CNA Words & Definitions Flashcards
Prospective Payment
How much hospitals are paid for a hospital stay, based on the patients specific diagnosis and procedure.
Managed Care
A program in which the cost of appropriate health care goods and services are controlled
Types of Health Care Organizations
- Hospitals (acute care facilities)
- Specialty hospitals and centers
- Subacute care facilities
- Long-term care facilities
- Home health agencies
- Physicians offices and outpatient clinics
Acute illness
An illness that comes on suddenly and is generally of short duration
Chronic illness
An illness that develops slowly and continues for a long period of time
Chain of command
The lines of authority in an organization
Interdisciplinary team
A group consisting of various health care professionals and nonprofessionals who work together in the care of an individual patient. The team ideally includes the patient and the patient’s family.
Nursing assistant
Nursing assistants carry out patient care. Carry out basic functions under the direction of a registered nurse
Plan of care
A written plan that provides direction for each patients care, including the goals for the patient and the actions required to meet them
Activities of Daily living (ADL’s)
Everyday activities or tasks, including eating, dressing, bathing, and toileting
Scope of practice
The range of activities that can be legally performed within a particular health occupation
Job description
A list of duties and responsibilities that go with a particular job
Nursing Assistant duties will include:
- Helping patients with personal needs, such as eating, elimination, bathing, and grooming.
- Helping make patients physically comfortable and assisting them with mobility and activity needs.
- Attending to patients psychological comfort and social needs, such as by answering the call bell promptly, providing privacy, assisting with communication, and showing respect.
- Ensuring a clean and safe environment for patients.
- Assisting the nurse with assessment and care planning, such as by taking vital signs, observing patients, and reporting and recording observations.
- Providing support services, such as transporting patients or cleaning equipment.
Nursing assistants cannot do any of the following:
- Give medications.
- Diagnose or prescribe treatments or medications.
- Take oral or phone orders from a physician.
- Insert or remove tunes from a patients body.
- Perform sterile procedures.
- Do something the nursing assistant is not properly trained to do.
- Tell anyone about a patients diagnosis or treatment.
- Supervise other nursing assistants.
Confidentiality
The principal of not revealing private information to others.
Standards of care
A set of guidelines that serve as a model for good nursing assistant care
Liable
Legally responsible
Negligence
A failure to provide the care that a nursing assistant should be reasonably expected to provide, which causes harm to a patient or a patients property.
Malpractice
Negligence committed by a professional person, such as a physician, nurse, or pharmacist.
False imprisonment
The illegal confinement or restraint of a person against his or her will
Incident
Any unusual event such as an accident or a situation that could cause an accident
Physical abuse
This type of abuse occurs when a nursing assistant causes physical harm by injuring or neglecting a patient. False imprisonment is a form of physical abuse. Nursing assistants may not restrain a person in any way unless a physician has ordered it.
Verbal abuse
This type of abuse occurs when a nursing assistant yells at a patient or threatens a patient
Psychological abuse
This type of abuse occurs when a nursing assistant belittled or threatens a patient or causes the patient to be afraid. Neglect or failure to give care is also a form of psychological abuse.
Hygiene
The maintenance of health and cleanliness
Personal qualities of the nursing assistant
- Sensitive to others feelings
- Trustworthy, dependable, honest
- Cheerful and enthusiastic
- Respectful of all people
- Cooperative with others
- Considerate of others
- Patient and kind
- Able to understand themselves, especially their own strengths, weaknesses, and feelings
Stress
Pressure or strain that disturbs a person’s mental or physical well-being
Oral hygiene
Cleaning and care of the mouth, teeth, gums, and tongue
Dentures
Removable false teet
Conditions to report when helping with oral hygiene
- Extremely bad breath
- Bleeding
- Loose or broken teeth
- Damaged dentures
- Sores in or around the mouth
- A coated tongue
- Complaints of discomfort
Feces
Stool or bowel movement; semisolid waste products eliminated through the rectum and anus
Defecation
The discharging of feces from the rectum through the anus; having a bowel movement
Constipation
A condition in which feces are hard and dry and cannot be easily eliminated from the body
How to help patients maintain normal elimination?
- Make sure patients have adequate fluid intake.
- Encourage patients to eat fruits, vegetables, bread, cereals, and other high-fiber foods.
- Encourage patients to be as active as possible.
- Check with patients every 2 hours to see if they need to urinate or deficate.
- Make sure patients have privacy and plenty of time for toileting to ensure dignity and comfort.
Diarrhea
The passage of liquid feces
Incontinence briefs
Absorbent briefs made of cloth or disposable material used by patients who have difficulty controlling urination or defication.
Urinal
A portable container in which male patients urinate while in bed. A urinal designed to fit a females anatomy is also available if she prefers a urinal.
Bedpan
A portable pan in which all patients deficate and in which female patients urinate while in bed. A fracture pan is available to meet patients special needs. (Example in a cast or traction)
Portable bedside commode
A movable chair with a toilet seat that is used for elimination.
Perineal care
Cleaning and care of a patients genital and anal areas
Perineum
The area between the external genitals and the anus.
Guidelines for perineal care:
- Wear disposable gloves
- Clean from the front to the back (clean to dirty)
- Since the perineum is delicate, use warm water (100°-105°F). Wipe very gently, using wet wash cloths with soap or disposable wipes, and pat dry.
- Rinse the perineum well, because soap can irritate skin.
- Follow your facility’s policy. In some facilities, nursing assistants give perineal care to patients while they are on the toilet
Urinary catheter
A tube inserted through the urethra and into the bladder to drain urine
Urinary tract infection (UTI)
Infection involving any structure of the urinary system, caused by bacteria invading the urethra, bladder, ureter, and/or kidneys.
Foley Catheter
A urinary catheter that is left in the bladder so urine can drain continuously; also called an indwelling or retention catheter
Condom catheter
A catheter for male patients that consists of a soft rubber sheath (condom) attached to a drainage tube.
Urinary meatus
The external opening of the urethra, which is the insertion site of a catheter
Communication
The exchange of messages and information
Interpersonal skills
Skills in dealing with people such as courtesy, tact, respectfulness, and patience.
Feedback
The verbal and nonverbal responses a listener makes to the senders message
Verbal communication
Communication that uses words, either spoken or written
Nonverbal communication
Communication without words; also called body language
Body language
Nonverbal communication, such as facial expression, tone of voice, posture, and gestures.
Skilled listeners do these things:
- Show interest and concern.
- Avoid interrupting the speaker.
- Display patience and act to help the speaker who is having trouble communicating.
- Give the speaker feedback, both verbal (questions, restatements) and nonverbal (smiles, nods).
- Show a non-judgmental attitude when listening and responding.
- Avoid expressions such as “don’t worry” or “everything will be ok” that imply the speaker’s feelings are unimportant
Non-judgmental
Avoiding judgment of another person based on one’s own personal opinions and beliefs
Empathy
The ability of a person to understand another’s point of view and share in another’s feelings or emotions
Observations
Bits of information gathered by watching a patient
Reporting
Verbally informing someone (such as your supervisor) about patient care or observations
Recording
Writing down information on a patients medical record; also called charting.