chapter 3 Flashcards
ethics
knowledge of right and wrong, tells ppl what they should do
laws
tells ppl what they must do, helps ppl live peacefully together to ensure order and safety
OBRA
Omnibus budget reconciliation act passed in response to reports of poor care and abuse in long term care facilities, sets minimum standards for NA training, 75 hrs
MDS
minimum data set, form for assessing residents and solving their problems
residents’ rights
specify how residents must be treated while living in a facility
quality of life
right to the best care available, includes dignity, choice, and independence
informed consent
process by which a person, with help of a doc, makes informed decisions about his health care
resident counsil
group of residents who meet regularly to discuss issues related to the long term care facility
ADA
americans with disabilities act, federal law passed to help ppl with disabilities gain skills, do jobs they want to do, and take part in desired activities, equal opportunities for individuals with dis.
neglect
failure to provide needed care that results in physical, mental, or emotional harm to a person, divided into two categories
active neglect
purposeful failure to provide needed care, resulting in harm to a person
passive neglect
unintentional failure ot provide needed care, resulting in phys/mental/emotional harm too a person
negligence
actions, or the failure to act or provide proper care for residents, resulting in unintended injury
malpractice
occurs when a person is injured due to professional misconduct through negligence, carelessness or lack of skill
abuse
purposeful mistreatment that causes phys/mental/emotional pain or injury to someone
physical abuse
any tx, intentional or unintentional, that causes harm to a person’s body
psychological abuse
emotional harm caused by threatening, scaring, humiliating, intimating, isolating, or insulting or treating like a child
verbal abuse
use of spoken/written words, pics, or gestures that threaten, embarrass, or insult a person
assault
threat to harm a person, resulting in the person feeling fearful that he or she will be harm
battery
intentional touching of a person without his/her consent
sexual abuse
forcing of a person to perform or participate in sexual acts against will
financial abuse
improper or illegal use of a person’s money, possessions, property or other assets
domestic violence
abuse by spouses, intimate partners or family
workplace violence
abuse of staff by other staff members, residents,, or visitors
false imprisonment
unlawful restraint that affect a person’s freedom of movement
involuntary seclusion
separation of a person from others against person’s will
sexual harassment
unwelcome sexual advance or behavior that creates an intimidating hostile or offensive working environment
substance abuse
repeated use of legal or illegal drugs, cigs, or alcohol in a way that harms oneself or others
mandated reporters
ppl who are legally required to report suspected or observed abuse or neglect bc they have regular contact with vulnerable populations
ombudsman
assigned by law as legal advocate for residents
confidentiality
to keep private things private
protected health information
PHI; info that can be used to ID a person and relates to pt’s phys or mental condition, any health care done, and payment
advance directives
legal documents that allow ppl to decide what kind of medical care they wish to have in the event they are unable to make those decisions themselves
living will
outlines medical care a person wants or does not wants in case that person becomes unable to make those decisions, also called medical directive or directive to physicians
durable power of attorney
a signed, dated, and witnessed legal document that appoints someone else to make medical decisions for a person in the event he or she becomes unable to do so
DNR
medical order that instructs medical professionals not to perform CPR if breathing or heart stops
POLST
medical order that specifies treatments a person wants when he or she is very ill, not what he wishes to avoid, decisions are based on conversations with providers
Quality of life
residents have the right to the best care available, dignity choice and independence are important parts
services and activities to maintain a high level of wellness
residents must receive the correct care, required to have a care plan and their care should keep them as healthy as possible
the right to be fully informed about rights and services
residents must be told what services are available and what the fee is for each service, right to communicate with someone who speaks same language, right to assistance for sensory impairment (vision loss)
right to participate in their own care
R have right to participate in planning their tx, care, and dc, they have right to request, refuse and or discontinue tx and care, can refuse restraints and refuse to be participate
right to make independent choices
can make choices about their docs, care, and tx, can make personal decisions as what to wear, how to spend their time
right to privacy and confidentiality
R have right to speak privately with anyone, right to privacy during care and right to confidentiality regarding every aspect, cannot share info with anyone but care team
right to dignity, respect, and freedom
residents must be respected and treated with dignity, must not be abused mistreated or neglected
right to security of possessions
possessions must be safe at all times cannot be taken or used by anyone without permission, have right o manage their own finance
rights during transfers and discharges
right to be informed of and to consent to any location changes
right to complain
right to make complaints and voice grievances without fear for safety or care
right to visits
visits cannot be restricted limited or denied
rights with regard to social services
facility must provide access to social services
HITECH
enacted as part of the American Recovery and Reinvestment Act of 2009 to expand the protection and security of consumers’ EHR
