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Abduction
movement of a body part away from the body
Adduction
movement of a body part toward the body
Acute care
care of people having an acute or short illness
Alzheimer’s Disease (AD)
a brain disease of later life that is characterized by changes in brain tissue with gradual loss of memory and mental abilities
ADL
Activities of Daily Living; all of the activities people do for themselves each day, like brushing teeth, bathing, dressing, toileting, and eating
Advance Directive
in health care, identifies the resident’s wishes during an emergency regarding lifesaving efforts
Airborne precautions
actions taken to minimize the transmission of infectious agents that remain infectious when suspended in the air
Ambulation
the ability to walk from place to place independently with or without an assistive device
AMA
against medical advice
Anatomical Position
body is standing in a position with arms at the sides and palms turned forward, head and feet turned forward
Anterior vs. posterior
front, in front of, ventral; back, in back of, dorsal
Anuria
absence of urine or a very small amount of urine (under 100cc) in a 24 hour period
Aphasia
absence of speaking
Apical pulse
number of heartbeats heard when using a stethoscope over the heart on left side of the chest
Apnea
absence of breathing
Aspiration
person takes food, fluid, or an object into the airway and the lungs
Assisted living
a setting for people who require a certain amount of supervised assistance in meeting basic needs, but less assistance than a long term care facility (skilled facility)
Atrophy
a wasting, weakening, or decrease in size of a muscle due to disease, injury, or lack of use
AX
temperature taken at the axilla (underarm area)
Bed bath
bath given to a resident in bed
Bed pad
protective covering (waterproof) used for incontinence; it is placed on top of the bottom sheet in the bed (also called linen protector, incontinent pad, Chux)
Bedpan
piece of equipment, usually plastic, used to collect urine and feces
b.i.d.
twice a day
Biohazard containers
dispose of equipment and supplies contaminated with infectious waste (blood, bodily fluids)
Biohazardous Waste
items that are contaminated with blood, bodily fluids, feces, or other body substances that may be harmful
Bloodborne Pathogens
microorganisms that are present in human blood and can cause disease
Bony prominences
elbows, shoulder blades, tailbone, hip bones, ankles, heels
Blood Pressure (BP)
the force of the blood against the artery walls as the heart beats
BPM
beats per minute
Brachial pulse
pulse in the upper arm
Bradycardia
slow pulse, heartbeat, under 60 bpm
Care plans
written plans developed by the nurse the outline the steps taken by the staff to reach the goals or outcomes set
cc/ml
cubic centimeter, also milliliters, unit of measurement; 1 oz = 30cc/ml
Chart
written record of all care received within a facility or form used to highlight certain information
Charting
the act of making notes of care and observation; documenting
Chemical restraint
a medication that reduces a person’s ability to move freely
Cheyne Stokes Respiration
a person will have period of apnea lasting at least 10 seconds along with alternating periods of rapid deep breath and slow shallow breathing
Closed bed
bed completely made with bedspread in place; for a resident who will be out of bed all day
Code
when a group of specifically trained staff is called to provide advanced life support to a resident/patient in respiratory and/or cardiac arrest
Colostomy
opening into the colon
Commode
chair containing a bedpan or bucket used to collect urine and feces; usually sits next to the bed
Contact Precautions
measures that are intended to prevent the transmission of infectious agents that are spread by direct or indirect contact with a resident
Contractures
abnormal shortening of a muscle resulting in the disability of a limb; permanent shortening of the muscle
CVA
cerebrovascular accident — medical term for a stroke; blood flow to a part of your brain is stopped either by a blockage or rupture of a blood vessel
Cyanosis
blue, gray, or purple tinge to the skin due to lack of oxygen in the blood
Cystis
inflammation of the bladder
D.A.T.
diet as tolerated
Dangling
position with the resident sitting to the side of the bed with legs over the side
Decubitus ulcer
pressure sore or bed sore
Delegation
the assignment of any responsibility to another person to carry out specific tasks, such as a nurse assigning a nurse aide care skills for residents
Dementia
loss of mental abilities, such as thinking, remembering, reasoning, and communicating; decline in a person’s mental ability that is severe enough to interfere with their daily life
Dementia with Lewy Bodies
the third most common type of dementia that shows Lewy bodies, which are abnormal clumps of the protein alpha-synuclein that develop in the cortex of the brain
Dentures
artificial teeth
Dermatitis
inflammation of the skin
Diaphoretic
heavy sweating or perspiration
Discharge
when a resident leaves a facility or unit
Disoriented
not aware of person, place, or time
Draw sheet
half-sheet used for lifting and moving residents
Droplet Precautions
actions designed to reduce of prevent the transmission of pathogens spread through close respiratory secretions
Dysphagia
difficulty swallowing
Dyspnea
difficulty breathing
Dysuria
painful urination
Edema
swelling of body tissues due to accumulation of fluids
Elder abuse
seven types of abuse of the elderly include psychological or verbal abuse, physical abuse and neglect, sexual abuse, domestic abuse, involuntary seclusion, financial abuse, and exploitation
Emesis
vomiting
Encephalitis
inflammation of the brain
Endoscope
instrument for examining the inside of an organ
Enema
introduction of fluid into the colon through the rectum to cleanse the colon of feces
Etiology
factors involved in causing a disease
Expiration
when air is removed from the lungs during breathing
°F
degrees fahrenheit
Fecal impaction
inability to pass stool because it has formed into a large mass, usually toward the lower part of the colon
Flexion vs. Extension
bending a body part; straightening a body part
Foley catheter
flexible tool that is passed through the urethra and into the bladder to drain urine; indwelling urinary catheter
Fowler’s
head of the bed is usually elevated to a 45-75° angle, knees may be slightly bent
Gait
manner of walking
Gait belt
transfer belt used to assist with walking
Gastritis
inflammation of the stomach (not the abdomen)
Geriatric chair
a special chair with an attached lap table
Glycosuria
glucose (sugar) in the urine
Graduate
measuring container with markings for ounces (oz.) and cubic centimeters (cc)/milliliters (ml); used for measuring body fluids
Hand Hygene
washing hands with water and soap/detergent containing an antiseptic agent or thoroughly and correctly applying an Alcohol Based Sanitizer
“Hat”
specimen pen, usually plastic, used to collect and measure urine and stool from the toilet
Hearing impaired
unable to hear adequately; loss of some or all ability to hear sounds
HIPAA
Health Insurance Portability and Accountability Act of 1996; a law which protects the privacy of individually identifiable health information
Hematuria
blood in the urine
Hemiplegia
paralysis on one side of the body
Hemoccult
test performed to check for occult blood in the stool
Hemorrhage
excessive flow of blood, severe bleeding
Holistic health
care involving the entire person, including their physical, emotional, spiritual, and social needs
Hypertension
high blood pressure
Hypotension
low blood pressure
I & O
intake and output
Incident report
a report completed whenever an accident or injury occurs to a resident, staff member, or a visitor that documents the incident along with the response to the incident
Incontinent
lack of voluntary control of urine or bowel movements
Ischemia
decreased blood supply to a tissue involves the gradual death of cells and may lead to complete tissue death
Isolation
practices employed to reduce the spread of infectious organisms, usually including the separation of the resident with an easily transmitted disease from other residents
-itis
inflammation
IV
intravenous; into a vein
Laparoscopy
visualization of the abdominal cavity by means of an endoscope