click below
click below
Normal Size Small Size show me how
Jbullard2
hygiene, infection, urinary system disorders, nursing process & delivery
Question | Answer |
---|---|
healthcare system | totality of service offered by all health disciplines |
inpatient | stay greater than 24 hours |
outpatient | stay for for less than 24 hours |
respite care | short term or temp care of sick or disable clients to provide relief to regular caregiver |
restorative care | planned, systematic program that focuses on helping each client obtain & maintain the highest level of function |
custodial care | care provided at at nursing facility or home when condition is such that it will not progress |
Omnibus Budget reconciliation act ( OBRA) | legistlation to bring a measure of quality improvement to nursing home & extended care facility |
managed care | describes healthcar system whose goals are to provide cost effective, quality care that focuses on improved outcomes for groups of clients |
nursing process | systematic, logical method of providing individulized nursing care |
assessment | systematic collection, organization, validation & documentation of data |
observation | collection of data by using senses |
diagnosing | analyzing & synthesizing |
planning | |
Assessment | systematic collection, organization, validation & documentation of data |
Care plan | Product of the planning phase of nursing process |
Dependent interventions | Activities carried out under the physician's orders or supervision or according to specified routines |
Collaborative interventions | Nursing activities that reflect the overlapping responsibilities among health personnel |
Independent interventions | Activities that nurses are licensed to do on the basis of their knowledge and skills |
Database | All information known about the client from nursing assessment, physician's history, & the family; used to gauge changes in client status |
Desired/expected outcomes | broader goals of a client in relation to a nursing diagnosis-i.e. client will have adequate gas exchange |
Diagnosing | Analyzing & synthesizing data to provide a statement of condition or need |
Etiology | Cause or origin |
Evaluation | planned, ongoing, purposeful activity which client/professionals determine the client's progress toward goal achievement & the effectiveness of the nursing care plan |
Examination | systematic data collection method |
Goals | particular aspects of desired outcome for client-i.e client will increase use of the incentive spirometer by 30 seconds at each use |
Implementation | Phase of the nursing process which selected nursing interventions & activities occur |
Interventions | actions initiated by the nurse to achieve client goals |
Interview | planned communication or a conversation w/ a purpose |
Manifestations | Signs & symptoms |
Nursing diagnosis | statement about alteration in client's health status; referring to a condition nurses are licensed to treat |
Objective data | detectable by an observer |
Nursing process | systematic, rational method of planning and providing individualized nursing care for all |
Observation | Gathering data by using the senses |
Planning | process of designing nursing activities required to prevent, reduce, or eliminate a client's health problems |
Subjective data | apparent only to the person being affected |
Procedures | Physical skills i.e. manipulating equipment, giving injections, dressing changes, moving, lifting, and repositioning clients |
Rationale | scientific principle given as reason for selecting particular nursing intervention |
Signs | detectable by an observer or can be tested against an accepted standard |
Symptoms | Information on condition that is apparent only to the person involved |
Case management | range of models for integrating healthcare services for individuals or groups |
Case method | Also referred to as total care; situation in which one nurse is assigned to and responsible for the comprehensive care of a group of clients during an 8- or 12-hour shift |
Client-focused care | delivery model that brings all services and care providers to the client |
Clinical pathways | Also called critical pathways) An expected path of client needs, care, teaching, and progress for specific diagnoses |
Diagnostic-related groups | Prospective payment or billing is formulated before the client is even admitted to the hospital, thus, the record of admission, rather than the record of treatment, now governs payment |
Functional method | Method that focuses on the jobs to be completed (e.g., bed making, temperature measurement) |
Healthcare system | totality of services offered by all health disciplines |
Health maintenance organization | group healthcare agency that provides basic and supplemental health maintenance and treatment services to voluntary enrollees who pay a preset fee |
Independent practice associations | group healthcare agency in which clients pay a fixed prospective payment to the IPA, and the IPA pays the provider; the provider receives a fixed fee for services given |
Integrated delivery system | system that incorporates acute care services, home healthcare, extended and skilled care facilities, & outpatient services |
Managed care | healthcare system whose goals are to provide cost-effective, quality care that focuses on improved outcomes for groups of clients |
Medicaid | federal public assistance program paid out of general taxes to people who require financial assistance for medical care |
Medicare | federal program to assist people aged 65 years and over with medical care |
Omnibus Budget Reconciliation Act (OBRA) | Law passed to improve nursing homes and extended-care facilities |
Preferred provider arrangements | Individual healthcare providers that provide an insurance company or employer with health services at a discounted rate |
Preferred provider organizations | group of physicians and perhaps a healthcare agency (often a hospital) that provide an insurance company or employer with health services at a discounted rate |
Primary nursing | Total nursing responsibility for a group of clients 24 hours a day, 7 days a week |
Prospective payment system | system that limits the amount paid to hospitals that are reimbursed by Medicare |
Supplemental Security Income | Special payments to people who are blind or disabled; SSI benefits are not restricted to people who are eligible for Social Security, & payments are not restricted to healthcare costs |
Team nursing | delivery of individualized nursing care to clients by a nursing team led by a professional nurse |
Afternoon care | type of hygienic care that often includes providing a bedpan or urinal, washing the hands and face, and assisting with oral care to refresh clients' mouths |
Alopecia | Absence of hair on the head and/or body |
As-needed (PRN) care | type of hygienic care provided as required by the client |
Bed cradle | device designed to keep the top bedclothes off the feet, legs, & even abdomen of a client |
Caries | Cavities; dental decay |
Cerumen | Earwax |
Cleaning baths | Baths given chiefly for hygiene purposes to remove accumulated oil, perspiration, dead skin cells, & some bacteria |
Contact lenses | Thin curved disks of hard or soft plastic that fit on the cornea of the eye directly over the pupil |
Dandruff | Diffuse scaling of the scalp |
Dentures | plate" of artificial teeth for one jaw worn to replace upper or lower teeth or both |
Early morning care | type of hygienic care provided to clients as they awaken in the morning, consisting of providing a urinal/bedpan to the client confined to bed, washing face/hands, & giving oral care |
Gingiva | Gums of the mouth |
Halitosis | Bad breath |
Hearing aid | battery-powered, sound-amplifying device used by people with hearing impairments |
Hirsutism | Condition of excessive hair growth |
Hour of sleep (HS) care | Hygienic care provided to clients before they retire for the night |
Hygiene | science of health & maintenance |
Lanugo | Soft downy hair present on the fetus's or newborn's face, arms, and back |
Morning care | hygienic care provided after breakfast including provision of urinal/bedpan, bath or shower; perineal care; back massages; oral, nail, & hair care; also making bed |
Pediculosis | An infestation with lice |
Scabies | contagious skin infestation by the itch mite |
Sebum | An oily substance secreted by the skin |
Therapeutic baths | Hygienic care given for physical effects, such as to soothe irritated skin or to treat an area |
Ticks | Small, gray-brown parasites that bite into tissue and suck blood |
Antigens | identifies foreign substances & induces sensitivity or immune response |
Antimicrobial | Microbe-destroying |
Antiseptics | Agents that inhibit the growth of some microorganisms |
Asepsis | absence of disease-causing microorganisms |
Aseptic technique | Technique used to prevent the possibility of transferring microorganisms from one place or person to another |
Bacteria | Most common type of disease-causing microorganisms |
Bactericidal agent | Solution or chemical that destroys bacteria |
Bacteriostatic agent | Agent that prevents growth and reproduction of only some bacteria |
Carrier | potential source of infection for others |
Communicable disease | Disease that is spread or transmitted by direct or indirect contact |
Disease | process that causes a detectable impairment in the way the body functions |
Disinfectants | Agents that destroy pathogens other than spores |
Etiologic agent | Source of the infection |
Fomite | An inanimate object such as a toy, cooking or eating utensil, or contaminated instrument that can transmit infection from one area or person to another |
Fungi | Either yeasts or molds |
Iatrogenic infection | An infection directly caused by any diagnostic or therapeutic source (healthcare provider) |
Immunity | resistance of the body to infection |
Infection | An invasion of the body by a disease-causing organism |
Infectious disease | Disease that primarly infects client & is not easily communicable to others |
Inflammatory response | local, nonspecific defense reaction of tissues when they are exposed to infection or injury |
Local infection | infection in which microorganisms are only in a specific part of the body |
Medical asepsis | All practices used to confine a specific microorganism to a specific area or to limit the number of microorganisms, their growth, and their transmission |
Nonspecific defenses | Anatomic and physiological barriers and the inflammatory response |
Nosocomial infections | Infections that occur after hospital admission and for which the client had no symptoms at the time of admission |
Opportunistic pathogen | agent that causes a disease only in a susceptible person (someone whose immune system is not functioning as a defense system |
Parasites | Organisms that live on other living organisms |
Pathogens | Microorganisms that cause disease |
Portal of entry | Fifth link in the chain of infection; a means of entry into the body for pathogenic microorganisms |
Portal of exit | way of leaving the reservoir |
Reservoir | source of the microorganism |
Resident flora | Harmless microorganisms found in and on the body |
Sepsis | presence of infection |
Septicemia | Spread of bacteria from a local infection into the bloodstream; also known as blood poisoning |
Specific defenses | Changes in the immune system that provide protection to the body |
Standard precautions | Guidelines for special care to be used with all body fluids, especially those associated with bloodborne pathogens (e.g., hepatitis B and C, and HIV infections) |
Sterile field | microorganism-free area |
Surgical asepsis | Practice that keeps an object or an area completely free of microorganisms and spores |
Susceptibility of the host | sixth link in the chain of infection; the extent to which a person is likely to contract an infection |
Susceptible host | Individual with impaired immune response who is at risk for developing infection |
Systemic infection | illness caused by microorganisms that spread to & damage other body areas |
Transmission | manner in which a microorganism gets to the host |
Transmission-based precautions | Guidelines used in addition to standard precautions for any client with known or suspected infections that are spread by airborne or droplet transmission or by physical contact |
Vector | Vehicle, a living means of transport for infection |
Virulence | organism's ability to produce disease and survive both inside and outside the body |
Viruses | smallest known disease-causing agents; they must enter living cells in order to reproduce |
Acute renal failure | sudden decrease in or total lack of kidney function; it can be reversed with prompt treatment |
Anuria | Low amounts of urine or no urine |
Azotemia | Increased nitrogenous wastes in the blood including urea and creatinine |
Dysuria | Pain on urination |
Enuresis | Urinary incontinence after voluntary control has normally been reached |
Frequency | Need to void more than usual |
Hematuria | Blood in the urine |
Hydronephrosis | Distention of the renal pelvis caused by increased pressure due to urine backup |
Incontinence | Inability to control elimination |
Ketone bodies | Products of the breakdown of fatty acids |
Meatus | opening in the external body that serves as a passageway for the elimination of urine |
Micturition | (Voiding or urination) the process of emptying the urinary bladder |
Nephrons | Functional units of the kidneys that filter the blood and remove metabolic wastes |
Neurogenic bladder | Dysfunction of nerves supplying the bladder |
Nocturia | Excessive nighttime urination |
Oliguria | Low amounts of urine or no urine |
Polyuria | Diuresis; excessive urination |
Pyuria | Pus in the urine |
Renal failure | condition which kidneys are unable to carry out the normal functions necessary to eliminate waste products, maintain fluid, & electrolyte balance |
Residual urine | Urine remaining in the bladder following the voiding |
Uremia | toxic state marked by an accumulation of urea and other nitrogenous wastes in the blood |
Urgency | Feeling that voiding must occur immediately |
Urinary retention | inability to empty the bladder completely |