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Flashcards in Chapter 6 Deck (23):
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Abbreviation

A shortened form of a word or phrase

1

Anterior

At or toward the front of the body or body part; ventral

2

Chart

See "medical record"

3

Clinical record

See "medical record"

4

Communication

The exchange of information – a message sent is received
correctly interpreted by the intended person

5

Conflict

A clash between opposing interests or ideas

6

Distal

The part farthest from the center or from the point of attachment

7

Dorsal

See "posterior"

8

End of shift report

The report that the nurse gives at the end of the shift to the oncoming shift

9

Kardex

A type of card file that summarizes information found in the medical record – drugs, treatments, diagnoses, routine care measures, equipment and special needs

10

Lateral

Away from the midline; at the side of the body or body part

11

Medial

At or near the middle or midline of the body or body part

12

Medical record

A written or electronic account of a persons condition in response to treatment and care; chart or clinical record

13

Posterior

At or toward the back of the body or body part

14

Prefix

A word element placed before root; it changes the meaning of the word

15

Progress note

Describes the care given and the person's response and progress

16

Proximal

The part nearest to the center or to the point of origin

17

Recording

The written account of care and observation; charting

18

Reporting

The oral account of care and observations

19

Root

A word element containing the basic meaning of the word

20

Suffix

A word element placed after a root; it changes the meaning of the word

21

Ventral

See "anterior"

22

Word element

A part of a word