alteration

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change

 [chānj]
conversion of something to a different form.
culture change the sum of the changes that occur in a culture over time in response to various circumstances; such changes result from contact between groups and forces within the culture.
dressing change/wound care in the omaha system, the observing, cleansing, irrigating, or covering of a wound, lesion, or incision.
reciprocal c's the changes seen in leads facing the wall opposite to a myocardial infarction; they were formerly thought to be purely electrical but are now considered a sign of more extensive myocardial damage.
role change in the omaha system, movement away from or into a set of expected behavioral characteristics.

al·ter·a·tion

(awl'ter-ā'shŭn), Do not confuse this word with alternation.
1. A change.
2. An act of making something different.

alteration

change.