Chapter 1: Understanding Healthcare Settings Flashcards
Long-term care
LTC
for ppl who need 24 hour supervised nursing care, may be disabled and/or elderly
Given in long term care facilities (LTCF)
Conditions seen in LTC
Terminal illness - person is expected to die from the illness
Ex: cancer
Chronic - lasts a long period of time, even a lifetime
Ex: physical disabilities, heart disease, stroke, and dementia.
Other healthcare settings
~Home health care
~Assisted living: help with daily care and meds. Relatively independent
~Adult daycare: during daytime working hours. Not seriously ill or disabled
~Acute care: hospitals and surgical centers. 24 hr skilled care for temporary but serious injuries or illnesses
~Skilled care: medically necessary care given by a skilled nurse or therapist
~Subacute care: hospital or LTCF
~Outpatient care: less than 24 hrs for ppl who have had treatments or surgery (short term skilled care)
~Rehab: restore or improve function after an illness or injury
~Hospice care: for ppl who have 6 months or less to live
Health Maintenance Organizations
HMOs
Requires use of particular group of doctors
Preferred provider organizations
PPOs
Reduced fee for services
Network of providers
Activities of daily living
ADLs
Ex: bathing, walking, eating, dressing, transferring, and toileting
Catheters
A thin tube inserted into the body that is used to drain fluids or inject fluids
Dementia
Loss of mental abilities such as thinking, remembering, reasoning and communicating.
of residents w/ dementia = 50-90%
Policies & Procedures
Policy- a course of action that should be taken every time a certain situation occurs.
Ex: healthcare info must remain confidential
Procedure: a method of doing something
Ex: procedure for reporting info about residents
Inspections (Surveys)
To make sure LTCF follow state and federal regulations
Done every 9-15 months by the state agency
Surveyors study how well staff care for residents, they interview residents and family and observe staff’s interactions residents, they view resident charts and observe meals
The Joint Commission
An independent not for profit organization that evaluates and accredits healthcare organizations.
Goal is to improve the safety and quality of care given to patients
To receive accreditation, facility must undergo survey process at least every 3 yrs that includes carefully checking performance in patient rights, treatment and infection prevention
Centers for Medicare & Medicaid Services
CMS
A federal agency w/n the US Dept of Health and Human Services.
Runs two national healthcare programs, medicare and medicaid.
Medicare
Health insurance program for ppl 65 or older (elderly).
Also covers ppl of any age with permanent kidney failure or certain disabilities.
2 parts: Hospital insurance and medical insurance
Medicaid
A medical assistance program for low income ppl.
Funded by both the federal govt and each state.
Eligibility is determined by income and special circumstances.
Culture change
Process of transforming services for elders so that they are based on the values and practices of the person receiving care.
Involves respecting both elders and those working with them.
2 groups involved in culture change:
- Pioneer Network: advocates for person directed care
- The Eden Alternative: not for profit organization that focuses on improving the lives of elders and their caregivers by creating environments that support growth and development, while trying to eliminate problems of loneliness, helplessness and boredom.
