HCAP 120 Flashcards
The plan of the clinical process in which the overall plan to meet clients’ need and achieve the health goals is identified. The Service Plan and the plan for delegated task components of the overall care plan
Care Plan
Outline of all task, both assigned and delegated as authorized by a HCV professional to be carried out by a UCP. Copy of the plan must be in a standardized area of the clients’ home
Service Plan
Paid care providers who are neither licensed nor registered by a regulatory body and who have no legally defined scope of practice: eg community health workers, assisted living workers
Unregulated Care Provider(UCP)
One who is cognitively capable to make decisions regarding their care related to the task being delegated and can communicate effectively ( verbally or nonverbally through communication devices)
Client able to direct care
One person who is cognitively incapable to make decisions regarding their care relevant to the specific task and/or cannot communicate essential information in an adequate manner to the authorized caregiver
Client Unable to Direct Care
When the required task falls within the UCP’s role description and training, as actions for specific clinical situations
Assignment
Restricted to one specific individual, situation, relationship, and outcomes
Client Specific
To be physically present to direct, teach, and to have a monitoring plan in place
Direct supervision
To delegate components of task from a health care professional to a UCP.
Delegation of task
A task that is client specific and requires ongoing professional judgement, or is not within the job description of the UCP. Delegable task are normally performed by a Health Care Professional
Delegable task
The professional may delegate a specific task to a UCP who, in the professional’s opinion, has the necessary competencies to complete the task.
Indirect Supervision
Client renders a decision which they know if carried out, may result in injury or harm to themselves
Live at risk
Precautions that are applied universally to all person regardless of their presumed infectious status
Routine practices
Substantially uniform and well established by usage and widely recognized as acceptable. Serves as a baseline
Standard
Access to professional assistance in a timely manner
Support
A clearly defined function, procedure activity that you assist the client with or perform for the client
Task
Giving responsibility for providing care or support
Assigning
What does PAGS, delegation, assignable really mean?
-some task could harm the client if performed by an unqualified care provider
-nurses with “ authority-legal right- perform these tasks either would be catheterization, giving insulin, wound care
-if you are not fought or provided education as an HCA on a task it is likely that you cannot perform it!!!
- however…. In some situations these task may be delegated to an HCA
-delegation is a process by which an RN authorizes another health care provider to perform certain task
What the RN needs to know to delegate to the HCA
-provincial guidelines
-employer guidelines
-know the HCA job description
-what you were taught in your training program
-your work experience
Skills you have learned and how they where evaluated
Who can delegate?
- in most parts of Canada it is RNs
-in B.C RNs, PTs, OTs, RDs, and RTs can delegate
-whomever is doing the delegation remains accountable for the outcome of the delegated task
-the HCA is accountable for their own actions
What are the responsibilities when a delegation can occur?
-should be taught how to perform the task
-supervised and monitored to ensure you are performing the task correctly
-the client must be considered stable in their condition
-training is client specific so you must be retaught and redelegated for subsequent clients requiring the same task
-support should be available for HCAs if questions arise
Difference between Delegation in the community vs facility
Facility- RN must teach you the task, asses your performance and monitor you over time
Community-same as facility process, but will also provide written instructions on how to carry out the task, the predicted outcome and what you need to record
Heat application
-heat dilates blood vessels therefore increasing oxygen and nutrients to the area
-it provides heat and comfort
-helps relax sore muscles
-helps relieves stress
Risk of heat application
-burns
-tissue death
-circulatory shock
Signs of problem of heat application
-excessive skin redness
-excessive facial redness
-blisters
-complaints of pain
-signs of skin irritation
Examples of heat application
Moist & dry
Cold application benefits
-cold constricts the blood supply to the are
-stops the bleeding
-reduce pain
-reduce swelling
-0reduce heat to an area-inflammation
Risk of cold application
-frostbite
-tissue death
-circulatory shock
Signs of problem of cold application
-pale,white,or grey skin
-cyanosis
-shivering
-complaints of pain, discomfort, numbness
-signs of skin irritation
Examples of cold application
Moist/dry
Who are at high risk for complications from heat or cold applications?
-clients with thin, delicate or fragile skin
-clients who have decreased sensations
-clients with dementia or confusion
-clients with metal implants
What are moist/dry application advantages?
Dry:
-water doesn’t come into contact with the skin
-application stays at the desire temperature
-dry heat doesn’t penetrate as deep
Moist:
-water conducts heat so moist heat has greater effect that dry heat
-heat penetrates deeper with moisture
What are the procedures for heat and cold application?
-Follow policy information
-care-plan- resident specific
-inspect the temp of application prior to applying
-inspect skin at 5 min intervals; never leave on longer than 15 min
-listen to client
-cover dry heat or cold applications with cloth before applying them
What are the factors affecting oxygen needs?
-respiratory system function
-cardiovascular system function
-red blood cell count
-nervous system function
-aging
-exercise
-fever
-pain
-medication
-smoking
-allergies
-pollutans
-nutrition
-alcohol
-drug overdose
What are the signs and symptoms of altered respiratory function?
-hypoxia
-abnormal breathing pattern
-c/o SOB
-cough(note frequency and productivity)
-sputum(note colour,odour, consistency, hemoptysis)
-noisy respiration
-chest pain
-cyanosis
-change in vital signs
-body position
True or false, the majority of the elderly people are seldom irritated or angry?
True
True or false, The majority of the people past age 65 have some degree of cognitive impairment?
False
True or false, it is almost impossible for most elderly to learn new things?
False
True or false, elderly people take longer to learn something new?
True
True or false, physical strength declines with age?
True
True or false, the elderly person’s reaction time is slower than that of a young person?
True
True or false, elderly people are seldom bored?
True
True or false, elderly people feel miserable most of the time?
False
True or false, in general, most elderly people are alike?
false
True or false, statistics show that drivers over the age of 65 have ,fewer motor accidents than drivers under the age of 65?
True
True or false, The majority of elderly people are socially isolated and lonely ?
False
True or false, the majority of elderly people over the age of 70 are living in complex care facility?
False
True or false, the majority of elderly people over the age of 65 have incomes below poverty line?
False
True or false, people tend to become more religious as they age?
False
True or false, elderly people are set in their ways and unable to change?
False
Tru or false, all five senses tend to decline as a person ages?
True
What is self esteem?
Respect to one’s self
What is developmental task?
Physical, emotional and social maturity learned or accepted at specific times in our growth and development
What is child develop self esteem?
Noting and reinforcing the child’s attempt to achieve
What is development?
Growth of personality
What is positive self esteem?
We understand and like ourselves
What is growth?
Changes in body function throughout life
What is developmental task of elderly?
Adjusting to losses
What is aging?
The process of growing old
What is chronological age?
Age as measured in years from date of birth
What is biological age?
Relative age or condition of a person’s organ and body system
What is psychological age?
Measures of a person’s adaptive capacities, coping skills, intelligence, and adaptability
What is social age?
Social roles and expectations related to a person’s age
What is gerontology?
Study of the aging process
What is functional age?
Physical or functional capacity compared to others of similar to chronological age
What are the 6 principles of human growth and development
-growth and development occur from the moment of fertilization till death
-process goes from simple to complex
- growth occurs in certain direction
-growth and development occur in a sequence and pattern
-the rate of growth and development is uneven
-not all people fit into the category of norm, the rate of development is determined by many things
What are the 5 developmental task of adulthood?
-adjusting to decreased physical strength and loss of health
-adjusting to retirement and reduced income
-coping with the death of a partner
-developing new friends and relationship
-preparing for one’s own death
What are the ways you can respect and promote your client’s sexuality?
-respect clothing and grooming routine
-accepts the client’s sexual relationship
-allow privacy
What is ageism?
Discrimination based on age
What are the losses in older adults?
-work
-income
-social relationships
-role fulfillment
-loss of life partner/friends
What is Geriatrics?
Branch of medicine that provides care for older adults
What is cultural competence?
The ability of the person to interact effectively with people from diverse culture, gender or socioeconomic backgrounds
What is ethnicity?
The sharing of of common history, language, geography, nationality, religion or identity
What is prejudice?
An attitude that forms an opinion or prejudge a person based on their membership in a group
What is culture?
Characteristics of group of people, including language, values, beliefs, customs, habits,
What is stereotype?
An overly simple or exaggerated view of a group of people
What is assimilate?
To Adopt the traditions of a larger society
What are the emergency codes?
Yellow-missing patient
Grey-external air exclusion
Red-fire
Pink-obstetrics or paediatric emergency
Brown-toxic/hazardous spill
White-aggressive patient/visitor
Black-bomb threat
Blue-cardiac arrest
Orange-mass casualties
Green-evacuation
What are the stages of Maslow’s hierarchy of needs?
-physiological
-safety/security
-belongingness
-self esteem
-self actualization
