Nursing practice
Delegation, prioritization, scope of practice and the working words of the profession.
restraint
rih-STRAYNT · sustantivo
Any device, drug or method used to limit a person's movement or behavior that they cannot easily remove or refuse.
Entrada completaDAY-lee waytA client's weight measured every day at the same time, on the same scale, in similar clothing.
de-escalationdee-es-kuh-LAY-shunCalming a person who is upset, angry or agitated, mainly by talking, so the situation does not grow into violence.
deathDETHThe end of life: the irreversible stopping of circulation and breathing, or of every function of the whole brain.
death rattleDETH RAT-ulA noisy, gurgling or rattling sound with breathing in the last hours or days of life.
debriefingdee-BREEF-ingA short team discussion at the end of an operation, before the patient leaves the room, that confirms what was done and records problems and lessons.
decision-makerdih-SIZH-un MAY-kerThe person who makes a decision; in health care, the person who decides about a client's care.
decreased cardiac outputdee-KREEST KAR-dee-ak OWT-putA nursing diagnosis used when the heart does not pump enough blood to meet the body's needs.
defamationdef-uh-MAY-shunMaking false statements about a person that harm their good name.
defendantdih-FEN-duntThe person or organization being sued in a civil case, or the person accused of a crime in a criminal case.
defense mechanismdih-FENS MEK-uh-niz-umAn unconscious mental process that protects a person from anxiety or painful feelings.
deficitDEF-ih-sitA lack or loss of something that should be there, such as a body function or an amount of fluid.
delegateDEL-uh-gaytTo hand a specific nursing task to another trained person while the nurse stays responsible for the client.
delegateedel-uh-guh-TEEThe person who accepts a task handed over by a nurse who delegates it.
denialdih-NY-ulRefusing to accept or believe a painful fact or situation, often without being aware of doing so.
dentistDEN-tistA health professional who prevents, finds and treats problems of the teeth, gums and mouth.
deontologydee-on-TOL-uh-jeeA system of ethics that judges an act by duty and fixed moral rules rather than by its results.
depositiondep-uh-ZISH-unTestimony given under oath before a trial, recorded by a court reporter, in which the lawyers on each side may question the witness.
developmental stagedih-vel-up-MEN-tul STAYJA period of life, such as infancy or adolescence, with its own typical abilities, needs and tasks.
diagnosisdy-ug-NOH-sisThe naming of a disease or problem after the facts about a person have been gathered and studied.
diagnosis-related groupdy-ug-NOH-sis ree-LAY-tid GROOPA group of patients with clinically similar conditions and care, each group carrying a set payment to the hospital.
dietitiandy-uh-TISH-unA health professional trained in food and nutrition who assesses a person's nutrition needs and plans their diet.
dilemmadih-LEM-uhA hard choice between two or more options, where each one has a real drawback.
directingdih-REK-tingGuiding and instructing others, such as staff members, so that work gets done as planned.
disabilitydis-uh-BIL-ih-teeA physical, mental or sensory condition that limits some of a person's activities or how they take part in daily life.
disasterdih-ZAS-terA catastrophic event that affects a large population, threatens many lives and much property and overwhelms local resources.
dischargeDIS-charjThe release of a client from a hospital or care setting; also, fluid that flows out of a body part.
discharge planningDIS-charj PLAN-ingPreparing a client and family to leave a health care facility and continue care safely at the next place.
discharge teachingDIS-charj TEE-chingTeaching that prepares a client and family to manage care at home after leaving the hospital or facility.
disease preventiondih-ZEEZ prih-VEN-shunActions taken to keep a specific disease from starting, to find it early, or to limit its harm.
disruptive behaviordis-RUP-tiv bee-HAYV-yerConduct at work, spoken or not, that harms or intimidates others enough to put the quality of care or the patient's safety at risk.
distressdih-STRESSerious physical or emotional suffering or strain.
DNIAbreviaturadee-en-eye (said as letters)Do not intubate: an order that a breathing tube must not be placed, even if breathing fails.
DNPAbreviaturadee-en-PEE (said as letters)Doctor of Nursing Practice: the highest practice-focused degree in nursing.
Do Not Use listdoo NOT yooz listThe Joint Commission's official list of abbreviations, symbols and dose forms that must never be used in orders or medication records.
do-not-resuscitate orderdoo-not-rih-SUS-ih-tayt OR-derA provider's order that CPR will not be started if the client's heart or breathing stops.
documentationdok-yuh-men-TAY-shunThe written or electronic record of a client's care, condition and response.
domestic violenceduh-MES-tik VY-uh-lensAbuse by one member of a household or family against another, such as a partner, child or older relative.
dorsal recumbent positionDOR-sul rih-KUM-bunt puh-ZISH-unLying on the back; in surgery, another name for the supine position, and in nursing care, on the back with the knees bent and feet flat.
DSMAbreviaturadee-es-em (said as letters)Diagnostic and Statistical Manual of Mental Disorders: the American Psychiatric Association's book of criteria for mental health diagnoses.
durable power of attorneyDOOR-uh-bul POW-er uv uh-TER-neeA legal document in which a person names someone to make decisions for them if they become unable to decide for themselves.
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