Terms
a way of communicating that involves giving a person one's full attention while he is speaking and encouraging him to give information and clarify ideas
active listening
the process of reasoning and analyzing in order to solve problems; for the nursing assistant, critical thinking means making careful observations and promptly reporting all potential problems
critical thinking
a meeting to share and gather information about residents in order to develop a care plan
care conference
a detailed form with guidelines for assessing residents in long-term care facilities; also details what to do if resident problems are identified
Minimum Data Set (MDS)
a word part that can be added at the beginning of a word to make a new word
prefix
formal documentation of the type and scope of care that should be provided to a particular resident in the event of a cardiac arrest, other catastrophic organ failure, or terminal illness
code status
an unexpected event that causes serious injury or death; also called sentinel event
adverse event
A report documenting an incident and the response to the incident; also known as an occurrence report or event report.
incident report
to place things in order of importance
prioritize
communication without using words, such as through gestures and facial expressions
nonverbal communication
a block or an obstacle
barrier
legal record of all medical care a patient, resident, or client receives
medical chart
a plan for each resident created by a registered nurse that outlines the tasks that team members must perform to help the resident reach her goals of care
care plan
an organized method used by nurses to determine residents' needs, plan the appropriate care to meet those needs, and evaluate how well the plan of care is working; five steps are assessment, diagnosis, planning, implementation, and evaluation
nursing process
the main part of a word that contains its basic meaning or definition
root
an accident, problem, or unexpected event during the course of care
incident
all of the conscious or unconscious messages a person's body sends as she communicates, such as facial expressions and shrugging her shoulders
body language
swelling in body tissues caused by excess fluid
edema
scheduled visits to each resident's room to assess the resident's condition and needs and to discuss the care plan with participating staff
rounds
factual information collected using the senses of sight, hearing, smell, and touch; also called signs
objective information
the act of noting care and observations; documentation
charting
a set of learned beliefs, values, traditions, and behaviors shared by a social or ethnic group
culture
in health care, an emergent medical situation in which specially-trained responders provide the necessary care
code
a person's awareness of person, place, and time
orientation
an unexpected event that causes serious injury or death; also called adverse event
sentinel event