Bingo Terms and Definitions.docx

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This joint is moveable

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Synovial

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This joint is immovable

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Synarthrosis

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Turning or facing upward such as your palms

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Supination

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Turning a bone away from the body

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External Rotation

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Attaches bone to bone

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Ligament

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Attaches muscle to bone

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Tendon

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Sexually transmitted infection. An important focused history question with a male GU assessment. Have you ever had or been treated for a STI? 

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STI

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The proper sequence of auscultation, percussion, and palpation of the abdomen. This sequence follows the flow of the large intestine.

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RLQ, RUQ, LUQ, LLQ

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A condition in which there is a lack of intestinal activity. Peristalsis is decreased or absent. Common after surgery particularly abdominal surgery.

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Ileus

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An assessment finding on percussion of the abdomen that indicates the presence of air or gas. An expected finding unless extremely high-pitched tympanic sounds are heard with distention. 

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Tympany

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An assessment finding on auscultation of the abdomen - decreased bowel sounds defined as < 5 sounds per minute.

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Hypoactive bowel sounds

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A concave contour of the abdomen noted on inspection.

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Scaphoid contour

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The location of the stomach in the abdomen.

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LUQ

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The medication is absorbed in the cheek

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Buccal

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Which tablet cannot be crushed?

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Enteric coated

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After meals

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PC (post cibum)

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Another name for an order that is a protocols

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Standing order

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Four times a day

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QID

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At bedtime

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HS

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An abbreviation for an order that is given immediately and only once.

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STAT

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Flat, brown, less than 1 cm, non-palpable lesion. Examples include freckles, petechiae, birthmarks, Mongolian spot

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Macule 

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Discoloration of the skin resulting from bruising or bleeding under the skin

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Ecchymosis

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Assessment tool to predict pressure sore risk. If any skin breakdown is noted based on the 6 risk factors. 

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Braden Scale 

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Mole screening for possible melanoma 

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ABCDE (Asymmetry, irregular Borders, Color, Diameter, Elevation/Enlargement)

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Refers to the elasticity of the skin. Generally checked on sternum or under clavicle

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Turgor

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Bluish discoloration of the skin due to poor circulation, cold, or low oxygenated state. 

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Cyanosis

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Abnormal skin finding -- pale skin

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Pallor

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This sound is best heard over the trachea and is harsh/high-pitched

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Bronchial

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RR

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Bradypnea

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Shortness of breath is also called

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Dyspnea

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Where does gas exchange take place?

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Aveoli

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Which lung has 2 lobes?

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Left

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What is the primary stimulus for breathing?

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Hypercapnia

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Which sounds is normal to hear when percussing a lung?

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Resonance

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Turbulent blood flow with a swooshing or blowing sound when auscultating the heart 

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Murmur

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Decreased heart rate, below 60 bpm.

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Bradycardia 

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Assessed by bilaterally & simultaneously using the thumb and forefinger to squeeze the fingernail or toenail until it blanches and release; normal finding for color to return is… less than 3 seconds

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Capillary Refill 

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The "dub" heart sound and is caused by the closure of the aortic & pulmonic valves marking the end of systole

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S2

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Carotid, brachial, radial, femoral, popliteal, dorsalis pedis, & posterior tibial are all types of these… normal findings are for these to be strong and equal bilaterally (Amplitude +2)… +3 Bounding, +1 Diminished; weak, 0 Absent, unable to palpate

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Pulses

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Located at the left 3rd intercostal space; S1 & S2 are located here

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Erb's Point

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The "lub" heart sound and is the start of systole when the mitral & tricuspid valves close

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S1

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Applies to ALL patients. Think barriers. Wear gloves when touching any body fluids or when you anticipate you will be touching body fluids. Wear goggles/gown when ou anticipate splashing of fluids. 

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Standard Precautions

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Holistic Communication Acronym, stands for C=Center yourself, L=Listen wholeheartedly, E= Empathize, A=Attention - Be fully present, R=Respect.

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CLEAR - Acronym

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The process of intentional and reflective judgment about a problem where the focus is on clinical decision-making to provide safe and effective care. Answers the question - What if? 

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Critical Thinking

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An assessment technique is a visual examination that is deliberate, purposeful, and systematic. Not to be hurried.

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Inspection

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Data gathered from the Health History. Includes what the client says/feels and communicates.

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Subjective Data

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Begins at first contact and is your overall impression of the client. Includes physical appearance, gait, and mental status among other assessments.

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General Survey

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Data gathered about the client's health history, health conditions and diseases, family health history, lifestyle risk appraisal and symptoms (subjective data). 

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Health History

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Most targeted spot for breast cancer

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Upper outer quadrant

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Irregular periods 2-8 years before menopause

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Perimenopause

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One’s own internal sense/interpretation of their gender. May not conform to gender expression or assigned sex

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Gender Identity

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An infection-induced inflammation of the female upper reproductive tract that is most frequently caused by untreated chlamydia or gonorrhea 

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PID (Pelvic Inflammatory Disease)

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Screening that should be completed on every patient at every hospital encounter 

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Abuse/Safety Screening

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Bacterial, viral, and parasitic infections of the reproductive tract caused by microorganisms transmitted through vaginal, anal, or oral sexual intercourse.

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STI (Sexually Transmitted Infection)

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Routine pulse oximetry screening on all newborns

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CCHD screen (Critical Congenital Heart Disease)

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Period of time when newborn is alert, moving, may appear hungry, birth until up to 2 hours of age

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First period of reactivity

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Blue hands and feet, a normal finding of a newborn up to 24 hours

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Acrocyanosis

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fever, extreme mood swings, and foul-smelling lochia are all these

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Postpartum Warning Signs

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Focused Postpartum Assessment Acronym (**B**reasts, **U**terus, **B**ladder & Bowel, **L**ochia, **E**pisiotomy/Epidural site, **E**xtremities, and **E**motional Status)

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BUBLEEE

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Serosanguinous, pink/brown discharge commonly seen on days 4-10 postpartum

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Lochia Serosa

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Type of heat loss when newborn is placed on a cold scale

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Conduction

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This is an inhaled analgesic used in labor

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Nitrous Oxide

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These include: engagement, descent, flexion, internal rotation, extension, external rotation, and expulsion

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Cardinal Movements

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Hormone that stimulates uterine and breast (duct) development

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Estrogen

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An opening between the right and left atrium where blood mixes with the small amount of deoxygenated blood returning from the fetal lungs through the pulmonary veins.

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Foramen Ovale

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Bacteria that lives in the vagina and/or rectum that does not harm patient but can harm a newborn

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Group Beta Streptococcus (GBS)

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These are changes observed by the examiner. They may have other causes and do not confirm pregnancy.

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Probable or Objective Changes

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A woman who has had two or more pregnancies

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Multigravida

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Pain experienced in an amputated limb is an example of this type of pain

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Phantom pain

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A sprain is an example of this type of pain

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Deep somatic pain

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Paper cut is an example of this type of pain

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Cutaneous pain

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Menstrual cramps are an example of this type of pain

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Visceral pain 

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Appropriate pain scale for a 13 month old patient 

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FLACC Pain Scale 

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Cranial nerve can be tested by having the patient smile, frown, raise eyebrows, puff cheeks

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Cranial Nerve VII (facial)

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Cranial nerve can be tested by having the client stick out their tongue and move side to side

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Canial Nerve XII (hypoglossal)

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Includes an assessment of time, place, person and situation

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level of consciousness (LOC)

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Includes as assessment of eye response, verbal response, and motor responses

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Glasgow Coma Scale

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Can be tested by having the patient sniff an aromatic substance

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Cranial Nerve I (olfactory)

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Involves intellectual and behavioral function

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Cerebral

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Coordinates skeleton and muscles movement, regulates muscle tone and responsible for maintaining body posture

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Cerebellar

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Uses a tuning fork placed at the top of the head to determine if sound is same in both ears

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Weber test

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Uses a tuning fork to test air conduction and bone conduction and only indicated if a preliminary test is positive

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Rinne test

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Can be used to assess distance vision

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Snellen Chart

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Extraocular Movement can be tested by doing this assessment

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6 Cardinal Fields

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Air-filled cavities to decrease the weight of the skull

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Sinuses

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allows the eyes to focus on near objects as they get closer to the face

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Accommodation

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Typically is nonpalpable 

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Thyroid gland 

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Appropriate pain scale for an adult with no deficits 

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Numeric Pain Intensity Scale 

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How gender is externally expressed, not limited to dress, mannerisms, or behavior 

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Gender Expression

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These breakdown old and damaged bone

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Osteoclasts

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Appropriate pain scale for a 18 year old with cognitive impairment 

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Faces Pain Scale