Chapter 1 Flashcards

1
Q

Long term care

A

24hr skilled care provided in long term care facilities for people who are no longer eligible for hospital care but are unable to be cared for at home and have ongoing medical conditions. Usually given for an extended period of time.

AKA: nursing homes, skilled nursing facilities, rehabilitation centers. or extended care facilities.

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2
Q

Skilled care

A

Medically necessary care given by a skilled nurse or therapist. This care is available 24hrs a day and is ordered by a doctor and involves a treatment plan.

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3
Q

Chronic

A

Long term or long lasting. Can last a long time or even a lifetime. Examples include physical disabilities, heart disease, and recovery from stroke.

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4
Q

Resident

A

A person living in a long term care facility. The facility is a resident’s home where they will remain until they return home, move, or die.

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5
Q

Assisted living

A

Residences for people who do not need 24hr skilled care but who do require some help with daily care.

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6
Q

Home health care

A

Health care that is provided in a person’s home.

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7
Q

Adult day services

A

Care for people who need some assistance or supervision during certain hours, but who do not live in the facility where care is given. Generally for people who need some help but who are not seriously ill or disabled.

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8
Q

Sandwich generation

A

People responsible for the care of both their children and aging relatives. If no one can care for an elderly relative at home or if a person needs a break from caregiving, adult day services is an option.

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9
Q

Intergenerational care

A

Caring for children and the elderly in the same setting. Can provide “grandparents” or “grandchildren” for those who have none or live too far away from their own families.

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10
Q

Acute care

A

24hr skilled care given in hospitals and ambulatory surgical centers for short term, immediate illnesses, or injuries. Length of time someone stays depends on the illness/injury.

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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 (sudden onset, short-term) illness or injury but a higher level of care than for a chronic (long-term) 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. Patients do not require an overnight stay in the hospital and are instead sent home with instructions for further care.

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13
Q

Rehabilitation

A

Care given by specialists, including physical, occupational, and speech therapists, to help restore or improve function after an illness or injury.

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14
Q

Hospice care

A

Holistic, compassionate care given in facilities or homes for people who have approx. 6 months or less to live. Care is available until the person dies.

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15
Q

Animal assisted therapy (AAT)

A

The practice of bringing pets into a facility or home to provide stimulation and companionship.
AKA: pet therapy

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16
Q

Which of the following statements is TRUE of long-term care?

A) It’s only given during certain hours of the day.

B) It assists people with ongoing, chronic medical conditions.

C) It’s given in an adult day services setting.

D) It’s for people who need care for a short time after surgery.

A

B) It assists people with ongoing, chronic medical conditions.

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17
Q

Medicare

A

A federal health insurance program for people who are 65 years of age or older. Medicare also covers people of any age who have certain disabilites or permanent kidney failure, or are ill and cannot work.

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18
Q

What are the 4 parts of Medicare?

A

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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19
Q

Who makes up the majority of residents in long term care facilities, men or women? What age? What ethnicity? Are the majority of residents coming from a private residence or a hospital/other facility?

A

Women. Over age 65. White and non-Hispanic. Over 50% of residents come from a hospital or other facility.

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20
Q

Length of stay

A

The number of days a person stays in a healthcare facility.

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21
Q

The length of stay of over two thirds of residents in long term care is…

A

six month or longer.

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22
Q

The groups with the longest average stay are…

A

people who are developmentally disabled. They are often younger than 65.

23
Q

What are the two categories of residents who’s length of stay is less than six months?

A

Residents admitted for terminal care and residents admitted for rehabilitation or temporary illness.

24
Q

Dementia

A

The serious loss of mental abilities such as thinking, remembering, reasoning, and communicating. Dementia and other mental disorders are a major cause of admission to care facilities.

25
Q

Nursing assistant (NA)

A

Person who performs assigned nursing tasks and gives personal care. AKA nurse aid, certified nurse aide, patient care technician, and certified nursing assistant.

26
Q

Activities of daily living (ADLs)

A

Dailt personal care tasks that an NA typically assists with, such as bathing; caring for skin, fingernails, and hair; eating, drinking, caring for the mouth and teeth, dressing, walking, transferring, eliminating, and communicating.

27
Q

Full list of common NA tasks (name at least 3)

A
  • Serving meal trays and helping residents eat and drink
  • Helping residents dress and undress
  • Bathing residents
  • Shampooing hair
  • Shaving residents
  • Making resident’s beds
  • Tidying resident’s living areas
  • Measuring vital signs (temp, pulse, respiration, and blood pressure)
  • Helping residents with elimination needs
  • Assisting with mouth care
  • Giving back rubs
  • Observing and reporting changes in resident’s conditions
  • Reporting resident’s complaints to the nurse
  • Helping resident’s move safely around the facility
  • Caring for supplies and equipment
28
Q

What are four tasks that NAs do not usually perform?

A

Insert or remove tubes, give tube feedings, change sterile dressings, and give medication.

29
Q

Professionalism

A

The use of proper standards of behavior at work and in work related settings.

30
Q

What are three ways that an NA can demonstrate professionalism?

A

Be neatly dressed and groomed/keep your uniform and shoes clean. Keep a positive attitude. Follow all facility policies and procedures. (Full list of professional behavior on page 7).

31
Q

List each of the ten qualities that nursing assistants must have. For each quality, write one example of a way that an NA can demonstrate that quality.

A
  1. Patient and understanding: Remaining calm and letting a resident take their time getting up from a chair.
  2. Honest and trustworthy: Documenting truthful observations about a resident’s condition(s).
  3. Conscientious: Noticing a resident’s call light is on and responding to it in a timely manner.
  4. Enthusiastic: Showing an interest in residents and what they have to say and responding in a positive way.
  5. Courteous amd respectful:Politely listening to a resident’s beliefs and responding respectfully even if the NA doesn’t agree with those beliefs.
  6. Empathetic: When an NA feels frustrated with a resident, they think about what it would be like to be in a position where they needed to depend on others, allowing them to respond to the resident with patience and respect.
  7. Dependable and responsible: Showing up to work on time and following all policies and procedures.
  8. Humble and accountable: NA recognizes they have made a mistake and admits to it, holding themselves accountable. They ask for help in resolving the situation.
  9. Tolerant: An NA keeps their personally political opinions to themselves when listening to a resident discuss their political beliefs.
  10. Unprejudiced: NA treats all residents equally no matter their age, gender, sexual orientation, gender identity, religion, race, ethnicity, or condition.
32
Q

Trustworthy

A

Deserving the trust of others.

33
Q

Conscientious

A

Guided by a sense of right and wrong; principled.

34
Q

Courteous

A

Polite, kind, and considerate.

35
Q

Empathetic

A

Being able to identify with and understand the feelings of others.

36
Q

Accountable

A

Answerable for one’s actions.

37
Q

First impression

A

A way of classifying or categorizing someone or something at the first meeting. Proper grooming and hygiene practices are essential to making a positive first impression.

38
Q

Name three guidelines for grooming and hygiene practices.

A

Do not wear or use scented items like perfume or scented body washes. Keep nails short, filed, and clean (no artifial nails). Wear small earrings or studs (nothing below the earlobe).

39
Q

Allergies

A

A condition in which the body’s immune response is triggered after exposure to a substance called an allergen. Reactions such as sneezing, difficulty breathing, and skin issues may result.

40
Q

Care team

A

Group of people with different kinds of education and experience who provide resident care.

41
Q

Who is the most important member -the center- of the care team?

A

The resident.

42
Q

Define the role of the resident and resident’s family.

A

Care team revolves around the resident. The resident makes choices about their care and their family and friends may also help with these decisions.

43
Q

Define the role of the nurse.

A

A nurse is a licensed health professional who assesses residents, creates the care plan, monitors progress, and gives treatments and medications.

44
Q

Registered Nurse (RN)

A

A licensed nurse who assesses residents, creates care plans, monitors progress, provides skilled nursing care, administers treatments and medications, and supervises the care given by NAs and other members of the care team.

45
Q

Licensed Practical of Licesnsed Vocational Nurse (LPN/LVN)

A

A licensed nurse who provides skilled care and gives treatments and medications.

46
Q

Advanced Practice Nurse (APRN)

A

An APRN is an RN who has completed training at the postgraduate level as an NP, CRNA, CNM, or CNA. Make diagnoses and prescribe treatment.

47
Q

Physician or Doctor

A

Licensed health professional who diagnoses disease or disability and prescibes treatment.

48
Q

Diagnosis

A

The indentification of disease or condition by its signs and symptoms and through test results.

49
Q

Physician Assistant (PA)

A

A licensed health professional who works under the supervision of a doctor. Diagnoses disease and prescibes treatments/medications

50
Q

Physical Therapist (PT or DPT)

A

A licensed health professional who develops a treatment plan to improve blood circulation, promote healing, ease pain, prevent disability, and help maintain mobility.

51
Q

Occupational Therapist (OT or OTD)

A

Licesnsed health professional who works with people who need help adapting to disabilities and performing their activities of daily living.

52
Q

Assistive devices

A

Special equipment helps a person who is ill or disabled perform activities of daily living. Ex: a special fork that helps a person feed himself.

53
Q

Speech language pathologist (SLP)

A

Identifies communication disorders and develops a care plan to aid in improvement or recovery.

54
Q

Registered Dietitian Nutritionist (RDN)

A

Assesses a person’s nutritional status and develops a care program by creating diets for residents with special needs.