Chapter 1: The Nursing Assistant In Long-Term Care Flashcards

1
Q

Long-Term Care (LTC)

A

Care that is 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. This is available 24 hours a day. It is ordered by a doctor and involves pain treatment

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3
Q

Length of Stay

A

The number of days a person stays in a healthcare setting

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4
Q

Terminal Illness

A

An illness that will eventually cause death

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5
Q

Chronic

A

A condition that lasts for a long period of time, even a lifetime

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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 Facility

A

A residence for people who need some help with daily tasks, help with medications may also be given

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9
Q

Adult Day Services

A

For people who need some help and supervision during certain hours, but 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 people who require short-term, immediate care for illnesses or injuries

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11
Q

Subacute Care

A

Care given at hospitals or long-term care facilities. It is between acute care and chronic care

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12
Q

Outpatient Care

A

Given to people who have had treatments, procedures, or surgeries and need short-term skilled care. Patients do not require an overnight stay in a hospital or other care facility

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13
Q

Rehabilitation

A

Care given by specialists and professionals intended to improve or restore function after illness or injury

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14
Q

Hospice Care

A

Given in facilities or homes for people who have six months or less to live. Hospice care workers give physical and emotional care until a person dies. Healthcare priorities shift from recover to comfort.

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15
Q

Activities of Daily Living (ADLs)

A

All the skills a person would engage in during their normal daily routine (bathing, selfcare, dressing etc.)

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16
Q

Medicare

A

A federal health insurance program that was established in 1965 for people aged 65 or older

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17
Q

Medicaid

A

A medical assistance program for people who have a low income, as well as for people with disabilities

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18
Q

Charting

A

Documenting all important information regarding a patient or resident

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19
Q

Care Team

A

A group of healthcare professionals with a wide range of education and experience to help care for a resident.

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20
Q

NA

A

Nursing Assistant

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21
Q

RN

A

Registered Nurse

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22
Q

LPN or LVN

A

Licensed Practical Nurse or Licensed Vocational Nurse

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23
Q

APRN

A

Advanced Practice Registered Nurse

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24
Q

MD or DO

A

Physician or Doctor

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25
PA
Physician Assistant
26
PT or DPT
Physical Therapist
27
OT
Occupational Therapist
28
Assistive Devices
A device intended to help a resident adapt to disabilities
29
SLP
Speech-Language Pathologist
30
RD or RDN
Registered Dietician
31
MSW
Medical Social Worker
32
AD
Activities Director
33
Resident and Family
Residents and their families are an important member of the care team. The family is a great source of information regarding the resident and can also assist in planning care with the resident
34
Chain of Command
Describes the Line of Authority and helps to make sure the residents get proper health care (add photo)
35
Liability
Holding someone else responsible for medical outcomes
36
Scope of Practice
Defines the tasks that healthcare providers are legally allowed to do according to state or federal law
37
Care Plan
An individualized plan developed to help achieve the goals of care and meet the resident's specific needs
38
Policy
A plan of activity or behavior that serves some end such as being expedient or beneficial
39
Procedure
A series of steps to accomplish something; a method
40
Professional
Refers to work or a job
41
Personal
Refers to life outside of work
42
Compassionate
Caring, concern, empathetic, and understanding
43
Empathy
Identifying the feelings of others
44
Sympathy
Sharing the feelings of others
45
Tactful
Showing sensitivity and having a sense of what is appropriate when dealing with others
46
Conscientious
Guided by a sense of right and wrong. Conscientious individuals are alert, observant, accurate, and responsible
47
Ethics
Knowledge of right and wrong
48
Laws
Rules set by the government to help people live peacefully together and ensure order and safety
49
OBRA
The Omnibus Budget Reconciliation Act was passed in 1987 in response to reports of abuse in long-term care facilities. Congress decided to set minimum standards of care for the Nursing profession
50
Cite
To document a problem through a survey
51
Residents Rights
OBRA identifies important rights for residents in Long-term Care facilities: - Quality of Life (Best care available) - Maintain a High Level of Wellness (Must receive the correct care) - Right to be Informed (Residents must know their rights and services) - Right to Participate in their Care - Right to Make Independent Choices - Right to Privacy - Right to Dignity, Respect, and Freedom - Security of Possessions - Transfer and Discharge - Right to Complain - Right to Visits - Right to Social Services
52
Informed Consent
The process by which a person, with the help of a doctor, makes informed decisions about their health care
53
Abuse
Any action that intentionally harms or injures another person There are several major types of abuse: physical, sexual, substance, elder, and psychological
54
Physical Abuse
Any treatment, intentional or not, that causes harm to a person's body
55
Psychological Abuse
Emotional Harm caused by threats, scaring, humiliation, intimidation, isolation, or insults
56
Verbal Abuse
The use of spoken or written words, pictures, or gestures to threaten, embarrass, or insult a person
57
Sexual Abuse
Nonconsensual sexual contact of any kind
58
Financial Abuse
The improper or illegal use of a person's money, possessions, property, or other assets
59
Assault
A threat resulting in a person feeling fearful that they will be harmed
60
Battery
The intentional touching of a person without their consent
61
Domestic Violence
Abuse by spouses, intimate partners, or family members
62
False Imprisonment
Unlawful restraint that affects a person's freedom of movement
63
Involuntary Seclusion
The separation of a person from others against that person's will
64
Workplace Violence
Abuse of staff by other staff members, residents, or visitors
65
Sexual Harassment
Any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive working environment
66
Substance Abuse
The repeated use of legal or illegal drugs, cigarettes, or alcohol in a way that harms oneself or others
67
Neglect
To disregard or ignore; to fail to perform a duty or to give due attention or care
68
Negligence
Actions or oftentimes the failure to act or provide the proper care for a resident, resulting in unintended injury
69
Malpractice
When a person is injured due to professional misconduct through negligence, carelessness, or lack of skill
70
Ombudsman
A neutral representative of local government who assesses complaints about councils, authorities, organisations, education admissions appeal panels, healthcare professionals (e.g., GPs) and adult social care providers (e.g., care homes and home care providers)
71
Confidentiality
Means to keep private things private
72
HIPAA
Health Information Portability and Accountability Act Laws governing the security of patients' health information
73
PHI
Protected Health Information Any information that can be used to identify a person and relates to their condition, healthcare received, or payment
74
Military Time
24-hour time Can be calculated by adding 12 to PM time
75
Minimum Data Set (MDS)
A detailed form with guidelines for assessing residents
76
Incident
An accident, problem, or unexpected event during the course of care outside of the normal routine