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abandonment

Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training.

abdominal thrust

a strong push into the region between the thorax and pelvis (diaphragm) Hemlick maneuver

abduction pillow

goes between the legs; it helps keep the legs spread

abuse

The intentional mistreatment or harm of another person

accidents

an unfortunate event resulting from carelessness or ignorance

activities

things that are done for enjoyment, often as part of education and often in groups.

adaptive devices

special equipment that helps a person who is ill or disabled to perform ADLs; also called assistive devices.

ADL

Activities of daily living

admission

the act or process of admitting

admitting resident

the individual being accepted into a Long Term Care Facility

affected side

a weakened side from a stroke or injury; also called the "weaker" or "involved" side.

aging process

the natural occurrences in the body that produce the changes associated with growing old

agitation

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

Alzheimer's

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

ambulation

walking or moving from one place to another

amputees

an individual who has had a limb removed

anger

a strong feeling of displeasure

antiembolic stockings

stockings made of elastic fabric that provide support promote blood flow and prevent the formation of blood clots

anxiety

An emotional state of high energy, with the stress response as the body's reaction to it.

aphasia

inability to use or understand language (spoken or written) because of a brain lesion

appropriate response

a reply that is made that is suitable for the circumstances

arthritis

inflammation of a joint or joints

aseptic

free from disease-causing microorganisms

assistive device

see addaptive devices.

axillary temperature

Temperature taken at the armpit

back strain

hurting ones back

bacteria

single-celled organisms that lack a nucleus; prokaryotes

bargaining

occurs when patients accept death but want more time to live

basic needs

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.

bathing

the act of washing yourself (or another person)

bathing resident

the act of washing a patient

bed cradle

a metal or plastic frame suspended over the hospital bed to keep the weight of the linen off the resident's body

bed height

The level of a patient's bed

bed position

the position the bed is in. also controlled by buttons on the control of the bed.

bedpan

a shallow vessel used by a bedridden patient for defecation and urination

bladder training

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

blindness

the inability to see

blood pressure

the pressure that is exerted by the blood against the walls of blood vessels

body alignment

the way the head, trunk, arms, and legs are aligned with one another; posture

body fluids

tears, saliva, sputum (mucous coughed up), urine, feces, semen, vaginal secretions, and pus or other wound drainage

body language

nonverbal communication through gestures, facial expressions, behaviors, and posture

body mechanics

The proper use of the body to facilitate lifting and moving and preventing injury.

bowel program

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

breathing

The process involving alternate inhalation and exhalation of air that ventilates the lungs.

burnout

exhaustion of physical or emotional strength or motivation, usually as a result of prolonged stress or frustration

call light

allows the patient to call for help via light and/or sound

cancer

disorder in which some of the body's own cells lose the ability to control growth

cane

held on strong side, goes forward with weak side before the strong side step after

cardiac arrest

Sudden, unexpected stopping of heart action; sudden cardiac death

care impaired

doing most if not all of the ADLs for an impaired resident

care plan

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

cast

bandage consisting of a firm covering (often made of plaster of Paris) that immobilizes broken bones while they heal

cataracts

eye disease in which the lens becomes covered in an opaque film that affects sight, eventually causing total blindness.

catheter care

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

30

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

charge nurse

registered nurse or licensed practical nurse;supervises the other nurses for a particular shift

circulation

the movement of substances within the body in body fluids

clarification

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

clergy

the group of people who have been ordained for religious service

cold compress

a cold folded and moistened cloth or towel that is placed over a small area of the body for moist cold therapy

combative resident

resident with violent or hostile behavior.

comfort care

palliative care

communication

The exchange of information between people

compensation

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

confidentiality

the act of holding information in confidence, not to be released to unauthorized individuals

confused resident

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

constipation

Hard, slow stools that are difficult to eliminate; often a result of too little fiber in the diet

constrict

to make smaller or narrower, draw together, squeeze; to stop or cause to falter

contact isolation

used when caring for people infected with pathogens that can be transmitted directly or indirectly

contamination

The process of becoming unclean

contracture

a severe tightening of a flexor muscle resulting in bending of a joint

converting measures

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"

COPD

chronic obstructive pulmonary disease; chronic bronchitis - bronchiole lining inflamed, excess mucus formed; emphysema - walls of alveoli break down; HYPOXIC DRIVE (not in asthma)

cueing

use of signals to indicate that a certain behavior is desired or that a certain behavior should stop

CVA

cerebrovascular accident (stroke) occurs when blood flow to the brain is impaired, resulting in a lack of oxygen to the brain tissue

cyanotic

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.
1) Denial
2) Anger
3) Negotiation
4) Resignation
5) Acceptance

dehydration

a serious reduction in the body's water content

dementia

a slowly progressive decline in mental abilities, including memory, thinking, and judgment, that is often accompanied by personality changes

denial

a defense mechanism in which unpleasant thought or desires are ignored or excluded from consciousness

dentures

false teeth

depression

The condition of feeling apathetic, hopeless, and withdrawn from others.

developmental process

family transitions, family stage task completion or progression, individual development, development of healt issues and family impact

diabetes

A condition of abnormal use of glucose, usually caused by too little insulin or lack of response to insulin.

diabetic

suffering from diabetes

dialysis

process of separating nitrogenous waste materials from the bloodstream when the kidneys no longer function

diastolic

Measurement of blood pressure taken when the heart is at rest; measurement of the constant pressure in arteries.

digestion

the organic process by which food is converted into substances that can be absorbed into the body

discharging resident

the official release of a resident from a health care facility to their home; the team helps prepare the resident to leave

disinfection

destruction of pathogens by chemical or physical means

disoriented resident

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

documentation

confirmation that some fact or statement is truea

dressing

sterile materials used to cover an incision

dry skin

common in the aging person because of the decline in size, number and output of sweat and sebacious glands

dying

process of decline in body functions, resulting in death of an organism

dysphagia

condition in which swallowing is difficult or painful

edema

swelling from excessive accumulation of serous fluid in tissue

elastic stockings

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

elevated head

when the patients head is raised via pillow

elimination

the bodily process of discharging waste matter

empathy

understanding and entering into another's feelings

emphysema

disease in which the tissues of the lungs lose elasticity, making breathing very difficult

ethics

moral principles or values

extremity

that part of a limb that is farthest from the torso

eye glasses

lens worn to aid vision

falls

leading cause of accidentak death amoung elderly people

fecal impaction

accumulation of hardened feces in the rectum or lower colon which the person cannot move

feeding

the act of supplying food and nourishment

fire safty

precautions in case of a fire or that help prevent and or contain a fire

flatus

gas in the digestive tract or expelled through the anus

flexed

bend, move, or stretch

fluid intake

This will help keep a client hydrated depending on weather and type of treatment.

foot board

a piece of wood or plastic placed at the end of the hospital bed and used for positioning the resident's feet

foot care

daily foot check for blisters, reddened areas, swelling

foot drop

The foot falls down at the ankle; permanent plantar flexion

Fowler's position

a semi-sitting position; the head of the bed is raised between 45 and 60 degrees

fraud

a deliberate deception intended to produce unlawful gain

free from disease

aseptic

frequent urination

polyuria

gait belt

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

gastric feedings

feeding provided through a tube directly into the stomach

gastrostomy tube

a surgically placed feeding tube from the exterior of the body into the stomach

geriatrics

the branch of medical science that deals with diseases and problems specific to old people

gestures

the ways in which people use their bodies to communicate with one another

gloves

to protect yourself from infections or spread of disease

grieving process

denial, anger, bargaining, depression, acceptance

hair care

dry as quickly as posible after shampooing, shampoo depends on care plan, keep shampoo out of eyes, do not cut to remove matting

hallucination

delusion; false idea; false perception of objects with a compelling sense of their reality; objects so perceived; V. hallucinate; ADJ. hallucinatory

hand tremors

movement of hands uncontrollable

hand washing

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.

hearing aid

a conical acoustic device formerly used to direct sound to the ear of a hearing-impaired person

hearing impaired

unable to hear or hear well

hearing loss

partial or complete loss of hearing

hemiplegia

paralysis of one side of the body

HIV

infection by the human immunideficiency virus

hospice care

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

hydration

Maintenance of body fluid balance

ice bag

a waterproof bag filled with ice: applied to the body (especially the head) to cool or reduce swelling

ileostomy

creation of a new opening through the abdominal wall into the ileum

immune system

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

impairment

damage that results in a reduction of strength or quality

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