Units 1-6 Flashcards
(41 cards)
OBRA (Omnibus Budget Reconciliation Act)
The federal minimum standards intended to improve the quality of life and the quality of care for residents of LTC facilities.
Residents
Individuals that live in LTC facilities.
Medicare
A health care program available for individuals 65 or older, or younger people who have disabilities.
Biological Age
Determines our abilities or how old a person seems.
Signs of Depression are not a normal part of aging. True or False?
True!
Biological/Physiological
Maslow’s Hierarchy of need
Required to sustain life.
Example: (1) Air/Oxygen - when a resident has trouble breathing, elevate head of bed; (2) Food - allow resident to eat more independently; (3) Water - keep resident’s water pitcher filled at all times so they do not become dehydrated; (4) Elimination - assist resident to toilet or to use bedpan; (5) Activity, rest and sleep - assist resident with ambulation; (6) Sex/sexuality - provide privacy and do not respond negatively when resident masturbates.
Safety and Security
Maslow’s Hierarchy of need
Example: handle gently during care.
Belonging and Love
Maslow’s Hierarchy of need
Example: be kind and considerate of resident and help remain part of the community
Self-esteem and Respect
Maslow’s Hierarchy of need
Example: respect privacy and resident’s right to refuse.
Self-actualization
Maslow’s Hierarchy of need
Example: encourage resident to talk about their past or their life accomplishments.
Residents Rights
Federal laws and state laws that protect the rights of those who reside in adult care homes. Each resident has the right to a dignified existence, self-determination, and communication with access to persons and services inside and outside the facility.
Some of these rights address:
- Privacy
- Dignity
- Respect
- Safety and security
- Choices & input regarding their medical care
- Freedom from restraint, abuse, neglect, and protection of their property
- Freedom of association
- Freedom to handle their financial matters
The average woman lives longer than men. True or False?
True!
Kansas LTC Facilities
- Nursing facility
- Assisted living facility
- Residential health care
- Home plus
- Boarding care home
- Adult day care
CNA Roles
- Bathing residents
- Assisting with meals
- Helping with elimination needs
- Taking vitals signs
- Charting
- Keeping a clean and neat enviroment
- Read and follow care plan
- Listen carefully to residents
- Reporting to the nurse
- Assisting with and ambulating residents
HIPAA (Health Insurance Portability & Accountability Act)
a law that provides data privacy for medical information.
Legal & Ethical Behavior
Reporting your mistakes and document clear using appropriate terminology.
Negligence
Failure to provide the proper care for a resident resulting in unintended injury.
Example: CNA forgets to lock WC brakes and as a result, the resident falls and injures themselves.
Things a CNA should report:
Abuse - hitting, slapping, kicking, handling a resident roughly.
Exploitation - taking unfair advantage of a resident financially or stealing their property.
Neglect - failure to provide care that results in physical, mental, or emotion harm.
Maslow’s Hierarchy of Needs Order
- Physical Needs
- Safety and security needs
- Need for love
- Need for self-esteem
- Need for self-actualization
Quality of Life Actions?
Identify Self
Observe non-verbal behavior
Listen carefully
Focus on resident’s concerns
Two types of languages to listen and watch for?
Verbal & Nonverbal
Nonverbal Communication
Be aware of body posture, facial expression, body activity (restlessness or turning away), body distance, and touch.
Clear Communication with resident
Examples:
- Look at person when speaking
- Provide family with suggestions on how to interact with resident
- Do not talk to anyone about residents health information
- Listening to concerns and reporting them to the nurse.
- Avoiding involvement in family arguments and decision making
Communicating with a resident who is visually impaired of HOH, you should approach them from the…
front or within his/her field of vision.