GCN STUDY CARDS 6/20/13 Flashcards
WHAT IS THE GCN MANTRA?
“CALL ME FIRST”
DESCRIBE TRANSISTIONAL CARE
A SET OF ACTIONS DESIGNED TO ENSURE THE COORDINATION AND CONTINUITY OF CARE AS THE PATIENT TRANSFERS BETWEEN DIFFERENT LOCATIONS, OR DIFFERENT LEVELS OF CARE, WITHIN THE SAME LOCATION.
LIST THE THREE ELEMENTS OF TRANSISTIONAL CARE THE GCN MUST DOCUMENT.
DELIVERY OF PT’S CARE PLAN TO INPATIENT SETTING WITHIN 24 HOURS.
COMPLETION OF HOME VISIT 1-2 DAYS AFTER DISCHARGE.
COMMUNICATION OF POST DISCHARGE STATUS TO PCP AND DOCUMENT THIS.
根深蒂固的
entrenched
WHAT IS THE PURPOSE OF THE CARE GUIDE AND ACTION PLAN?
USED AS COMMUNICATION TOOLS TO PROVIDE CRUCIALINFORMATION AND REDUCE ERRORS.
LIST SEVERAL OUTCOMES OF POOR TRANSISTIONAL CARE.
MEDICATION ERRORS DUPLICATE OR MISSED TESTS. PHYSICAL OR EMOTIONAL STRESS ON PT AND CAREGIVER. VISITS TO UC/ED READMISSIONS TO HOSPITAL. TEMPORARY OR PERMANENT DISABILITY. DEATH
WHAT ARE THE SEVEN CHRONIC CARE INNOVATIONS THAT THE GC NURSE INFUSES IN ORDER TO ENHANCE PRIMARY CARE?
DISEASE MANAGEMENT SELF MANAGEMENT CASE MANAEMENT LIFESTYLE MODIFICATIONS TRANSISTIONAL CARE CAREGIVER EDUCATION AND SUPPORT GERIATRIC EVALUATIONS AND MANAGEMENT
WHAT ARE THE SIX SERVICES OF ONGOING GUIDED CARE?
MONTHLY MONITORING. COACHING FOR SELF MONITORING. COORDINATING CARE. SMOOTHING TRANSISTIONS. SUPPORTING CAREGIVERS ACCESSING THE COMMUNITY RESOURCES.
IDENTIFY COMMON CHALLENGES FACED BY CAREGIVERS OF OLDER ADULTS WITH MULTIPLE MEDICAL CONDITIONS.
30-50% WORK OUTSIDE THE HOUSE
MANY ALSO CARE FOR THEIR OWN CHILDREN IN THEIR HOMES.
12% WILL QUIT THEIR JOBS TO BE CAREGIVERS, LEADING TO FINANCIAL STRAIN.
ONE HALF OF CAREGIVERS ARE OLDER THEMSELVES, WITH THEIR OWN HEALTH ISSUES, AND LIMITATIONS.
WHAT DOES SBAR STAND FOR?
SITUATION, BACKROUND, ASSESSMENT, RECOMMENDATIONS.
TRUE OR FALSE
“GUIDED CARE IS EVIDENCE BASED, COMPREHENSIVE, COORDINATED, PROACTIVE, LONGITUDINAL, PATIENT CENTERED HEALTH CARE FOR PATIENTS WITH SEVERAL CHRONIC CONDITIONS”.
TRUE
WHAT ARE THE FOUR ESSENTIAL INGREDIENTS OF SELF MANAGEMENT?
KNOWLEDGE
PROBLEM SOLVING SKILLS
SKILL ACQUISITION
SELF MONITORING
GIVE AN EXAMPLE OF AN ADVANCED DIRECTIVE
FIVE WISHES
CARING CONVERSATIONS
WHAT IS THE ROLE OF THE GCN IS REGAR TO PROMOTE AND RESPECT PT CHOICES.D TO ACP?
IDENTIFY PT PREFERENCES
EDUCATE PT ON CONTINUUM OF CARE
PRESENT PT WITH ADVANCED DIRECTIVES FORMS, AND ASSIST WITH COMPLETING
ENCOURAGE OTHER PROFESSIONALS
WHAT IS THE KEY TOOL A GC NURSE WILL USE TO FACILITATE SELF MANAGEMENT IN THEIR PATIENTS.
MOTIVATIONAL INTERVIEWING
WHAT ARE THE TWO PRIMARY CLINICAL ACTIVITIES IN WHICH THE GCN USES MI MOST FREQUENTLY?
MEETING WITH PATIENTS AND CAREGIVERS TO IDENTIFY THEIR GOALS AND PREFERNECES
DURING MONTHLY “MONITORING AND COACHING CONTACTS” TO ASSIST PTS, AND CAREGIVERS IN SELF MANAGEMENT OF THEIR CHRONIC CONDITIONS.
NAME THREE CATEGORIES OF AN ADVANCED DIRECTIVE?
LIVING WILL
HEALTH CARE AGENT/PROXY
POA( MEDICAL OR DURABLE)
DESCRIBE THE FOUR FUNDAMENTAL TECHNIQUES OF MI
O-OPEN ENDED QUESTIONS
A-AFFIRMATIONS
R-REFLECTIONS
S- SUMMARY
WHAT IS THE GOAL OF MOTIVATIONAL INTERVIEWING?
IT IS USED TO IDENTIFY PATIENTS PREFERENCE AND HELP PATIENTS DEVELOPE AND MAINTAIN HEALTHY BEHAVIOR
WHAT IS A LIVING WILL?
A WRITTEN DOCUMENT THAT STATES WHAT TYPE OF TREATMENT A PATIENT DESIRES IF A PATIENT CANNOT VERBALIZE OR COMMUNICATE
WHAT IS A HEALTH CARE AGENT/PROXY?
A LEGAL DOCUMENT IN WHICH A PERSON DESIGNATES ANOTHER INDIVIDUAL TO MAKE HEALTH CARE DECISIONS FOR PATIENT IF THEY ARE UNABLE.
WHAT IS A POWER OF ATTORNEY (POA)?
A LEGAL DOCUMENT THAT IDENTIFIES THE INDIVIDUAL APPOINTED TO MAKE MEDICAL OR LEGAL DECISIONS FOR AN INCAPCITATED PATIENT.
WHICH MEDICARE PART COVERS: HOSPITAL CARE, POST ACUTE CARE, HOME CARE, HOSPICE AND DURABLE MEDICAL EQUIPMENT.
MEDICARE PART A
WHICH MEDICARE HAS NO PREMIUM?
PART A
WHICH MEDICARE PART COVERS PHYSICIANS AND OUTPATIENT CARE, ED?
PART B
IS THERE A PREMIUM FOR PART B?
YES
MEDICARE ADVANTAGE PLANS ARE ALSO KNOWN AS WHAT PART?
PART C
WHICH MEDICARE PART COVERS MOST PRESCRIPTION DRUGS?
PART D
WHAT IS THE PURPOSE OF SUPPLEMENTAL INSURANCE?
TO COVER SOME THINGS THAT MEDICARE DOES NOT.
ONE SUPPLEMENTAL OPTION FOR MEDICARE PATIENTS IS MEDIGAP INSURANCE, RATED A-L. WHICH OFFERS THE GREATEST INSURANCE, THE MEDIGAP A, OR MEDIGAP L?
MEDIGAP L
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detain
WHICH OF THESE PROCESSES DOES THE GCN USE TO MAKE APPROPRIATE CLINICAL DECISIONS?
A-FILTRATION PROCESS
B- NURSING PROCESS
C- PROCESS OF ELIMINATION.
B- NURSING PROCESS
NAME AT LEAST THREE CHALLENGES OF TELEPHONE COMMUNICATION?
MISSING NON VERBAL CLUES
INABILITY TO EXAMINE PATIENT
NOT RELIABE FOR PATIENTS WITH COGNITIVE DEFICITS.
LESS SUITABLE FOR PATIENTS WITH HEARING DISORDERS.
IDENTIFY AT LEAST FOUR STRATEGIES FOR GATHERING INFORMATION FROM A PATIENT OR CAREGIVER BY PHONE.
ACTIVE LISTENING AND QUESTIONING
DETAILED HISTORY TAKING
TALK DIRECTLY TO PT WHENEVER POSSIBLE
ASK OPEN ENDED QUESTIONS.
REPEAT OR PARAPHRASE TO ENSURE MUTUAL UNDERSTANDING.
ENSURE THE CALLER KNOWS THE PLAN FOR FOLLOW UP.
WAT IS THE FEDERAL MEDICARE TELEPHONE NUMBER FOR ANY QUESTIONS REGARDING MEDICARE.
A=1-800-MEDICARE
B-1-800-HELPME
C=1-800-IDONTKNOWANYTHING
A-1-800-633-4227, OR 1-800-MEDICARE
DURING WHAT ACTIVITIES MAY THE GCN NEED TO UTILIZE THE TELEPHONE TRIAGE SKILLS?
AD HOC CALLS
MONITORING AND COACHING CALLS.
WHAT ARE THE MINIMUM REQUIREMENTS WHEN DOCUMENTING TELEPHONE INTERVIEWS OR TRIAGE CALLS?
DATE AND TIME NAME OF CALLER AND RELATIONSHIP HISTORY AND DETAILS OF COMPLAINT AGGRAVATING AND ALLEVIATING FACTORS PTS PREVIOUS HISTORY AND ALLERGIES. MEDS TAKING ADVICE GIVEN
WHO REGULATES TELEPHONE TRIAGE THROUGH NURSE PRACTICE AND DECLATORY RULINGS?
STATE BOARD OF NRSING
DOES THE NURSING SCOPE OF PRACTICE FOR TELEPHONE TRIAGE VARY BY STATE?
YES
