Care Team Communication
the act of noting care and observations; documenting.
charting
a block or an obstacle.
barrier
violent or hostile.
combative
the main part of a word that contains its basic meaning or definition.
root
communication without using words, such as through gestures and facial expressions.
nonverbal communication
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
a partial or complete loss of function or ability
impairment
unease or worry, often about a situation or condition.
anxiety
a set of learned beliefs, values, traditions, and behaviors shared by a social or ethnic group.
culture
all of the conscious or unconscious messages a person’s body sends as she communicates; facial expressions, gestures, and posture are examples.
body language
a meeting to share and gather information about a resident in order to develop a care plan.
care conference
state of unconsciousness in which a person is unable to respond to any change in the environment, including pain.
coma
confusion about person, place, or time; may be permanent or temporary
disorientation
measurements—temperature, pulse, respirations, and blood pressure—that monitor the functioning of the vital organs of the body
vital signs
factual information collected using the senses of sight, hearing, smell, and touch; also called signs
objective information
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
any tube inserted into the respiratory tract for the purpose of maintaining an airway and facilitating ventilation.
artificial airway
a report documenting an incident and the response to the incident; also called an occurrence, accident, or event report.
incident report
difficulty breathing.
dyspnea
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
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)
an illness that causes social withdrawal, lack of energy, and loss of interest in activities, as well as other symptoms.
major depressive disorder
unconscious behaviors used to release tension and/or help a person cope with stress
defense mechanisms
in medicine, the exchange of air between the lungs and the environment.
ventilation
information collected from residents, their family members, and their friends; information may not be true, but is what the person reported; also called symptoms
subjective information