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individualized health care plan
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Basic Nursing Care
Chapter 4
| Question | Answer |
|---|---|
| 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) |
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