withdrawing medical care from a patient without providing sufficient notice to the patient.
quick, upward pulls into the diaphragm to force out an obstruction blocking the airway
special equipment that helps a person who is ill or disabled perform ADLs; also called assistive devices
the act of allowing to enter; entrance granted by permission, by provision or existence of pecuniary means, or by the removal of obstacles
beginning process of a patient; admission of a resident 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
Alternating Pressure Mattress
pressure can be reduced under bony prominences but increased under others
the state of being angry, occurs when the patient is no longer able to deny death, stage in dying process
they help with ciculation and apply pressure to the legs. they have holes in the toes, so to let the nurse look at the feet to observe circulation and they don't have to be removed
occurs when patients accept death but want more time to live, making a deal, in return for a cure, they will fulfill promises
Basic Skin Care
Clean and moisturize your skin daily. Block the sun. Seek professional help for skin problems. Eat a balanced diet. Self screening.
a metal or plastic frame suspended over the hospital bed to keep the weight of the linen off the resident's body
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
body positioning that promotes proper body functioning; posture, 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
program that manipulates factor within a person's control (timing of defecation, exercise) to produce a regular pattern of comfortable defecation with medications or enemas
State of emotional and physical exhaustion, lowered productivity, and feelings of isolation, often caused by work-related pressures
a stick that people can lean on to help them walk, held on strong side, goes forward with weak side before the strong side step after
sudden cessation of cardiac output and effective circulation, which requires cardiopulmonary resuscitation
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
Central Nervous System
the portion of the vertebrate nervous system consisting of the brain and spinal cord
Cerebral Vascular Accident
(stroke) is the disruption of the blood supply to the brain, resulting in neurological dysfunction
registered nurse or licensed practical nurse;supervises the other nurses for a particular shift
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
a cold folded and moistened cloth or towel that is placed over a small area of the body for moist cold therapy
something (such as money) given or received as payment or reparation (as for a service or loss or injury)
Competency Evaluation Program
state operated program to certify skills persons wanting to be a nurse assistant
Congestive Heart Failure
syndrome where the heart is unable to pump enough blood to meet the body's needs for oxygen and nutrients; as a result, fluid is retained and accumulates in the ankles and legs
Hard, slow stools that are difficult to eliminate; often a result of too little fiber in the diet
used when caring for people infected with pathogens that can be transmitted directly or indirectly
use of signals to indicate that a certain behavior is desired or that a certain behavior should stop
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
A condition of abnormal use of glucose, usually caused by too little insulin or lack of response to insulin.
a procedure to remove waste products from the blood of patients whose 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
a resident that does not know: who he or anyone is (person), town/city (place),current year (time)
The documents that are required for something, or that give evidence or proof of something.
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, to suffer total and irreversible loss of the bodily attributes and functions
the act of removing or getting rid of something, Act of removal of materials from the body; in the digestive system, the removal of indigestible materials.
disease in which the tissues of the lungs lose elasticity, making breathing very difficult
accumulation of hardened feces in the rectum or lower colon which the person cannot move
The risk control measures used to protect people and property from the adverse effects of hostile fires.
The average healthy adult will take in about 3 1/2 quarts of fluid every day. This is called,
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, providing nail clipping and applying ointment etc
a semi-sitting position; the head of the bed is raised between 45 and 60 degrees
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
a medical device which is inserted into a patient's stomach to supplement his or her diet.
a tube which is surgically placed directly into the client's stomach and provides another route for administering nutrition and medications
The process by which people cope with death and dying., denial, anger, bargaining, depression, acceptance
a philosophy of end-of-life care that is committed to maintaining quality of life for terminally ill patients by keeping them as alert, pain free, and engaged with their families as possible.
a waterproof bag filled with ice: applied to the body (especially the head) to cool or reduce swelling
surgical procedure that creates an opening from the ileum through the abdominal wall to function as an anus
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
the condition of being unable to perform as a consequence of physical or mental unfitness
the invasion of the body by pathogenic microorganisms and their multiplication which can lead to tissue damage and disease
a hormone produced by the pancreas and released in response to high blood glucose following a meal. Insulin promotes the use and storage of glucose by the body's tissues
Intake and Output
is one tool to assess fluid status by keeping a record of a client't fluid intake and fluid loss over a a 24-hour period.
the organ system that forms a protective covering on the outside of the body, the skin and its accessory structures such as hair and nails
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.
medical equipment that assists or replaces important bodily functions and so enables a patient to live who otherwise might not survive
Lift/ Draw Sheets
turning sheets that are placed under residents who are unable to assist with turning, lifting, or moving up in bed.
consist of liquids ( a liquid is described as food that is fluid at room temperature or becomes liquid at room temperature
Low Sodium Diet
This type of diet is good for those with heart disease or kidney disease. Low salt diet; No salt added
Mechanical Soft Diet
Foods that are prepared with blender, food processors, or cutting utentsils. Does not limit spices, fat, & other fiber. Only texture of food changes.
a disorder that affects a person's mind, causing the person to act in unusual ways, experience emotional difficulties or both
cleaning the teeth of a peron in the moring and at night; also sometimes after eating a meal
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 bones and skeletal muscles that support and protect the body and permit movement.
communication using body movements, gestures, and facial expressions rather than speech
a legal advocate for residents who visits the facility, listens to residents, and decides what course of action to take if there is a problem.
abnormal loss of bony tissue resulting in fragile porous bones attributable to a lack of calcium
gas that enters the blood through the lungs and travels to the heart to be pumped via arteries to all body cells
Personal Protective Equipment
items such as gloves, gowns, masks, protective eyewear, and hair coverings are used to protect the nurse from infectious organisms
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
any lesion caused by unrelieved pressure that results in damage to underlying tissue; formerly called decubitus ulcers, bed sores, pressure sores
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
this is what the client can to to prevent them from recieving further injury for example; wearing supports on injured areas.
defense mechanism that offers self-justifying explanations in place of the real, more threatening, unconscious reasons for one's actions
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 process of taking in oxygen (inspiration) and expelling carbon dioxide (expiration) by way of the lungs and air passages
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
the correct way to respond to the behavior of a resident, wheather it is good or bad
methods of restricting a person's freedom of movement, physical activity, or normal access to his or her body
hormones that are essential for normal body functions released into interstitial fluids where they move into bloodstream-- altering the metabolic activities of many different tissues and organs simultaneously
sudden, transient disturbances in brain function resulting from abnormal firing of nerve impulses (may or may not be associated with convulsion)
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
helping patients develop awareness and maintain self awarness. lifes meaning and purpose, relationship to others, and relationship to a higher power.
the procedure of making some object free of live bacteria or other microorganisms (usually by heat or chemical means)
a sudden loss of consciousness resulting when the rupture or occlusion of a blood vessel leads to oxygen lack in the brain
measurement of blood pressure taken when the heart is contracting and forcing blood into the arteries
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)
care planned scheduled times to take resident to bathroom as part of intervention to decrease incontinence
Treating Resident with Respect
treating the "R" the way we'd want to be treated. Respecting their rights
that part of the mind wherein psychic activity takes place of which the person is unaware
behavior that does not conform to generally accepted social norms concerning beneficial and harmful actions
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
the system that includes all organs involved in reproduction and in the formation and voidance of urine
Determinations that provide information about body conditions; include temperature, pulse, respirations, and blood pressure
checking the wheelchair brakes, making sure the "R" has proper alarms, they are informed how to use the wheelchair