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Foundations of Nursing Glossary C - D
Foundations of Nursing Glossary C - D
157
Nursing
Professional
07/22/2010

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Term
cachexia
Definition

general ill health & malnutrition marked by weekness & emaciation

 

usually associated with a serious disease such as cancer

Term
calcium
Definition

silvery yellow metal

 

the most abundant mineral in the body

 

a possitively charged ion, known as cation

Term
cannabis
Definition

marijuana

Term
canthus
Definition

angle at the medial & lateral margins of the eyelid (inner or outer corners of the eyes)

Term
carcinogen
Definition

substance known to increase the risk for the development of cancer

Term
carcinoma
Definition

the term used for malignant tumor composed of epithelial cells

 

it displays a tendancy to metastasize

Term
cardiac arrest
Definition

sudden cessation of functional circulation

Term

cardiopulmonary resuscitation

CPR

Definition

basic emergency procedure for life support, consisting of artificial respiration & manual external cardiac massage

Term
career
Definition

a profession for which one trains & is undertaken as a calling

Term
carrier
Definition

person or animal who harbors & spreads an organism, causing disease in others but does not itself become ill

Term
case management
Definition

the assignment of a health care provider to oversee the case of an individual patient

Term
catabolism
Definition

breakdown or destructive phase of metabolism

 

"It" occurs when complex body substances are broke down to simpler ones.

 

opposite of anabolism

Term
catheterization
Definition

introduction of a rubber or plastic tube through the urethra & into the bladder

Term
cation
Definition

positively charged ion that, when in solution, is attracted to the negatively charged electrode

Term
cellular immunity
Definition

acquired immunity characterizedby the dominant role of small T lymphocytes

 

also called cellmediated immunity

Term

Center for Disease Control & Prevention

(CDC)

Definition

federal agency that provides facilities & services for investigation, identification, prevention, & control of disease

 

headquartered in Atlanta, Georgia

Term
cephalocaudal
Definition

growth & development that proceeds from the head toward the feet

 

The infant's head is large compared with the rest of the body.

Term
celphalopelvic disproportion
Definition

the head of the fetus is larger than the pelvic outlet.

 

Also refered to as pelvic disproportion.

Term
cerclage
Definition

technique that uses suture material to constrict the internal os of the cervix

 

Aids in preserving the pregnancy.

Term
certification
Definition

process in which an individual or institution, agency, or educational program is evaluated & recognized as meeting certain predetermined standards

Term
cerumen
Definition

yellowish or brownish waxy secretion produced by vestigial apocrine sweat glands in the external ear canal

 

earwax

Term

chart

(health care record)

Definition

legal record that is used to meet many demands of the health accredidation, medical insurance, & legal systems

Term
charting
Definition

process of recording information on a patient's chart

Term
charting by exception
Definition

recording only new data or changes in patient's status or care

 

charting the exceptions to the previously recorded data

Term
charting, documenting, or recording
Definition

process of noting data in a patient's record, usually at prescribed intervals

Term
chelation therapy
Definition

in toxicology, use of a compound to group a tox substance & make it inacive & thus nontoxic

 

"These" agents are used in the treatment of metal poisoning.

Term
cheveron
Definition

a method of applying tape to secure an IV line

 

a narrow piece (1/2 inch wide) of sterile tape is placed under hub of catheter with adhesive side up & then criss-crossed over the hub to form an inverted V

 

This method is no longer frequently used.

Term
cheyne-stokes respiration
Definition

an abnormal pattern od respiration characterized by alternating periods of apnea & deep, rapid breathing

Term
child malteatment
Definition

physical & emotional neglect, & physical, emotional, & sexual abuse of children

Term
children with special needs
Definition

infants & children with congenital abnormalities, malignancies, gastrointestinal diseases, & central nervous system (CNS) anomalies

Term
chiropractic therapy
Definition

nontraditional therapy that includes manipulation of the musculoskeletal system

Term
chloride
Definition

negatively charged extracellular anion

 

a salt of hydrochloric acid

Term
cholesterol
Definition

fat-soluble sterol found in animal fats & oils, organ meats, & egg yolks

Term
chorionic villi
Definition

tiny vascular protrusions of the chorionic surface that project into the maternal blood sinsuses of the uterus & help form the placenta

 

this occurs when conception has occurred.

Term
chromosomes
Definition

threadlike structures in the nucleus of a cell that function in the transmission of genetic information

Term
chronic
Definition

developing slowly & persisting for a long period, often for the remainder of an individual's life

Term
chronic illness
Definition

an irreversible presence, accumulation, or latency of disease states or impairments that involve the total human environment for supportive care, function, & prevention of further disability

Term
chronic pain
Definition

pain lasting longer than 6 months

 

can be as intense a acute pain

 

can be continuous or intermillent

Term
chronologic age
Definition

age of an individual expressed as time elapsed since birth

Term
chux
Definition

waterproof, disposable underpad

Term
circumcision
Definition

surgical proceedure in which a part of the foreskin is removed, leaving the glans penis uncovered

Term
circumorbital
Definition

around an orbit

 

often reffering to the eye

Term
clarifying
Definition

restating the patient's message in a manner that asks the patient to verify that the message received is accurate

Term
claudication
Definition

weakness of the legs accompanied by cramping like pain in the calves caused by poor circulation of the blood to the muscles

Term
clinical death
Definition

occurs when heartbeat & respiration have ceased

Term
clinical pathway
Definition

multidisciplinary plan that schedules clinical interventions over an anticipated time frame for higher-risk, high-volume, high-cost types of cases

Term
closed posture
Definition

a formal, distant stance, generally with the arms & possibly the legs tightly crossed

Term
closed question
Definition

focused question that seeks a particular answer

Term
club drugs
Definition

drugs taken for euphoric effect at aprties, concerts, dance clubs, raves

Term
code
Definition

system of notification that allows information to be transmitted rapidly

Term
cognitive impairment
Definition

significantly subaverage general intellectual functioning

 

existing concurrently with deficits in adaptive behavior & manifested during developmental period

 

formerly refered to as mental retardation

Term
collaborative problem
Definition

actual or potential health problem (complication) that focuses on the pathophysiologic response of the body of which nureses are responsible & accountable for identification & treatment in collaboration with the physician

Term
collagen
Definition

fibrous insoluable protein found in connective tissue, including skin, bone, & ligaments

Term
colostrum
Definition

breast fluid that may be excreted from the 2nd trimester of pregnancy onward but is most evident in the first 2 or 3 days after birth & before the onset of true lactation

 

This thin, yellowish fluid is rich in proteins & calories, in addition to antibodies & lymphocytes

Term

Commission on Accreditation of Rehabilitation Facilities

CARF

Definition

- a not-for-profit, private, international standards-setting & accreditation body

- Its mission is to promote & advocate delivery of quality rehabilitation.

- It is governed by a board of trustees who are responsible for accreditation decisions.

- Surveyors are peers involved in administrative or professional positions within an organization that is eligible for "this" accreditation.

Term
communication
Definition

use of words & behaviors to construct, send 7 interpret messages

Term
compartment syndrome
Definition

pathologic condition caused by progressive development of arterial compression & reduced blood supply to an extremity

 

increased pressure from external devices (casts, bulky dressings) causes decreased blood flow, resulting in ischemic tissue necrosis

 

most often occurs in the extremities

Term
compatibility
Definition

quality or state of existsing together in harmony

Term

complementary therapies /

complementary & alternative therapies

Definition

therapies that are used in addition or as a complement to nontraditionaltherapies

 

ex: exercise, massage, reflexology, acupuncture, & herbalism

Term
comprehensive rehabilitation plan
Definition

an overall individualized plan of carethat is initiated within 24 hrs of admission & ready for review 7 revision by the team within 3 days of admission for each individual

 

a planned, orderly sequence of services for a disabled individual designed to help the patient realize maximum potential

Term
compress
Definition

a soft pad, usually made of cloth, used to apply heat, cold, or medication to the surface of a body area, or over a wound to help control bleeding

Term
compulsion
Definition

irresistable, repetitive, irrational impulse to perform an act that is usually contrary to one's ordinary judgments or standards yet results in overt anxiety if not completed

Term

conception

(fetrilization)

Definition

beginning of pregnancy

Term
concrete operational phase
Definition

phase of Piaget's theory in which thoughts become increasingly logical & coherent so that the child is able to classify, sort, & organize facts while still being incapable of generalizing or dealing with abstractions

 

occurs between 7 & 10 yrs of age

Term
conflict
Definition

mental struggle, either conscious or sub conscious, resulting from the simultaneous presence of opposing or incompatable thoughts, ideas, goals, or emotional forces, such as impulse, desires, or drives

Term

congenital heart disease

CHD

Definition

an abnormality or anomaly of the heart, present at birth

Term
connotative meaning
Definition

reflects the individual's preception or interpretation of a given word

Term
contamination
Definition

condition of being soiled, stained, touched, or otherwise exposed to harmful agents by the entry of infectious or toxic material into a prviously cleanclean or sterile environment

 

making an object potentially unsafe for use a intended

Term
continuing care retirement community
Definition

offers complete range of housing & health care accomodations from independent to 24 hr skilled nursing care

Term
continuity of care
Definition

continuing of established patient care from one setting to another

Term
contract
Definition

promise or set of promises between 2 or more people that creates a legal relationship between them & a legal obligation that one or more of them must fulfill

Term
contracture
Definition

abnormal, usually permanent condition of a joint characterized by flexion & fixation & caused by atrophy & shortening of muscle fibers

Term
contusion
Definition

an injury that does not break the skin, is caused by a blow, & is characterized by edema, discoloration, & pain

Term
coping responses
Definition

voluntary patterns of behavior used to relieve stress or anxiety

Term
cotyledon
Definition

one of the 15 - 28 visible segments of the placenta on the maternal surface, each made up of fetal vessels, chorionic villi, & inter villous space

Term
crackle(s)
Definition

- short, discrete, interrupted crackling or bubbling adventitious breath sounds heard on auscultation of the chest, most commonly upon inspiration

- They are produced by passage of air through the bronchi that contain secretions of exudate or are constricted by spasms or thickening

- usually heard during inspiration

- formerly called rales

Term
crepitus
Definition

sound that resembles the crackling noise heard when rubbing hair between the fingers or throwing salt into an open fire

 

It is associated with gas gangrene, the rubbung of bone fragments, or the crackles of consolidated area of the lung in pneumonia

Term
crime
Definition

breaking of any law

 

an offense to society that is punishable

Term
crisis
Definition

time of change or turning point in life when patterns of living must be modified to prevent disorganization of the person or family

Term
cryptochidism
Definition

failure of testes to descend into the scrotum

Term
cue
Definition

word, phrase, or symptom that indicates the nature of something preceived

 

"These" are grouped togethr to assist the nursein interpretation of data, as in formulating the patient's plan of care.

Term
culutural competence
Definition

awareness of the nurse of his or her own cultural belief practices & an understanding of the limitations that these beliefs put on the nurse when dealing with those from other cultures

 

This understanding should give the nurse the ability to react to others with openness to & understanding & acceptance of cultural differences between them.

Term
cultural healing beliefs
Definition

beliefs that reflect a specific culture's orientation to health & illness

Term
culture
Definition

(1) a set of learned values, beliefs, customs, & practices that are shared by a group & passed from one generation to another

 

(2) a laboratory test involving cultivation of microorganisms or cells in a special growth medium

Term
cumulative
Definition

a drug that builds up in the body

 

can lead to a toxic or even lethal (deadly) effect

Term
curative treatment
Definition

aggressive care with the goal & intent of curing the disease & prolonging life at all costs

Term
currant jelly stool
Definition

feces mixed with blood & mucus from the intestinal mucosa

Term
customs
Definition

habitual prctices

 

the usual way of acting under given circumstances

Term
cyanosis
Definition

slightly bluish, gray, slatelike, or dark purple discoloration of the skin resulting from the presence of abnormally reduced amounts of oxygenated hemoglobin in the blood

Term
cyclothymic disorder
Definition

a pattern that involves repeated mood swings of hypomania & depression but are less intense than with bipolar disorder

 

There are no periods of "normal function" with this condition

 

It is thought to be muted version of bipolar disorder

Term

cytology /

cytologic evaluation

Definition

study of cells & their formation, origin, structure, biochemical activities, & pathology

Term
database
Definition

large store or bank of information, as in forming the patient's nursing diagnosis

Term
death
Definition

cessation of life

Term
deciduous teeth
Definition

set of 20 teeth that normally appearing during infancy

Term
defectation
Definition
elimination of bowel waste
Term
defense mechanisms
Definition

unconscious, intrapsychic reactions that offer protection to the self from stressful situations

Term
defining characteristics
Definition

clinical signs & symptoms that a problem exists

Term
dehiscence
Definition

partial or complete separation of a surgical incision or rupture of a wound closure

Term
deinstitutionalization
Definition

release of institutional psychiatric patients to be treated in the community setting

Term
delirium
Definition

an acute, organic mental disorder characterized by confusion, disorientation, clouding of consciousness, incoherence, fear, anxiety, excitement, & often illusions & hallucinations

 

Symptoms are of short duration & reversible with treatment of underlying cause, such as fever or electrolyte imbalance.

Term

delirium tremens

DT's

Definition

an acute psychotic reaction that is a complication of alcohol withdrawl

Term
delusion
Definition

a persistent, aberrant belief or perception held inviolable by a person despite evidence to the contrary

Term
dementia
Definition

a slow, progressive, organic mental disorder characterized by chronic personality disintegration of intellectual capacity & function, & memory loss that leads to confussion, disorientation, & stupor

 

ex: Alzheiner's disease

Term
democratic family pattern
Definition

family style in which the adult members are considered equal & children are treated with respect & recognition as individuals

Term
denominator
Definition

bottom number of a fraction

Term
denotative meaning
Definition

the commonly accepted definition of a particular word

Term
dentures
Definition

artificial teeth not permanently fixed or implanted

Term
deposition
Definition

ou-of-court, under-oath statement of a witness

Term
depressant
Definition

a drug that depresses the central nervous system (CNS), such as alcohol, sedative-hypnotic medications, & opioid anagesics

Term
depression
Definition

an emotional disorder brought on by an imbalance of the neurotransmitter serotonin in the brain, which brings about exagerated feelings of saddness, melancholy, emptiness, worthlessness, & frustration

 

Fatigue, inability to concentrate, short-term memory loss, & sleep pattern disturbance, as well as slowed body functions, can be seen with this disorder

Term
descent
Definition

in obstetrics, the downward progress of the presenting part belonging to the fetus

 

The amount of progress measured by comparing the lowest point of the presenting part with the ischial spines of the mother

Term
detoxification
Definition

removal of poisonous effects of a substance from a patient

Term
development
Definition

gradual process or change & differentiation from a simple to a move advanced level of complexity

Term
diagnose
Definition

to identify a disease or condittion by a scientific evaluation of physical signs, symptoms, history, laboratory tests, & procedures

Term

diagnosis-related group

DRG

Definition

system that classifies patients by age, diagnosis, & surgical categories

 

used to predict the use of hospital resources, including the length of stay

Term
diaphoresis
Definition

the secretion of sweat, especially the profuse secretion of sweat

Term
diastole
Definition

the period of time between contractions of the atria of the ventricles, during which blood enters the relaxed chambers from the systemic circulation & the lungs

Term
diaostolic pressure
Definition

the 2nd number recorded in the BP reading

 

represents the minnimum level of blood pressure measured between the contractions of the heart

Term
dietary fiber
Definition

generic term for nondigestible chemical substances in plants

Term
differentiation
Definition

process of cellular development in which unspecialized cells or tissues are systematically modified to achieve specific & characteristic physical forms, physiologic functions, & chemical properties

Term
diffusion
Definition

a process in which solid particles in a fluid move from an area of higher concentration to an area of lower concentration

Term
dilemma
Definition

situation requiring a choice between 2 equally desirable or undesirable alternatives

Term
direct coombs' test
Definition

laboratory blood test to detect autoantibodies against RBC's, which can cause cellular damage

 

These antibodies result in hemolytic anemia.

 

normal findings: negative, no agglutination

Term
disability
Definition

any restriction or lack (resulting from an impairment) of an ability to perform an activity in the manner or within the range considered noermal for a human being

Term
disaster manual
Definition

written agency instructions specifying departmental responsibilities, chain of command, callback procedures for the receipt & management of casualties, & policies related to the overall management of supplies & equipment

Term
disaster situation
Definition

uncontrollable, unexpected, psychologically shocking event

Term
discharge
Definition

release of a patient from a health care facility

Term
discharge planning
Definition

schedule of events often planned by a multidisciplinary team leading to the return of a patient from hospital confinement to life at home or another health care setting

Term
disease
Definition

any disturbance of a structure or function of the body

 

a pathologic condition of the body

Term
disengagement stage
Definition

period of family life when the grown children depart from the home

 

In some family units this stage is brief because the adult children return to live in the family home.

Term
disinfectant
Definition

a chemical that can be applied  to objects to destrory microorganisms

Term
disinfection
Definition

process by which pathogens, but not necessarily their spores, are destroyed

Term
disorientation
Definition

mental confusion characterized by inadequate or incorrect perceptions of place, time, & identity

Term
disoriented
Definition

having lost awareness or perception of space, time, or personal identity & relationships

Term
diuresis
Definition

secretion & passage of large amounts or urine

Term
dizygotic
Definition

of or pertaining to twins from 2 fertilized ovum

Term
documenting
Definition

process of adding informationto the chart, usually at prescribed intervals

Term
dominant group
Definition

group of people excersing authority or influence

 

ruling or prevailing group

Term

Do Not Resuscitate

DNR

Definition

a note written in a patient's record & signed by a qualified attending physician instructing the staff of the institution not to attempt to resuscitate the patient in the event of cardiac or respiratory failure

 

Also called a "no code"

Term
dorothea Dix
Definition

a retired teacher who was appalled by the care of the mentaly ill. In 1841, she began her crusade for placing individuals with mental illnesses in specially built hospitals. Her efforts brought millions of dollars toward developing mental hospitals in the united States.

Term
dorsal
Definition

toward the back

Term

dorsal

(supine)

Definition

lying horizontally on the back

Term
dorsal recumbent
Definition

supine position with patient lyning on the back, with head, shoulders, & extremities moderately flexed & legs extended

Term
dorsiflexion
Definition

bending or flexing backward, as in upward bending of the fingers, wrist, foot, or toes

Term
double bagging
Definition

infection control practice of placing a bag of contaminated items into another bag that is clean & held outside the isolation room by a second staff member

Term
down syndrome
Definition

a congenital condition characterized by varying degrees of cognitive disability & multiple physical defects

Term
drainage
Definition

free flow or withdrawal of fluids from a wound or cavity by some sort of system (such as urinary catheter or T-tube)

Term
drip factor
Definition

a method that is used to deliver measured amounts of IV solutions at specific flow rates based on the size of drops of the solution

Term
drug interaction
Definition

modification of the effect of a drug when administered with another drug

Term
dullness
Definition

low-pitched thudlike sound upon percussion of the body

Term
dumping syndrome
Definition

combination of profuse perspiration, nausea, vertigo, & weakness experienced by patients who have had a subtotal gastrectomy

 

symptoms are felt soon after eating, when the contents of the stomach empty too rapidly into the duodeum

Term
durable power of attorney
Definition

a written determination that appoints another person to make decisions in the event of the patient's incompetence

 

 

Usually completed by a patient while still able to function

Term
dysarthria
Definition

difficult, poorly articulated speech resulting from interference in the control over the mscles of speech

Term
dysfunctional grieving
Definition

unresolved grief or complicated mourning

Term
dysphagia
Definition

difficult swallowing

Term
dyspnea
Definition

shortness of breath or difficulty breathing

 

may be caused by disturbances in the lungs, certain heart conditions, , & hemoglobin deficiency

Term
dysrhythmia
Definition

any disturbance or abnormality in a normal rhythmic pattern, specifically irregularity in the normal rhythm of the heart

 

also called arrhythmia

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