Chapters 1-3 Flashcards
What is another name for people or organizations paying for healthcare services?
Payers
What is anther name for people and organizations that provide health care including doctors, nurses, and agencies?
Providers
What are places where care is delivered or administered including hospitals, long term care facilities, and treatment centers
Facilities
What is long term care?
Given in long term care facilities for people who need 24 hour skilled care
What is skilled care?
Medically necessary care given by a skilled nurse or therapist, I is available 35 hours a day and is ordered by a doctor and involves a treatment plan
What is length of stay?
Number of days a person stays in a healthcare facility
What is terminal illness?
Illness will eventually cause death
Most people who live in long term care facilities have ______ conditions.
Chronic
What are diagnoses?
Medical conditions determined by a doctor
What is acute care?
24 hour skilled care given in hospitals an ambulatory surgical centers for people who require short term immediate care for illnesses or injuries
What is rehabilitation?
Care given by specialists for physical, occupational, or speech to restore or improve function after an illness or injury
What is hospice care?
Given to people who have approximately 6 months or less to live
What does HMOs stand for?
Health maintenance organizations
True or false: non profit companies or for profit companies can own long term care facilities
True
What are daily personal care tasks called?
Activities of daily living (ADLs)
What group has the longest average stay at long term care facilities?
Developmentally disabled
What is the course of action that should be taken every time a certain situation occurs?
Policy
What is a method or way of doing something?
Procedure
What are surveys?
Inspections performed periodically by the state agency that licenses facilities
Wha does cite mean?
To find a problem through a survey
Wha so surveyors do?
Study how well staff care for residents and focus on how residents nutritional, physical, social, spiritual, and emotional needs are being met
What is the joint commission?
An independent not for profit organization that evaluates and accredits healthcare organization. It’s goal is to improve the safety and quality of care given to patients
What is Medicare?
Health insurance program established in 1965 for people 65 and older or people with permanent kidney failure or certain disabilities
What is Medicaid?
Medical assistance program for low income people. Funded by federal government and each state. Eligibility is determined by income and special circumstances, people must qualify for this program
What is culture change?
Process of transforming services for elders so that they are based on the values and practices f the person receiving care. Involves respect and promotes dignity, respect, self determination and purposefully living
What is person directed care?
Emphasizes the individuality of the person who needs care and seeks to build the community by recognizing and developing each persons capabilities
How any hours should NA have in training?
75
A RN does what?
Assigns tasks and supervises daily care of residents by NA
What do LPNs do?
Supervise NA daily care of residents
What is the doctors job?
Diagnose disease or disability and prescribe treatment
What is empathy? What is sympathy?
1) identifying with the feelings of others
2) sharing the feelings and difficulties of others
What is the authority to make sure reissue tangent proper health care and protects employees and employers from liability?
Chain of command
What is a liability?
Someone can be held responsible for harming someone else
What is scope of practice?
The tasks the provider is legally allowed to do and how to do them correctly
Should a NA do tasks not listed on the care plan?
No
True or false: sometimes even simple observations are very important. The NA are important job determining how care plans may need to change
True
What is the nursing process?
Assessment Nursing diagnoses Planning Implementation Evaluation
What is delegation?
Transferring responsibility to a person for a specific task
5 ways to manage time?
Plan ahead Prioritize Make a schedule Combine activities Get help
What are ethics? What are laws?
Knowledge of right and wrong
Based on ethics, tell people what they must do
Due to reports of poor care and a use, the government passed what act?
Omnibus Budget Reconciliation Act (OBRA)
What does OBRA require?
Complete Assessments be done on every resident
What is the Minimum Data Set?
Derail form of guidelines for assessing residents. Lists what to so if problems are identified. Must happen 14 days within admission and again each year
What is abuse?
Purposefully mistreatment that causes physical, mental, emotional pain or injury
What is neglect?
Failure to provide needed care resulting in physical, mental, or emotional harm
What is physical abuse?
Any treatment that causes harm to a persons body
What is psychological abuse?
Emotional harm causes by threatening, scaring, humiliating, or treating like a child
What is verbal abuse?
Spoken or written words, gestures, or pictures to embarrass, threaten, or insult
What is sexual abuse?
Forcing a person to perform or participates in sex acts again their will.
What is Financial abuse?
Improper or illegal use of a persons money, possessions, or property
What is assault?
A threat to harm a person resulting in fear
Battery?
Intentional touching without consent
Domestic violence?
Abuse by spouses, partners, family members. Can be emotional, physical, or sexual
False imprisonment?
Unlawful restraint of affects freedom or movement
Involuntary seclusion?
Separation from others against a persons will
Sexual harassment?
Unwelcome sexual advance or behavior that is hostile, intimidating, or offensive
Substance abuse?
Use if legal or illegal drugs, cigarettes, or alcohol
Active neglect?
Purposeful failure to provide care resulting in harm
Passive neglect?
Unintentional failure to provide care resulting in physical, emotional, and metal harm
Negligence?
Failure to act or provide care for a resident resulting in injury
Malpractice?
Person is injured due to professional misconduct through negligence, carelessness, or lack of skill
Reporting abuse is not an option, it’s the _____?
Law
Who makes rules about training and testing NAs?
Nurse aid training competency evaluation program (NATCEP)
WhAt is an ombudsman?
Assigned by law as legal advocate for residents. Required by OAA (older Americans act) to visit facilities and listen to residents
Confidentiality?
Keep things private
What is HIPAA?
Health insurance portability and accountability act, passed in 96, helps keep information private and secure
What is protected health information (PHI)?
Keeps names, addresses, numbers, social security numbers, email, and medical records safe
What are advance directives?
Legal documents that allow people to choose what medical care they wish to have if they are unable to make those choices for themselves
What is a living will?
Outlines medical care person wants or doesn’t, in case he becomes unable to make those decisions
What is a durable power of attorney for health care?
Is a signed, dated and witnessed legal document that appoints someone to make medical decisions for a person in the event he can’t so so
What is a DNR?
Do not resuscitate order that instructs medical professionals not to perform CPR