[healing by] primary intention
wound tends to heal quickly and results in minimal scar formation. involves use of sutures or other wound closures to approximate the edges of an incision or a clean laceration.
[healing by] secondary intention
new tissue must fill in from the bottom and sides of the wound until the wound bed is filled with new tissue. occurs slower than primary intention.
[healing by] tertiary intention
occurs with ulcers and wounds, results in scar formation.
absorption
movement of the smaller elements through the walls of the digestive tract and into the blood.
acute
temporary, resolves when underlying injury heals.
acute wound
wound that heals in a rapid, uncomplicated manner.
adaptive immunity
acquired/specific immunity. provides long-term immunity when the body is exposed to an antigen. (two types of adaptive immunity: humoral [antibody-mediated] & cellular [cell-mediated]).
afebrile
a person who maintains normal body temperature (97.6 - 99.6 degrees F).
afterload
resistance that has to be exceeded to eject the blood during systole.
albinism
congenital loss of pigmentation characterized by a generalized lack of melanin pigment in eyes, skin, and hair.
allergies
life-threatening. the immune system produces antibodies to fight an ingredient of the food.
allodynia
pain for non-injury stimuli.
amino acids
organic compounds that make up proteins.
anabolism
the use of energy to change simple materials into complex body substances and tissue.
analgesic (drug)
pain reliever/painkiller.
anorexia
loss of appetite from illness, medication, allergies, treatments, etc. that comes back after resolution of underlying condition.
anorexia nervosa
life-threatening eating disorder characterized by strict dietary intake regulations and distorted body image.
anosmia
the complete loss of smell.
antibodies
immunoglobulin molecules that recognize foreign invaders.
antigen
any substance that provokes an adaptive immune response.
antioxidants
substances that may protect body cells against effects of free radicals. (beta carotene, selenium, vitamin C, & vitamin E).
anuria
the failure of the kidneys to produce or excrete urine (results from any process that limits blood flow through the kidney). failure to excrete 50 to 100 mL of urine in 24 hours.
apical pulse
can be auscultated over apex of the heart at the point of maximum impulse (PMI). this is located at the mitral valve.
apnea
absence of breathing. (brain damage occurs 4-6 minutes into apnea).
approximated
brought together (in terms of edges of a wound).
asepsis
freedom from and prevention of disease-causing contamination.
assault
threat of bodily harm or violence.
axillary temperature
temperature taken from the center of the axilla (armpit).
basal metabolic rate (BMR)
the minimum amount of energy required to maintain body functions in the resting, awake state.
battery
actual physical harm caused to a person.
belief
a mental representation of a reality or a person’s perceptions about what is correct/true/real, or what a person expects to happen in a situation.
Biot breathing
respirations abnormally shallow for two or three breaths, followed by irregular period of apnea. symptom of meningitis or severe brain injury.
bradycardia
slow heart rate (less than 60 BPM in adults).
bradypnea
a decrease in respiratory rate to less than 10 BPM (in adults).
bulimia nervosa
eating disorder characterized by bingeing (eating excessive amounts of food) and purging (vomiting) with the idea to avoid weight gain from the excess food.
burns
tissue injuries to the skin caused by heat, electricity, chemicals, radiation, extreme cold, or friction.
capillary closing pressure/critical closing pressure
the minimum pressure required to collapse a capillary.
carbohydrates
chemical substances composed of carbon, hydrogen, and oxygen molecules.
cardiac output
heart rate (BPM) x stroke volume (L/beat).
caring
having concern or regard for another.
case law (common law)
judicial decisions from individual court cases.
catabolism
the breaking down of substances from complex to simple, resulting in a release of energy.
cataract
clouding of the lens of the eye.
cathartics
shortens transit time of stool; strong laxative.
cellular immunity
involves defense by WBCs against any microorganisms that the body does not recognize as its own.
cerebrovascular accident (CVA)
a stroke. occurs when an area of the brain is deprived of blood flow.
chain of infection
infectious agents —> source of infection —> portal of exit —> mode of transmission —> portal of entry —> susceptible host.
Cheyne-Stokes respirations
shallow to deep (potential apnea) randomized respirations. symptom of renal failure.
cholecystectomy
removal of gallbladder.
chronic
ongoing for a long period of time.
chronic wound
wound that fails to progress in a timely manner, often remaining open for an extended period of time.
chyme
semiliquid mass that travels through the intestines.
clean contaminated wound
similar to a clean wound, but if surgery involves organ systems that are likely to contain bacteria, the risk for infection is greater.
clean wound
wound with no infection, and low risk for developing an infection.
clinical pathways
multidisciplinary resources designed to guide patient care. developed through EBP research.
closed wound
wound where the skin is still intact (i.e. bruising).
cognition
knowing, influenced by awareness and judgment.
collaborative interventions
collaboration among healthcare professionals and UAP. (i.e. physical therapy, home health care, personal care, spiritual counseling, hospice care).
colonized wound
one or more organisms are present on the surface of the wound when a swab culture is obtained, but there is no overt sign of an infection in the tissue below the surface. (common in chronic wounds, may delay wound healing).
compassion fatigue
physical and emotional exhaustion and an extreme inability to empathize.
consensual
reflex response of an organ to the reflex action of another (usually paired) organ.
conceptual framework/model
a collection of interrelated concepts that provides direction for nursing practice, research, and education.
conduction
the transfer of and reaction to heat through direct contact.
constipation
infrequent or difficult bowl movements, as well as having fewer than 3 bowel movements per week.
constitutional law
law derived from the constitution of the U.S.
contaminated wound
results from a break in sterile technique during surgery; perforation of an organ (i.e. colon, small bowel, appendix) before surgery, which allows for spillage of bacteria-laden material into the wound; or from certain types of trauma or accidents, such as penetrating trauma or a fall.
convection
the transfer of heat by movement or circulation of warm matter such as air or water.
coudé catheter
double-lumen, indwelling catheter. used for patients with an enlarged prostate.
cue
indication/hint of a potential disease process or disorder.
cyanosis
bluish discoloration of the skin and mucous membranes.
data clustering
involves organizing patient assessment data into grouping with similar underlying causes.
defamation of character
false public statements about a person. [LIBEL: written defamation; SLANDER: oral defamation].
dehiscence
partial/complete separation of the tissue layers during the healing process.
delirium
reversible state of acute confusion.
dementia
permanent decline in mental function.
dependent nursing interventions
interventions that originate from health care provider orders. (i.e. orders for oxygen administration, dietary requirements, medications, and diagnostic tests).
depression
mood disorder, characterized by a sense of hopelessness/persistent unhappiness.
diabetes
failure of the pancreas to produce adequate insulin.
diabetic retinopathy
complication of diabetes mellitus in which blood vessels of the retina become damaged.
dialysis
a technique by which fluids and molecules pass through an artificial semipermeable membrane and are filtered through means of osmosis.
diarrhea
intestinal disorder characterized by an abnormal frequency and fluidity of bowel movements.
digestion
the breaking down of food into smaller particles of nutrients.
diplopia
seeing double.
direct care
interventions that are carried out by having personal contact with patients (i.e. cleaning an incision, ambulating with a patient…). can be carried out by RN, LPN, or UAP.
discipline
a specific field of study or branch of instruction or learning.
distress
negative stress (hard to cope with).
dorsal recumbent position
lay on back, legs bent, & feet pointed outwards.
dysesthesia
unpleasant, abnormal sensation.
dysphagia
difficulty in swallowing.
dyspnea
shortness of breath (rapid, shallow pattern).
dysrhythmia/arrythmia
irregular rhythm in pulse (early/late/missed heart beat).
dysuria
painful urination. (many causes, i.e. UTI, STI, kidney/bladder stones, irritation, etc).
elevated systolic BP
120-129 mmHg.
erythema
redness of the skin.
eupnea
normal respiration rate and depth for a person’s age (12-20 RR in adults).
eustress
positive/motivational stress.
evaluation
focuses on the patient’s response to nursing interventions and outcome/goal attainment.
evaporation
the process by which a liquid is changed to a vapor through heat.
evisceration
total separation of the tissue layers, allowing the protrusion of visceral organs through the incision.
external female catheters
wicking material placed between labia and gluteal folds, with continuous suction tubing.