Chapter 1 Flashcards
Activity Director (AD)
Plans the activities for residents and assists with socializing, physical activity, and mental activity.
Activities of Daily Living (ADLs)
Daily self care tasks: bathing, dressing, teeth care, hair care, toileting, eating, and drinking.
Acute
Current illness with severe symptoms, might be a result of a sudden onset (onset- beginning of something). Requires long term care.
Ex:
- Severe pain
- Fall/Accident
- Seizures
- Swelling
- Bleeding
- Loss of consciousness
- Difficulty breathing
- Confusion
- Lethargy
- Delirium
Administrator
Manages all departments within the facility.
Adult Day Care
Care at a facility during daytime hours; usually for individuals who need partial assistance and are not seriously ill or disabled; residents usually live outside of facility.
Advanced Practice Nurse
Registered nurse with education beyond basic nursing, are certified by a nationally recognized professional org. in nursing field or meet other criteria established by a Board of Nursing.
Assisted Living
Facilities where residents who need limited assistance live; who don’t need skilled care.
Call light
A way for residents to communicate with staff for assistance, must ALWAYS be available to residents. Must be placed on side of resident where it’s easily accessible.
Certified Nursing Assistant (CNA)
Individual who successfully completed a state approved course and completed certification testing. Provides direct care for residents.
Chain of Command
Line of authority in the facility that includes who each employee/department reports to.
- Director of Nursing
- Licensed Nurse (charge nurse/supervisor)
- Certified Nursing Assistant/ Qualified Medical Aide
Chronic
Disease or condition that is long term and will remain that way.
Clichés
Phrases used frequently that often have different meanings, which can be difficult for residents to understand.
Ex:
- “Water under the bridge.”
- “Cold as Ice.”
Communication
Process of exchanging information from one thing to another.
Effective communication:
- Formulate Message
- Receive Message
- Observe for feedback
Cultural Diversity
Beliefs, values, habits, diet, and health practices related to personal religion or culture.
Ex:
- Some people of certain religions don’t eat pork because it is viewed as unclean.
Cultural Diversity
Variety of people living and working within a facility.
Culture
System of behaviors people learn from others throughout their lives.
Culture Change
A philosophy that focuses on providing “person-centered” care to residents and creates a positive environment for staff.
Denial
Rejection of a thought or feeling.
Ex:
- Resident family member passes and they believe that they have not.
- Resident is diagnosed with depression but they do not entertain the possibility.
Dependent
Requires assistance to carry out daily living activities.
Dietitian
Plans menus, special diets, and monitors nutritional needs of residents.
Displacement
Transferring a strong negative feeling to something or someone else.
Ex:
- Resident is angry because of family member issues, but takes it out on staff.
Health Insurance Portability and Accountability Act (HIPPA)
Law that states that resident health information is to be kept secure and private.
Home Health Care
Care provided in a person’s home.
Hospice Care
Care for patients who have 6 months or less to live; provides physical care and emotional comfort.
Housekeeping Department
Responsible for facility cleaning and maintenance.
Independent
Able to carry out daily living activities without assistance from staff.
Interdisciplinary Team
Professional from each discipline within the facility who hold meetings to discuss plans and care for residents.
Laundry Department
Responsible for laundry and linens within the facility.
Licensed Practical Nurse (LPN)
Licensed professional who completed 1-2 years of education and completed an exam for licensure.
Long Term Care (LTC)
Care for persons who require 24 hour care and assistance.
Maintenance Department
Maintains facility equipment and grounds in good repair.
Medical Doctor (MD)
Physician.
Non- Verbal Communication
Communication without words.
Ex:
- Facial expressions
- Tone of voice
- Posture
- Gestures
- Touch
- Body language
Objective Information
Information based on what is factually seen, heard, touched, or smelled. DIRECT OBSERVATION.
Occupational Therapist (OT)
Therapist who helps residents learn to compensate for their disabilities and assists with daily living activities.
Ombudsman
Resident rights advocate; investigates complaints and seeks mutual agreements between two parties.
Optometrist
Provides eye care for residents.
Palliative Care
Care focused on the comfort and dignity of residents rather than focused on curing them.
Person-Centered Care
Philosophical approach to nursing home care that honors and respects the voice of elders and their personal staff. Involves a continuous process of listening, experimenting, seeing how they work, and changing things with efforts to individualize care and de-institutionalize nursing home environments.
1. Time to awake/ retire to bed
2. Frequent showers/bath
3. Preferred activities
4. Choice of clothing
5. Choice of mealtimes
6. Choice of toileting times
Physical Therapist (PT)
Provides therapy in the form of heat, cold, massages, ultrasounds, electricity, and exercising to improve or maintain residents muscles, bone ,and joint problems.
Ex:
- Help using a walker, a cane, or a wheelchair.
Podiatrist (aka. Pedicure people)
Physician who examines and cares for residents feet.
Policy
Course of action determined by the facility that should be taken each time certain situations occur.
Procedure
Steps taken to carry out certain tasks or a particular way of doing something.
Professionalism
How a person behaves when on the job.
Ex:
- Keeping positive attitudes during tasks
- Keeping information concerning residents confidential (HIPPA)
- Being polite and avoid conversing personal matters with residents or with staff while resident is present
- Avoiding profanity
- Actively listening to residents
- Addressing residents with titles Mr., Ms., Mrs., or preferred name
- Always give detailed description of care being provided to residents BEFORE proceeding
- Presenting positive image through hygiene, appearance, and mindset
Projection
Seeing feelings in others that are truly personal/internal.
Qualified Medical Aid (QMA)
CNA who completed required training and examination to administer medications and certain treatments in accordance with specific scope of practice of the QMA.
Rationalization
Making excuses to justify a situation or actions; defense mechanism.
Registered Dietitian (RD)
Creates special diets for residents with specific meal plan menus to ensure nutritional needs are met.
Registered Nurse (RN)
Licensed professional who completed 2-4 years of nursing education and completed examination for licensure.
Regression (Gre)
Going back to an old negative behavior.
Ex:
- Resident doing well in anger management goes back to being unable to control or deter their anger
Repression (Pre)
Blocking painful thoughts or feelings from the mind.
Respiratory Therapist
Provides breathing treatments and special equipment for respiratory conditions.
Scope of Practice
Tasks for which a nurse aid is trained for and allowed to do.
Ex:
- Helping with toileting and eliminating needs
- Assisting to move safely around facility
- Keeping living areas neat and clean
- Encouraging to eat and drink
- Caring for supplies and equipment
- Helping bathe and dress residents
- Making beds
- Helping with oral care and other hygiene needs
Skilled Care
Medically necessary care given by nurse or therapist.
Slang
Terms/words that may be specific to a generation and not easily recognizable or interpreted by residents.
Speech Therapist (ST) or Speech Language Pathologist (SLP)
Therapist who helps residents with speech and swallowing problems.
Standard 14
- Nurse aide will perform only the tasks in the course standards and Resident Care Procedures manual, unless properly trained and licensed to do otherwise, to assure compliance with tasks. Additional training would only apply for tasks not prohibited by parag. 2&3 and by current rule, which prohibits giving injections.
- Nurse aid will NOT perform invasive procedures like enemas, rectal temperatures, handling fecal impactions, instillation of fluids through tubing, and administering vaginal or rectal instillation.
- Nurse aid will NOT administer any medications, perform treatment or apply/remove any dressing except for applying creams/ointments to intact skin as moisture( Ex: lotion, Vaseline).
Subjective Information
Information that couldn’t or was not observed; is based on what a person thinks or something reported from someone else that may be false.
Terminal Illness
Disease or condition that will eventually case death. Requires long term care.
Verbal Communication
Written or spoken messages.
Visual Impairment Cues
Relies on verbal cues like words and tone of voice.
A. State name
B. Description of environment
C. Inform when entering and leaving room
D. Explanation of what you’re doing and ask what they’d like to do alone
E. Touch if appropriate/consented
F. Read mail or documents if asked
G. Sit in eyes width
Hearing impairment Cues
Relies on body language,sign language, and writing.
A. Speak slowly
B. Use short phrases
C. Face the resident
D. Use facial expressions and gestures
E. Reduce outside distractions
F. Use sign language or communication boards if needed
G. Repeat yourself if needed
Cognitive Impairment
Relies on both verbal and nonverbal cues and may need messages repeated. Use short sentences and simple words.
