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Acute
Sudden or sharp
Ambulatory
Able to walk
Aphasia
Inability to express oneself properly through speech and/or loss of verbal comprehension
Comatose
Condition of being in a sleep like state/ unconscious
Constipation
Infrequent of difficult bowel movements
Cognition
Ability to think and reason
Cyanosis
Bluish color to the skin due to lack of oxygen
Dementia
Progressive loss of mental function
Decubitus Ulcer
Ulcerated, worn away area of skin, aka pressure sore
Defecate
Bowel movement
Degeneration
Breakdown or deteriorate
Delusion
False, fixed belief
Diarrhea
Frequent, watery bowel movement
Dysphagia
Difficulty swallowing
Edema
Body tissues retain excessive amounts of water, swelling
Ethics
Knowing from right and wrong
Extremities
Arms and legs
Ethnicity
Special customs, language, heritage
Geriatrics
Study of the elderly
Hemorrhage
Excessive loss of blood
Hypertension
High blood pressure
Hypotension
Low blood pressure
Impaction
Tightly wedged hard stool in the bowel
Involuntary
Not able to control
Incontinent
Involuntary evacuation of urine or bowel movement
Neglect
Failure to provide services necessary to avoid physical or mental harm
Pathogen
Disease causing organism, germ
Prosthesis
Artificial body part
Pressure sore
Ulcerated wound away skin aka decubitus ulcer
Regress
Go back, child - like state
Sign
Evidence of illness that can be seen, heard, smelled, or touched
Symptom
Evidence of illness that a resident has to tell you what’s wrong
Standard precautions
Infection control practices used on all patients
Void
To urinate
Voluntary
Able to control
A
Axillary temp
Abd.
Abdomen
a.c.
Before meals
ADA
American Dietetic Association
ADL
Activities of daily living
ad lib
As desired
A.M.
Morning
B&B
Bowel and bladder program
b.i.d.
Twice a day
BM
Bowel movement
BP
Blood pressure
BRP
Bathroom privileges
C or w
With
C.C.
Cubic centimeter
C/O
Complains of
CVA
Stroke
DAT
Diet as tolerated
DNR
Do not resuscitate
H or Hr
Hour
H2O
Water
HOB
Head of bed
HOH
Hard of hearing
h.s
Bedtime/ hour of sleep
I&O
Intake and output
MI
Myocardial Infaction
Na
Sodium
NKA
No known allergies
NPO
Nothing by mouth
OOB
Out of bed
O.D
Right eye
O.S
Left eye
O.U
Both eyes
O2
Oxygen
OT
Occupational Therapy
Oz
Ounce= 30cc
p.c
After meals
Peri
Perineal
P.M.
Afternoon and evening
PT
Physical therapy
p.r.n.
As needed or desired
PROM
Passive range of motion
q
Every
q.d.
Every day
q.h.
Every hour
q.4.h.
Every four hours
q.i.d.
Four times a day
q.o.d
Every other day
R
Rectal
Rt
Right
W/o, S with line over it
Without
Stat
Immediately
SOB
Shortness of breath
TCH
Turn, cough, Hyperventilate
t.i.d.
Three times a day
TLC
Tender loving care
TPR
Temperature, pulse, respirations
V.S.
Vital signs
W/C
Wheel chair
Wt
Weight