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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
special equipment that helps a person who is ill or disabled to perform ADLs; also called assistive devices.
the natural occurrences in the body that produce the changes associated with growing old
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
stockings made of elastic fabric that provide support promote blood flow and prevent the formation of blood clots
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
tears, saliva, sputum (mucous coughed up), urine, feces, semen, vaginal secretions, and pus or other wound drainage
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
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
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
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 programto certify skills persons wanting to be a nurse assistant
the act of holding information in confidence, not to be released to unauthorized individuals
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
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 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
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.
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
a resident that does not know: who he or anyone is (person), town/city (place),current year (time)
common in the aging person because of the decline in size, number and output of sweat and sebacious glands
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
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
a piece of wood or plastic placed at the end of the hospital bed and used for positioning the resident's feet
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
the branch of medical science that deals with diseases and problems specific to old people
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
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
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
a waterproof bag filled with ice: applied to the body (especially the head) to cool or reduce swelling
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
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.
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.
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.
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
consist of liquids ( a liquid is described as food that is fluid at room temperature or becomes liquid at room temperature
mechanical soft diet
Gets its name from foods prepared with blenders, food processors, or cutting utensils. Makes food easier to chew
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
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 muscles and tendons and ligaments and bones and joints and associated tissues that move the body and maintain its form
failure to act with the prudence that a reasonable person would exercise under the same circumstances
communication using body movements, gestures, and facial expressions rather than speech
a government appointee who investigates complaints by private persons against the government
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
gas that enters the blood through the lungs and travels to the heart to be pumped via arteries to all body cells
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
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
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.
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
(psychiatry) a defense mechanism by which your true motivation is concealed by explaining your actions and feelings in a way that is not threatening
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
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
methods of restricting a person's freedom of movement, physical activity, or normal access to his or her body
sudden, transient disturbances in brain function resulting from abnormal firing of nerve impulses (may or may not be associated with convulsion)
comments, gestures, or physical contacts of a sexual nature that are deliberate, repeated, and unwelcome
shearing of skin
when skin sticks to a surface while muscles slide in the direction the body is moving
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
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
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!
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
Determinations that provide information about body conditions; include temperature, pulse, respirations, and blood pressure
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