Nursing diagnosis - ANSWER describes a health problem that can be treated by
nursing measures; a step in the nursing process
medical diagnosis - ANSWER the identification of a disease or condition by a
doctor
Planning involves... - ANSWER Setting priorities and goals and developing
measures or actions to help the client meet these goals
Intervention - ANSWER Action or measure taken by the nursing team to help
the client reach a goal
ADL - ANSWER activities of daily living
BDL - ANSWER Behaviours of daily living
CCL - ANSWER Continency care level ( size of depends)
Cognitive level - ANSWER Memory and orientation
, CCAC - ANSWER Community Care Access Centre, arrange for community in
home supports as well as admission into LTC facilities
Care plan - ANSWER Document that details the care and services the client
must receive each shift
Evaluation - ANSWER To measure and assess the clients progress toward
meeting goals that are outlined in the care plan
Objective data - ANSWER information that is seen, heard, felt, or smelled by an
observer; signs
Subjective data - ANSWER things a person tells you about that you cannot
observe through your senses; symptoms
Graphic sheets - ANSWER are used to record measurements and observations
made daily, every shift , or 3-4 times a day
Kardex - ANSWER A type of card file that summarizes information found in the
medical record-drugs, treatments, diagnoses, routine care measures, equipment,
and special needs
Charts - ANSWER A written account of the clients condition, illness, the care
and treatment given to a client and the clients response to care
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