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Fundamentals
The Art and Science of Nursing Care
525
Nursing
Undergraduate 2
08/22/2011

Additional Nursing Flashcards

 


 

Cards

Term
Florence Nightingale
Definition
Defined nursing as both an art and science, differentiated nursing from medicine, created free-standing nursing education; published books about nursing & healthcare; regarded as the founder of modern nursing
Term
Clara Barton
Definition
Volunteered to care for wounds and feed Union Soldiers during the Civil War; served as the supervisor of nurses for the Army of the James, organizing hospitals and nurses; established the Red Cross in the U.S. in 1882
Term
Dorothea Dix
Definition
Served as superintendent of the Female Nurses of the Army during the Civil War; was given the authority & responsibility for recruiting & equipping a corps of army nurses; was a pioneering crusader for the reform of the treatment of the mentally ill.
Term
Mary Ann Bickerdyke
Definition
Organized diet kitchens, laundries and an ambulance service & supervised nursing staff during the Civil War.
Term
Louise Schuyler
Definition
A nurse during the Civil War; returned to New York & organized the New York Charities Aid Association to improve care of the sick in Bellevue Hospital; recommended standards for nursing education
Term
Linda Richards
Definition
Graduated in 1873 from the New England Hospital for Women and Children in Boston, Massachusetts, as the first trained nurse in the U.S.; became the night superintendent of Bellevue Hospital in 1874 and began the practice of keeping records and writing orders
Term
Jane Addams
Definition
Provided social services within a neighborhood setting; a leader for women's rights; recipient of the 1931 Nobel Peace Prize
Term
Lillian Wald
Definition
Established a neighborhood nursing service for the sick poor of the Lower East Side in New York City; the founder of public health nursing
Term
Mary Elizabeth Mahoney
Definition
Graduated from the New England Hospital for Women and Children in 1879 as America's first African American nurse
Term
Harriet Tubman
Definition
A nurse and an abolitionist; active in the underground railroad movement before joining the Union army during the Civil War
Term
Nora Gertrude Livingston
Definition
Established a training program for nurses at the Montreal General Hospital (The first 3-year program in North America)
Term
Mary Agnes Snively
Definition
Director of the nursing school at Toronto General Hospital and one of the founders of the Canadian Nurses Association
Term
Sojourner Truth
Definition
Provided nursing care to soldiers during the Civil War and worked for the Women's movement
Term
Isabel Hampton Robb
Definition
A leader in nursing and nursing education; organized the nursing school at Johns Hopkins Hospital; initiated policies that included limiting the number of hours in a day's work and wrote a textbook to help student learning; the first president of the Nurses Associated Alumnae of the United States and Canada (which later became the American Nurses Association)
Term
Mary Adelaide Nutting
Definition
Became the first professor of nursing in the world as a faculty member of Teacher's College, Columbia University; with Lavinia Dock, published the four-volume History of Nursing
Term
Elizabeth Smellie
Definition
A member of the original Victorian Order of Nurses for Canada (a group who provided public health nursing); organized the Canadian Women's Army Corps during World War II
Term
Lavinia Dock
Definition
A nursing leader and women's rights activist; instrumental in the Constitutional amendment giving women the right to vote
Term
Mary Breckenridge
Definition
Established the frontier Nursing Service and one of the first midwifery schools in the United States
Term
Margaret Sanger
Definition
Founder of Planned Parenthood
Term
Health
Definition
State of optimal functioning or well-being. Includes physical, social, and mental components and is not merely the absence of disease or infirmity. Subjective state
Term
Wellness
Definition
An Active state of being healthy by living a lifestyle that promotes good physical, mental, and emotional health
Term
Caregiver
Definition
The provision of care to patients that combines both the art and science of nursing in meeting physical, emotional, intellectual, sociocultural, and spiritual needs. As a caregiver, the nurse integrates the roles of communicator, teacher counselor, leader researcher, advocate, and collaborator to promote wellness through activities that prevent illness, restore health, and facilitate coping with disability or death. The role of caregiver is the primary role of the nurse.
Term
Communicator
Definition
The use of effective interpersonal and theraputic communication skills to establish and maintain helping relationships with patients of all ages in a wide variety of healthcare settings
Term
Teacher/Educator
Definition
The use of communication skills to asses, implement, and evaluate individualized teaching plans to meet learning needs of patients and their families
Term
Counselor
Definition
The use of therapeutic interpersonal communication skills to provide information, make appropriate referrals, and facilitate the patient's problem-solving and decision-making skills
Term
Leader
Definition
The assertive, self-confident practice of nursing when providing care, effecting change, and functioning with groups
Term
Researcher
Definition
The participation in or conduct of research to increase knowledge in nursing and improve patient care
Term
Advocate
Definition
/the protection of human or legal rights and the securing of care for all patients based on their belief that patients have the right to make informed decisions about their own health and lives
Term
Collaborator
Definition
The effective use of skills in organization, communication, and advocacy to facilitate the functions of all members of the healthcare team as they provide patient care
Term
Autonomy
Definition
The quality or state of being independent, free, and self-directing
Term
licensure
Definition
legal authority to practice as a nursing professional
Term
Profession
Definition
Well-defined body of specific and unique knowledge, strong service orientation, recognized authority by a professional group, code of ethics, professional organization that sets standards, ongoing research, Autonomy
Term
Value
Definition
Belief about the worth of something, about what matters, that acts as a standard to guide one's behavior
Term
value system
Definition
An organization of values in which each is ranked along a continuum of importance, often leading to a personal code of conduct
Term
Modeling
Definition
Learning what is of high or low value by observing parents, peers, and significant others.
Term
Laissez-faire
Definition
Left to explore values on one's own (no one set of values is presented as best for all) and to develop a personal value system. Can leave little or no guidance and can lead to confusion or conflict
Term
Rewarding and punishing
Definition
rewarded for demonstrating values held by parents and punished for demonstrating unacceptable values.
Term
Responsible choice
Definition
encouraged to explore competing values and to weigh their consequences.
Term
Altruism
Definition
Concern for the welfare and well-being of others.
Term
Human dignity
Definition
Respect for the inherent worth and uniqueness of individuals and populations.
Term
Integrity
Definition
Acting in accordance with an appropriate code of ethics & accepted standards of practice
Term
Social justice
Definition
Upholding moral, legal, and humanistic principles
Term
Values clarification
Definition
Process by which people come to understand their own values and value system
Term
Ethics
Definition
systematic inquiry into principles of right and wrong conduct, of virtue and vice, and of good and evil as they relate to conduct and human flourishing
Term
Morals
Definition
Refers to personal or communal standards of right and wrong
Term
Bioethics
Definition
Ethics that encompass all those perspectives that seek to understand human nature and behavior, the domain of social science, and the natural world
Term
Clinical Ethics
Definition
Branch of bioethics literally concerned with ethical problems "at the bedside," that is, ethical concerns that arise within the context of caring for actual patients, wherever they are found
Term
Utilitarian
Definition
The rightness or wrongness of an action depends on the consequences of the action
Term
Deontologic
Definition
An action is right or wrong independent of its consequences
Term
Autonomy (self-determination)
Definition
Respect the rights of patients or their surrogates to make healthcare decisions. Provide the info & support patients and families need to make the decision that is right for them
Term
Nonmaleficence
Definition
Avoid causing harm. Seek not to inflict harm; seek to prevent harm or risk of harm whenever possible
Term
Beneficence
Definition
Benefit the patient, and balance benefits against risks and harms. Commit yourself to actively promote the patient's benefit (health and well-being or good dying. A benefit to one may be a burden to another.
Term
Justice
Definition
Give each his or her due; act fairly. Always seek to distribute the benefits, risks, and costs of nursing care justly
Term
Fidelity
Definition
Keep promises. Be faithful to the promise you made to the public to be competent and to be willing to use your competence to benefit the patients entrusted to your care.
Term
Care-based approach
Definition
Approach to bioethics that directs attention to the specific situations of individual patients viewed within the context of their life narrative
Term
Ethical Agency
Definition
The ability to behave in an ethical way; to do the ethically right thing because it is the right thing to do
Term
Infection
Definition
Disease state resulting from pathogens in or on the body
Term
Pathogens
Definition
Disease-producing microorganism
Term
Bacteria
Definition
The most significant and most commonly observed infection-causing agents
Term
Virus
Definition
Smallest of all microorganisms; can be seen only by using an electron microscope
Term
Virulence
Definition
An organism's ability to cause disease
Term
Endemic
Definition
Something that occurs with predictability in one specific region or population and can appear in a different geographical location
Term
Reservoir
Definition
For growth and multiplication of microorganisms and is the natural habitat of the organism
Term
Medical asepsis
Definition
Practices designed to reduce the number and transfer of pathogens; synonym for clean technique
Term
surgical asepsis
Definition
Practices that render and keep objects and areas free from microorganisms; synonym for sterile technique
Term
Healthcare-associated infections (HAI)
Definition
An infection that was not present on admission to the hospital and develops during the course of treatment for other conditions (nosocomial)
Term
Nosocomial
Definition
Something originating or taking place in the hospital (i.e., infection)
Term
Exogenous
Definition
When the causative organism is acquired from other people
Term
Endogenous
Definition
When the causative organism comes from microbial life harbored in the person
Term
Iatrogenic
Definition
An infection that results from a treatment or diagnostic procedure
Term
MRSA
Definition
Methicillin Resistant staphlococcus aureus
Term
Disinfection
Definition
Destroys all pathogenic organisms except spores
Term
sterilization
Definition
destroys all microorganisms including spores
Term
Isolation
Definition
Protective procedure designed to prevent the transmission of specific micoorganisms; also called protective aseptic techniques and barrier techniques
Term
Standard precautions
Definition
CDC precautions used in the care of all patients regardless of their diagnosis or possible infection status; this category combines universal and body substance precautions
Term
Transmission-based precautions
Definition
CDC precautions used in patients known or suspected to be infected with pathogens that can be transmitted by airborne, droplet, or contact routes; used in addition to Standard Precautions
Term
prn
Definition
Pro re nata "When necessary"
Term
SOB
Definition
Shortness of breath
Term
OOB
Definition
Out of bed
Term
febrile
Definition
Having or showing symptoms of fever
Term
diaphoretic
Definition
is excessive sweating commonly associated with shock and other medical emergency conditions
Term
Nutrition
Definition
Study of the nutrients and how they are handled by the body as well as the impact of human behavior & environment on the process of nourishment
Term
Nutrients
Definition
Specific biochemical substance used by the body for growth, development, activity, reproduction, lactation, health maintenance, and recovery from illness or injury
Term
Carbs, proteins, lipids
Definition
Energy
Term
Vitamins, minerals, water
Definition
Body processes & do not provide calories
Term
Calories
Definition
Measure of heat or energy (kilograms) defined as the amount of heat required to raise 1 kg of water 1 degrees Celcius
Term
Basal metabolism
Definition
Amount of energy required to carry out involuntary activities of the body at rest, i.e. Maintaining body temp, muscle mass, etc.
Term
Carbohydrates
Definition
Commonly known as sugars and starches, are organic compounds composed of carbon, hydrogen, and oxygen. Serve as structural framework of plants.
Term
Recommended dietary allowance (RDA)
Definition
Recommendations for average daily amounts of essential nutrients that healthy population groups should consume over time
Term
Ketosis
Definition
an abnormal accumulation of ketone bodies that is frequently associated with acidosis
Term
protein
Definition
vital component of every living cell; composed of carbon, hydrogen, oxygen, and nitrogen
Term
lipid
Definition
group name for fatty substances, including fats, oils, waxes, and related compounds
Term
triglycerides
Definition
predominant form of fat in food and the major storage form of fat in the body; composed of one glycerol molecule and three fatty acids
Term
trans fat
Definition
fat that occurs when manufacturers partially hydrogenate liquid oils so that they become more solid and stable; trans fat raises serum cholesterol
Term
cholesterol
Definition
fat-like substance found only in animal tissues; it is important for cell membrane structure, a precursor of steroid hormones, and constituent of bile; high serum cholesterol levels are a risk factor in the development of atherosclerosis
Term
vitamins
Definition
organic substances needed by the body in small amounts to help regulate body processes; are susceptible to oxidation and destruction
Term
minerals
Definition
inorganic elements found in nature
Term
holistic care
Definition
care that addresses the many dimensions that comprise the whole individual
Term
morbidity
Definition
how frequently a disease occurs
Term
mortality
Definition
numbers of deaths
Term
disease
Definition
medical term meaning that there is a pathologic change in the structure or function of the body or mind
Term
illness
Definition
the response of the person to a disease; it is an abnormal process in which the person's level of functioning is changed when compared with a previous level
Term
acute illness
Definition
rapidly occurring illness that runs its course, allowing the person to return to his or her previous level of functioning
Term
chronic illness
Definition
irreversible illness that causes permanent physical impairment and requires long-term healthcare
Term
remission
Definition
when the disease is present, but the person does not experience symptoms
Term
exacerbation
Definition
the symptoms of the disease reappear
Term
health promotion
Definition
the behavior of an individual that is motivated by a personal desire to increase well-being and health potential
Term
Patient care ergonomics
Definition
the practice of designing equipment and work tasks to conform to the capability of the worker in relation to patient care
Term
orthopedics
Definition
refers to the correction or prevention of disorders of body structures used in locomotion
Term
tonus
Definition
normal, partially steady state of muscle contraction
Term
contractures
Definition
permanent contraction of muscle
Term
ADLs
Definition
activities of daily living
Term
negative nitrogen balance
Definition
disease characterized by a larger breakdown of protein than that which is manufactured
Term
isotonic exercise
Definition
involves muscle shortening and active movement
Term
isometric exercise
Definition
involves muscle contraction without shortening
Term
isokinetic exercise
Definition
involves muscle contractions with resistance
Term
fibrinolysin
Definition
substance that breaks up small clots
Term
ankylosis
Definition
a consolidation and immobilization of a joint
Term
paresis
Definition
impaired muscle strength or weakness
Term
Primary health promotion
Definition
Weight loss, exercise, diet, smoking-cessation, alcohol consumption, drugs
Term
Secondary promotion/preventative care
Definition
Screenings, pap smears, mammograms, testicular examinations, family counseling
Term
Tertiary promotion/preventative care
Definition
Medications, medical therapy, surgical treatment, rehabilitation, physical therapy,occupational therapy, job training
Term
Managed care
Definition
A way of providing care that is designed to control the cost while still maintaining the quality of that care
Term
Case management
Definition
A method used to coordinate a patient's healthcare to achieve patient wellness and optimum function through advocacy, communication, and education
Term
HMO
Definition
Limits the choice of healthcare provider
Term
PPO
Definition
Allow a third party payer to contract with a group of healthcare providers to provide services at a lower fee in return for prompt payment and volume guarantee
Term
Aging in place
Definition
The person can move to an apartment and progressively have more healthcare services as they need as long as they live
Term
Diagnosis related groups
Definition
Implemented by the federal government to meet the needs of increasing healthcare costs
Term
Fragmentation care
Definition
Care provided by many different providers
Term
A pt with kidney failure
Definition
Someone who would qualify for medicare
Term
Primary healthcare
Definition
Essential healthcare based on practical, scientifically sound, and socially acceptable methods and tech ology, made universally accessible through the community's full participation and at cost the community can afford
Term
Community hospitals
Definition
Short-term general, nonfederal, and special hospitals such as orthopedic, cancer, and academic
Term
Documentation
Definition
Written or typed legal record for all pertinent interactions with the patient-assessing, diagnosing, planning, implementing, and evaluating
Term
Patient record
Definition
Compilation of a patient's health information
Term
Source-oriented record
Definition
One in which each healthcare group keeps data on it's own separate form
Term
Progress notes
Definition
Notes written to inform caregivers of the progress a patient is making toward achieving expected outcomes
Term
Inpatient
Definition
Person who enters a hospital and stays overnight for am indeterminate time (range from days to months)
Term
Outpatient
Definition
Person who requires healthcare services but does not need to stay in an institution for those services
Term
Amnulatory care
Definition
Healthcare settings located in areas that are convenient for people to walk into and receive care; may be provided in hospitals, clinics, or centers
Term
Long-term care
Definition
Facilities for long-term care that provide healthcare and help with activities of daily living for people of any age who are physically or mentally unable to independently care for themselves
Term
respite care
Definition
type of care provided for caregivers of homebound ill, disabled, or elderly patients. The main purpose is to give the primary caregiver some time away from the responsibilities of day-to-day care
Term
hospice
Definition
program of palliative and supportive care services providing physical, psychological, social, and spiritual care for dying persons, their families, and other loved ones
Term
bereavement care
Definition
the time of mourning experienced after a loss
Term
palliative care
Definition
taking care of the whole person-body, mind, spirit, heart and soul-with the goal of giving patients with life-threatening illnesses the best quality of life they can have through the aggressive management of symptoms
Term
medicare
Definition
provides a measure of health coverage to all Social Security recipients
Term
diagnosis-related groups
Definition
classification of patients by major medical diagnosis for the purpose of standardizing healthcare costs
Term
medicaid
Definition
Federally funded public assistance program for people of any age who have low incomes; for the blind, elderly, and disabled covered by supplemental security benefits; and for beneficiaries of Aid to Families With Dependent Children. Coverage depends on individual state regulations
Term
consumer
Definition
someone who uses a commodity or service
Term
documentation
Definition
the written or typed record of all pertinent interactions with the patient-assessing, diagnosing, planning, implementing, and evaluating
Term
patient record
Definition
compilation of a patient's health information
Term
source-oriented record
Definition
one in which each healthcare group keeps data on its own separate form
Term
problem-oriented medical record (POMR)
Definition
documentation system organized according to the person's specific health problems; includes database, problem list, plan of care, and progress notes
Term
SOAP format
Definition
method of charting narrative progress notes; organizes data according to subjective information (S), objective information (O), assessment (A), and plan (P)
Term
PIE charting
Definition
documentation system that does not develop a separate care plan; the care plan is incorporated into the progress notes in which problems are identified by number, worked up using the problem (P), intervention (I), evaluation (E) format, and evaluated each shift
Term
focus charting
Definition
a documentation system that replaces the problem list with a focus column that incorporates many aspects of a patient and patient care; the focus may be a patient strength or a problem or need; the narrative portion od focus charting uses the data (D), action (A), response (R) format
Term
charting by exception (CBE)
Definition
shorthand method for documenting patient data that is based on well-defined standards of practice; only exceptions to these standards are documented in narrative notes
Term
critical/collaborative pathway
Definition
case management plan that is a detailed, standardized plan of care developed for a patient population with a designated diagnosis or procedure; it includes expected outcomes, a list of interventions to be performed, and the sequence and timing of those interventions
Term
variance charting
Definition
documentation method in case management that records unexpected events, the cause for the event, actions taken in response to the event, and discharge planning when appropriate
Term
minimum data sets
Definition
a standard established by healthcare institutions that specifies the information that must be collected from every patient
Term
electronic medical records (EMR)
Definition
computer-based records or data that can be distributed among many caregivers in a standardized format
Term
personal health records (PHRs)
Definition
information sheets that contain the individual's medical history, including diagnosis, symptoms, and medications
Term
flow sheets
Definition
documentation tools used to record routine aspects of nursing care
Term
graphic sheet
Definition
form used to record specific patient variables such as pulse, respiratory rate, blood pressure readings, body temperature, weight, fluid intake and output, bowl movements, and other patient characteristics
Term
discharge summary
Definition
description of where the patient stands in relation to problems identified in the record at discharge; documents any special teaching or counseling the patient received, including referrals
Term
SBAR communication
Definition
consistent, clear, structured, and easy-to-use method of communication between healthcare personnel; it organizes communication by the categories of: Situation, Background, Assessment, and Recommendations
Term
change-of-shift report
Definition
communication method used by nurses who are completing care for a patient to transmit patient information to nurses who are about to assume responsibility for continuing care; may be exchanged verbally in a meeting or audiotaped
Term
incident report
Definition
tool used by healthcare agencies to document the occurence of anything out of the ordinary that results in or has the potential to result in harm to a patient, employee, or visitor
Term
confer
Definition
to consult with someone to exchange ideas or to seek information, advise, or instructions
Term
consultation
Definition
the process of inviting another professional to evaluate the patient and make recommendations to you about his or her treatment
Term
referral
Definition
the process of sending or guiding the patient to another source for assistance
Term
nursing informatics
Definition
a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice
Term
anorexia
Definition
lack or loss of appetite for food
Term
obesity
Definition
weight greater than 20% above ideal body weight
Term
anthropometric
Definition
measurements of the body and body parts
Term
aspiration
Definition
misdirection of oropharyngeal secretions or gastric contents into the larynx and lower respiratory tract
Term
dysphagia
Definition
difficulty swallowing or the inability to swallow
Term
enteral nutrition
Definition
administering nutrients directly into the stomach
Term
parenteral nutrition
Definition
providing nutrition via IV therapy
Term
nasogastric tube (NG)
Definition
tube inserted through the nose and into the stomach
Term
nasointestinal tube (NI)
Definition
tube inserted through the nose and into the upper portion of the small intestine
Term
percutaneous endoscopic gastrostomy (PEG)
Definition
surgically or laparoscopically placed gastrostomy tube
Term
gastrostomy
Definition
opening created into the stomach
Term
residual
Definition
feeding remaining in the stomach
Term
parenteral nutrition
Definition
nourishment provided via IV therapy
Term
total parenteral nutrition (TPN)
Definition
nutrition therapy that bypasses the gastrointestinal tract for patients who are unable to take food orally; meets the patient's nutritional needs by way of nutrient-filled solutions administered intravenously through a central vein
Term
peripheral parenteral nutrition (PPN)
Definition
prescribed for patients who require nutrient supplementation through a peripheral vein because they have an inadequate intake of oral feedings
Term
cultural diversity
Definition
diverse groups in society, with varying racial classification and national origin, religious affiliation, languages, physical size, gender, sexual orientation, age, disability, socioeconomic status, occupational status, and geographic location
Term
culture
Definition
may be defined as a shared system of beliefs, values, and behavioral expectations that provides social structure for daily living
Term
subculture
Definition
a large group of people who are members of an even larger cultural group, but who have certain ethnic, occupational, or physical characteristics that are not common to the larger culture
Term
cultural assimilation
Definition
process that occurs when a minority group, living as part of a dominant group within a culture, loses the cultural characteristics that made it different
Term
culture shock
Definition
the feelings a person experiences when placed in a different culture perceived as strange
Term
ethnicity
Definition
a sense of identification with a collective cultural group, largely based on the group's common heritage
Term
stereotype
Definition
assigning characteristics to a group of people without considering specific individuality
Term
cultural imposition
Definition
the belief that everyone should conform to your own belief system
Term
cultural blindness
Definition
occurs when one ignores differences and proceeds as though they do not exist
Term
culture conflict
Definition
occurs when people become aware of cultural differences, feel threatened, and respond by rediculing the beliefs and traditions of others to make themselves feel more secure about their own values
Term
ethnocentrism
Definition
the belief that one's own ideas, beliefs, and practices are the best, are superior, or are most preferred to those of others
Term
loss
Definition
occurs when a valued person, object, or situation is changed or inaccessible so that its value is diminished or removed
Term
Actual loss
Definition
can be recognized by others as well as by the person sustaining the loss, for example, loss of a limb, a child, of a valued object such as money, and of a job
Term
perceived loss
Definition
loss of youth, of financial independence, and of a valued environment, is experienced by the person but is intangible to others
Term
anticipatory loss
Definition
occurs when a person displays loss and grief behaviors for a loss that has yet to take place
Term
grief
Definition
an internal emotional reaction to loss
Term
mourning
Definition
the actions and expressions of grief, including the symbols and ceremonies (including a funeral or final celebration of life) that make up the outward expressions of grief
Term
bereaved
Definition
in a state of grieving from loss of a loved one
Term
Engel
Definition
1)shock and disbelief 2)developing awareness 3)restitution 4)resolving the loss 5)idealization 6)outcome
Term
Kubler-Ross
Definition
1)denial and isolation 2) anger 3)bargaining 4) depression 5)acceptance
Term
dysfunctional grief
Definition
is abnormal or distorted grief that may be either unresolved or inhibited
Term
death
Definition
1)irreversible cessation of all functions of the circulatory and respiratory functions or, 2)irreversible cessation of all functions of the entire brain, including the brain stem, is dead
Term
terminal illness
Definition
illness from which there is no reasonable expectation of recovery or cure
Term
palliative care
Definition
taking care of the whole person--body, mind, and spirit, heart and soul.
Term
hospice
Definition
care provided for people with limited life expectancy, often in the home
Term
advance directives
Definition
written directive that allows people to state in advance what their choices for healthcare would be if certain circumstances should develop
Term
comfort-measures-only order
Definition
an order written to indicate that the goal of treatment is a comfortable, dignified death and that further life-sustaining measures are no longer indicated
Term
terminal weaning
Definition
the gradual withdrawal of mechanical ventilation from a patient with a terminal illness or an irreversible condition with a poor prognosis
Term
euthanasia
Definition
literally means "good dying"
Term
active euthanasia
Definition
taking specific steps to cause a patient's death (Doing something to end a patient's life
Term
Caries
Definition
The decay of teeth with the formation of cavities
Term
Plaque
Definition
An invisible, destructive, bacterial film that builds up on everyone's teeth and eventually leads to the destruction of tooth enamel
Term
Gingivitis
Definition
An inflammation of the gingiva, the tissue that surrounds the teeth
Term
Periodontitis
Definition
Marked inflammation of the gums that also involves degeneration of the dental periosteum and bone
Term
Halitosis
Definition
A strong mouth Oder or a persistent bad taste in the mouth
Term
Stomatitis
Definition
An inflammation of the oral mucosa
Term
Glossitis
Definition
Inflammation of the tongue
Term
Cheilosis
Definition
An ulceration of the lips
Term
Alopecia
Definition
Absence or loss of hair
Term
Pediculosis
Definition
Infestation with lice
Term
cerumen
Definition
ear wax
Term
communication
Definition
the process of exchanging information and generating and transmitting meanings between two or more individuals
Term
stimulus
Definition
the need that must be addressed
Term
source(encoder)
Definition
person or group who initiates or begins the communication process
Term
message
Definition
the actual physiologic product of the source
Term
channel
Definition
the medium the sender has selected to send the message
Term
receiver(decoder)
Definition
must translate and interpret the message sent
Term
feedback
Definition
evidence that the receiver has understood the intended message (response)
Term
noise
Definition
factors that distort the quality of a message
Term
verbal communication
Definition
an exchange of information using words, including both the spoken and written word
Term
language
Definition
a prescribed way of using words so that people can share information effectively
Term
nonverbal communication (body language)
Definition
the transmission of information without the use of words
Term
intrapersonal communication
Definition
the communication that happens within the individual
Term
interpersonal communication
Definition
occurs between two or more people with a goal to exchange messages
Term
small-group communication
Definition
occurs when nurses interact with two or more individuals
Term
organizational communication
Definition
occurs when individuals and groups within an organization communicate to achieve established goals
Term
group dynamics
Definition
described most simply as how individual group members relate to one another during the process of working toward group goals
Term
task-oriented roles
Definition
focusing on the work to be done
Term
group-building or maintenance roles
Definition
focusing on the well-being of people doing the work
Term
self-serving roles
Definition
advance the needs of individual members at the group's expense
Term
SBAR
Definition
consistent, clear, structured, and easy-to-use method of communication between healthcare personnel; it organizes communication by the categories of: Situation, Background, Assessment, and Recommendations
Term
helping relationship
Definition
interaction that sets the climate of movement of the participants toward common goals
Term
professionalism
Definition
a way of being /commitment to secure the interests and welfare of those entrusted to one's care
Term
empathy
Definition
identifying with the way another person feels
Term
rapport
Definition
a feelings of mutual trust experienced by people in a satisfactory relationship
Term
semantics
Definition
the study of the meaning of words
Term
therapeutic touch
Definition
an alternative therapy that involves using one's hands to consciously direct an energy exchange from the practitioner to the patient to facilitate healing or pain relief
Term
interviewing techniques
Definition
communication skills specifically designed to gather and validate information
Term
assertive behaviors
Definition
ability to stand up for oneself and others using open, honest , and direct communication
Term
cliche
Definition
stereotyped, trite, or pat answer
Term
horizontal violence
Definition
anger and aggressive behavior between nurses, or nurse-to-nurse hostility
Term
acute pain
Definition
rapid and onset
Term
chronic pain
Definition
pain that may be limited, intermittent, or persistent but that lasts beyond the normal healing period
Term
remission
Definition
when the disease is present but the person does not experience symptoms
Term
exacerbation
Definition
the symptoms reappear
Term
cutaneous pain
Definition
superficial pain. usually involves the skin or subcutaneous tissue
Term
somatic pain
Definition
diffuse or scattered and originates in tendons, ligaments, bones, blood vessels, and nerves
Term
visceral pain
Definition
poorly localized and originates in body organs in the thorax, cranium, and abdomen
Term
referred pain
Definition
pain in an area removed from that in which stimulation has its origin
Term
neuropathic pain
Definition
results from an injury to or abnormal functioning of peripheral nerves or the central nervous system
Term
intractable
Definition
severe pain that is extremely resistant to relief measures
Term
phantom pain
Definition
sensation of pain without demonstrable physiologic or pathologic substance; commonly observed after the amputation of a limb
Term
psychogenic pain
Definition
pain for which no physical cause can be identified
Term
complex regional pain syndrome (causalgia)
Definition
pain occurs in the area of a partially injured peripheral nerve. described as burning, severe, diffuse, and persistent
Term
postherpetic neuralgia
Definition
pain syndrome follows an acute centeral nervous system infection
Term
trigeminal neuralgia
Definition
paroxysms of lightning-like stabs of intense pain in the distribution of one or more divisions of the trigeminal nerve, 5th cranial nerve
Term
transduction
Definition
the activation of pain receptors
Term
nociceptors
Definition
the peripheral nerve fibers that transmit pain
Term
neurotransmitters
Definition
substances that either excite or inhibit target nerve cells
Term
transmission
Definition
conduction of pain sensations from the site of an injury or inflammation along clear and unclear pathways to the spinal cord and then on to higher centers
Term
perception
Definition
involves the sensory process that occurs when a stimulus for pain is present
Term
pain threshold
Definition
lowest intensity of a stimulus that causes the subject to recognize pain
Term
modulation
Definition
the process by which the sensation of pain is inhibited or modified
Term
neuromodulators
Definition
endogenous opioid chemical regulators that appear to have analgesic activity and alter pain perception
Term
endorphins
Definition
morphine-like substances released by the body that appear to alter the perception of pain
Term
dynorphin
Definition
the endorphin having the most potent analgesic effect
Term
enkephalins
Definition
opioids that are widespread throughout the brain and dorsal horn of the spinal cord and are believed to reduce pain sensation by inhibiting the release of Substance P
Term
gate control theory
Definition
theory that explains that excitatory pain stimuli carried by small-diameters nerve fibers can be blocked by inhibiting signals carried by large-diameter nerve fibers
Term
tolerance
Definition
the point beyond which a person is no longer willing to endure pain
Term
analgesic
Definition
pharmaceutical agent that relieves pain
Term
opioid
Definition
more correct term for narcotic analgesics, since these drugs act by binding to opiate receptor sites in the central nervous system
Term
physical dependence
Definition
phenomenon in which the body physiologically becomes accustomed to the opioid and suffers withdrawal symptoms if the opioid is suddenly removed
Term
addiction
Definition
a pattern of compulsive opioid use for means other than pain control
Term
adjuvant drugs
Definition
typically used for other purposes but are also used to enhance the effect of opioids by providing additional pain relief
Term
breakthrough pain (BTP)
Definition
a temporary flare-up of moderate to severe pain that occurs even when the patient is taking ATC medication
Term
ATC
Definition
around the clock
Term
placebo
Definition
Latin word meaning "I shall please" an inactive substance that gives satisfaction to the person using it
Term
Assessing
Definition
the systematic and continuous collection, validation, analysis, and communication of patient data
Term
data
Definition
information
Term
database
Definition
includes all the pertinent patient information collected by the nurse and other healthcare professionals
Term
nursing history
Definition
identifies the patient's health status, strengths, health problems, health risks, and need for nursing care
Term
initial assessment
Definition
performed shortly after the patient is admitted to a healthcare agency or service. Comprehensive nursing assessment resulting in baseline data that enables the nurse to make a judgment about a patient's health status, ability to manage his or her own healthcare, and need for nursing, and to plan individualized, holistic healthcare for the patient
Term
focused assessment
Definition
assessment conducted to assess a specific problem; focuses on pertinent history and body regions
Term
emergency assessment
Definition
rapid focused assessment conducted to determine potentially fatal situations
Term
time-lapsed assessment
Definition
an assessment that is scheduled to compare a patient's current status to baseline data obtained earlier
Term
minimum data set
Definition
specifies the information that must be collected from every patient and use a structured assessment form to organize or cluster this data
Term
subjective data
Definition
information perceived only by the affected person; these data cannot be perceived or verified by another person
Term
objective data
Definition
observable and measurable data that can be seen, heard, or felt by someone other than the person experiencing them
Term
observation
Definition
the conscious and deliberate use of the five senses to gather data
Term
interview
Definition
planned communication
Term
physical assessment
Definition
the examination of the patient for objective data that may better define the patient's condition and help the nurse in planning care
Term
review of systems (ROS)
Definition
physical examination of all body systems in a systematic manner as part of the nursing assessment. Inspection, palpation, percussion, and auscultation
Term
validation
Definition
the act of confirming or verifying. purpose is to keep data as free from error, bias, and misinterpretation as possible
Term
cue
Definition
significant information that is helpful in making decisions
Term
inference
Definition
the judgment the nurse reaches about a cue
Term
diagnosis (nursing)
Definition
analysis of patient data to identify patient strengths and health problems that independent nursing intervention can prevent or resolve
Term
health problem
Definition
a condition that necessitates intervention to prevent or resolve disease or illness or to promote coping and wellness
Term
nursing diagnosis
Definition
actual or potential health problems that an independent nursing intervention can prevent or resolve. Actual problem is present. Possible problem may be present, but more data are needed to confirm or disconfirm the problem. Potential problem may occur; defining characteristics are present as risk factors
Term
NANDA
Definition
North American Nursing Diagnosis Association
Term
DT
Definition
diagnosis and treat
Term
PPMP
Definition
predict, prevent, manage, and promote
Term
medical diagnosis
Definition
statement about a specific disease process using terminology from a well-developed classification system accepted by the medical profession
Term
collaborative problem
Definition
actual or potential health problem that may occur from complications of disease, diagnostic studies, or the treatment regimen; the nurse works together with other members of the healthcare team toward its resolution
Term
PC
Definition
potential complication
Term
diagnostic error
Definition
failure to detect an actual unhealthy behavior
Term
standard
Definition
acceptable, expected level of performance established by authority, custom, or consent
Term
data cluster
Definition
a grouping of patient data or cues that points to the existence of a patient health problem
Term
actual nursing diagnosis
Definition
problems validated by the presence of major defining characteristics and possessing four components: label, definition, defining characteristics, and related factor
Term
risk nursing diagnosis
Definition
clinical judgments that an individual, family, or community is more vulnerable to develop the problem than others in the same or similar situation
Term
possible nursing diagnosis
Definition
statements describing a suspected problem for which additional data are needed
Term
diaphoresis
Definition
excessive sweating
Term
wellness diagnosis
Definition
clinical judgments about an individual, group, or community in transition from a specific level of wellness to a higher level of wellness
Term
syndrome nursing diagnoses
Definition
comprise a cluster of actual or risk nursing diagnoses that are predicted to be present because a certain event or situation; for example, rape trauma syndrome or post-trauma syndrome
Term
anticipatory
Definition
realize beforehand, foresee
Term
compromised
Definition
damaged, made vulnerable
Term
decreased
Definition
lessened (in size, amount, or degree)
Term
deficient
Definition
insufficient, inadequate
Term
delayed
Definition
late, slow or postponed
Term
disabled
Definition
limited, handicapped
Term
disorganized
Definition
not properly arranged or controlled
Term
disproportionate
Definition
too large or too small in comparison with a norm
Term
disturbed
Definition
agitated, interrupted, interfered with
Term
dysfunctional
Definition
not operating normally
Term
effective
Definition
producing the intended or desired result
Term
excessive
Definition
greater than necessary or desirable
Term
imbalanced
Definition
out of proportion or balance
Term
impaired
Definition
damaged, weakened
Term
ineffective
Definition
not producing the intended or desired effect
Term
interrupted
Definition
having its continuity broken
Term
low
Definition
below the norm
Term
organized
Definition
properly arranged or controlled
Term
perceived
Definition
observed through the senses
Term
readiness for
Definition
in a suitable state for activity or situation
Term
situational
Definition
related to a particular circumstance
Term
outcome identification
Definition
observation of the patient to demonstrate the resolution of the problems identified by the nursing diagnoses and general problem list, along with the time frame for accomplishing these outcomes
Term
planning
Definition
establishes patient goals to prevent, reduce, or resolve the problems identified in the nursing diagnoses and determination of related nursing interventions
Term
goal
Definition
an aim or an end
Term
patient outcome
Definition
an expected conclusion to a patient health problem, or in the event of a wellness diagnoses, an expected conclusion to a patient's health expectation
Term
expected outcomes
Definition
used to refer to the more specific, measurable criteria used to evaluate the extent to which a goal has been met
Term
criteria
Definition
specified behavior; for example, the measurable criteria in a patient goal specifies how the patient must perform the desirable behavior
Term
initial planning
Definition
planning that addresses each problem listed in the prioritized nursing diagnosis and identifies appropriate patient goals and the related nursing care
Term
standardized care plans
Definition
prepared plans of care that identify the nursing diagnoses, outcomes, and related nursing interventions common to a specific population or health problem
Term
ongoing planning
Definition
planning carried out by any nurse who interacts with the patient to keep the plan up to date, to facilitate the resolution of health problems, to manage risk factors, and to promote function
Term
discharge planning
Definition
systemic process of preparing the patient to leave the healthcare facility and for maintaining continuity of care
Term
nursing outcomes classification NOC
Definition
developed by the Iowa Outcomes Project and presents the first comprehensive standardized language used to describe the patient outcomes that are responsive to nursing intervention
Term
nursing intervention
Definition
any treatment, based on clinical judgment and knowledge, that a nurse performs to enhance patient outcomes
Term
nursing intervention classification (NIC)
Definition
first comprehensive, validated list of nursing interventions applicable to all settings that can be used by nurses in multiple specialties and facilitates the work of identifying appropriate interventions
Term
algorithm
Definition
useful in management of high-risk subgroups within the cohort; may be "layered" on top if a pathway to control care practices that are used to manage a specific problem
Term
critical pathway
Definition
represents a sequential, interdisciplinary, minimal practice standard for a specific patient population
Term
guideline
Definition
broad, research-based practice recommendations
Term
order set
Definition
preprinted provider orders used to expedite the order process after a practice standard has been validated through analytical research
Term
protocol
Definition
prescribes specific therapeutic interventions for a clinical problem unique to a subgroup of patients within the cohort
Term
consultation
Definition
process in which two or more individuals with varying degrees of experience and expertise discuss a problem and its solution, often proves useful
Term
plan of nursing care
Definition
the written guide that directs the efforts of the nursing team as nurses work with patients to meet their health goals
Term
Kardex care plan
Definition
trade name fir a care plan documentation system that encompasses (1) prescriptions for nursing care related to activities of daily living; (2) nursing diagnoses and related patient goals and nursing orders; and (3) the nursing care related to diagnostic measures and the medical regimen
Term
computerized plans of nursing care
Definition
plans of patient care developed by computer software programs that enable the nurse to call up screens listing causes, goals, and related nursing interventions for nursing diagnoses and medical diagnoses
Term
clinical pathway/clinical path/CareMap
Definition
case management tools used to communicate the standardized, interdisciplinary plan of care for a particular group of patients; care guidelines and outcomes are specified for each day of the patient's stay
Term
Vital signs
Definition
Are a persons temperature, pulse, respiration, and blood pressure (abbreviated as T, P, R, BP)
Term
Temperature
Definition
The difference between the amount of heat produced by the body and the amount of heat lost to the environment measured In degrees
Term
Hypothermia
Definition
Low body temperature
Term
Hyperthermia
Definition
High body temperature
Term
afebril
Definition
Without fever
Term
Fever
Definition
Pyrexia. Is an increase above normal body temperature (98.6 F or 37 C)
Term
Febrile
Definition
Person with a fever
Term
Temperature-rising mechanisms
Definition
Shivering, piloerection, vasoconstriction, and increased metabolism
Term
Heat-loss mechanisms
Definition
Sweating, vasodilation, Increased respirations
Term
Intermittent
Definition
The body temp alternates regularly between a period of fever and a period of normal or subnormal temp
Term
Remittent
Definition
The body temp fluctuates several degrees more than 2 degrees C (3.6 F) above normal but does not reach normal between fluctuations
Term
Constant
Definition
The body temp remains consistently elevated and fluctuates less than 2 C (3.6 F)
Term
Relapsing
Definition
The body temp returns to normal for at least a day, but then fever recurs
Term
Crisis
Definition
The fever returns to normal suddenly
Term
Lysis
Definition
The fever returns to normal gradually
Term
FUO
Definition
Fever of unknown origin
Term
Pulse
Definition
Throbbing sensation that can be palpated over a peripheral artery, such as the radial artery or the carotid artery
Term
Stroke volume
Definition
Volume of blood ejected with each heart beat
Term
Stroke volume (SV)
Definition
The quantity of blood forced out of the left ventricle with each contraction
Term
Cardiac output (CO)
Definition
The amount of blood pumped per minute, averages from 3.5 L/min to 8.0 L/min in a healthy adult
Term
Volume is determined by
Definition
Cardiac output=stroke volume x heart rate
Term
Pulse rhythm
Definition
The pattern of the pulsations and the pauses between them
Term
Dysrhythmia
Definition
An irregular pattern of heartbeats
Term
Pulse deficit
Definition
A difference between the apical and radial pulse rates
Term
Respiration
Definition
Involves ventilation, diffusion, and perfusion
Term
Diffusion
Definition
The exchange of oxygen and carbon dioxide between the alveoli of the lungs and the circulating blood
Term
Perfusion
Definition
The exchange of oxygen and carbon dioxide between the circulating blood and tissue cells
Term
Eupnea
Definition
Normal respirations
Term
Tachypnea
Definition
An increased respiratory rate
Term
Apnea
Definition
Refers to periods during which there is no breathing
Term
Dyspnea
Definition
Difficult or labored breathing
Term
Orthopnea
Definition
When patient has an easier time breathing in an upright position
Term
Blood pressure
Definition
Refers to the force of the moving blood against arterial walls
Term
Systolic pressure
Definition
Highest pressure
Term
Diastolic pressure
Definition
The lowest pressure present on arterial walls
Term
Pulse pressure
Definition
The difference between the systolic and diastolic pressure
Term
Baroreceptors
Definition
Pressure-sensitive receptors
Term
Hypertension
Definition
Blood pressure that is above normal for a sustained period
Term
Primary hypertension
Definition
Characterized by an increase above normal in both the systolic and diastolic pressures
Term
Secondary hypertension
Definition
Caused by another disease condition. kidney disease, disorders of adrenal cortex, and disorders of aorta
Term
Hypotension
Definition
Below normal blood pressure
Term
Orthostatic hypotension
Definition
Drop in systolic blood pressure of a number equal to or greater than 20 mm Hg or in diastolic pressure of a number equal to or greater than 10 mm Hg within 3 minutes of standing
Term
Korotkoff sounds
Definition
The series of sounds for which the nurse listens when assessing blood pressure
Term
comprehensive assessment
Definition
health history and complete physical examination, usually conducted when a patient first enters a healthcare setting, provides baseline for comparing later assessment
Term
ongoing partial assessment
Definition
one that is conducted at regular intervals during care of the patient
Term
focused assessment
Definition
conducted to assess a specific problem
Term
emergency assessment
Definition
a type of rapid focused assessment conducted to determine potentially fatal situations
Term
inspection
Definition
the process of performing deliberate, purposeful observations in a systematic manner
Term
palpation
Definition
uses the sense of touch
Term
percussion
Definition
the act of striking one object against another to produce sound
Term
auscultation
Definition
the act of listening with a stethoscope to sounds produced within the body
Term
erythmema
Definition
redness of the skin associated with sunburn, inflammation, fever, trauma, and allergic reactions
Term
cyanosis
Definition
a bluish or grayish discoloration of the skin in response to inadequate oxygenation
Term
jaundice
Definition
yellow color of the skin resulting from liver and gallbladder disease, some types of anemia, and excessive hemolysis (breakdown of red blood cells)
Term
ecchymosis
Definition
collection of blood in the subcutaneous tissues, causing purplish discoloration
Term
petechiae
Definition
small hemorrhagic spots caused by capillary bleeding
Term
pallor
Definition
paleness of the skin, often results from a decrease in the amount of circulating blood or hemoglobin, causing inadequate oxygenation of the body tissues
Term
turgor
Definition
the fullness or elasticity of the skin
Term
edema
Definition
excess fluid in the tissues
Term
bronchial sounds
Definition
heard over the trachea, are high-pitched, harsh sounds, with expiration being longer than inspiration
Term
bronchovesicular sounds
Definition
heard over the mainstem bronchus and are more moderate "blowing" sounds, with inspiration equal to expiration
Term
vesicular breath sounds
Definition
soft, low-pitched sounds, heard best over the base of the lungs during inspiration, which is longer than expiration
Term
adventitious breath sounds
Definition
not normally heard in the lungs but, if present, may be auscultated
Term
precordium
Definition
the portion of the body over the heart and lower thorax
Term
bruits
Definition
abnormal sounds heard over a blood vessel as blood passes an obstruction
Term
Implementing
Definition
Carrying out the plan of care
Term
Nursing intervention
Definition
Any treatment, based on clinical judgment and knowledge, that a nurse performs to enhance patient outcomes; there are nurse-initiated, physician-initiated, and collaborative intervention
Term
Nurse-initiated interventions
Definition
Involve carrying out nurse-prescribed interventions resulting from their assessment of patient needs written on the nursing plan of care, as well as any other actions that nurses initiate without the direction or supervision of another healthcare professional
Term
Protocols
Definition
Written plans that detail the nursing activities to be executed in specific situations
Term
Standing orders
Definition
Empower the nurse to initiate actions that ordinarily require the order or supervision of a physician
Term
Physician-initiated interventions
Definition
Involve carrying out physician-prescribed orders
Term
Collaborative interventions
Definition
Performed jointly by nurses and other members of the healthcare team
Term
Evidence based practice EBP
Definition
Nursing care provided that is supported by sound scientific rationale
Term
Unlicensed assistive personnel UAP
Definition
Individuals who are trained to function in an assistive role to licensed registered nurses (RN) in the provision of patient activities as delegated by and under the supervision of the registered professional nurse
Term
Delegation
Definition
The transfer of responsibility for the performance of an activity to another individual while retaining accountability for the outcome
Term
Evaluating
Definition
Measurement of the extent to which the patient has achieved the goals specified in the plan of care; factors that positively or negatively influence goal achievement are identified, and the plan of care is terminated or revised
Term
Criteria
Definition
Measurable qualities, attributes, or characteristics that specify skills, knowledge, or health status
Term
Standards
Definition
The levels of performance accepted and expected by the nursing staff or other health team members
Term
Performance improvement
Definition
Commitment to healthier patients, quality of care, reduced costs, and making a difference; accomplished by discovering a problem, planning a strategy, implementing a change, and assessing the change to see if the goal is met
Term
Peer review
Definition
The evaluation of one staff member by another staff member on the same level in hierarchy of the organization
Term
Quality assurance programs
Definition
Specially designed programs that promote excellence in nursing
Term
Structure evaluation
Definition
Focuses on the environment in which care is provided
Term
Process evaluation
Definition
The nature and sequence of activities carried out by nurses implementing the nursing process
Term
Outcome evaluation
Definition
Focuses on measurable changes in the health status of the patient or the end results of nursing care
Term
Quality improvement
Definition
The commitment and approach used to continuously improve every process in every part of an organization, with the intent of meeting and exceeding customer expectations and outcomes
Term
Nursing audit
Definition
Method of evaluating nursing care that involves reviewing patient records to assess the outcomes of nursing care or the process by which these outcomes were achieved
Term
Concurrent evaluation
Definition
Conducted by using direct observation of nursing care, patient interviews, and chart review to determine whether the specified evaluative criteria are met
Term
Retrospective evaluation
Definition
May use post discharge questionnaires, patient interviews (by telephone or face to face), or chart review (nursing audit) to collect data
Term
Urination, micturition, or voiding
Definition
The process of emptying the bladder
Term
Urinary incontinence
Definition
Any involuntary loss of urine
Term
Autonomic bladder
Definition
People whose bladders are no longer controlled by the brain because of injury or disease who void by reflex only
Term
Urinary retention
Definition
Occurs when urine is produced normally but is not excreted completely from the bladder
Term
enuresis
Definition
continued incontinence of urine past the age of toilet training
Term
nocturia
Definition
urination during the night
Term
nephrotoxic
Definition
capable of causing kidney damage
Term
hematuria
Definition
blood in the urine
Term
amitriptyline
Definition
antidepressant B-complex vitamin that can turn urine green or blue-green
Term
levodopa
Definition
an antidepressant drug and injectable iron compound that can lead to brown or black urine
Term
anuria
Definition
24-hour urine output is less than 50 mL; synonyms are complete kidney shutdown or renal failure
Term
dysuria
Definition
painful or difficult urination
Term
frequency
Definition
increased incidence of voiding
Term
glycosuria
Definition
presence of sugar in the urine
Term
oliguria
Definition
scanty or greatly diminished amount of urine voided in a given time; 24 hour urine output is less than 400 mL
Term
polyuria
Definition
excessive output of urine (diuresis)
Term
proteinuria
Definition
protein in the urine; indication of kidney disease
Term
pyuria
Definition
pus in the urine; urine appears cloudy
Term
suppression
Definition
stoppage of urine production; normally the adult kidneys produce urine continuously at the rate of 60 to 120 mL/h
Term
urgency
Definition
strong desire to void
Term
urinary incontinence
Definition
involuntary loss of urine
Term
urinary diversion
Definition
involves the surgical creation of an alternate route for excretion of urine
Term
specific gravity
Definition
measure of density of the urine compared with the density of water. The higher the number, the more concentrated the urine is, unless there are abnormal components, such as glucose or protein, in the urine
Term
kegal exercises
Definition
targets the inner muscles that lie under and support the bladder
Term
pyelonephritis
Definition
UTI affecting both the upper urinary tract, involving the kidneys and ureters
Term
cystitis
Definition
UTI involving the bladder and urethra
Term
bacteriuria
Definition
bacteria in the urine
Term
transient incontinence
Definition
appears suddenly and lasts for 6 months or less
Term
stress incontinence
Definition
occurs when there is an involuntary loss of urine related to an increase in intra-abdominal pressure
Term
urge incontinence
Definition
the involuntary loss of urine that occurs soon after feeling an urgent need to void (urgency)
Term
mixed continence
Definition
indicates that there is urine loss with features of two or more types of incontinence
Term
overflow incontinence
Definition
the involuntary loss of urine is associated with overdistention and overflow of the bladder
Term
functional incontinence
Definition
urine loss caused by the inability to reach the toilet because of environmental barriers, physical limitations, loss of memory, or disorientation
Term
reflex incontinence
Definition
when a patient experiences emptying of bladder without the sensation of the need to void. spinal cord injuries may lead to this type of incontinence
Term
total incontinence
Definition
a continuous and unpredictable loss of urine, resulting from surgery, trauma, or physical malformation
Term
postvoid residual (PVR)
Definition
urine that remains in the bladder after the act of micturition
Term
intermittent urethral catheters
Definition
straight catheter used to drain the bladder for short periods (5-10 min)
Term
indwelling urethral catheter
Definition
catheter that remains in place for continuous urine drainage; synonym for Foley catheter
Term
suprapubic catheter
Definition
used for long-term continuous drainage. Inserted surgically through a small incision above the pubic area
Term
ileal conduit
Definition
urinary diversion in which the ureters are connected to the ilium with a stoma created on the abdominal wall
Term
feces
Definition
solid waste products that have reached the distal end of the colon and are ready for excretion
Term
stool
Definition
excreted feces
Term
hemorrhoids
Definition
abnormally distended rectal veins
Term
defecation
Definition
the process of bowl movement; a bowel movement)
Term
peristalsis
Definition
contractions of the circular and longitudinal muscles of the intestine
Term
flatus
Definition
intestinal gas
Term
Valsalva maneuver
Definition
technique of bearing down to defecate. May be contraindicated in people with cardiovascular problems and other illnesses
Term
diarrhea
Definition
passage of liquid and unformed stools
Term
constipation
Definition
passage of dry, hard, fecal matter
Term
fecal impaction
Definition
build up of stool in the colon
Term
fecal incontinence
Definition
involuntary or inappropriate passing of stool or flatus
Term
paralytic ileus
Definition
paralysis of intestinal peristalsis
Term
occult blood
Definition
blood present in such minute quantities that it cannot be detected with the unassisted eye
Term
endoscopy
Definition
the direct visual examination of body organs or cavities
Term
cathartics and laxatives
Definition
drugs that induce emptying of the intestinal tract
Term
flatulence
Definition
excessive formation of gases in the stomach or intestines
Term
enema
Definition
the introduction of a solution into the large intestine, usually to remove feces
Term
suppository
Definition
a conical or oval solid substance shaped for easy insertion into a body cavity and designed to melt at body temperature
Term
bowel incontinence
Definition
the inability of the anal sphincter to control the discharge of fecal and gaseous material
Term
bowel training program
Definition
program that manipulates factors within a person's control (timing of defecation, exercise, diet) to produce a regular pattern of comfortable defecation without medication or enemas
Term
ostomy
Definition
term for a surgically formed opening from the inside of an organ to the outside
Term
stoma
Definition
artificial opening for waste excretion located on the body surface
Term
ileostomy
Definition
opening into the small intestine allows fecal content from the ileum to be eliminated through the stoma
Term
colostomy
Definition
permits formed feces in the colon to exit through the stoma
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