outlines the steps taken by the staff to help the resident reach his or her goals
bandage consisting of a firm covering (often made of plaster of Paris) that immobilizes broken bones while they heal
eye disease in which the lens becomes covered in an opaque film that affects sight, eventually causing total blindness.
thorough cleaning of the perineal area (especially around the urethra) and the catheter tubing that extends outside of the body, to prevent infection
cc's in an ounce
central nervous system
the portion of the vertebrate nervous system consisting of the brain and spinal cord
cerebral vascular accident
caused by interruption in blood flow to the brain due to a blockage or bleeding in a cerebral artery
registered nurse or licensed practical nurse;supervises the other nurses for a particular shift
the movement of substances within the body in body fluids
the act of making clear or understandable, an explanation
clear liquid diet
a diet that consists of foods that are liquid at room temperature and leave little residue in the intestine. Ex: Water, Sprite, Ginger Ale, all beverages without any residue, broth, Jello
the group of people who have been ordained for religious service
a cold folded and moistened cloth or towel that is placed over a small area of the body for moist cold therapy
resident with violent or hostile behavior.
The exchange of information between people
something (such as money) given or received as payment or reparation (as for a service or loss or injury)
competency evaluation program
state operated programto certify skills persons wanting to be a nurse assistant
the act of holding information in confidence, not to be released to unauthorized individuals
the inability to think clearly., a patient with a distorted mental status
congestive heart failure
inability to pump enough blood to avoid congestion in the tissues
Hard, slow stools that are difficult to eliminate; often a result of too little fiber in the diet
to make smaller or narrower, draw together, squeeze; to stop or cause to falter
used when caring for people infected with pathogens that can be transmitted directly or indirectly
The process of becoming unclean
a severe tightening of a flexor muscle resulting in bending of a joint
one milliliter (mL) is a unit of measure equal to one cubic centimeter (cc). 1 oz.=30 mL or 30 cc. 1/4 cup= 2 oz.= 60 mL. 1/2cup= 4 oz.= 120 mL. 1 cup= 8 oz.= 240 mL. Use your facility's policies on whether to document using "mL" or "cc"
chronic obstructive pulmonary disease; chronic bronchitis - bronchiole lining inflamed, excess mucus formed; emphysema - walls of alveoli break down; HYPOXIC DRIVE (not in asthma)
use of signals to indicate that a certain behavior is desired or that a certain behavior should stop
cerebrovascular accident (stroke) occurs when blood flow to the brain is impaired, resulting in a lack of oxygen to the brain tissue
the bluish color of the mucous membranes, nail beds, and skin that occurs when blood is not picking up an adequate amount of oxygen from the lungs
death and dying
Psychologist Elisabeth Kuber-Ross (1969) - described death as an orderly transition involving five distinct stages.
a serious reduction in the body's water content
a slowly progressive decline in mental abilities, including memory, thinking, and judgment, that is often accompanied by personality changes
a defense mechanism in which unpleasant thought or desires are ignored or excluded from consciousness
The condition of feeling apathetic, hopeless, and withdrawn from others.
family transitions, family stage task completion or progression, individual development, development of healt issues and family impact
A condition of abnormal use of glucose, usually caused by too little insulin or lack of response to insulin.
suffering from diabetes
process of separating nitrogenous waste materials from the bloodstream when the kidneys no longer function
Measurement of blood pressure taken when the heart is at rest; measurement of the constant pressure in arteries.
the organic process by which food is converted into substances that can be absorbed into the body
the official release of a resident from a health care facility to their home; the team helps prepare the resident to leave
destruction of pathogens by chemical or physical means
a resident that does not know: who he or anyone is (person), town/city (place),current year (time)
disposing of contaminated materials
dispose of in a designated biohazard bag/container
confirmation that some fact or statement is truea
sterile materials used to cover an incision
common in the aging person because of the decline in size, number and output of sweat and sebacious glands
process of decline in body functions, resulting in death of an organism
condition in which swallowing is difficult or painful
swelling from excessive accumulation of serous fluid in tissue
exert pressure on vains to promote venous blood flow, helping to prevent blood clot (thrombi) blood clot is a thrombus. Sluggish flow may cause thrombus if it breaks off it is an embolus
when the patients head is raised via pillow
the bodily process of discharging waste matter
understanding and entering into another's feelings
disease in which the tissues of the lungs lose elasticity, making breathing very difficult
moral principles or values
that part of a limb that is farthest from the torso
lens worn to aid vision
leading cause of accidentak death amoung elderly people
accumulation of hardened feces in the rectum or lower colon which the person cannot move
the act of supplying food and nourishment
precautions in case of a fire or that help prevent and or contain a fire
gas in the digestive tract or expelled through the anus
bend, move, or stretch
This will help keep a client hydrated depending on weather and type of treatment.
a piece of wood or plastic placed at the end of the hospital bed and used for positioning the resident's feet
daily foot check for blisters, reddened areas, swelling
The foot falls down at the ankle; permanent plantar flexion
a semi-sitting position; the head of the bed is raised between 45 and 60 degrees
a deliberate deception intended to produce unlawful gain
free from disease
device used to transfer people from one position to another or from one thing to another. For example you would use a gait belt to move a patient from a standing position to a wheelchair
feeding provided through a tube directly into the stomach
a surgically placed feeding tube from the exterior of the body into the stomach
the branch of medical science that deals with diseases and problems specific to old people
the ways in which people use their bodies to communicate with one another
to protect yourself from infections or spread of disease
denial, anger, bargaining, depression, acceptance
dry as quickly as posible after shampooing, shampoo depends on care plan, keep shampoo out of eyes, do not cut to remove matting
delusion; false idea; false perception of objects with a compelling sense of their reality; objects so perceived; V. hallucinate; ADJ. hallucinatory
movement of hands uncontrollable
Do this thoroughly when finished with the activity. Use antibacterial soap and warm water. Lather both sides of your hands and between your fingers. Rinse well.
a conical acoustic device formerly used to direct sound to the ear of a hearing-impaired person
unable to hear or hear well
partial or complete loss of hearing
paralysis of one side of the body
infection by the human immunideficiency virus
treatment of the terminally ill in their own homes, or in special hospital units or other facilities, with the goal of helping them to die comfortably, without pain
Maintenance of body fluid balance
a waterproof bag filled with ice: applied to the body (especially the head) to cool or reduce swelling
creation of a new opening through the abdominal wall into the ileum
a system (including the thymus and bone marrow and lymphoid tissues) that protects the body from foreign substances and pathogenic organisms by producing the immune response
damage that results in a reduction of strength or quality
inability to control bladder and/or bowels
a catheter that stays in the bladder for a period of time.
an incident in which an infectious disease is transmitted
practices and procedures that prevent the spread of infection
input and output
Oral Fluids- 1100-1400, Solid Food-800-1000 and oxidative metabolism 300ml and OUTPUT- Kidneys 1200-1500, skin 500-600 lungs 400 and GI 100-200----TOTAL IN- 2200-2700 TOTAL LOSSES- 2200-2700
Hormone produced by the pancreas that is released when stimulated by elevated glucose levels. This hormone decreases blood sugar levels by accelerating the transport of glucose into the body cells where it is oxidized for energy or converted to glycogen or fat for storage.
the process of taking food into the body through the mouth (as by eating)
intake and output
is one tool to assess fluid status by keeping a record of a client't fluid intake and fluid loss overa a 24-hour period.
the skin and its appendages
keeping an infected person in the hospital or staying at home in bed when suffering form a disease as a way of controlling the transmission of infectious diseases
cleaning around the IV site while refraining from tugging or putting strain on the IV or tubing.
medications that stimulate bowel activity and assist fecal elimination
of or pertaining to equipment or measures that sustain or artificially substitute for essential body functions, as breathing or disposal of body wastes
a small, flat sheet that is placed over the middle of the bottom sheet, covering the area of the bed from above the person's shoulders to below his or her buttocks
white goods or clothing made with linen cloth
consist of liquids ( a liquid is described as food that is fluid at room temperature or becomes liquid at room temperature
paying close attention to, and making sense of, what we hear
low sodium diet
This type of diet is good for those with heart disease or kidney disease.
making occupied bed
a bed made while a person is in the bed.
prevents the spread of microbes to the resporitary tract
Humanist psychologist who developed a pyramid representing heirarchy of human needs.
We measure temperature with degrees F or C
mechanical soft diet
Gets its name from foods prepared with blenders, food processors, or cutting utensils. Makes food easier to chew
written account of a persons condition and response to treatment & care
drugs that are administered to a patient who is sick or in pain
indicative of aging process and neurologic or psychiatric disease such as Alzheimer's, depression, or stroke.
a disorder that affects a person's mind, causing the person to act in unusual ways, experience emotional difficulties or both
Living creatures that are too small to see with the naked eye
treated badily or abusively
All types of movement from one location to another.
Care given after breakfast; hygiene measures are more thorough at this time
cleaning the teeth of a peron in the moring and at night; also sometimes after eating a meal
to go from one place to another
A chronic disease of the central nervous system marked by damage to the myelin sheath. Plaques occur in the brain and spinal cord causing tremor, weakness, incoordination, paresthesia, and disturbances in vision and speech
the system of muscles and tendons and ligaments and bones and joints and associated tissues that move the body and maintain its form
involves keeping the fingernails and toenails clean and trimmed
failure to act with the prudence that a reasonable person would exercise under the same circumstances
not readily transmitted from one host to another
communication using body movements, gestures, and facial expressions rather than speech
nothing by mouth (nil per os)
nursing assistant's role
to help with ADLs and aid the patient with day to day treatment
n. process of receiving food to grow and be healthy
not influenced by emotion or personal prejudice; based only on what can be observed
bed with a patient in it
a government appointee who investigates complaints by private persons against the government
care of the mouth, teeth, and gums.
prevents mouth oder and pyorrhea, do more than once a day, every 2 hours for unconcious
a person's awareness of self with regard to position and time and place and personal relationships
A disease of gradual bone loss, which can cripple people in later life
the resident eats from and/or places their personal things on
gas that enters the blood through the lungs and travels to the heart to be pumped via arteries to all body cells
A symptom of some physical hurt or disorder
temporary or permanent loss of motor control
a psychological disorder characterized by delusions of persecution or grandeur
a chronic, progressive disease that affect the brain area that controls movement
Helping a patient who can do some things for themselves.
washing the face, hands, under arms, back, buttocks, and perineal
not reacting visibly to something that might be expected to produce manifestations of an emotion or feeling.
an organism that produces disease in a host organism disease being alteration of one or more metabolic functions in response to the presence of the organism
A willingness to wait for someone or something without complaining
Cleaning the genital and anal areas; pericare
items that belong to the resident
Look and smell clean, brush teeth, comb hair, neat clothing.
Items that are primarily for the comfort of the pt and are not medically necessary.
personal protective equiptment
Equipment used to protect a person from exposure to blood or other body fluids.
answer the phone promptly and kindly, speak properly,give caller undivided attention,speak clearly,be courteous,ask permission from caller to place them on hold, and never allow an angry caller to upset you remain calm and composed
the most basic needs, including food, water, clothing, shelter and sleep
By authority of the MD
moving the resident
post mortem care
care given to the body immediately after death
any lesion caused by unrelieved pressure that results in damage to underlying tissue; aka decubitus ulcers, bed sores, pressure sores. Any injury caused by unrelived pressure - poor skin care & immobility
do fall assesment on every patient, keep bed low wheels locked and bed rails up, call button near bed, non skid footwear and instruct client properly
Telling the client what they need to do to stop what has happened fromo happening again.
the quality of being secluded from the presence or view of others
the advance of a condition as signs and symptoms increase in severity
psychoanalytic defense mechanism by which people disguise their own threatening impulses by attributing them to others
Replacement of a missing part by an artificial substitute, such as an artificial extremity
cover gowns, face protection devices, air filter respirators, gloves
a patients mental needs
beat of the heart as felt through the walls of the arteries
Lateral aspect of the forearm
range of motion
movement of joints through all normal motions
(psychiatry) a defense mechanism by which your true motivation is concealed by explaining your actions and feelings in a way that is not threatening
Measurement of body temperature taken in the rectum
the process of restoring or bringing to a healthy, useful state
the act of public worship following prescribed rules
recalling past experiences, usually in a positive and reflective way
oral account of care and observations
moving the resident to to make the comfortable and to prevent pressure ulcers
mistreatment of a resident usualy involving mental or physical attacks
items belonging to the resident
any means of determining the residents identity
incouraging the patient to do ADL on their own
a single resident
Resident's Bill of Rights
rights guaranteed under the Omnibus Budget Reconciliation Act (OBRA) to residents in long-term care.
a chart ,that must be kept confidential, that gives medical history of a particular patient
the surroundings that best suit a particular resident
the proper way that a nursing assistant should treat a resident
reflect the breathing rate of the patient
hypoventilation, rapid shallow respirations, increased blood pressure, dyspnea, headache, hyperkalemia, disorentation, increased cardiac output, muscle weakness and hypoxia
system responsible for taking in oxygen and releasing carbon dioxide using the lungs
responding to resident behavior
allways be respectful and curtious to the resident
Care that helps persons regain their health, strength, and independence
methods of restricting a person's freedom of movement, physical activity, or normal access to his or her body
freedoms that are protected by a government's laws
Contagious skin disease transmitted by the itch mite, commonly through sexual contact
pattern, make, regulate, set, measure, or estimate according to some rate or standard
sweat, oil, wax, used in the nonspecific external barrier
A feeling of being free from fear, danger, etc.
sudden, transient disturbances in brain function resulting from abnormal firing of nerve impulses (may or may not be associated with convulsion)
one's feelings of high or low self-worth
The system of nerves which carries information from the body's receptors to the CNS
comments, gestures, or physical contacts of a sexual nature that are deliberate, repeated, and unwelcome
the sexual needs or desires of a resident
OSHA required receptacle for the proper disposal of sharps
the act of removing hair with a razor
shearing of skin
when skin sticks to a surface while muscles slide in the direction the body is moving
an uncomplicated fracture in which the broken bones to not pierce the skin
very important in infection control
words falsely spoken that damage the reputation of another
Harms the lungs and the transfer of O2 to the blood.
concerned with love, friendship, status, and esteem
sample of tissue or fluid
helping patients develop awareness and maintain self awarness. lifes meaning and purpose, relationship to others, and relationship to a higher power.
precautions developed by the CDC that ensures that unversial precautions and body substance isolation practices
the procedure of making some object free of live bacteria or other microorganisms (usually by heat or chemical means)
the process by which we perceive and respond to certain events, called stressors, that we appraise as threatening or challenging
a sudden loss of consciousness resulting when the rupture or occlusion of a blood vessel leads to oxygen lack in the brain
act of killing one's self
Signs, symptoms, and behaviors of AD increase during hours of darkness
measurement of blood pressure taken when the heart is contracting and forcing blood into the arteries
elastic stocking to be worn for 8 hours to prevent swelling antiembolic stockings
Set of skills and attitudes used when answering the phone that allows the assistant to sound alert, interested, and concerned.
the degree of hotness or coldness of a body or environment (corresponding to its molecular activity)
an illness or injury for which there is no reasonable expectation of recovery
a resident who is angered and may or may not become violent
care planned scheduled times to take resident to bathroom as part of intervention to decrease incontinence
use drawshhet, never slide pt; move them toward patient's stronger side (if there is one) easier for pt to pull weaker side; use legs for lifting!
treating residents with respect
allways be kind and curtious
patient is submerged, more thorough wash, can require sone assistance from the RN
Provision of food to the stomach through a tube (nose or small intestine)
Side cane should be used on
not conscious; not aware of what is going on
behavior that does not conform to generally accepted social norms concerning beneficial and harmful actions
pertaining to the urethra
urinary catheter bag
a bag that is attatched to the bed or the patients leg that is used to collect urine from an immobile or incintinent patient
structural, autoimmune, cancerous, or infections
removes waste products from blood and maintains water balance within body
Fluid wastes removed from the body by the kidneys
most often the loss of vision over time
Determinations that provide information about body conditions; include temperature, pulse, respirations, and blood pressure
food and fluids expelled from the stomach through the mouth; emesis
a device used to assist with walking