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Abuse
Intentional harm or mistreatment of a patient or resident, including physical, emotional,
sexual, and financial abuse
Advance Directive
A legal document that specifies a person's wishes regarding medical treatment if
they become unable to communicate or make decisions
Aiding and Abetting
Assisting in committing a crime or wrongful act
Defamation of Character
False statements harming someone's reputation.
Do Not Resuscitate (DNR) / No Code
Order to not perform CPR
Ethical Standard
Principles guiding professional behavior
False Imprisonment
Unlawfully restricting someone's movement.
Libel
Written defamation
Psychological Abuse
Actions causing mental or emotional harm
Resident Council
Group addressing issues in long-term care
Slander
Spoken defamation
Social Services
Support for social, emotional, and financial needs
Theft
Taking property without permission
Aphasia
A condition characterized by the inability to comprehend or formulate language due to damage to specific brain regions.
Conversion
A psychological condition where emotional distress is expressed as physical symptoms
Displacement
A defense mechanism where negative feelings are transferred from the source to a safer, substitute target
Dyslexia
A learning disorder characterized by difficulties with reading, spelling, and writing.
Dysphasia
Partial or complete impairment of the ability to communicate resulting from brain injury
Projection
A defense mechanism where a person attributes their unacceptable thoughts or feelings to someone else
Rationalization
A defense mechanism where controversial behaviors or feelings are justified and explained in a seemingly rational manner.
Repression
A defense mechanism where distressing thoughts and feelings are pushed out of conscious awareness
V/S
Vital signs
Baseline
The normal state of being for each specific patient. Baseline measurements are the initial set of data that are used for comparison with subsequent measurements to track changes in a patient's condition
Sublimation
A defense mechanism where socially unacceptable impulses are transformed into socially acceptable actions or behaviors.
Circulation, Sensation, & Movement (CSM)
Refers to the assessment of blood flow, nerve function, and movement in a limb
Joint Commission (JCO)
an independent, non-profit organization that accredits and certifies healthcare organizations and programs in the United States
Occupational Safety and Health Administration (OSHA)
is a federal government agency that makes rules to protect workers from hazards on the job
Material Safety Data Sheet (MSDS)
Documents providing information on the safe handling and potential hazards of chemicals.
Ambulate
walk or move around
Gait Belt
belt used to assist with transfers and walking
Hoyer lift
Mechanical lift for transferring patients.
Lateral position
Lying on the side
Logroll
Turning the patient into a single unit
Prone position
Lying on the abdomen
Sim’s position
Left side-lying position
Supine position
Lying on the back
Trendelenburg position
body tilted with head lower than feet
Low Fowler’s position
Head of the bed elevated to 15-30 degrees.
Semi-Fowler’s position
Head of the bed elevated to 30-45 degrees
Fowlers position (standard)
Semi-sitting position with the head of the bed elevated to 45-60 degrees.
High Fowler’s position
Asepsis
The absence of bacteria, viruses, and other microorganisms to prevent infection
A
a prefix meaning "not" or "without.“
Sepsis
Derived from the Greek word "sēpsis," which means "putrefaction" or "decay caused
by bacteria”
Flora
The bacteria and other microorganisms that normally reside in a specific environment
Health Care associated infection (HAI)
Infections that patients acquire during the course of receiving treatment for other conditions within a healthcare setting
S/S
signs and symptoms
Abrasion
A wound caused by superficial damage to the skin
Aspiration
Inhalation of food, liquid, or other material into the respiratory tract
Axilla
the medical term for the armpit
Catheter
A tube inserted into the body to remove or deliver fluids
Colostomy
A surgical procedure that creates an opening from the colon to the surface of the body to divert waste
Cyanosis
A bluish discoloration of the skin due to lack of oxygen.
Decubitus ulcer
Also known as a pressure sore, caused by prolonged pressure on the skin
Defacation
The discharge of feces from the body.
Dermis
The layer of skin beneath the epidermis
Epidermis
The outermost layer of the skin.
Erythema
Redness of the skin.
Eschar
Dead tissue that falls off from healthy skin
Excoriation
Skin picking or scratching
Flatulence
Accumulation of gas in the alimentary canal
Hour of sleep (h.s.)
The time when a patient goes to bed.
Ileostomy
A surgical opening created in the ileum to divert waste.
Jejunostomy
A surgical opening created in the jejunum.
Neuropathy
Damage or dysfunction of one or more nerves.
Osteomyelitis
Infection of the bone
Ostomy
A surgical opening created for the discharge of body wastes.
Perineum/Perineal
The area between the anus and the genitals
Pressure sore
Injury to the skin and underlying tissue due to prolonged pressure.
Stoma
An opening on the surface of the body created surgically.
Advance directive
A legal document specifying a person’s wishes regarding medical treatment if they
are unable to communicate
Aphasia
The inability to speak or understand language due to brain damage
Aspirate
To inhale food, liquid, or a foreign object into the airway.
Bradypnea
Abnormally slow breathing rate
Cyanosis
Bluish discoloration of the skin due to lack of oxygen.
Diaphoresis
Excessive sweating
Do Not Resuscitate (DNR)
An order to not perform CPR.
Dyspnea:
Difficult or labored breathing.
Hemiplegia
Paralysis of one side of the body
Hemorrhage
Excessive bleeding
Hyperventilation
Breathing at an abnormally rapid rate
Hypoglycemia
Low blood sugar
Hypoventilation
Slow and shallow breathing
Stat
Immediately, without delay.
Tachypnea
Abnormally rapid breathing rate
Active-assistive range of motion
Movement of a joint by the patient with some help
Active range of motion
Movement of a joint performed by the patient without assistance
Activities of daily living (ADL)
Daily self-care activities like eating, dressing, and bathing
Afebrile
Absence of fever
Celsius
Metric unit for measuring temperature.
Fahrenheit
Imperial unit for measuring temperature
Febrile
Having or showing symptoms of a fever
Mucosa
Membrane lining body passages and cavities
Pyrexia
Medical term for fever.
Tympanic
Pertaining to the eardrum, used for temperature measurement
Assessment Reference Day (ARD)
The last day of the observation period used for completing the MDS
Incident report
A document detailing an unusual event, such as an injury to a patient
Kardex
A quick reference chart for patient care information not part of the permanent record.
Minimum Data Set (MDS)
A standardized assessment tool for assessing a resident's functional capabilities.
Root word
The base part of a word