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activities of daily living (ADLs)
daily personal care tasks, such as bathing; caring for skin, nails, hair, and teeth; dressing; toileting; eating and drinking; walking; and transferring.
assistive devices
Special equipment that helps a person who is ill or disabled to perform ADLS; also called adaptive devices.
chronic
Long-standing, constant. Opposite of acute
delegation
transferring responsibility to a person for a specific task
empathetic
being able to identify with and understand the feelings of others
holistic care
care that involves the whole person; this includes his or her physical, social, emotional, and spiritual needs
hospice care
holistic, compassionate care given to people who have approximately six months or less to live
intergenerational care
caring for children and the elderly in the same setting
abuse
purposeful or willful mistreatment that causes physical, mental, emotional, or financial pain or injury to a person
advance directives
legal documents that allow people to choose what medical care they wish to have if they are unable to make those decisions themselves
assault
a threat to harm a person, resulting in the person feeling fearful that he or she will be harmed
DNR
an abbreviation for do-not-resuscitate; an order that tells medical professionals not to perform CPR in the event of cardiac or respiratory arrest
Domestic violence
physical, sexual, or emotional abuse by spouses, intimate partners, or family members
ethics
the knowledge of right and wrong; standards of conduct
false imprisonment
the unlawful restraint of someone which affects the person's freedom of movement; includes both the threat of being physically restrained and actually being physically restrained.
financial abuse
the improper or illegal use of a person's money, possessions, property, or other assets
HIPPA
an abbreviation for Health Insurance Portability and Accountability Act; a federal law that sets standards for protecting the privacy of patients' health information
invasion of privacy
A violation of the right to be left alone and the right to control personal information.
living will
A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes.
misappropriation
the deliberate misplacement, exploitation, or wrongful, temporary or permanent use of a resident's belongings or money without the resident's consent
neglect
failure to provide necessary care or services, resulting in physical, mental, or emotional harm to a person
OBRA
an abbreviation for Omnibus Budget Reconciliation Act; law passed by the federal government that includes minimum standards for nursing assistant training, staffing requirements, resident assessment instructions, and information on rights for residents
ombudsman
a legal advocate for residents in long-term care facilities
resident's rights
rights identified in OBRA that relate to how residents must be treated while living in a long-term care facility; they provide an ethical code of conduct for healthcare workers
scope of practice
the tasks that healthcare providers are legally permitted to perform according to state or federal law
sexual abuse
any sexual act without consent
sexual harassment
any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive working environment
slander
spoken defamation
workplace violence
verbal, physical, or sexual abuse of staff by other staff members, residents, or visitors
objective information
factual information collected using the senses of sight, hearing, smell, and touch; also called signs
subjective information
information collected from residents, their family members and friends; information may or may not be true, but is what the person reported; also called symptoms
anxiety
unease or worry, often about a situation or condition
defense mechanisms
unconscious behaviors used to release tension and/or help a person cope with stress
dyspnea
difficulty breathing
impairment
a partial or complete loss of function or ability
communicable disease
an infectious disease transmissible by direct contact or by indirect contact
disinfection
a process that destroys most, but not all, pathogens and other types of microorganisms
Healthcare-Associated Infection (HAI)
an infection acquired within a healthcare setting during the delivery of medical care
Hepatitis
Inflammation of the liver, usually caused by a viral infection, that causes fever, loss of appetite, jaundice, fatigue, and altered liver function.
infection prevention
set of methods used to prevent and control the spread of disease
medical asepsis
measures used to reduce, remove, and control the spread of pathogens
microorganisms
a living thing or organism that is so small that it is only visible under a microscope: also called microbe
mucous membrane
the membranes that line body cavities that open to the outside of the body, such as the linings of the mouth, nose, eyes, rectum, or genitals
pathogens
microorganisms that are capable of causing infection and disease
personal protective equipment (PPE)
equipment that helps protect employees from serious workplace injuries or illnesses resulting from contact with workplace hazards
Standard precautions
a method of infection prevention in which all blood, body fluids, non-intact skin, and mucous membranes are treated as if they were infected with an infectious disease
sterilization
cleaning measure that destroys all microorganisms, including pathogens
atrophy
weakening or wasting away of muscles
body mechanics
the way the parts of the body work together when a person moves
chemical restraint
medications used to control a person's mood or behavior
contracture
the permanent and painful shortening of a muscle, tendon, or ligament that can restrict movement
cyanosis
blue or pale skin and/or mucous membranes due to decreased oxygen in the blood
dysphagia
difficulty swallowing
RACE
acronym for steps taken during a fire; stands for Rescue-Activate-Contain-Extinguish
restraint
a physical or chemical way to restrict voluntary movement or behavior
MSDS
Material Safety Data Sheet; contains information on the possible health effects of exposure to chemicals
Safety Data Sheet (SDS)
sheet that provides information on the safe use of and hazards of chemicals, as well as emergency steps to take in the event chemicals are splashed, sprayed, or ingested
ambulation
the act of moving or walking, with or without an assistive device
dangle
to sit up with the legs hanging over the side of the bed in order to regain balance
Fowler's
semi-sitting body position in which a person's head and shoulders are elevated 45 to 60 degrees
logrolling
moving a person as a unit, without disturbing the alignment of the body
mechanical lift
special equipment used to lift and move or lift and weigh a person; also called hydraulic lift
positioning
the act of helping people into positions that promote comfort and health
shearing
rubbing or friction resulting from the skin moving one way and the bone underneath it remaining fixed or moving in the opposite direction
supine
body position in which a person lies flat on his back
transfer belt
a belt made of canvas or other heavy material used to help people who are weak, unsteady, or uncoordinated to stand, sit, or walk; also called a gait belt
dentures
artificial teeth
edema
swelling in body tissues caused by excess fluid
edentulous
lacking teeth
plaque
a substance that accumulates on the teeth from food and bacteria
apical pulse
the pulse on the left side of the chest, just below the nipple
apnea
absence of breathing
orthostatic hypotension
a sudden drop in blood pressure resulting from a change in position, usually when standing up from a sitting or reclining position and often causing dizziness
radial pulse
the pulse located on the inside of the wrist, where the radial artery runs just beneath the skin
respiration
the process of inhaling air into the lungs (inspiration) and exhaling air out of the lungs (expiration)
tachycardia
rapid heart rate over 100 beats per minute
vital signs
Measurements of the body's most basic functions and useful in detecting or monitoring medical problems.
fasting
a period of time during which food is given up voluntarily
intake
the fluid a person consumes; also called input
nutrition
the process by which the body uses food to maintain health
output
fluid that is eliminated each day through urine, feces, and vomitus, as well as perspiration; also includes suctioned material and wound drainage
puree
to blend or grind food into a thick paste
absorption
the transfer of nutrients from the intestines to the cells
body systems
groups of organs that perform specific functions in the human body
colostomy
the surgical creation of an artificial opening between the colon and the body surface
constipation
the inability to eliminate stool, or the infrequent, difficult and often painful elimination of a hard, dry stool.
enema
a specific amount of water or other fluid, with or without an additive, introduced into the colon to stimulate the elimination of stool
fecal impaction
a mass of dry, hard stool that remains packed in the rectum and cannot be expelled
feces
solid body waste excreted through the anus from the large intestine; also called stool
Flatulence
air in the intestine that is passed through the rectum; also called gas or flatus
fracture pan
a bedpan that is flatter than a regular bedpan; used for small or thin people or those who cannot lift their buttocks onto a standard bedpan
ileostomy
the surgical creation of an artificial opening between the ileum, at the end of the small intestine, and the outside of the abdominal wall
ostomy
the surgical creation of an artificial opening to the body surface
peristalsis
muscular contractions moving food through the GI tract
specimen
a sample that is used for analysis in order to try to make a diagnosis
dialysis
a process that cleans the body of wastes that the kidneys cannot remove due to kidney failure
indwelling catheter
a catheter that stays in the bladder for a period of time.
Urinary Tract Infection (UTI)
infection of the urethra, bladder, ureter, or kidney
Benign prostatic hypertrophy (BPH)
a disorder that can occur in men as they age, in which the prostate becomes enlarged and causes problems with urination and/or emptying the bladder
hormones
chemical substances produced by the body that control numerous body functions