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active listening
a way of communicating that involves giving a person one’s full attention while he is speaking and encouraging him to give information to clarify ideas
adverse event
an unexpected event that causes serious injury or death; also called sentinel event
barrier
a block or an obstacle
body language
all of the conscious or unconscious messages a person’s body sends as she communicates; facial expressions, gestures, and posture are examples
care confrence
a meeting to share and gather info about a resident in order to develop a care plan
care plan
a plan for each resident created by a registered nurse that outlines the tasks that team members must perform to help the resident reach their goals of care
charting
the act of nothing care and observations; documenting
code
in health care, an emergent medical situation in which specially trained responders provide the necessary care
code status
formal documentation of the type and scope of care that should be provided to a particular resident in the event of a cardiac or respiratory arrest, other catastrophic organ failure, or terminal illness
critical thinking
the process of reasoning and analyzing in order to solve problems, for the nursing assistant, critical thinking means making careful observations and immediately reporting all potential problems
culture
a set of learned beliefs, values, traditions, and behaviors shared by a social or ethnic group
edema
swelling in the body tissues caused by excess fluid
incident
an accident, problem, or unexpected event that happens during the course of care
incident report
a report documenting an incident and the response to the incident; also called an occurrence, accident, accident/incident, or event report
medical chart
legal record of all medical care a patient, resident, or client recieves
minimum data set (MDS)
a detailed form with guidelines for assessing residents in long-term care facilities; also details what to do if resident problems are identified
nonverbal communication
communication without using words, such as through gestures and facial expressionsnu
nursing process
an organized method used bu nurses to determine residents’ needs, plan the appropriate care to meet those needs, and evaluate how well the plan of care is working; the five steps are assessment, diagnosis, planning, implementation, and evaluation
objective information
factual information collected using the sense of sight, hearing, smell, and touch; also called signs
orientation
a person’s awareness of person, place, and time
prefix
a word part that comes before the root to help form a new term
prioritize
to place things in order of importance
root
the main part of a word that contains its basic meaning or definitionr
rounds
scheduled visits to each resident’s room to asses the resident’s condition and needs to discuss the care plan with participating staff
sentinel event
an unexpected event that causes serious injury or death; also called an adverse event
subjective information
information collected from residents, their family members, and their friends; information may not be true, but it is what the person reported; also called symptoms
suffix
a word part added to the end of a root or prefix to create a new word
verbal communication
communication involving the use of spoken or written words or sounds; also called oral communication
vital signs
measurements, temperature, pulse rate, respiratory rate, and blood pressure, that monitor the functioning of the vital organs of the body