Interdisciplinary Care Plan

Activities of Daily Living (ADLs)

terms used in healthcare to refer to the basic needs required to care for oneself on a day-to-day basis

Assessment

a systematic way to collect and analyze data about a resident; the first step in delivering nursing care. Including not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well

Delegation

the assignment of resident care activities and/or tasks to nursing personnel who are present to assist, without the registered nurse losing responsibility for the assignment

the registered nurse always retains full responsibility for the resident

Delegatee

one who is delegated a nursing responsibility by either an Advanced Practice Registered Nurse (APRN) or a registered nurse

one must accept responsibility and display competency in performing a task

a delegatee may be an Unlicensed Assistive Personnel (UAP).

Evaluation

both the resident’s status and the effectiveness of the nursing care and goal met to modify the care plan as needed

Evidence-Based Practice

the use of research findings to guide decisions

Implementation

nursing care conducted according to the care plan to assure continuity of care for the resident

Interdisciplinary Care Plan

detailed plan of care created by representatives from several medical disciplines or specialties with each discipline focused on a specific resident’s condition, treatment goals, and methods for improving outcomes

Maslow’s Hierarchy of Needs

a theory developed by Abraham Maslow, a researcher of human behavior, which explains the necessity of meeting an individual’s physical needs before meeting psychosocial needs

Nursing Diagnosis

the registered nurse’s clinical judgment about the resident’s response to actual or potential health conditions or needs

Nursing Measures

measurable and achievable short and long-range goals set by the registered nurse based on the assessment and diagnosis of the resident

Physiological

relating to the way in which a living organism or bodily part functions

physical

Planning

based on the assessment and diagnosis, goals set that are measurable and achievable short- and long-range goals

data, diagnosis, and goals written in the resident’s care plan

nurses and other health professionals caring for the resident have access to it

Self-Actualization

the realization or fulfillment of one's talents and potentialities, especially considered as a drive or need present in everyone

Self-esteem

confidence in one's own worth or abilities

self respect

Standards of Care

a set of guidelines, methods, processes, and actions of delivering care

Therapeutic

having a beneficial effect on the body or mind

Unlicensed Assistive Personnel (UAP)

any unlicensed personnel who may participate in resident care activities through the delegation process. The UAP is trained to function in a supportive role, regardless of title, to whom a nursing responsibility may be delegated

includes but is not limited to a nursing aide (NAs), patient care technicians, medication aids (MAs), and home health aides (formerly referred to as ‘‘unlicensed” assistive personnel/UAP).