Chapter 3: Communication & Diversity Flashcards
therapeutic communication
communication techniques that build trust between a patient and a healthcare worker
objective information
based on what a person sees, hears, touches, or smells
subjective information
something a person cannot or did not observe
a with a line over it
before
abd
abdomen
ac
before meals
ad lib
as desired
ADLs
activities of daily living
amb
ambulate, ambulatory
AP
apical pulse
bid
2 times a day
BM
bowel movement
BP
blood pressure
c w/ a line over it
with
C
Celsius
CHF
congestive heart failure
c/o
complains of
CPR
cardiopulmonary resuscitation
DNR
do not resuscitate
DX
diagnosis
F
Fahrenheit
FBS
fasting blood sugar
F/U
follow-up
FWB
full weight-bearing
GI
gastrointestinal
Hx
history
inc
incontinent
I&O
intake and output
NKDA
no known drug allergies
NPO
nothing by mouth
NWB
non-weight-bearing
OOB
out of bed
p w/ a line over it
after
pc
after meals
PO
by mouth
PRN
as necessary
PWB
partial weight-bearing
q w/ a line over it
every
ROM
range of motion
s w/ a line over it
without
SOB
shortness of breath
STAT
at once
tid
3 times a day
TPR
temperature, pulse, respiration
URI
upper respiratory infection
UTI
urinary tract infection
VS
vital signs
w/c
wheel chair
electronic medical records (EMR)
can only be accessed by a single healthcare facility
electronic health records (EHR)
can be shared between healthcare organizations