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NSG403 Terminology
National University: Nursing Theory Jan 2014
| Term | Definition |
|---|---|
| Clinical Decision Making | critical thinking skills to obtain relevant info about pt & provide effective care |
| Nursing process | Orderly 5part approach: Assessment - collection pt's problems & needs Problem identification - obtained from assessment Planning - pt centered goal, best way to reach Intervention - optimum courses action for goal Evaluation - plan reach goals? |
| prognosis | predition dz course & end of dz, estimated chance of recovery |
| assessment | analysis resources necessary to solve administrative/clinical problem |
| Nursing Health History | data about pt's present level of wellness, changes in life patterns, socio-cultural role, mental and emotional reactions to illness |
| objective data | info from observation or quantifiable test results |
| subjective data | pt's perception, understanding and interpretation of clinical data |
| nursing diagnosis | pt problem identified needing intervention - compare analysis of assessment to "normal" |
| Client centered problems | What nursing leaders and educators revised their curricula to reflect. |
| defining characteristics | Cluster of signs and symptoms that are observed in the client and that imply a specific nursing diagnosis. |
| Diagnostic label | NANDA International approved nursing dx |
| etiology | study of cause of dz |
| Medical diagnosis | identification of pt's illness/ discomfort |
| NANDA International | Nursing Diagnosis Association - ensures EBP = pt safety increased |
| related factor | condition or etiology identified from pt's assessment data (cause of dz) |
| risk nursing dx | human response to health conditions - processes may develop in vulnerable groups |
| client-centered goal | measurable behavior/response best possible level of pt wellness/independence |
| collaborative intervention | what nurses can ONLY do for pts w/ order of physician/provider (Rx administration/Tx) |
| Critical pathway | Admin. method to organize, evaluate, limit variations in pt care - standardization |
| dependent nursing intervention | require order from physician |
| expected outcome | result of tx |
| risk factor | likelihood experiencing contributing cause in an action |
| independent nursing intervention | Tx able to do w/o direction from physician |
| long term goal | objective achieved over weeks/months |
| nursing care plan | goal/objectives nursing care for pt, and steps to reach goal |
| priority setting | Triage - determining what is most immediate for attention |
| clinical guideline | SOP for that establishment |
| direct care | tx directly with pt |
| indirect care | working for pt w/o direct contact (labs, pharmacy) |
| implementation | Nursing process -> nursing actions are carried out |
| interdisciplinary care plan | care plan outlining contributions of all disciplines |
| Nursing intervention | Nursing Process -> need assessment/plan (includes areas of hygiene, mental & physical comfort) |
| standing order | Providers specification of tx to continue 'till Stop Order placed in chart |
| outcome | condition resulting from health care intervention |
| outcome management | managing the clinical outcomes of clients as a result of tx for performance and effectiveness |
| afebrile | w/o fever (apyretic) |
| pyretic | fever |
| antipyretics | lowers fevers caused by infection, inflammation & neoplasms |
| blood pressure | tension exerted on artery walls due to: strength heart contraction resistance of arterioles & capillaries elasticity of blood vessels blood volume blood viscosity |
| core temperature | body's temperature deep (heart, organs) measured with central venous catheter or pulmonary artery catheter |
| diaphoresis | profuse sweating |
| eupnea | normal respiration |
| febrile | fever |
| fever | abnormally elevated temperature(rectal temp higher) |
| pyrexia | fever |
| fever of unknown origin | fever 3w, dx not established after 1w of hospital investigation |
| PERRLA | Pupils Equal Round Reactive to Light and Accommodation |
| thermoregulation | heat regulation |
| afterload | cardiac - forces impeding flow of blood out of heart |
| Subjective pain | pain scale, changes in appetite, |
| objective pain | observable: guarding behavior protective gestures diaphoresis pupillary dilation |
| Analgesic | relieves pain (Rx & OTC) |
| Breakthrough Pain | pain occurring despite measures taken against it |
| Chronic pain | long-lasting with episodic flares |
| drug tolerance | progressive decrease in effectiveness of a drug |
| idiopathic pain | pertaining to an illness of uncertain/undetermined cause |
| pain tolerance | degree of pain person can withstand |
| patient controlled analgesia | drug administration method where pt controls drug delivery for pain - infusion pump |
| perception | awareness of objects/sensory information |
| Dysphagia | inability/difficulty to swallow |
| Enteral nutrition EN | Provision of nutrients through the gastrointestinal tract when the client cannot ingest, chew, or swallow food but can digest and absorb nutrients |
| parental nutrition PN | administering nutrition bypassing digestive system - into vascular system |
| peristalsis | Coordinated, rhythmic, serial contractions of smooth muscle that force food through the digestive tract. |
| endoscopy | Visualization of the interior of body organs and cavities with an endoscope. |
| paralytic ileus | Usually temporary paralysis of intestinal wall that may occur after abdominal surgery or peritoneal injury and that causes cessation of peristalsis; leads to abdominal distention and symptoms of obstruction. |
| Distention | Swelling of a body cavity; may be caused by fluid, gas, or a mass |
| adverse effect | A severe response to medication. |
| anaphylactic reaction | Reactions characterized by sudden constriction of bronchiolar muscles, edema of the pharynx and larynx, and severe wheezing and shortness of breath. |
| Buccal | Of or pertaining to the inside of the cheek or the gum next to the cheek. |
| idiosyncratic reaction | Individual sensitivities to drug effects; caused by inherited or other bodily constitution factors. |
| infusion | Introduction of a substance such as a fluid, drug, electrolyte, or nutrient directly into a vein by means of gravity flow. |
| inhalation | To breathe in or draw in with the breath. |
| injection | Act of forcing a liquid into the body by means of a needle and syringe. |
| instillation | Procedure in which a fluid is slowly introduced into a cavity or passage of the body (e.g., rectum) and allowed to remain for a specific length of time before being withdrawn or drained. |
| intradermal ID | within dermis of skin |
| intramuscular IM | Tissue within the interior of a muscle. |
| intraocular | Eye medication delivery involving inserting a medication, similar to a contact lens, into a client's eye. |
| intravenous IV | Pertaining to the inside of a vein. |
| irrigation | Process of washing out a body cavity or wounded area with a stream of fluid. |
| Metered-dose Inhalers MDI | Inhaler designed to produce local effects such as bronchodilatation. |
| Narcotics | Drug substance, either derived from opium or produced synthetically, that alters perception of pain and that with repeated use may result in physical and psychological dependence. |
| parenteral administration | Injecting a medication into body tissues. |
| polypharmacy | Use of a number of different drugs by a patient who may have one or several health problems. multiple drug use |
| side effect | Any reaction or consequence that results from medication or therapy. |
| Subcutaneous SubQ | Injection into tissues just below the dermis of the skin. |
| Sublingual SL | under tongue |
| Synergistic effect | When two drugs act synergistically, the effect of the two drugs combined is greater than the effect that would be expected if the individual effects of the two drugs acting alone were added together. |
| Therapeutic effect | Desired benefits of a medication, treatment, or procedure. |
| Toxic effect | Resulting from an excess amount of medication in a client's blood, these effects may be caused by the excessive use of medication, overdose, impaired excretion, or idiosyncratic reaction to the medication itself. |
| Transdermal disk | Method of applying medication topically; also known as a patch. |
| Verbal order | Physician's order given to the nurse, usually over the telephone. |
| Z-track method | Technique for injecting irritating preparations into muscle without leaking residual medication through sensitive tissues. skin pulled to side during injection, allowed to return after injection |
Created by:
Shelley.Castellino
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