Nursing Study

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    Activities of Daily Living (ADL)Physical functions that an independent personperforms each day, including bathing, dressing,eating, using the restroom, walking or wheeling, and

    transferring into and out of bed.

    AcuteA sudden and sometimes severe condition.

    Adaptive/Assistive Equipment

    An appliance or gadget which assists users in theoperation of self-care, work or leisure activities.

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    Advanced DirectivesA written statement of an individual's preferences

    and directions regarding healthcare. AdvancedDirectives protect a person's rights even if he or shebecomes mentally or physically unable to choose orcommunicate his or her wishes.

    Alzheimer's Disease

    A progressive and irreversible organic disease,typically occurring in the elderly and characterizedby degeneration of the brain cells, leading todementia, of which Alzheimer's is the single mostcommon cause. Progresses from forgetfulness to

    severe memory loss and disorientation, lack ofconcentration, loss of ability to calculate numbersand finally to increased severity of all symptoms andsignificant personality changes.

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    AmbulateTo walk.

    AphasiaThe loss of ability to express oneself and/orunderstand language.

    ApraxiaInability to carry out a complex or skilledmovement due to deficiencies in cognition.

    AssessmentDetermination of a resident's care needs, basedon a formal, structured evaluation of theresident's physical and psychological conditionand ability to perform activities of daily living.

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    Audiologist/AudiologyHealthcare professionals specializing in the

    measurement of hearing and the correction ofhearing impairment or hearing loss.

    CaregiverAny individual who takes care of an elderly

    person or someone with physical or mentallimitations.

    Certificate of Medical NecessityA document completed and signed by a

    physician to certify a resident's need forcertain types of durable medicalequipment (i.e., wheelchairs, walkers).

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    Certified Nursing Assistant (CNA)The CNA provides personal care to residents such

    as bathing, dressing, changing linens, transportingand other essential activities. CNAs are trained,tested, certified and work under the supervision ofan RN (Responsible Nurse) or LPN (LicensePractical Nurse).

    ChronicA lasting, lingering or prolonged illness orsymptom.

    Chronic DiseaseA disease which is permanent, or leaves residualdisability, or is caused by non-reversiblepathological alteration.

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    Chronic Obstructive Pulmonary Disease(COPD)A group of chronic respiratory disorderscharacterized by the restricted flow of air intoand out of the lungs. The most common

    example is emphysema (found liquid in lungs). Cognition

    The process of knowing and of being aware ofthoughts. The ability to reason and understand.

    Cognitive ImpairmentA diminished mental capacity, such asdifficulty with short-term memory.

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    Co-morbiditiesMultiple disease processes.

    Companion CareNonmedical services that are provided in theresident's home. Examples include, but are not

    limited to: helping the senior with everydayactivities, making meals, grooming/preparingand ensuring safety. No medical care isprovided.

    Congestive Heart Failure (CHF)A common type of heart disease characterizedby inadequate pumping action of the heart.

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    ConservatorPerson appointed by the court to act as the

    legal representative of a person who ismentally or physically incapable of managinghis or her affairs.

    CVA

    Refers to a cerebrovascular accident or strokein which an area of the brain is damaged due toa sudden interruption of blood supply.

    Dementia

    Progressive mental disorder that affectsmemory, judgement and cognitive powers.One type of dementia is Alzheimer's disease.

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    Developmental Disability (DD)Refers to a serious and chronic disability, which is

    attributable to a mental or physical impairment orcombination of mental and physical impairments.Those affected have limitations in three or more ofthe following areas: self-care, receptive andexpressive language, learning, mobility, self-

    direction, capacity of independent living, economicself-sufficiency. Those who have a developmentaldisability often require long-term treatment andcare-planning.

    Dialysis

    A process of separating substances from liquid byputting them through a thin piece of skin-likematerial, especially to make pure the blood ofpeople whose kidneys are not working correctly.

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    Discharge PlannerA social worker or nurse who assists patients and

    their families with healthcare arrangementsfollowing a hospital stay.

    Distinct PartsSeparate units in a nursing facility where beds are

    available only for people whose care is paid for bya specific payment source, such as Medicare.

    DysphagiaA swallowing disorder often depicted by difficulty

    in oral preparation for swallowing. The person hasdifficulty moving material from the mouth tostomach.

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    EdemaA collection of fluid in the tissues which causes

    swelling. EmergencyResponse Systems

    Electronic monitors on a person or in a home

    that provide automatic response to medical orother emergencies.

    End-Stage Renal Disease (ESRD)Medical condition in which a person's kidneys

    no longer function, requiring the individual toreceive dialysis or a kidney transplant tosustain his or her life.

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    Foley CatheterA tube which is inserted into the bladder in

    order to drain urine. The urine drains througha tube and is collected in a plastic pouch.

    Geriatrics

    The branch of medicine that focuses onproviding healthcare for the elderly and thetreatment of diseases associated with the agingprocess.

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    G TubeA tube inserted surgically through an opening

    in the stomach. G tubes offer another means ofnutritional sustenance for those individualsunable to use their mouths.

    Healthcare DirectiveA written legal document which allows aperson to appoint another person (agent) to

    make healthcare decisions should he or she beunable to make or communicate decisions.

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    HospiceHospice/palliative care is provided to enhance

    the life of the dying person. Often provided inthe home by health professionals, today thereare many nursing facilities and acute caresettings that also offer hospice services.Hospice care, typically offered in the last sixmonths of life, emphasizes comfort measuresand counseling to provide social, spiritual and

    physical support to the dying patient and his orher family.

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    Hospice CareThe provision of short-term inpatient services

    for pain control and management of symptomsrelated to terminal illness.

    Incompetence

    Determined by a legal proceeding. Requiresthat the individual is incapable of handlingassets and exercising certain legal rights.

    Incontinent

    Partially or totally unable to control bladderfunctions.

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    IV/Infusion TherapiesThe way that liquid solutions or liquid

    medications are administered directly into theblood stream through an intravenous catheterinserted in a vein in the body. Infusiontherapies can include total parenteral nutrition,antibiotics or other drugs, blood, andchemotherapy.

    Length of Stay

    The time a patient stays in a hospital or otherhealthcare facility.

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    Living WillA legal document in which a competent person

    directs (in advance) that artificial life-prolonging treatment not be used if he or shehas or develops a terminal and irreversiblecondition and becomes incompetent to makehealthcare decisions.

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    Long-Term Care FacilitiesA range of institutions that provide healthcare

    to people who are unable to manageindependently in the community. Facilitiesmay provide short-term rehabilitative servicesas well as chronic care management.

    Medical Records Director/CoordinatorPlans and directs the activities and personnel ofthe department. Coordinates the management

    of resident medical records and the clericalneeds of the nursing department.

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    Nasogastric Tube (NG Tube)A tube that passes through a patient's nose and

    throat and ends in the stomach. This tubeallows for direct 'tube feeding' to maintain thenutritional status of the patient or to removestomach acids.

    Nursing HomeA facility licensed with an organizedprofessional staff and inpatient beds, and thatprovides continuous nursing and other health-

    related, psychosocial, and personal services toresidents who are not in an acute phase ofillness, but who primarily require continuedcare on an inpatient basis.

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    Nurse, Licensed Practical (LPN)A graduate of a state-approved practical nursing

    education program, who has passed a stateexamination and been licensed to provide nursingand personal care under the supervision of aregistered nurse or physician. An LPN administers

    medications and treatments and acts as a chargenurse in nursing facilities.

    OutpatientA patient who receives care at a hospital or other

    healthcare facility without being admitted to thefacility. Outpatient care also refers to care given inorganized programs, such as outpatient clinics.

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    Physical TherapyServices provided by specially trained and

    licensed physical therapists to relieve pain,restore maximum function, and preventdisability or injury.

    Pre-Admission Screening

    An assessment of a person's functional, social,medical, and nursing needs, to determine if heor she should be admitted to a nursing facilityor other community-based care services

    available to eligible Medicaid recipients.Screenings are conducted by trainedpreadmission screening teams.

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    ProviderSomeone who provides medical services or

    supplies, such as a physician, hospital, X-raycompany, home health agency, or pharmacy.

    Range of Motion (ROM)

    The movement of a joint to the extent possiblewithout causing pain.

    Respiratory TherapyAssists patients with breathing difficulties to

    reduce fatigue and increase tolerance inperforming daily activities.

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    Senile DementiaDated term for organic dementia (forgetful)

    associated with old age. Now referred to asdementia and/or Alzheimer's.

    Side Rail

    Rails on a hospital-type bed that are meant toprotect a patient.

    Skilled Nursing Facility (SNF)Provides 24-hour nursing care for chronically

    ill or short-term rehabilitative residents of allages.

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    Speech TherapyThis type of service helps individuals

    overcome communication conditions such asaphasia, swallowing difficulties and voicedisorders. Medicare may cover some of thecosts of speech therapy after the client meets

    certain requirements. Sub-Acute Care

    A level of care designed for the individual whohas had an acute event as a result of an illness,

    and is in need of skilled nursing orrehabilitation, but does not need the intensivediagnostic or invasive procedures of a hospital.

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    Sub-Acute Care FacilitiesSpecialized units often in a distinct part of a

    nursing facility. Provide intensiverehabilitation, complex wound care, and post-surgical recovery for persons of all ages who nolonger need the level of care found in a

    hospital. Total Parenteral Nutrition (TPN)

    Nutrition administered through a large vein inthe body because of its high concentration of

    ingredients, including vitamins and minerals.This type of nutritional procedure is complexand expensive, and usually not appropriate forelderly residents.

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    VentilatorA ventilator, also known as a respirator, is a

    machine that pushes air into the lungs througha tube placed in the trachea (breathing tube).Ventilators are used when a person cannotbreathe on his or her own or cannot breatheeffectively enough to provide adequate oxygento the cells of the body or rid the body ofcarbon dioxide.

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    PLEASEREMEMBER THE

    TERMINOLOGIES

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    THANK YOU