Fundamentals: Chapter 2 Flashcards
Define: Palliative Care
Providing appropriate and compassionate care for patients experiencing advanced illnesses
Define: overuse
Reducing waste to achieve effective, affordable care
What is managed care?
Health care systems in which the provider or health care system receives a predetermined capitated payment for each patient enrolled in the program.
What is capitation?
Providers receive a fixed amount per patient or enrollee of a health care plan
Give examples of Primary care
- Prenatal and well-baby care
- Nutrition counseling
- Family planning
- Exercise classes
Give examples of Preventive Care
- Blood pressure and cancer screening
- Immunizations
- Mental health counseling and crisis prevention
- Community legislation (e.g., seat belts, air bags, bike helmets)
Give examples of Secondary Acute Care
- Emergency care
- Acute medical-surgical care
- Radiological procedures for acute problems (e.g., x-rays, CT scans)
Give examples of Tertiary Care
- Intensive care
* Subacute care
Give examples of Restorative Care
- Cardiovascular and pulmonary rehabilitation
- Sports medicine
- Spinal cord injury programs
- Home care
Give examples of Continuing Care
- Assisted living
* Psychiatric and older adult day care
Who is the fastest growing group of uninsured citizens?
young adults between the ages of 19 and 34
When does discharge planning begin?
the moment a patient is admitted to a health care facility
What is discharge planning?
a centralized, coordinated, interdisciplinary process that ensures that the patient has a plan for continuing care after leaving a health care agency.
What kind of instruction/education do patients need when leaving a health care facility?
- Safe and effective use of medications and medical equipment
- Instruction in potential food-drug interactions and counseling on nutrition and modified diets
- Rehabilitation techniques to support adaptation to and/or functional independence in the environment
- Access to available and appropriate community resources
- When and how to obtain further treatment
- The patient’s and family’s responsibilities in the patient’s ongoing health care needs and the knowledge and skills needed to carry out those responsibilities
- When to notify their health care provider for changes in functioning or new symptoms
What is evidence-based practice?
a problem-solving approach to clinical practice that involves the conscientious use of current best evidence, along with clinical expertise and patient preferences and values in making decisions about patient care
What are Nursing sensitive outcomes?
Patient outcomes and select nursing workforce characteristics that are directly related to nursing care such as changes in patients’ symptom experiences, functional status, safety, psychological distress, registered nurse (RN) job satisfaction, total nursing hours per patient day, and costs.
What are nursing informatics?
use of information and technology to communicate, manage knowledge, mitigate error, and support decision-making
How does nursing knowledge develop?
when nurses combine and identify relationships between different pieces of information
Who are the vulnerable populations most threatened by urbanization?
Children, women, and older adults
What is the Medicare prospective reimbursement system is based upon?
payment calculated on the basis of DRG assignment
Where does health promotion occur?
home, work, and community settings
What does successful community based programs involve?
building relationships with the community and incorporating cultural and environmental factors
Why do hospitalized patients require better coordination of services before discharge
they are acutely ill
Why is rehabilitation important?
It allows an individual to return to a level of normal or near-normal function after a physical or mental illness, injury, or chemical dependency.
What is the emphasis of home care facilities?
patient and family independence
Why do nurses need to remain knowledgeable and proactive about issues in the health care delivery system?
to provide quality patient care and positively affect health
List the Nursing Quality Indicators:
- Patient falls
- Patient falls with injury
- Pressure ulcers—community acquired, hospital acquired, unit acquired
- Staff mix
- Nursing hours per patient day
- Registered nurse (RN) surveys on job satisfaction and practice environment scale
- RN education and certification
- Pediatric pain assessment cycle
- Pediatric intravenous infiltration rate
- Psychiatric patient assault rate
- Restraint prevalence
- Nurse turnover
- Hospital-acquired infections of ventilator-associated pneumonia, central line–associated bloodstream infection, catheter-associated urinary tract infection
