lab book med terms Flashcards
(146 cards)
assessment
the measurement or quantification of a variable or the placement of a value on something (not an examination or evaluation)
caregiver
the person who is treating or working with the pt
communication
the exchange of information through verbal, written, or nonverbal means
documentation
written, printed, or electronic matter conveying authoritative information, records, or evidence
electrodiagnostic tests
the use of an electrical current to assist with the diagnosis of a pt’s condition
evaluation
the dynamic process in which the practitioner makes clinical judgments based on data gathered during the examination and identifies problems pertinent to pt management
examination
the process of obtaining a history, performing relevant systems reviews, and selecting and administering specific tests and measures
goniometry
the measurement of the range of motion of a joint of the body
Health Insurance Portability and Accountability Act of 1996
HIPAA
- a federal law enacted to protect health care-related information
kinesthesia
the sense by which position, weight and movement are perceived
orthosis
an orthopedic appliance used to support, align, prevent, or correct deformities or to replace the function of parts of the body
outcome measure
a quantifiable or objective means to determine the effectiveness of treatment or performance that is usually expressed in functional terms
POMR
problem-oriented medical record: a system developed to organize a medical record that uses a common list of pt problems as its base
proprioception
perception mediated by proprioceptors or proprioceptive testing
- sensation and awareness about the movements and position of body parts or the body
prosthesis
the artificial replacement of an absent body part
radiograph
an image or a record produced on exposed or processed film through radiography
- roentgenogram
AIDS
acquired immunodeficiency syndrome caused by HIV (human immunodeficiency virus)
asepsis
absence of microorganisms that produce disease
- the prevention of infection by maintaining a sterile condition
contamination
when something is rendered unclean or nonsterile
decontamination
the use of physical or chemical means to remove, inactivate, or destroy blood-borne pathogens on a surface or item to the point at which they are no longer capable of transmitting infectious particles and the surface or item is rendered sage for handling, use or disposal
disinfection
the destruction or removal of pathogenic organisms by not necessarily their spores
health care-associated infections
infections associated with health care delivery in any setting
- previously known as nosocomial infection
hepatitis
inflammation of the liver
infection
the production of a disease or harmful condition by the entrance of disease-producing germs into an organism