Hartman's Nursing Assistant Care Long-Term Care and Home Care 1-5 Flashcards
1
Q
people or organizations that provide health care, including doctors, nurses, clinics and agencies
A
providers
2
Q
places where care is delivered or administered including hospitals, long-term care facilities, and treatment centers (such as for cancer)
A
facilities
3
Q
people or organizations paying for healthcare services
- insurance companies
- government programs (medicare, medicaid)
- clients
A
payers
4
Q
facilities for people who need skilled care for 24 hours
A
LTC, long term care
5
Q
medically necessary care given by a skilled nurse or therapist; it is available 24 hours a day
- ordered by doctor
- treatment plan
- high level of care for ongoing conditions
A
skilled care
6
Q
the number of days a person stay in a healthcare facility
A
length of stay
7
Q
illness that will eventually cause death
A
terminal illness
8
Q
conditions that last a long period of time, even a lifetime
- physical disabilities
- heart disease
- dementia
A
chronic illnesses
9
Q
care given to older people at their homes
- skilled assistance
- monitoring
- referred as clients
A
home health care
10
Q
people who need some help with daily care, such as, showering, meals, medications and dressing
- not required 24 hour skilled care
- independent living in a homelike environment
- sometimes connected to memory care units for patients that have mild dementia
A
assisted living
11
Q
serious loss of mental abilities, such as thinking, remembering, reasoning and communicating
A
dementia
12
Q
people who need some assistance and supervision during certain hours, but who do not live in the facility where care is provided
A
adult day services
13
Q
24 hour skilled care given in hospitals and ambulatory surgical centers for people who require short-term, immediate care for illnesses or injuries
A
acute care
14
Q
in hospitals or LTC facilities. It is used for people who need less care than for a sudden onset, short-term (acute illness)
A
subacute care
15
Q
to people who have had treatments, procedures, or surgeries and need short-term skilled care, patients do not require an overnight stay in a hospital or other care facility
A
outpatient care
16
Q
care given by specialists and professionals.
- physical, occupational, and speech therapists help restore or improve functions after an illness or injury
A
rehabilitation
17
Q
facilities or homes for people who have approximately six months or less to live
- physical and emotional care
- supporting the family
A
hospice care
18
Q
seeks to control costs by limiting plan members’ choice of healthcare providers and facilities
- HMOs, Health maintenance organizations
- PPOs, provider organizations
A
managed care
19
Q
course of action that should be taken every time a certain situation occurs
- ex: healthcare policy must keep residents information confidential
A
policy
20
Q
a method or way of doing something
- ex: employers will have policies and procedures for every resident care situation
A
procedure
21
Q
document a problem found during a survey
A
cite
22
Q
an independent, not-for-profit organization that evaluates and accredits healthcare organizations
A
joint commission
23
Q
federal agency within the US department of health and human services
A
centers for medicare and medicaid services
24
Q
federal health insurance program that was established in 1965 for people aged 65 or older
A
medicare
25
a medical assistance program for people who have low income, as well for people with disabilities
medicaid
26
the process of transforming services for elders so that they are based on the values and practices of the person receiving care
culture change
27
emphasizes the individuality of the person who needs care, and recognizes and develops the person's capabilities
- traditions, background, dignity, culture, language, and beliefs are respected
person-centered care
person directed care
28
an approach to patient care that recognizes traumas from patients
trauma informed care
29
performs assigned tasks, such as measuring vital signs, and provides or assists with personal care, such as bathing residents and helping with elimination needs
- observing and reporting residents changes
NA, nursing assistant
30
in LTCF they coordinate, manage and provide skilled nursing care: administrating special treatments and giving medication as prescribed by a physician
RN, registered nurse
31
administers medication and gives treatments, completed one to two years of education and pass the national license examination
LPN, licensed practical nurse
LVN, licensed vocational nurse
32
a registered nurse who has completed training at a postgraduate level (masters or doctorate)
- makes diagnoses and prescribes treatment
APRN, advanced practice registered nurse
- NP, nurse practitioner
- CRNA, nurse anesthetist
- CNM, nurse midwife
- CNS, clinical nurse specialist
33
licensed professional who diagnoses disease or disability and prescribes treatment and medication
MD, medical doctor
DO, doctor of osteopathy
physician or doctor
34
licensed professional who diagnoses disease or disability and develops treatment plans, as well as prescribes medication
PA, physician assistant
35
evaluates a person and develops a treatment plan to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain or maintain mobility
PT or DPT, physical therapist
36
helps residents learn to adapt to disabilities. helps train residents to perform activities of daily living (ADLs), such as bathing, dressing, and eating sometimes using assistive devices
OT, occupational therapist
37
identifies communication disorders, addresses factors involved in recovery, and develops a plan of care to meet improvement or recovery goals
SLP, speech language pathologist
38
assesses a resident's nutritional status and develops a treatment plan to improve health and manage illness
RD or RDN, registered dietitian
39
determines residents' needs and helps get them support services, such as counseling and financial assistance
MSW, medical social worker
40
a plan for residents to help them socialize and stay physically and mentally active
activities director
41
an important member of the care team. providing person-centered care means placing the resident's well-being first and giving the resident right of choice
resident and resident's family
42
nursing assistant note and record important information about the resident
charting, documenting
43
having to do with work or a job
professional
44
refers to life outside a job, such as family, friends, and home life
personal
45
behaving properly when on the job. it includes dressing appropriately and speaking well. it also includes being on time, completing tasks, and reporting to the nurse
professionalism
46
caring, concerned, considerate, empathetic, and understanding
compassionate
47
identifying with the feelings of others
empathy
48
sharing in the feelings and difficulties of others
sympathy
49
tells the truth and can be trusted
honest
50
showing sensitivity and having a sense of what is appropriate when dealing with others
tactful
51
tries to do their best
guided by a sense of right and wrong
alert
observant
accurate and responsible
conscientious
52
nursing assistants must be able to make and keep commitments
report on time
skillfully do assigned tasks
avoid absences
help peers
dependable
53
Nursing assistance must be _____ when residents are elderly, sick or in pain
patient
54
valuing other people's individuality, including their age, religion, culture, feelings, practices, and beliefs
respectful
55
nursing assistants work with people from many different backgrounds, nursing assistants must be ________
unprejudiced
56
anticipating potential problems and needs before it occurs
proactive
57
a nursing assistant carries out instructions given to her by a nurse. the nurse is acting on the instructions of a physician or other member of the care team
line of authority that ensures the resident receives proper care
chain of command
58
legal term that means someone can be held responsible for harming someone else
liability
59
defines the tasks that healthcare providers are legally allowed to do according to state or federal law
scope of practice
60
1) getting information from many sources, including medical history, physical assessment, and environment, and reviewing this information; the purpose is to identify actual or potential problems
assessment
61
2) identifying health problems after looking at all the resident's needs
diagnosis
62
3) setting goals and creating a care plan in accordance with the resident's preferences to meet the resident's needs
planning
63
4) putting the care plan into action; giving care
implementation
64
5) a careful examination to see if the goals were met or progress was achieved
evaluation
65
transferring responsibility to a person for a specific task
- nursing assistants do not have this, the tasks is handed to them
delegation
66
planning is the single best way to manage time better
plan ahead
67
identify the most important tasks to get done and do these first
prioritize
68
write out the hours of the day and fill in what needs to be done and when
make a schedule
69
nursing assistants can visit with residents while providing care, which combines two important tasks
combine activities
70
it is a simple reality that a nursing assistant cannot do everything
get help
71
the process of exchanging information with others
communication
72
involves the use of words, spoken or written
ex: if a nursing assistant asks a resident to turn on the light when she needs help, the resident may not understand that she means the call button
verbal communication
73
communicating without using words
ex: shrugging
nonverbal communication
74
refers to the variety of people with different backgrounds and experiences living together in the world
cultural diversity
75
acceptance, and knowledge, not bias, or prejudice
positive responses to cultural diversity
76
system of learned beliefs and behaviors that is practice by a group of people
culture
77
phrases that are used over and over again and do not really mean anything
cliches
78
based on what a person sees, hears, touches, or smells
objective information
signs
79
something a person cannot or did not observe, it is something the NA reported that may or may not be true
subjective information
symptoms
80
the inability to control the bladder or bowels
incontinence
81
resident's body or breath odor
smell
82
changes in resident's appearance
sight
83
resident's words, tone, and breathing
hearing
84
resident's skin and pulse
touch
85
an accident, problem, or unexpected event during the course of care
incident
86
unexpected occurrence that results in serious injury or death
sentinel event
87
a loss of function or ability; it can be partial or complete loss
impairment
88
the ability to see objects in the distance better than objects nearby
hyperopia
farsightedness
89
the ability to see things near but not far
myopia
nearsightedness
90
occurs when blood supply to a part of the brain is blocked or a blood vessel leaks or ruptures within the brain
CVA, cerebrovascular accident
stroke
91
the set of methods practiced in healthcare facilities to prevent and control the spread of disease
infection prevention
92
occurs when harmful microorganism called pathogens, invade and multiply within the body
Infection
93
harmful microorganism
pathogens
94
an infection that is limited to a specific location in the body
-wound becomes infected and around it may be red, swollen, warm and painful
localized infection
95
affects the entire body, travelling through the bloodstream and is spread throughout the body
- fever
- chills
- mental confusion
systemic infection
96
a type of infection that can be localized or systemic
HAI, healthcare associated infection
97
describing how disease is transmitted from one human being to another
chain of infection
98
Chain Link 1: a pathogenic microorganism that causes diseases
- bacteria
- viruses
- fungi
- parasites
causative agent
99
Chain Link 2: where the pathogen lives and multiplies
- warm, dark and moist areas
- human (lungs, blood, & large intestines)
- animal
- plant
- soil
- substance
reservoir
100
Chain Link 3: any body opening on an infected person that allows pathogens to leave
- nose
- mouth
- eyes
- cut in the skin
portal of exit
101
Chain Link 4: describes how the pathogen travels
mode of transmission
102
happens by touching the infected person or their secretions
direct contact
103
results from touching an object contaminated by the infected person
indirect contact
104
Chain Link 5: any body opening on an uninfected person that allows pathogens to enter
portal of entry
105
membranes that line body cavities that open to the outside of the body
mucous membranes
106
Chain Link 6: an uninfected person who could become ill
susceptible host
107
refers to measures used to reduce and prevent the spread of pathogens
medical asepsis
108
sterile technique, makes an object or area completely free of all microorganisms
surgical asepsis
109
a condition that occurs when there is an inadequate amount of fluid in the body
dehydration
110
a federal government agency that makes rules to protect workers from hazards on the job
OSHA, occupational safety and healthl administration
111
a federal government agency that issues guidelines to protect and improve the health of individuals and communities
CDC, centers for disease control and prevention
112
treating blood and other body fluids, nonintact skin (like abrasions, pimples, or open sores), and mucous membranes as if they were infected
standard precautions
113
microorganisms, mostly bacteria, that are resistant to one or more antimicrobial agents that are commonly used for treatment
MDROs, multidrug-resistant organisms
114
destroys, resists, or prevents the development of pathogens
antimicrobial
115
prevent the spread of pathogens that can be transmitted through the air after being expelled
- perform hand hygiene
- wear N95 respirator when entering room
- keep door closed
airborne precautions
116
diseases that are spread by droplets in the air
- perform hand hygiene
- wear mask when entering room
- dietary may not enter
ex: influenza (flu)
droplet precautions
117
when the resident may spread an infection by direct contact with a person or object
- perform hand hygiene
- wear gloves
- wear gown
- patient dedicated or single use disposable shared equipment or clean and disinfect shared equipment
contact precaution
