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Stack #4399868
| Term | Definition |
|---|---|
| subjective data | Information gathered from patient statements and the patient's feelings and perceptions |
| objective data | information that can be observed by others; free from feelings, perceptions, or prejudices |
| Review of Systems (ROS) | Inventory of the body systems that is obtained through a series of questions in order to identify signs and/or symptoms which the patient may be experiencing |
| Medical Diagnosis (Dx) | Formal statement of the disease entity or illness made by the physician or health care provider |
| Petechiae | Non blanching, pinpoint-size red or purple spots on the skin caused by small hemorrhages in the skin layers |
| Autonomy | being self-directed and independent in accomplishing goals and advocating for others |
| patient centered care | concept to improve work efficiency by changing the way patient care if delivered |
| independent nursing intervention | a nurse-initiated intervention without supervision or direction from others |
| dependent nursing interventions | healthcare provider-initiated interventions |
| lateral violence | workplace bullying between colleagues including behaviors such as withholding information, backbiting, making snide remarks or put-downs, and nonverbal expressions of disapproval such as rolling eyes or making faces |
| direct care | treatments performed through interaction with the patient |
| indirect care | treatments performed away from the patient but on behalf of the patient or group of patients |
| adverse reactions | any harmful, unintended effect of a medication, diagnostic test, or therapeutic intervention |
| activities of daily living (ADL's) | Activities usually performed in the course of a normal day in the patient's life, such as eating, dressing, bathing, brushing teeth, or grooming |
| hyperglycemia | high blood sugar |
| internal fixation | the stabilization of broken bones by direct fixation to one another with surgical wires, pins, screws, or plates |
| jaundice | medical condition with yellowing of the skin or whites of the eyes, arising from excess of the pigment bilirubin and typically caused by obstruction of the bile duct |
| health literacy | the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health |
| comorbidity | existing simultaneously with and usually independently of another medical condition |
| malaise | a general sense of being unwell, often accompanied by fatigue, diffuse pain, or lack of interest in activities |
| anorexia | lack or loss of appetite for food |
| leukocytosis | a high level of white blood cells in the blood, greater than 10,000 |
| neutropenia | the presence of abnormally few neutrophils in the blood, leading to increased susceptibility to infection |
| tort | civil wrongful acts or omissions made against a person or property |
| intentional tort | deliberate acts against a person or their property that may result in both civil and criminal actions |
| quasi-intentional tort | acts in which a person may not intent to cause harm to another but does |
| unintentional tort | when a person is harmed and the person inflicting the harm knew of should have known |
| living will | a legal document that expresses the client's wishes regarding medical treatment in the event the client becomes incapacitated and is facing end of life issues |
| durable power of attorney | document in which clients designate a healthcare proxy to make healthcare decisions for them if they are unable to do so |
| glasgow coma scale | neurological assessment used to determine the level of consciousness and monitor response to treatment |