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Unit 1 Flashcards

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1
Q

long-term care (LTC)

A

care given in long-term care facilities for people who need 24-hour skilled care.

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2
Q

skilled care

A

medically necessary care given by a skilled nurse or therapist.

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3
Q

length of stay

A

the number of days a person stays in a care facility.

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4
Q

terminal illness

A

a disease or condition that will eventually cause death.

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5
Q

chronic

A

long-term or long-lasting.

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6
Q

diagnoses

A

medical conditions determined by a doctor.

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7
Q

home health care

A

care that is provided in a person’s home.

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8
Q

assisted living

A

residences for people who not need 24-hour skilled care, but do require some help with daily care tasks.

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9
Q

adult day services

A

care for people who need some help during certain hours, but who do not live in the facility where care is provided.

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10
Q

acute care

A

24-hour skilled care given in hospitals and ambulatory surgical centers for short-term illnesses or injuries.

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11
Q

subacute care

A

care given in hospitals or in long-term care facilities for people who need less care than for an acute illness, but more care than for a chronic illness.

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12
Q

outpatient care

A

care given to people who have had treatments, procedures, or surgeries and need short-term skilled care.

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13
Q

rehabilitation

A

care that is given by specialists to help restore or improve function after an illness or injury.

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14
Q

hospice care

A

holistic, compassionate care given to people who have approximately six months or less to live.

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15
Q

People who live in long-term care facilities

A

• May be disabled
• Are often elderly, although younger adults sometimes require long-term care, too
• May arrive from hospitals or other healthcare settings
• Often have chronic health conditions, such as heart disease, physical disabilities, or dementia

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16
Q

activities of daily living (ADLs)

A

daily personal care tasks such as bathing; dressing; caring for skin, nails, hair, and teeth; eating; drinking; walking; transferring; and elimination.

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17
Q

These services are often provided at long-term care facilities:

A

• Assistance with personal care
• Physical, occupational, and speech therapy
• Wound care
• Care of different types of tubes
• Nutrition therapy
• Management of chronic diseases

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18
Q

culture change

A

a term given to the process of transforming services for elders so that they are based on the values and practices of the person receiving care; core values include choice, dignity, respect, self-determination, and purposeful living.

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19
Q

person-centered care

A

a type of care that places the emphasis on the person needing care and his or her individuality and capabilities.

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20
Q

Medicare

A

a federal health insurance program for people who are 65 or older, have certain disabilities or permanent kidney failure, or are ill and cannot work.

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21
Q

Medicaid

A

a medical assistance program for people with low incomes, as well as for people with disabilities.

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22
Q

Medicare facts

A

• Medicare is for people 65 or older and people under 65 who are disabled or ill and cannot work.
• Part A helps pay for care in a hospital or skilled nursing facility or for care from a home health agency or hospice.
• Part B helps pay for doctor services and other medical services and equipment.
• Part C allows private health insurance companies to provide
Medicare benefits.
• Part D helps pay for medications prescribed for treatment.

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23
Q

Medicaid facts

A

• Medicaid is a medical assistance program for people who have a low income, as well as for people with disabilities.
• People qualify based on income and special circumstances.

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24
Q

Charting

A

documenting information and observations about residents.

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25
Nursing assistants perform assigned nursing tasks, such as
• Measuring and recording temperature • Measuring and recording blood pressure • Counting and recording pulse and respirations (breathing) • Observing and reporting about pain levels
26
Nursing assistants also provide personal care, including the following:
• Bathing residents • Assisting residents with hair care and other grooming tasks • Helping residents dress • Helping residents with mouth care • Helping residents with elimination needs
27
The NA's job also includes the following:
• Assisting residents to move around safely • Keeping residents' living areas neat and clean • Assisting with meals • Caring for supplies and equipment • Making beds • Giving backrubs
28
NAs are not permitted to do any of the following:
• Insert or remove tubes • Give tube feedings • Change sterile dressings
29
assistive or adaptive devices
special equipment that helps a person who is ill or disabled to perform activities of daily living
30
Resident care is provided by a care team made up of the following team members:
• Nursing assistant • Registered nurse • Licensed practical nurse/licensed vocational nurse • Physician or doctor • Physical therapist • Occupational therapist
31
Care team members (cont'd):
• Speech-language pathologist • Registered dietitian • Medical social worker • Activities director • Resident and resident's family
32
chain of command
the line of authority within a facility.
33
liability
a legal term that means someone can be held responsible for harming someone else.
34
scope of practice
defines the tasks that healthcare providers are legally allowed to do as permitted by state or federal law.
35
care plan
a plan developed for each resident to achieve certain goals; it outlines the steps and tasks that the care team must perform.
36
Remember these points about resident care plans:
• Individualized for each resident • Developed by a nurse to help achieve the goals of care • Lists tasks the care team, including the NA, must perform • Guide to help the resident be as healthy as possible • Careful NA observations and reporting can help make the care plan more effective
37
policy
a course of action that should be taken every time a certain situation occurs.
38
procedure
a method or way of doing something.
39
These policies and procedures are common in LTC facilities:
• All resident information is confidential. • Residents' care plan must be followed. • NAs only perform tasks in job descriptions. • NAs report to a nurse. • NAs should not discuss personal problems with residents or families. • NAs should not accept gifts and money from residents or families. • NAs must be dependable.
40
professional
having to do with work or a job.
41
personal
relating to life outside one's job, such as family, friends, and home life.
42
professionalism
behaving properly when working; it includes how a person dresses, the words he uses, and the things he talks about.
43
compassionate
being caring, concerned, considerate, empathetic, and understanding.
44
empathy
identifying with the feelings of others.
45
sympathy
sharing in the feelings and difficulties of others.
46
tactful
showing sensitivity and having a sense of what is appropriate when dealing with others.
47
conscientious
guided by a sense of right and wrong; principled.
48
Omnibus Budget Reconciliation Act (OBRA)
law passed by the federal government that includes minimum standards for nursing assistant training, staffing requirements, resident assessment instructions, and information on rights for residents.
49
cite
in a long-term care facility, to find a problem through a survey.
50
Residents' Rights
numerous rights identified in the OBRA law that relate to how residents must be treated while living in a facility, they provide an ethical code of conduct for healthcare workers.
51
informed consent
the process in which a person, with the help of a doctor, makes informed decisions about his or her health care.
52
abuse
purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone.
53
physical abuse
any treatment, intentional or not, that causes harm to a person's body.
54
psychological abuse
emotional harm caused by threatening, scaring, humiliating, intimidating, isolating, or insulting a person, or by treating him as a child.
55
verbal abuse
the use of spoken or written words, pictures, or gestures that threaten, embarrass, or insult a person.
56
sexual abuse
the forcing of a person to perform or participate in sexual acts against her will; includes unwanted touching, exposing oneself, and sharing pornographic material.
57
financial abuse
the improper or illegal use of a person's money, possessions, property, or other assets.
58
assault
a threat to harm a person, resulting in the person feeling fearful that he will be harmed.
59
battery
the intentional touching of a person without her consent.
60
domestic violence
physical, sexual, or emotional abuse by spouses, intimate partners, or family members.
61
false imprisonment
unlawful restraint that affects a person's freedom of movement; includes both the threat of being physically restrained and actually being physically restrained.
62
involuntary seclusion
the separation of a person from others against the person's will.
63
workplace violence
verbal, physical, or sexual abuse of staff by other staff members, residents, or visitors.
64
sexual harassment
any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive working environment.
65
substance abuse
the repeated use of legal or illegal substances in a way that is harmful to oneself or others.
66
neglect
the failure to provide needed care that results in physical, mental, or emotional harm to a person.
67
active neglect
the purposeful failure to provide needed care, resulting in harm to a person.
68
passive neglect
the unintentional failure to provide needed care, resulting in physical, mental, or emotional harm to a person.
69
negligence
actions, or the failure to act or provide the proper care, that result in unintended injury to a person.
70
malpractice
injury to a person due to professional misconduct through negligence, carelessness, or lack of skill.
71
confidentiality
the legal and ethical principle of keeping information private.
72
Health Insurance Portability and Accountability Act (HIPAA)
a federal law that requires health information be kept private and secure and that organizations take special steps to protect this information.
73
protected health information (PHI)
a person's private health information, which includes name, address, telephone number, social security number, email address, and medical record number.
74
Minimum Data Set (MDS)
a detailed form with guidelines for assessing residents in long-term care facilities; also lists what to do if resident problems are identified.
75
incident
an accident, problem, or unexpected event during the course of care that is not part of the normal routine in a healthcare facility.
76
When making an incident report the NA should
• Tell what happened. • Describe the person's reaction to the incident. • State facts only. • Do not document that an incident report was completed on the medical record • Describe the action taken.
77
Ethics
The knowledge of right and wrong
78
Laws
Tells people what they must do
79
Mandated reporters
People who are legally required to report suspected or observed abuse or neglect because they have regular contact with a vulnerable population
80
Advanced directives
Legal documents that allow people to decide what kind of medical care they wish to have in the event they are unable to make those decisions themselves
81
Living will
Outlines the medical care a person wants or does not want in the case of the person becomes unable to make the decisions
82
Durable power of attorney for health care
Assigned dated and witnessed legal document that appoints someone else to make medical decisions for a person in the event that she becomes unable to do so
83
Physician order for life, sustaining treatment (POLST)
Specifies treatments to be used when a person is very ill These treatments are what the person wants to receive not what he wishes to avoid
84
Do not resuscitate (DNR)
A medical order that instructs medical professionals to not perform cardiopulmonary resuscitation A tool that helps medical providers honor, a person‘s wishes about healthcare
85
Cardio pulmonary resection (CPR)
Medical procedure used when the heart and lungs have stopped working
86
Do not intubate (DNI)
Order means that no breathing tube will be placed in a person even though some CPR measures, and medication’s may be used
87
Do not hospitalize (DNH)
In order that means the person does not want to be sent to the hospital for treatment Doesn’t mean they don’t wanna be treated at all but that they want to be treated where they are residing

CNA (4 decks)

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