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