| everyday activity such as bathing, dressing, or eating | Activities of Daily Living (ADL) |
| breaking an activity down into one-step parts | Task Segmentation |
| meeting of the resident, their family, and healthcare team members to develop a plan of care | Care Conference |
| plan that provides direction for each resident's care, including goals and actions required to meet those goals | Care Plan also called Kardex |
| people from the team sit down together and share what cares will be done by each party and how they are to work together | Collaborative Care Plan |
| the ability to see things from another person's point of view | Empathy |
| doing what is right and meeting your responsibilities | Ethical Behavior |
| the list of duties and responsibilities that go with a job | Job Description |
| allows you to become more efficient and prioritize tasks | Time Management |
| patients activity participate in their own medical treatment in close cooperation with their health professionals | Person-Centered Care |
| considering a whole system, such as a whole person, rather than dividing the system into parts | Holistic Care |
| legally responsible | Liable |
| activities that can legally be performed within a particular job | Scope of Practice |
| resident controls activity and tasks | Agenda Behavior |
| involves costumer service skills | Mindful Care Giving |
| is a legal document that explains medical decisions if they cannot make the decisions on their own | Advance Directive |
| a special program designed to provide care for terminally ill residents and their loved ones | Hospice Care |
| federal government program that helps pay for long term care | Medicare |
| care provided in a facility for residents who are well enough to leave the hospital, but still require complex nursing care for a shorter period of time (Rehab) | Subacute Care |
| act that was designed to protect the rights of residents | Omnibus Budget Reconciliation Act (OBRA) |
| act that protects a person's personal health information | Health Insurance Portability and Accountability (HIPAA) |
| not sharing private information about a person with others unless they are authorized to receive that information | Confidentiality |
| a formal complaint against a practice that is thought to be unjust | Grievance |
| intentional mistreatment or harm of a resident | Abuse |
| placing the resident in a dangerous situation | Endangerment |
| using a resident's property without their permission | Exploitation |
| failure to provide needed care that results in physical, mental, or emotional harm to a resident | Neglect |
| is a person required by law to investigate complaints by residents | Ombudsman |
| needs of the resident based on their age and stage of life | Age-Specific Care Consideration |
| label for an illness or condition | Diagnosis |
| the resident has a set amount of fluids that they may have for a certain time frame | Fluid Restriction |
| difficulty swallowing | Dysphagia |
| term referring to the elderly population and their care | Geriatric |
| concept that helps us to understand how the needs of an individual are met | Maslow's Hierarchy |
| decrease in a physical sense such as hearing or sight | Sensory Impairment |
| consists of the airway (nose, pharynx, larynx, trachea, bronchi) and lungs. its primary function is to provide the body with a way to take in oxygen and eliminate carbon dioxide | Respiratory System |
| a chronic condition of the lungs marked by decreased respiratory function; associated with smoking | Emphysema |
| consists of the heart, blood vessels, and blood. its primary function is to transport oxygen, nutrients, hormones, water, and waste products throughout the body, other functions of this body system include body-temperature regulation and immune-system response | Cardiovascular/Circulatory System |
| consists of the mouth, esophagus, stomach, intestines, rectum, and anus. this system also includes accessary organs such as the teeth, salivary glands, tongue, liver, gallbladder, and pancreas. its primary function is to break down food for absorption of nutrients and elimination of waste, this system performs its function mechanically and chemically | Gastrointestinal/Digestive System |
| consists of the kidneys, ureters, bladder, and urethra, its primary function is to remove waste products from the blood and eliminate excess fluid from the body | Urinary System |
| consists of the brain, spinal cord, nerves, and sensory receptors that allow us to see, hear, smell, taste, touch, and feel, its primary function is to regulate the body's control system to maintain homeostasis, it also allows us to communicate, think, and coordinate body movements by producing nerve impulses | Nervous System |
| consists of voluntary (striated) and involuntary (smooth) muscles, bones and joints (including cartilage and ligaments) its primary function is movement and support, other functions of this body system is to maintain posture and produce heat | Musculoskeletal System |
| consists of the skin (including glands such as sweat and oil glands), hair, and nails, It is the largest system in the body, and its primary function is protection, prevents bacteria, foreign bodies, and chemicals from entering the body, as well as allowing people to feel pain, heat, cold, and pressure | Integumentary System |
| consists of hormone-producing glands throughout the body that regulate and affect metabolism, growth, sleep cycles, stress hormones, blood glucose levels, and reproduction | Endocrine System |
| consists of internal organs (ovaries, fallopian tubes, uterus, vagina) and external structures (vaginal opening, labia, clitoris) also consists of the testes, epididymis, vas deferent, urethra, and penis, produces hormones related to sexual functions and procreation, provides for reproduction | Reproductive System |
| worry or uneasiness about what may happen in life | Anxiety |
| condition characterized by extreme mood swings with a fluctuation from depression to mania | Bipolar Disorder |
| false belief | Delusion |
| seeing/hearing/experiencing things that are not reality-based | Hallucination |
| extreme, often unfounded fear | Paranoia |
| condition characterized by loss of touch with reality, has acute episodes, affects the person's ability to think, communicate, make decisions and understand reality | Schizophrenia |
| impairment of mental processes such as memory or a disruption in understanding capabilities | Cognitive Impairment |
| paralysis of half of the body (right or left side) | Hemiplegia |
| paralysis of the lower half of the body | Paraplegia |
| impairment of physical functioning due to damage to the nerves or muscles | Physical Impairment |
| paralysis from the neck down | Quadriplegia |
| are chemical messengers that help nerve cells communicate with each other | Neurotransmitters |
| something in the brain is not functioning properly | Cognitive Impairment |
| something in the body is not functioning properly | Physical Impairment |
| symptom associated with the loss of mental ability | Dementia |
| confusion about place, time, and/or people | Disorientation |
| technique used to help confused residents remain tuned into their present environment | Reality Orientation |
| talking about past experiences | Reminiscing |
| memory of things that happened very recently | Short-term memory |
| disease that causes brain cells to degenerate and leads to complete memory loss | Alzheimer's Disease |
| condition where a resident becomes more confused and agitated in the evening | Sun downing |
| focusing on feeling and memories of the resident to help them maintain dignity and worth | Validation therapy |
| walking or propelling oneself around in the wheelchair without an apparent reason or destination | Wandering |
| the act of repeating words, phrases and questions | Perseveration |
| was created to ensure safe and healthful working conditions for workers by setting and enforcing standards and by providing training, outreach, education and assistance | Occupational Safety and Health Administration (OSHA) |
| document that OSHA requires all hazardous material to have | Material Safety Data Sheet (MSDS) |
| the stopping of heart function in circulation | Cardiac Arrest |
| inhaling food or liquid fluid into the lungs | Aspiration |
| difficulty breathing | Dyspnea |
| tearing of the skin | Laceration |
| also called vital signs - temperature, pulse, respiration, and blood pressure | Life Signs |
| the medical term for heart attack, when blood flow to the heart is blocked and can lead to a cardiac arrest | Myocardial Infarction (MI) |
| the stopping of breathing | Respiratory Emergency |
| sudden, violent contractions of muscles, convulsions | Seizure |
| unable to respond | Unconscious |
| resident leaves the facility without staff knowledge | Elopement |
| exchange of messages and information | Communication |
| communicating with words | Verbal Communication |
| communication without words | Non-verbal communication |
| all the conscious or unconscious messages a person's body sends as he/she communicates such as facial expression, tone of voice, posture, and gestures | Body Language |
| loss of ability to communicate, often following a brain injury | Aphasia |
| a condition in which the muscles you use for speech are weak or you have difficulty controlling them, characterized by slurred or low speech that can be difficult to understand | Dysarthria |
| record of the resident's information | Chart |
| sharing information verbally | Reporting |
| writing down information | Recording |
| things that you can observe about a resident by using your senses such as seeing, hearing, feeling, and smelling | Objective Information |
| things that are said by a resident or the CNA (complaints) | Subjective Information |
| the ADLs that ate lost last | Late Loss ADLs |
| twice daily | BID |
| narrowing of the artery due to the build up of fatty substance called plague in an artery | Arteriosclerosis |
| fluid in the joints | Synovial Fluid |
| the heart is weak and it's capacity to pump blood cannot keep up with the body's need | Congestive Heart Failure (CHF) |
| helps support or sustain life when the resident no longer takes in food by mouth (PO) | Artificial Feeding |
| is a medical order written by a doctor that instructs health care providers NOT to do cardiopulmonary resuscitation (CPR) if the resident stops breathing or if the resident's heart stops beating | Do Not Resuscitate (DNR) |
| provides power to an assigned individual (in most cases this is a close family member or relative) act or decide on behalf of the patient whenever the resident is not capable of deciding on their own | Durable Power of Attorney (DPOA) |
| taking time to learn each individual's cultural views and behaviors and applying that to health care | Cultural Competence |
| any health information and data that would help identify the individual | Protecting Protected Health Information (PHI) |
| trouble falling and/or staying asleep | Insomnia |
| blood sugar levels become too high | Hyperglycemia |
| blood sugar levels become too low | Hypoglycemia |
| the inability to breathe caused by a blockage in the throat or windpipe | Choking |
| the capacity to effectively negotiate complex social relationships and environments | Social Intelligence |
| conscious or unconscious messages sent by the person's body (attitude, emotion, facial expression, tone of voice, posture, and gestures) | Body Language |
| involves common combustibles such as wood, paper, cloth, rubber, trash, and plastics | Class A Fire |
| involves flammable liquids, oil, gasoline, and grease | Class B Fire |
| involve energized electrical equipment | Class C Fire |
| involve combustible metals | Class D Fire |
| involve kitchen fires | Class K Fire |
| RACE | Rescue, Alarm, Contain Fire, Extinguish or Evacuate |
| PASS | Pull, Aim, Squeeze, Sweep |
| the resident does not require any help with their activities of daily living (ADL) | Independent |
| the resident needs verbal cuing, reminders, encouragement with their activities of daily living (ADL) | Supervised |
| the resident is highly involved in activity; staff provide guided maneuvering of limbs or other non-weight bearing assistance | Limited Assistance |
| the resident is involved in activity, staff provides weight-bearing support | Extensive Assistance |
| the resident is entirely unable to participate in the performance of any activity of daily living (ADL) | Total Dependence |
| microscopic organisms that can be helpful or harmful to people | Bacteria |
| microscopic plants that can cause disease | Fungus |
| microscopic organism that can cause disease | Pathogen |
| smallest known infectious agent (pathogen) | Virus |
| moist tissue such as the mouth, nose, or vagina | Mucous Membrane |
| care practices that assume all residents have the potential to infect others | Standard Precaution |
| special method that is used to prevent the spread diseases that may infect others | Isolation |
| spreading germs through small particulates that can be transmitted through the air over time and distance (measles, mumps, whooping cough (pertussis), Tuberculosis (TB) | Airborne Transmission |
| spreading germs by contact with contaminated surfaces (c.diff, norovirus, MRSA) | Contact Transmission |
| spreading germs by droplets that are propelled through the air by sneezing or coughing (influenza (flu), coronavirus, chickenpox) | Droplet Transmission |
| prevent the spread of pathogens through fecal material (still contact) | Enteric Precaution |
| items used to prevent the spread of infection such as gowns, gloves, and masks | Personal Protective Equipment (PPE) |
| equipment that is designed to prevent contact with bodily fluids | Barriers |
| growth of disease-causing microscopic organisms in the body | Infection |
| federal government agency responsible for protecting and improving the health of Americans | Centers for Disease Control (CDC) |
| Healthcare Associated Infections (HIA) are a large problem in today's healthcare environment, infection acquired in the hospital | Nosocomial Infection |
| having to do with a disease that can be passed from one person to another (also known as contagious) | Communicable |
| dirtied (soiled) by contact with organisms | Contaminated |
| cleaning process with chemical cleaners that destroys most pathogens | Disinfection |
| the use of soap and water to destroy germs on skin surfaces | Antisepsis |
| free from all microscopic organisms | Sterile |
| is a growth of disease-causing organisms (pathogens) in the body | Infection |
| in a specific area such as a sore throat, boil, infected cut, cellulitis | Local |
| infection throughout the body in the blood stream affecting the whole body such as HIV, HBV, UTI, fever and sepsis | Systemic |
| is the involuntary, sudden loss of urine secondary to intraabdominal pressure | Stress Incontinence |
| to move away from the midline of the body | Abduction |
| to bring closer towards the midline of the body | Adduction |
| Acquired Immune Deficiency Syndrome (AIDS) a disease that decreases the ability of the body to fight infection | Acquired Immune Deficiency Syndrome (AIDS) |
| Hepatitis B Virus (HBV) an infection that affects the liver | Hepatitis B Virus (HBV) |
| the organism that causes AIDS | Human Immunodeficiency Virus (HIV) |
| a bacterial lung infection | Tuberculosis (TB) |
| yellowing of the skin, whites of eyes and mucous membranes cause by liver cirrhosis | Jaundice |
| shot that help protect against some infectious diseases | Vaccination |
| infectious microorganisms in human blood that can cause disease in humans (ex: HBV, HCV, HIV) | Bloodborne Pathogen (BBP) |
| decrease in blood pressure with the change of body position | Orthostatic Hypotension |
| pressure of the blood when the heart is contracting, measures the pressure of the blood on the walls of the arteries | Systolic Pressure |
| pressure of the blood when the heart is at rest | Diastolic Pressure |
| how many times the heart beats in a minute | Pulse |
| abnormally slow heartbeat (below 60 beats per minute) | Bradycardia |
| abnormally rapid heartbeat (over 100 beats per minute) | Tachycardia |
| temperature, pulse, respirations, and blood pressure | Vital Signs |
| the desired "normal" reading for a vital sign | Normal Range |
| instrument that is used to hear internal body sounds (used to measure blood pressure and apical pulse) | Stethoscope |
| instrument that is used to measure blood pressure | Sphygmomanometer |
| measurement of how hard the heart works to pump blood | Blood Pressure |
| blood pressure above the normal range | Hypertension |
| blood pressure below the normal range | Hypotension |
| pulse that is taken at the wrist | Radial Pulse |
| pulse that is taken at the bend in the arm, used for taking blood pressure | Brachial Pulse |
| pulse that is taken in the neck | Carotid Pulse |
| pulse that is taken at the heart, found using a stethoscope over the chest | Apical Pulse |
| breathing - how many times a person breathes in one minute | Respiration |
| tool that measures the level of oxygen in the blood | Pulse Oximeter |
| measurement of how much heat is in the body | Body Temperature |
| a temperature severely below normal normal body temperature that is required for normal functioning (under 97 degrees) | Hypothermia |
| no fever | Afebrile |
| an increase in body temperature that may indicate an infection or disease process | Fever |
| having to do with the armpit | Axillary |
| having to do with the middle ear (pull the ear up and back to straighten the ear canal) | Tympanic |
| are the nostrils | Nares |
| having to do with mouth | Oral |
| of or involving the rectum | Rectal |
| having to do with the forehead | Temporal |
| measuring of blood pressure with patient lying down, then sitting, then standing up | Orthostatic BP |
| a device that is used to measure blood sugar | Glucometer |
| device used to get help from staff | Call Light |
| sheet that is placed crosswise in the middle of the bed | Draw Sheet |
| the bed covers, sheets, blankets and pillowcases | Linens |
| method of tucking in bed corners to keep them neat and tight | Mitered Corner |
| is used to prevent pressures | Bed Cradle |
| a document in the chart where the CNA records ADL care | ADL Flow Sheet |
| care of the mouth, teeth, and gums | Oral Hygiene |
| cleaning the genital and anal area | Perineal Care |
| false teeth | Dentures |
| having no teeth | Edentulous |
| sponge-tipped applicator used for oral swabbing | Toothette |
| nothing by mouth | NPO |
| used during oral care to spit content in | Emesis Bath |
| areas of the body where bones are close to the surface | Bony Prominences |
| a sore that is caused by pressure of poor circulation to the skin (bedsore or pressure sore) | Decubitus Ulcer |
