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128 Cards in this Set
- Front
- Back
scope of practice |
range of responsibilities and practice guidelines that determine the boundaries within which a healthcare worker practices |
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reflection |
step in active listening; repeating the main idea of the conversation while also identifying the patients feelings |
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restatement |
step in active listening; paraphrasing or repeating the patients statement |
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clarification |
step in active listening; summarizing or simplifying the patients thoughts and feelings to resolve any confusion in the message |
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auto immune disease disorder |
disturbance in which the body reacts against it's own tissue examples are multiple sclerosis rheumatoid arthritis and sle |
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parenteral |
injection or introduction of substances into the body by any route other then the digestive tracts |
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chain of infection |
infectious agent; reservoir host; portal of exit; mode of transmission; portal of entry; susceptible host |
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infectious agent |
first link to the chain of infection; can be a virus,bacteria,protozoa and helminth,fungi, and rickettsia |
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reservoir host |
second link; May be people,insects,animals,water,food,or contaminated instruments and equipment. pathogens must gain entrance or they will die. |
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portal of exit |
third link; how the pathogen escapes the reservoir host. exits include the mouth,nose,eyes,ears,intestines,urinary tract,reproductive tract and open wounds |
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mode of transmission |
fourth link; can be direct or indirect. direct occurs from contact with an infectious person or discharges from an infectious substance. indirect occurs from air borne droplets; vectors that harbor pathogens |
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portal of entry |
fifth link; how the transmitted pathogen gains entry into a new host. entry could be mouth,nose,eyes,ears,intestines,urinary tract, reproductive tract or open wounds. |
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susceptible host |
sixth link; if a host is susceptible the organism multiplies. factors include the location of entry,dose of organisms,individuals state of health. if conditions are right the organism reaches infectious levels and starts the chain of infection again. |
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nososcomial |
infections that are acquire in a healthcare setting |
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CDC recommendations |
universal precautions; all blood and certain body fluids must be treated as if known to be infectious for blood borne pathogens. |
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antibiotics |
unable to destroy viral invaders that enter a normal cell and multiply within the cell |
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antigens |
foreign substance that causes the production of a specific antibody |
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soape |
patients notes |
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S: |
subjective data |
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O: |
objective data |
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A: |
assessment of the problem |
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P: |
plan of care |
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E: |
evaluation |
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humoral immunity |
the immune system responds by producing antibodies specifically designed to combat the presence of a foreign substance, or antigen; this occurs because of the body's B cells |
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cell mediated immunity |
immune system also reacts at the cellular level with t-cell activity; causing the destruction of pathogenic cells at the site of invasion. ex: phagocytosis |
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hand washing |
friction hot running water |
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sanitization |
Cleansing process that reduces the number of microorganisms to a safe level, as dictated by the public health guidelines |
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disinfection |
process of killing pathogenic organisms or rendering them inactive |
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sterilization |
destruction of all microrganisms can be achieved by moist heat in an autoclave, dry heat, radiation, gas or with chemicals |
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microbial growth |
nutrients,moisture,temperature,oxygen,neutral ph |
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disease reported to health department |
anthrax,measles,polio,tuberculosis |
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appropriate conditions for handling body fluids |
exposure control plan, blood borne pathogens standard |
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PPE |
personal protective equipment; gloves,mask,gown,hairnet,goggles |
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inflammation |
redness,swelling,pain,heat |
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acute |
rapid inset of symptoms but lasts a relatively short time |
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chronic |
persists for a long time sometimes for life |
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latent |
persistent infection in which the symptoms cycle through relapse and remission |
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opportunistic infection |
caused by organisms that are not typically pathogenic but that occur in hosts with an impaired immune system response |
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viral; virus |
inserts infection into host cell to multiply throughout the body; may not cause immediate symptoms |
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bacterial; bacteria |
an infection in the body that can be treated by antibiotics |
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antibiotic resistance |
caused when a bacteria mutates and grows stronger then the antibiotic or when an antibiotic is improperly used. |
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interview techniques |
introduce yourself; initiation why they are there; body doctor will be in; closing |
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objective |
signs can be observed and or measured by the provider or medical assistant |
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subjective |
symptoms perceptible only to the patient aka opinion |
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medical record- EHR |
database;chief complaint; past history; family history;social history; systems review |
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database |
record of the patients name; first |
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chief complaint |
purpose of the patients visit; second |
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past history |
patients previous health; third |
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family history |
details about the patients parents siblings and there health; fourth |
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social history |
patients lifestyle; fifth |
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systems review |
guide to the patients general health, helps detect conditions other then the chief complaint; sixth |
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what EHR record contains the head to toe body review |
systems review ROS SR |
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therapeutic communications |
open or closed questions, active listening,silence,establishing guidelines,acknowledgement,restating,reflecting,summarizing |
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defense mechanisms |
denial,suppression,reaction information,projection,rationalization,undoing,regression,sublimation |
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denial |
rejecting information |
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suppression |
aware of the information or feeling but refuses to admit it |
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reaction information |
expresses feelings as the opposite of how they really feel |
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projection |
accusing someone else of having the feelings they do |
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rationalization |
various explanations to justify their response |
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undoing |
reverse a negative feeling by doing something that indicates the opposite feelings |
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regression |
reverse to an old;immature behavior to ventilate feelings |
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sublimation |
redirects negative feelings into a socially productive activity |
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History of present illness (HPI) |
location,quality,severity,duration,timing,context,modifying factors,associates Sxs; signs and symptoms |
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non verbal gestures |
facial expressions,gestures,mannerisms,tone,posture |
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ac |
before eating |
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BP |
blood pressure |
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CHF |
congestive heart failure |
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CXR |
chest x-ray |
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DVT |
deep vein thrombosis |
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f/u |
follow up |
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HS |
at bedtime |
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Hx |
history |
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NKA |
no known allergies |
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prn |
as needed |
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RBC |
red blood cells |
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Rx |
treatment |
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URI |
upper respiratory infection |
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bid |
twice a day |
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CAD |
coronary artery disease |
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CVA |
cerebrovascular disease |
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dc |
discontinue |
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Dx |
diagnosis |
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fx |
fracture |
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HTN |
hypertension |
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MI |
myocardial infarction |
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NPO |
nothing by mouth |
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pt |
patient |
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R/O |
rule out |
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stat |
immediately |
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VS |
vital signs |
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a |
without |
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adip/o |
fat |
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-algia |
pain |
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brady |
slow |
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cephal/o |
head |
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cyan/o |
blue |
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hem/o |
blood |
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hyper |
increase |
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inter |
between |
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leuk/o |
white |
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-malacia |
soft |
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phleb/o |
vein |
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py/o |
pus |
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-stenosis |
tightening |
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cyt/o |
cell |
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-emia |
blood condition |
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my/o |
muscle |
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supra- |
above |
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thorac/o |
chest |
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aden/o |
gland |
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-algesia |
sensitivity to pain |
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arthro |
joint |
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cardi/o |
heart |
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-clast |
to break |
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gastr/o |
stomach |
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hepat/o |
liver |
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hyster/o |
uterus |
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intra |
within |
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lith/o |
stone |
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-penia |
decrease |
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-pnea |
breathing |
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-sclerosis |
hardening |
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cyst/o |
urinary bladder |
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-ectomy |
excision |
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morph/o |
shape |
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olig/o |
scanty |
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tachy- |
fast |
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viscer/o |
internal organs |