CNA
Terms
undefined, object
copy deck
- Define Medication Reminder
- Reminding the person to take drugs, observing them being taken as prescribed, and chart that they have been taken.
- Define SERVICE PLAN.
- A written plan listing the services needed by the person and who provides them.
- What are the 4 nursing patterns?
-
Primary nursing: RN is responsible for the persons total care.
Team Nursing: A team of nursing staff is led by RN who decides the amount and kind of care each person needs.
Functional Nursing: Focusing on tasks and jobs; each nursing team member has certain tasks and jobs to do.
Case Management: Case manager RN coordinates a persons care from admission through discharge and into the home setting. -
ac
amb
ap -
before meals
ambulatory [able to walk]
apical [at the tip] -
BRP
CPR
DON -
Bathroom privilegges
cardiopulmonary resuscitation
Director of nursing -
HS
ht
I&O -
hour of sleep
height
Intake and Output -
L
lb
mid noc -
Liter
pound
midnight -
NA
OT
pc
per -
nursing assistant
occupational therapy
after meals
by, through -
po
q
qid
qod -
by mouth
every
four times a day
every other day -
R
ROM
s -
rectal temp, respiration;
range of motion
without -
SOB
SSE
TPR
VS
w/c -
SHORTNESS OF BREATH
soapsuds enema
temp., pulse, respiration
vital signs
wheelchair -
Define:
Anterior - at or toward the front of the body or body part
- Define DISTAL
- Part farthest from the center or from the point of attachment
-
LATERAL
MEDIAL -
at the side of the body
at or near the middle or midline of the body or part - POSTERIOR [dorsal]
- at or toward the back of the body or body part
- What is the purpose of the OBRA?
-
Its purpose is to improve the quality of life of nursing center residents.
OMNIBUS BUDGET RECONCILIATION ACT OF 1987 - Ethics
- Knowledge of what is right conduct and wrong conduct
- Standard of Care
- The skills, care and judgement required by thehealth team member under similar conditions.
- Empathy
- Concern understanding another persons feelings
- Define Subjective Data
- Things a person tells you about that you can't observe through sense, symptoms.
- Objective Data
- Info. that is seen, heard, felt, or smelled, signs
- What are the rules for reporting?
-
1. Be prompt, thorough, accurage
2. Give the persons name and room and bed number
3. Give time your observations were made or care given.
4. Report only what you observed or did yourself
5. Give reports as often as the persons condition requires, or as the nurse asks you to.
6. Report any changes from normal or changes in the persons condition.
7. Use your written notes to give a specific, concise, and clear report - Rules for Recording
-
Always use ink
Never erase errors or use correction fluid. Cross out the incorrect part and write error or mistaken entry over it. Sign initials to the error then rewrite the part. - What are the steps in the nursing process?
-
Assessment: Collecting information about the person
Nursing diagnosis: Describes hlth problem that can be treated by nursing measures.
Planning: Setting priorities and goals
Implementation: To perform or carry out measures in the care plan
Evaluation: Measure goals in the planning step were met - Verbal Communication
-
Face the person
Control the loudness and tone
Speak clearly, slowly, distinctly
Do not use slang
Do not shoud, whisper, mumble
Be kind coureous - Nonverbal Communication
- Gestures, facial expressions, posture, body movements, touch smell.
- Medical problems
- Illnesses, diseases, injuries that do not need surgery
- Integumentary system
-
Skin is fragile and easily injured.
Blood vessels decrease causing bruising and delayed healing
Brown spots
Skin has fewer nerve endings. This affects the ability to sense heat, cold, and pain
Nailis become thick and tough.
Thinning occurs on the head, pubic area, under arms. - Musculoskeletal System
-
Muscle cells decreae in number.
Bones loe strength, become brittle, breakeasily.
Joints become stiff and painful. - Eyes
-
Eyelids thin and wrinkle.
Farsighted, lens becomes more rigid with age - Cardiovascular System
-
Arteries narrow and are less elastic. Less blood flows through them.
Poor circulation occurs in many body parts. A weak heart must work harder to pump blood through narrowed vessels. - Respiratory System
-
Lung tissue becomes less elastic.
Difficulty breathing may occur with activity.
Person may lack strength to cough and clear the airway of secretions - Digestive System
-
Salivary glands produce less saliva.
Secretion of digestive juices decreases - Urinary System
-
Incontinence
Kidneys shrink - How clear obstruction from Unconscious person?
-
Position the person supine.
Kneel next to the person
Position your hands as for external chest compressions
Give chest thrusts until the object is expelled or the person becomes unconscious - Clear obstruction from responsive adult
-
1. Ask if the person is choking, can cough, speak
2. Give abdominal thrusts [stand behind the person, wrap arms around the persons waist, make a fish with one hand thum side of thefist agains the abdomen above the navel and below the end of the sternum. Grasp fish with other hand and press into the persons abdomen with a quick upward thrust. Repeat until the object is expelled or loses consciousness - Caring for eyeglasses
- Clean daily. Wash glass lenses with warm water. Dry them with soft tissue. Plastic lenses scratch easily, use special cleaning solutions, tissues, and cloths
- How remove glasses
- Hold the frames in front of the ear on both sides. Lift frames from ears bring glasses down away from face.
- How communicate with hearing impaired?
-
Stand or sit on the side of the better ear.
Face person when speaking
Make sure person is wearing hearing aid
Stand or sit in good light
Speak clearly distinctly, and slowly
Speak in normal tone of voice. Do not shout
Adjust pitch of voice as needed.
Lover pitch if person does not wear a hearing aid
Raise pitch if wearing hearing aid. - Asepis
- Being free of disease producing microbes
- Medical asepsis
- Practices used to remove or destroy pathogens and to prevent spread from one person or place to another person or pace
- Sterilization
- Process of destroying all microbes
- Microorganism
- Small living plant or animal seen with a microscope