chapter 1 the nursing assistant in long term care Flashcards
long term care
people who need 24 hour skilled care
long term care
LTC
skilled care
medically necessary care given by a skilled nurse or therapist (available 24 hours a day)
skilled care
ordered by a doctor and involves a treatment plan
skilled care
given to people who need a high level of care for ongoing conditions
LTCFs
long term care facilities
SNFs
skilled nursing facilities
people who live in long term care may arrive from
hospitals or other healthcare settings
length of stay
the number of days a person stays in a healthcare facility
terminal illness
will cause death
chronic conditions
last a long period of time, even a lifetime
chronic conditions may include
physical disabilities, heart disease, and dementia
people who live in these facilities are usually referred to as
residents
diagnoses
medical conditions determined by a doctor
home health care
home care is provided in a person’s home
home health care is generally given to
people who are older and are chronically ill but who are able to and wish to remain at home
home health care may also be needed when
a person is weak after a recent hospital stay
assisted living
for people who need some help with daily tasks such as showering, meals, and dressing
people who live in assisted living do not need
24 hour skilled care
adult day services
people who need some help and supervision during certain hours, but who do not live in the facility where care is provided
adult day services generally are for
people who need some help but not seriously ill or disabled
acute care
24 hour skilled care given in hospitals and ambulatory surgical centers
acute care is for
people who require short term, immediate care for illnesses or injuries
subacute care
care given in hospitals or long term care facilities
subacute care is used for
people who need less care than for an acute (sudden-onset, short term) illness but more care than for a chronic illness
treatment for subacute care usually ends
when the condition has stabilized or after the set time for treatment has been completed
what is the cost for subacute care
less for acute care but more than for long term care
outpatient care
given to people who have had treatments, procedures, or surgeries and need short term skilled care
patients who are given outpatient care
require an overnight stay in a hospital or other care facility
rehabilitation
care given by specialists and professionals to help restore or improve function after an illness or injury
hospice care
given in facilities or homes for people who have six months or less to live
hospice workers give
physical and emotional care and comfort until a person dies, also support families during this process
the typical long term care facility offers
personal care for all residents and focused care for residents with special needs
activities of daily living
bathing, nail care, hair care, mouth care; assistance with walking, eating and drinking, dressing, transferring, and elimination
when specialized care is offered at long term care facilities
the employees must have special training
person-centered care
emphasizes the individuality of the person who needs care, and recognizes and develops the person’s capabilities
person-centered care revolves around
the resident and promotes his individual preferences, choices dignity, and interests
trauma-informed care
an approach to patient care that recognizes that people may have experienced trauma in their lives
trauma informed care
seeks to consider each person’s trauma, experiences, and preferences and provide a person centered approach to care
centers for meidcare and medicaid services
a federal agency within the US department of health and human services
medicare
federal health insurance program that was established in 1965 for people aged 65 or older
medicare covers
people of any age with permanent kidney failure or certain disabilities
part A of medicare
helps pay for care in a hospital or skilled nursing facility or for care from a home health agency or hospice
part B of medicare
helps pay for doctor services and other medical services and equipment
part C of medicare
allows private health insurance companies to provide Medicare benefits
part D of medicare
helps pay for medications prescribed for treatment (will only pay what is medically necessary)
mediaid
medical assistance program for people who have a low income as well as for people with disabilities
mediaid is funded by
both the federal government and each state
how is eligibility determined for mediaid
by income and special circumstances
medicare and medicaid pay for
long term care facilities at a fixed amount for services
what is the fixed amount of services is based on
resident’s needs upon admission and throughout his stay at the facility
nursing assistant
performs assigned nursing task, such as measuring a resident’s temperature; also provides personal care
while a nursing assistant perform these duties, it is important they
promote independence and self care
nursing assistants are not allowed to
insert or remove tubes, give tube feedings, or change sterile dressings
important duties of a nursing assistant
oberserving and reporting any changes
when can a resident care can be revised or updated
when their conditions change
charting
noting and recording important information about the resident
what duty is charting
nursing assistant
nursing assistant may have various titles including
nurse aide, certified nurse aide, patient care technician, and certified nursing assistant
all residents are the responsibility of
each nursing assistant
if a nursing assistant sees a resident who needs help but is not on their assignment what should they do
they should provide the needed care
registered nurse
in a long term care facility, they coordinate, manages, and provides skilled nursing care, including giving special treatments and medication as prescribed by a doctor
licensed practical nurse (LPN) or licensed vocational nurse (LVN)
gives medication and treatments
advanced practice registered nurse (APRN)
can make diagnoses and prescribe treatment
nurse practitioners are
one type of advanced practice registered nurse
physician or doctor
a licensed professional who diagnoses disease or disability and prescribes treatment and medication
physician assistant (PA)
diagnoses disease or disability and develops treatment plans as well as prescribes medication
a physician assistant works under
the supervision of a doctor
physical therapist
evaluates a person and develops a treatment plan to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain or maintain mobility
a physical therapist gives therapy in forms of
heat, cold, massage, ultrasound, electrical stimulation, and exercise to muscles, bones, and joints
occupational therapist
helps residents learn to adapt to disabilities
an occupational therapist may help
train residents to perform activities of daily living, such as bathing, dressing, and eating (often involves the use of equipment called assistive devices)
occupational therapist will
evaluate the resident’s needs and plan a treatment program
speech language pathologist (SLP)
identifies communication disorders, addresses factors involved in recovery, and develops a plan of care to meet goals
a speech language pathologist teaches
exercises to help the resident improve or overcome speech problems
what does a speech language pathologist evaluate
a person’s ability to swallow food and drink
registered dietitian
assesses a resident’s nutritional status and develops a treatment plan to improve health and manage illness
registered dietitian creates
diets to meet residents’ special needs and may also supervise the preparation of food and educate people about nutrition
medical social worker
determines residents’ needs and helps get them support services, such as counselling and financial assistance
medical social worker may help
residents obtain clothing and personal items if the family is not involved or does not visit often
activities director
plans activities for residents to help them socialize and stay active, meant to improve and maintain resident’s well-being and to prevent further complications from illness or disability
an activities director may be called
a recreational therapist or recreational worker depending upon education and experience
resident and residents’ family
an important member of the care team, providing person centered care means placing the resident’s well-being first and giving her the right to make decisions and choices about her own care
chain of command
describes the line of authority and helps to make sure that residents get proper health care
the chain of command protects
employees and employers from liability
liability
means someone can be held responsible for harming someone else
if a nursing assistant does something that is not in the care plan that harms a resident
she could be held responsible
scope of practice
defines tasks that healthcare providers are legally allowed to do according to state or federal law
care plan
developed to help achieve the goals of care and meet the resident’s specific needs
what does a care plan
it lists the tasks, services, and treatments that team members, including nursing assistant must perform. it also states how often these tasks should be performed and how they should be carried out
care planning should involve
the input from the resident and/or the family, as well as from health professionals
the care plan is also a guide to
help the resident be as healthy as possible
policy
a course of action that should be taken every time a certain situation occurs (ex. very basic policy is that healthcare information must remain confidential)
procedure
a method, or way, of doing something (ex. a facility has a procedure for reporting information about residents)
what does a procedure explain
what form to complete, when and how often to complete it, and to whom it is given
all resident information must be what
remain confidential. you cannot tell anyone about it. this is the law!
true or false. the care plan must always be followed
true
if tasks not listed in the care plan or approved by the nurse, it should what
it should NOT be followed
what should nursing assistants report
they must report important events or changes in residents to a nurse
should nursing assistants discuss their personal problems with residents or resident’s families
no they should not
nursing assistant are able to take money or gifts from residents or their families
false
nursing assistants must be on time for work and be dependable
very true
professional
having to do with work or a job
personal
refers to life outside a job, such as family, friends, and home life
professionalism
behaving properly when on the job. this also includes dressing appropriately, speaking well, being on time, completing tasks, reporting to the nurse
a nursing assistant professionalism means
following the care plan, making careful observations, and reporting accurately
being compassionate means
being caring, concerned, empathetic, and understanding
demonstrating empathy
identifying with the feelings of others’ problems
true or false. compassionate people are also sympathetic
true
sympathy
sharing in the feelings and difficulties of others
honest
residents need to feel that they can trust those who care for them. the care team depends on honesty in planning care
tactful
showing sensitivity and having a sense of what is appropriate when dealing with others
conscientious
people who try to do their best. they are guided by a sense of right and wrong. they are alert, observant, accurate, and responsible
what does conscientious care mean
making accurate observations and reports, following the care plan, and taking responsibility for one’s actions
dependable
nursing assistants must be able to make and keep commitments. they must be at work on time, must skillfully do tasks, avoid absences, and help their peers when needed
patient
people do not lose their temper easily. they do not act irritated or complain when things are hard. they must be patient and not rush residents or act annoyed
respectful
valuing other people’s individuality. includes their age, religion, culture, feelings, practices, and beliefs
