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Basic Nursing Care

Chapter 4

health care plan written guidelines for providing care
individualized health care plan plan of care tailored to reflect the inviduality of each resident
Minimum Data Set (MDS) a written, standardized assessment of all residents living in a skilled nursing facility
Resident Assessment Protocols (RAPs) in-depth focused assessments on specific aspects of care such as risk for falls or tube feeding
continuity doing the same things in the same way
rounds, making going to each resident to determine briefly whether they have any immediate needs
planning devising a way of getting a job done
setting priorities looking at things that need to be done and putting them in the roder of importance
implement to carry out or accomplish a given plan
observation recognizing and noticing a fact or occurrence
objective observation facts observed and not distorted by personal feelings (ex: the dress is red)
subjective observations individual judgments based on personal feelings(the dress is pretty)
Fahrenheit (F) measurement of temperature in which 32 degrees is the freezing point and 212 degress is the boiling point for water
Celsius or centigrade (C) measurement of temperature in which 1 degrees is the freezing point and 100 degrees is the boiling point
perpendicular at a right angle
calibrated marked with graduations, as on a thermometer or graduate
bulb (thermometer) portion of the thermometer that is placed in direct contact with the resident's body
stem (thermometer) long narrow portion of a thermometer, opposite from the bulb
pulse the rhythmic expansioni and contraction of the arteries, which can be measured to show how fast the heart is beating
radial pulse pulse felt at the inner aspect of the wrist (radial artery)
rate pulse the number of pulse beats per minute
rhythm pulse the regularity of the pulse beats
force fo the beat pulse strength or power described as weak or bounding
apical pulse heartbeat measured at the apex of the heart
stethoscope instrument that picks up sound when placed against part of the body
respiration process of inhaling and exhaling
labored respirations difficult breathing that may include gugling, rattling, or wheezing sounds
stertorous respirations abnormal noises like snoring when breathing
abdominal respirations breathing using mostly the abdominal muscles
shallow respiration breathing with only the upper part of the lungs
irregular respiration a change in the depth of breathing and unsteady rate of rise and fall of the best
Cheyne-Stokes respiration a kind of breathign that can be observed when a resident is near death. THe breathing is slow and shallow at first, followed by faster and deeper breathing, which reaches a peak, then stops completely. The pattern then repeats until breathing stops
blood pressure measurable force fo the blood against the walls of a blood vessel
systolic pressure pressure created when the ehart is contracting; highest pressure
diastolic pressure pressure when the heart is relaxed (the lowest pressure)
a) hypertension b) hypotension a) high blood pressure b) low blood pressure
sphygmomanometer instrument used to measure blood pressure; can be either aneroid (measurer watches a calibrate dial) or mercury type (measurer watches a column of mercury)
Created by: Tiffastic