Unit One Self Needs Analysis: Learning outcomes Date……………… Prior Level of Knowledge and Comprehension Evidence of knowledge (*score A, B) Understanding clinical terminology State definitions for fundamental medical terms. (For this unit of learning, working on the above outcome is expected to be ongoing) *Evidence of Knowledge and Understanding: A: Previous education undertaken B: Documented evidence of Knowledge Needs revision Date……………… Post Study Analysis Evidence Totally of lacking Knowledge knowledge (√ tick if appropriate) (*score A, B) Needs revision Totally lacking Knowledge (√ tick if appropriate) Action Plan Learning outcomes of the unit that need revision Resources that you plan to use Timescale for achieving outcomes for this unit Unit 1 Content Understanding clinical terminology: The language of science Medical words are easy to understand if you know the meaning of each of the components of the word. Five types of components are used: 1. The word root These are the basic medical words and many are derived from Latin or Greek. 2. The prefix This precedes the word root and modifies its meaning. 3. The suffix This follows the word root and further modifies the meaning. 4. The combining vowel This is added to the word root to enable it to be combined. The most common is ‘o’. 5. The combining form This consists of a medical word root plus a combining vowel. To understand the meaning of many medical words we read from the suffix back to the beginning of the word. Example 1 ANTE NAT AL This is a prefix meaning before This is a root meaning birth This is a suffix meaning pertaining to Reading back from the suffix Antenatal means ‘pertaining to before birth’ Example 2 CYT O LOGY This is a root meaning cell This is a combining vowel This is a suffix meaning study of Reading back from the suffix Cytology means the study of cells Example 3 NEUR O GEN IC This is a root Meaning nerve This is a combining vowel This is a root meaning formation This is a suffix meaning pertaining to Reading back from the suffix: Neurogenic means ‘pertaining to the formation of nerves’ EXERCISES State the meaning of the following words: CYTOPATHY .................................................................................................. LEUCOCYTE .................................................................................................. ERYTHROCYTE ............................................................................................ MELANOCYTE ................................................................................................ OOCYTE ............................................................................................................ Match each word component in column A with a meaning in column C by inserting the appropriate number in column B Column A a) chem/o b) cyt/o c) erythr/o d) granul/o e) hist/o f) leuc/o g) -log/ist h) -logy i) lymph/o j) -lysis k) melan/o l) microm) oo/o n) oste/o o) -pathy p) -scope q) -scop(ist) r) -scopy s) spermat/o t) -tox(ic) Column B .............. .............. .............. ............. .............. .............. ............... ................ ............... ............... ............... .............. .............. ............... ............... ................ ................. ................ ................ ................ Column C 1. egg 2. bone 3. white 4. study of 5. pigment(black) 6. sperm cells 7. chemical 8. tissue 9. person who studies 10. small 11. specialist who examines 12. breakdown/disintegration 13. pertaining to poison 14. cell 15. visual examination 16. disease 17. lymph 18. red 19. granule 20.viewing instrument Build words which mean: a) small cell ........................................................................................... b) person who specialises in the study of disease .................................. c) person specializing in the study of disease of cells ............................. d) pertaining to disease of cells ............................................................... Roots OESOPHAG (from Greek word oisophagos meaning gullet ) GASTR (from Greek gaster meaning belly or stomach ) ENTER (from Greek word enteron meaning intestine, gut ) DUODEN (from a Latin word duodeni meaning twelve - refers to the duodenum which is the first 12 inches of the small intestine ) Find the meaning of the suffixes -scope, -ectomy, -tomy and -itis and write the meaning of oesophagitis .................................................................. gastroscope .................................................................. enterotomy .................................................................. duodenectomy ....................................................... LOOK UP THE MEANING OF THE FOLLOWING ADRENOCORTICAL AGORAPHOBIA ANAESTHESIA ANALGESIA ATAXIA BALANITIS BRADYCARDIA CEREBROSPINAL ECHOLALIA ELECTROENCEPHALOGRAM ENDOMETRIOSIS EPIGASTRIC ERYTHROBLAST EUSTRESS HAEMOLYTIC HISTOLOGY HOMEOSTASIS HYPERGLYCAEMIA HYPERKALAEMIA HYPOXIA HYSTERIA INTERVERTEBRAL IATROGENIC INTRACELLULAR INTRAOCULAR MACROPHAGE MENARCHE MYOCARDIUM OSTEOCLAST PERICARDIUM PERIOSTEUM PRESBYOPIA SALPINGITIS SPHYGMOMANOMETER SUBLINGUAL THERMOSTAT WARD REPORT/S Mr. Jones has been admitted with acute appendicitis. He’s NBM and due to go down for surgery at 10am. He needs a pre-op check list completed, pre-med to be given STAT as per chart. He will be having a G.A. Mr. Lloyd has just come back from Theatre. He’s had an AP Resection and is a bit hypovolaemic. He’ll need 1/2 hourly obs and CVP readings, hourly measurements with the urimeter and N.G drainage. He will also need some IM analgesia p.r.n. Mr. Smith has been complaining of balanitis and has been taking antibiotics. He has now developed some general erythema. Mr. Evans has been having severe epigastric pain and is having investigations on his GI tract. He’s already had a barium swallow and enema. This afternoon he’s having an endoscopy and tomorrow he’s due for a sigmoidoscopy. Mrs Aubrey has been suffering with salpingitis and has had a salpingectomy. She has been having analgesia via her PCA and is comfortable but as yet has NPU. Mrs Jenner has been complaining of pruritis in the vulval area following her hysterectomy. The doctor is due to see her mane. Mr. Donaldson has been admitted from A and E with a H. I. He has a sub-dural haematoma and raised ICP. He’s bradycardic and hypertensive. His GCS score is very low (6). Mr. Hyde seems to be having a psychotic episode following his course of steroids. His symptoms include echolalia and delusions. He’s due for an electroencephalogram later on today if he’s a bit more settled. He is also going to need his U and E’s checked. Mrs. Harries has come in for control of her diabetes. She is currently hyperglycaemic and has glucosuria. She has some degree of retinopathy, neuropathy and problems with peripheral perfusion. She’s apyrexial but having 4 hourly obs and BM stix. Mrs. Harding is not making much progress, she remains dyspnoeic and cyanosed. This morning she is quite hypoxic despite the O2 therapy and nebulised salbutamol and saline. Her IVI has tissued and needs resiting. Mr. Noakes has had an M.I. 2 days ago. He’s just come to us from CCU. He’ll be having a repeat 12 lead ECG following further chest pain unrelieved by his sublingual GTN. Mrs Head has had a CVA with a R hemiplegia. She is dysphasic as well as dysphagic. She is NBM, having aspirated and appears to also have quite a bad UTI with dysuria and frequency. We’ll need to send an MSU and sputum specimens for C and S. PREFIX AND SUFFIX LIST aabadaden/o adren/o adrenocortic/o -aemia aer/o -aesthesia -aesthetic -agogic agora-al albumin/o algesi/o -algia alveol/o amni/o anaanandr/o angi/o anteanter/o antiaort/o apoappendic/o aqua-ar -arche arter/i arthr/o ather/o audi/o -aural aur/i autoaxill/o balan/o basobibinblast/o -blast blephar/o brachi/o bradybronch/i bronchiol/o bucc/o burs/o caec/o calc/i calcin/o cancer/o carcin/o without, not away from towards gland adrenal gland adrenal cortex condition of blood air, gas sensation, feeling pertaining to sensation inducing open space pertaining to albumin sense of pain condition of pain alveoli amnion apart without, not male vessel before, in front in front against aorta away appendix water pertaining to beginning artery joint plaque lining hearing pertaining to the ear ear self armpit glans penis basic, alkaline two double early growth, development germ cell, immature eyelid arm slow bronchus bronchiole cheek bursa caecum calcium calcium cancer (general term) cancerous, malignant card/i -cardia carp/o -cele -centesis cephal/o cerebr/o cervic/o cheil/o chem/o chol/e choledoch/o chondr/o chori/o chromat/o -chromia -cide circumcistern/o -clasis -clast clavicul/o col/o colon/o colp/o conjunctiv/o contracor/o core/o cortic/o cost/o crani/o -crit crypt/o cyst/o -cyte cyt/o derm/a dermat/o -desis dextrodidia-dialysis digit/o dipl/o disc/o dist/o dorsodur/o dysecect-ectasis -ectomy ef- heart heart condition carpal, wrist bones swelling, hernia surgical puncture to remove fluid head cerebrum, brain cervix lip chemical bile common bile duct cartilage chorion colour condition of colour killing around enclosed space breaking a cell which breaks clavicle colon colon vagina conjunctiva against, opposite pupil pupil cortex rib skull separate hidden bladder cell cell skin skin sticking together right two, double through separate finger, toe double intervertebral disc far back (of body) dura mater difficult, painful out, outside out, outside dilatation, stretching removal away from, out of electroemembol/o enencephal/o endoenter/o eosin/o epierythr/o euexexo-externa extra-form galact/o gastr/o -genesis -genic gen/o gingiv/o gli/o -globin -globulin glomerul/o gloss/o glyc/o gnath/o -grade -gram -graph -graphy granul/o -gravida gynaec/o -haemia haem/o haemat/o hallux helc/o hemihepat/o hepatic/o hidr/o hist/o hydr/o hyperhypohyster/o -ia -iasis -iatr -ic ichthy/o ile/o ili/o immun/o ininfra- electrical in embolus, plug within, in brain within, inside intestine red/dawn coloured above, upon red good out of out, away from external outside having form of milk stomach pertaining to formation originating in produced by gum pertains to neuroglial cells protein protein glomerulus of the kidney tongue sugar jaw to go recording X ray or tracing technique of recording granular pregnancy woman blood condition blood blood great toe ulcer half liver hepatic bile duct perspiration tissue water above, excessive below, under uterus condition of abnormal condition medical treatment pertaining to dry, scaly, fish like ileum ilium immune in, into below, inferior to inter-interna intrairid/o isch/o -ism iso-ist -itis kal/i kerat/o -kinesis kinesi/o kinet/o -kymia kyph/o labi/o lacrim/o lact/i lact/o -lalia lamin/o lapar/o laryng/o later/o leuc/o leuk/o -ligation lingu/o lith/o -lith -lithiasis lob/o -logist -logy lord/o lymphaden/o lympgangi/o -lytic -lysis macro-malacia mamm/o man/o mast/o medi-media megamegal/o -megaly melan/o mening/i mening/o men/o mesometa-meter metr/o micromono- between internal within, inside iris holding back, reducing process same, equal specialist inflammation potassium epidermis movement movement movement involuntary twitching hump lip tear, tear ducts milk milk condition of talking thin plate abdomen larynx side white white tying off a vessel tongue stone stone stones lobule specialist who studies study of bend forward lymph gland lymph vessel disintegration disintegration large condition of softening breast pressure breast middle middle abnormally large abnormally large enlargement melanin membranes (of CNS) membranes (of CNS) menses, menstruation middle change in form, beyond measuring instrument uterus small single motor morph/o muscul/o multimyc/o myel/o my/o myocardi/o narc/o nas/o nat/o natr/I necr/o neonephr/o neur/o neutr/o nulliobstetricocul/o odont/o -oedema -oid olig/o -oma onc/o onych/o oo/o oophor/o opthalm/o -opthalmos opt/o -opia -opsia optic/o or/o orchi/o orchid/o orth/o os -osis oste/o -otic ot/o paed/o panpaopill/o para-para -paresis -pathia Pathic path/o -pathy -penia ped/o perperipericardi/o perine/o moving shape, form muscle many fungus bone marrow muscle myocardium stupor nose birth sodium death new kidney nerve neutral none midwifery eye tooth swelling due to fluid resembling little, deficiency tumour, swelling tumour nail egg ovary eye eye vision, eye defective vision defective vision vision, eye, optic nerve mouth testis testis straight bone disease of bone disease of ear child all nipple like, optic disc beside, near to bear slight paralysis condition of disease pertaining to disease disease disease lack of, deficiency foot through around pericardium perineum peritone/o -pexy phag/o -phagia phalang/o phall/o pharyng/o -phasia -pheresis phleb/o -phobia phon/o -phonia phren/o -phyma physis -phyte -phil pil/o -plasia plasmaplasm/o -plasty -plegia pleur/o plex/o pneum/a pneumat/o pneum/o pnoea -poiesis poliopollex polypor/o port/o postposter/o prepresbyoprimiproproct/o prosth/o proxim/o pseudopsych/o -ptosis ptyal/o pulmon/o pyel/o py/o quadrirachi/o radic/o radi/o peritoneum fix in place eating condition of eating phalange, finger, toe penis pharynx speech separate vein condition of fear sound, voice having voice diaphragm tumour, boil growth plant, fungus loving, affinity for hair condition of growth, formation of cells liquid part of blood anything shaped or moulded surgical repair, reconstruction condition of paralysis pleural membranes network of nerves, blood or lymph vessels gas, air, lungs gas, air, lungs gas, air, lungs breathing formation grey matter (of CNS) thumb many passage, pore portal vein after, behind behind, posterior before, in front of old age first before rectum, anus replacement part near false mind prolapse, displacement saliva lung pelvis pus four spine nerve root Xray rerect/o ren/o reticul/o retrorhabd/o rhabdomy/o rhin/o roentgen/o -rrhage -rrhagia -rrhaphy -rrhexis -rrhoea salping/o sarc/o sarcomat/o -schisis schiz/o scint/I scler/o -sclerosis scoli/o -scope -scopy seb/o -sect semin/o septic/o ser/o sigmoid/o sin/o sinussomat/o son/o -spadia -spasm spermat/o sphygm/o spir/o splen/o spondyl/o -stasis -static -staxis sten/o stern/o steth/o stomat/o -stomy subsuper/o suprasynovi/o tachytax/o -taxia tetra- back rectum kidney net-like backwards striated, striped striated muscle nose Xray bleeding bleeding suture break, rupture excessive discharge fallopian tube connective tissue sarcoma splitting, parting split flash of light sclera (white of eye) hardening crooked, twisted instrument to view visual examination sebum cut semen sepsis, infection serum sigmoid colon sinus sinus body sound condition of drawing out involuntary contraction of muscle sperm pulse to breathe spleen vertebra stopping, cessation of movement stopping, controlling dripping narrow, constricted sternum chest, breast mouth to form a new opening under superior, above above synovial fast ordered movement ordered movement four -therapy therm/o thorac/o thromb/o thrombocyt/o toc/o -tome -tomy -tonia ton/o -toxic tox/o trans-trauma tritrich/o -tripsy -trophic -trophy -tropic ultrauni-uresis -uria valv/o varic/o vas/o vascul/o ven/o ventro-version vesic/o vesicul/o xanth/o xer/o treatment heat thorax thrombus, clot platelet labour, birth cutting instrument incision into tone stretching, tension pertaining to poisonous poison across injury three hair act of crushing pertaining to nourishment nourishment or development stimulating beyond one excrete in urine condition of urine valve dilated veins vessel vessel vein belly side of body turn bladder seminal vesicle yellow dry Tick off the terms within these lists that you have seen/heard used as working terms by practitioners in clinical settings Post study Action plan for Unit 1 Action points arising in relation to your ability to apply knowledge and understanding to practice. Remaining areas of weakness. Strategy for developing a deeper understanding and enhancing your ability to apply this theory to nursing practice.
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