Nutrition
Intake and Output
Basic Restorative Care
Communication with the Health Care Tean
Abbreviations
100

Nutrient needed by every cell to help grow new tissue and help with tissue repair

Protein

100

30 ml

Number of ml in 1 ounce

100

Medical device designed to support, align, or enhance function

Orthotic Device

100

Information collected through communication

Subjective Data

100

Nothing by mouth

NPO

200

Dietary and nutritional needs are met 

Diet is nourishing, well balanced, and tastes good

Meals are provided at least 3 times per cay with a snack at bedtime

OBRA dietary requirements

200

Water

Milk 

Coffee

Juice

Soup

Types of liquids

200

Helps residents maintain, regain, or improve skills

Rehabilitation

200

Observation using senses

Objective Data

200
Bowel Movement

BM

300

Need fewer calories

Drugs may affect how nutrients are absorbed

Appetite and thirst decrease

Age Related Changes that Affect Nutrition

300

Ice cream

Pudding

Gelatin

Milkshakes

Types of Semi - Liquid Foods

300

Restores the resident's highest possible level of function

Restorative Care

300

Law that protects the privacy and security of a person's health information

HIPAA

300

Intake and Output

I & O

400

Prepared based on doctor's order

List type of meal

Includes allergies

Each resident has their own

Diet Card

400

3 ounces of juice

4 ounces of milk

8 ounces of coffee

450 ml

400

Pillows

Specialized spoon

Button fastener

Denture brush

Assistive Devices

400

Legal document 

Collection of information regarding resident's condition

Allows team members to be updated about resident's condition/care

Medical Record

400

By Mouth

PO

500

May be caused by illness or stroke

Problems with mouth and throat muscles

Dysphagia

500

Urine

Vomit

Diarrhea

Wound drainage

Fluids that are considered output

500

Prevents muscle shortening, contractures, or shortening of ligaments or tendons.

Provides sensory stimulation

Range of Motion

500

Personal care

Vital signs

intake and output

Treatments

Things the Nurse Aide Documents

500

As Necessary

PRN