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Active Listening
a way of communicating that involves giving a person your full attention while speaking and encouraging him to give information and clarify ideas; including nonverbal communication
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Barrier
a block or an obstacle
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Body Language
all of the concious or unconcious messages your body sends as you communicate, such as facial expressions, shrugging your shoulders, and wringing your hands
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Care Conference
a meeting to share and gather information about residents in order to develop a care plan
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Care Plan
a written plan for each resident created by a nurse; outlines the steps taken by the staff to help the resident reach his/her goals
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Charting
the act of noting care and observations; documenting
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Code
in health care, an emergent medical situationin which specially-trained responders provide resuscitative measures to a person
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Code Status
- formally written status of the type and scope of care that should be provided in the event of a cardiac arrest, other catastrophic failure, or terminal illness;
- terms and acronyms are used to identify the care desired by the person, such as "DNR" and "no code"
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Critical Thinking
- the process of reasoning and analyzing in order to solve problems;
- for the NA, this means making good observations and promptly reporting all potential problems
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Culture
a set of learned beliefs, values, traditions, and behaviors shared by a social, ethnic, or age group
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Edema
Swelling in body tissues caused by excess fluid
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Incident
an accident, problem, or unexpected event during the course of care
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Incident Report
a report documenting an incident and the responce to the incident; also known as an occurence or event report
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Medical Chart
written legal record of all medical care a patient, resident, or client receives
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Minimum Data Set (MDS)
a detailed form with guidelines for assessing residents in long-term care facilities; also details what to do if resident problems are identified
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Nonverbal Communication
communication without using words, such as making gestures and facial expressions
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Nursing Process
- an organized method used by nurses to determine residents' needs, plan the appropriate care to meet those needs, and evaluatee how well the plan of care is working;
- five steps are assessment, diagnosis, planning, implementation, and evaluation
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Objective Information
factual information collected using the senses of sight, hearing, smell, and touch; also called signs
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Orientation
a person's awareness of person, place, and time
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Prefix
a word part added to the beginning of a root word to create new meaning
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Root
the main part of a word that gives it meaning
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Rounds
physical movement of staff from room to room to discuss each resident and his/her care plan
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Sentinel Event
an unexpected occurence involving death or serious physical or physchological injury
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Subjective Information
information collected from residents, their family members and friends; information may or may not be true, but is what the person reported; also called symptoms
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Suffix
a word part added to the end of a root word to create new meaning
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Verbal Communication
communications involving the use of spoken or written words or sounds
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Vital Signs
measurements- tempurature, pulse, respirations, blood pressure, pain level- that monitor the functioning of the vital organs of the body
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