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13 Cards in this Set
- Front
- Back
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abbreviation
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a shortened form of a word of phrase
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chart
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same as medical record
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communication
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the exchange of information--a message sent is received and correctly interpreted by the intended person
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Conflict
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A clash between opposing interests or ideas
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Kardex
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A type of card file that summarizes information found in the medical record - drugs, treatments, diagnoses, routine care measures, equipment, and special needs
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Medical record
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A written account of a person's condition and response to treatment and care
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Prefix
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A word element placed before a root word
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Progress note
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A written description of the care given and the person's response and progress
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Recording
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The written account of care and observations; charting
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Reporting
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The oral account of care and observations
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Root
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A word element containing the basic meaning of the word
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Suffix
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A word element placed after a root; it changes the meaning of the word
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Word element
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A part of a word
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