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abandonment
to leave or desert someone. To withdraw medical care from a patient without providing sufficient notice to the patient.
abdominal thrust
Method of attempting to remove an object from the airway of someone who is choking
abductor wedge
A health device that enables the user to maintain proper leg positioning while recovering from hip replacements or fractures.
abnormal vital signs
A vital sign that is outside the normal range (body temperature, pulse, respirations, or blood pressure).
a. normal temperature: 97-99 degrees
b. normal pulse: 60-100 beats per minute
c. normal respirations: 12-24 respirations per minute (varies slightly between sources)
d. normal blood pressure: 90/60 - 129/79. hypertensive crisis (emergency): 180/120
abuse
the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish.
accidents
an unfortunate event resulting from carelessness or ignorance. Can be prevented.
activities
things that are done for enjoyment or recreation, often done in groups. Helps the residents socialize
acute
an acute condition has a sudden onset and short recovery time
adaptive
adaptive equipment/devices help residents complete activities of daily living
adaptive devices
Devices that allow a person to perform ADL related tasks they would not otherwise be able to perform. Examples include Items such as special eating utensils, raised toilet seats, reachers, walkers, canes, etc
adduction
Moving a body part toward the midline of the body.
ADL
activities of daily living include things like dressing, grooming, bathing, walking, using the restroom, etc
admitting resident
admission of a resident into a long-term care facility
advanced directives
legal documents that allow people to decide what medical care they wish to have if they are unable to make these decisions themselves
affected side
a weakened side of the body due to a stroke or injury; also called involved side
aging process
the biological changes that take place over time and affect the structure and functioning of the body; Pertains to getting older.
agitation
The state of being restless, irritable, tense, or troubled
AIDS
Acquired Immune Deficiency Syndrome is a disease of the immune system transmitted through blood products especially by sexual contact or contaminated needles
alzheimer’s
A progressive incurable disease that causes tangled nerve fibers and protein deposits to form in the brain, which eventually causes dementia.
ambulation
to walk
Angina
Chest pain due to lack of blood flow to heart muscle
anti-embolic stocking
Special stockings used to help prevent swelling, prevent blood clots, and improve circulation; Also called elastic stockings or TED stockings
antibiotics
medications prescribed for bacterial infection
aphasia
loss of speech due to injury or illness
apnea
absence of breathing
appropriate response
responding to a situation correctly or in a way other professionals with similar skills and experience would.
arthritis
inflammation of the joints causing pain, stiffness, and decreased mobility
aspiration
inhaling food, drink, or other materials into the lungs
assistive device
special equipment that helps a person who is ill or disabled to perform activities of daily living; also called adaptive devices.
attitudes
a general way of holding the body
authorized duty
duties a person is authorized to complete
axillary temperature
temperature taken at the armpit. Least accurate way to measure temperature. One degree lower than and oral temperature
bacteria
a type of microorganism (germ) that can cause disease. Some bacteria are considered beneficial and are normally present in the body such as normal gut bacteria
basic needs
things people cannot live without, such as water, food, clothing, and shelter
bathing
the act of washing oneself or another person. Can be complete, partial, tub, or shower, it is part of the hygiene
bed bath
giving a complete bath in bed.
bed cradle
metal frame that attaches to foot of bed that keeps the weight of top linens off the feet/toes; helps to prevent pressure sores/injuries.
bed height
The level/height of a patient's bed, always keep it at the lowest position unless working with resident
bedrails
a device that serves as a guard or barrier along the side of the bed. Also called side rails.
behavior
the way in which one acts or conducts oneself, especially towards others
behavioral care plan
a care plan to encourage modification of a resident’s behavior that includes goals to improve behavior
beliefs
accepting something to be true; can include personal beliefs, religious beliefs, etc.
biohazard
Biological agent or condition that constitutes a hazard to humans
bladder training
helps gain control of urination. When a client postpones voiding resists or inhabits the sensation of urgency and voids according to a timetable rather than according to the urge to void
bleeding
loss of blood, can happen when one gets a cut or wound. Can also be internal. Severe bleeding can cause death quickly and must be controlled. Apply pressure to slow/stop bleeding.
blood pressure
One of the vital signs that measures the force of the blood against the walls of the arteries.
blood supply
Another name for circulation or blood flow which supplies body tissues with oxygen and nutrients
body alignment
Body positioning that promotes proper body functioning; posture
body language
nonverbal communication through gestures, facial expressions, behaviors, and posture
body mechanics
using muscles correctly and positioning the body correctly when moving people or objects to avoid personal injury
body temperature
the amount of heat in the body that it is a balance between the amount of heat produced and the amount lost by the body
bone loss
the reduction of bone mass; Osteoporosis
bowel program
program that manipulates factors within a person's control to produce a regular pattern of bowel movements without medication or enemas. Bowel programs prevent incontinence and constipation
break time
designated times for employees to take a break
breathing
The process of inhalation and exhalation
brittle bones
Instead of being strong and resilient, bones are weak, brittle, and can break easily
call light
A bedside button tethered to the wall in a patient’s room, which directs signals to the nursing station; a call light usually indicates that the patient has a need requiring attention from the nurse on duty.
cardiopulmonary resuscitation (CPR)
medical procedure used when a person’s heart has stopped beating. The 3 basic skills used are: chest compressions, open airway, and rescue breaths.
Cardiovascular system
also known as the circulatory system which is made up of the heart, blood, and blood vessels. Its primary function is to carry oxygen and nutrients to the body
care impaired
doing most if not all of the ADLs for an impaired resident
care plan
an individualized plan developed for each resident to achieve certain goals. Specific action steps to achieve goals are defined and all staff must follow the care plan. The care plan is developed by a registered nurse, but documentation of cares provided by all staff contribute to the development of care plan
cast
bandage consisting of a firm covering that immobilizes broken bones while they heal
cataract
a condition in which cloudy spots develop in the lens of the eye, causing vision loss
catheter
thin tube inserted into the body to drain fluids or inject fluids. A urinary catheter is inserted into the bladder and drains urine into a urinary drainage bag
catheter care
cleaning of a urinary catheter, washing, rinsing and drying at least 4 inches of the catheter, starting at the urinary meatus/opening and moving away from the meatus. After cleaning the catheter, perineal care is provided
CC’s in an ounce
30 CC’s in one ounce. Milliliters (mL’s are the same as CC’s)
central nervous system (CNS)
the part of the nervous system that is composed of the brain and
spinal cord
charge nurse
registered nurse or licensed practical nurse that supervises and supports nursing staff of a particular unit and treats a certain number of residents
chemical restraint
using medications to control a person’s mood or behavior
chemotherapy
medication given, usually intravenously to fight cancer. Certain drug that destroys cancer cell and limit their growth, can be toxic to the body causing severe side effects, nausea, vomiting, hair loss, fatigue, and decreased resistance to infection
chest pain
pain, tightness, or heaviness felt around the chest area
choking
is a blockage of the upper airway/windpipe by food or other objects, which prevents a person from breathing effectively
chronic
a long-term health condition that may not have a cure
circulation
the movement of blood through the body's blood vessels and heart to allow for the transport of oxygen and nutrients throughout the body
circulatory system
the system that circulates blood through the body, consisting of the heart, blood vessels, and blood. Also called cardiovascular system
cleaning
the process of removing unwanted substances, such as dirt, infectious agents, and other impurities, from an object or environment
clear liquid diet
a diet that consists of foods that are clear (can see through it) and liquid at room temperature. Includes water, broth, jello, tea, coffee, juice, sodas, sport drinks, popsicles, etc
clergy
religious officials who perform religious services such as priests, ministers, or rabbis
cognitively impaired
a problem with a person’s ability to think, learn, remember, use
judgement, and make decisions
colostomy
surgically created opening (stoma) through the abdomen into the large intestines to allow stool to be expelled
colostomy care
the process of changing, emptying, and cleaning a colostomy bag and cleaning the skin surrounding the stoma
coma
a state of prolonged unconsciousness in which a person is unable to respond
combative resident
a resident who is violent or hostile
communicable
a communicable disease is a contagious disease that can be transmitted to others.
communication
the process of exchanging information with others by sending and receiving messages.
competency evaluation
another term for state exam for nursing assistants
conduct
how a person acts or behaves
confidentiality
the legal and ethical principle of keeping information private
conflict resolution
a way for two or more parties to find a peaceful solution to a disagreement among them
confused resident
a resident who is confused and unable to think clearly. It occurs when a person is confused about the time, where they are or even who they are.
congestive heart failure
a condition in which the heart muscle is damaged and is no longer able to pump efficiently
constipation
difficulty having a bowel movement. Infrequent bowel movements; not having a bowel movement for 3 days or more.
contracture
the permanent and often painful shortening of a muscle or tendon, usually due to a lack of activity
converting measures
changing ounces to milliliter or milliliter to ounces. 1oz=30mL
COPD (chronic obstructive pulmonary disease)
a chronic, progressive, and incurable lung disease that causes difficulty breathing, weakness, and a high risk for lung infections. Includes diseases such as emphysema and chronic bronchitis
CPR (Cardiopulmonary Resuscitation
a medical procedure used when a person stops breathing and the heart stops beating
cultural
having to do with a person’s culture; relating to the ideas, customs, and social behavior of a society
culture
the customary beliefs, social norms, and material traits of a racial, religious, or social group; a set of shared attitudes, values, goals, and practices
CVA (Cerebrovascular Accident)
a condition that occurs when blood supply to a part of the brain is blocked or a blood vessel leaks or ruptures within the brain; also called stroke