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HCAP Students > HCAP 120 > Flashcards

HCAP 120 Flashcards

1
Q

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

A

Care Plan

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2
Q

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

A

Service Plan

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3
Q

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

A

Unregulated Care Provider(UCP)

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4
Q

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)

A

Client able to direct care

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5
Q

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

A

Client Unable to Direct Care

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6
Q

When the required task falls within the UCP’s role description and training, as actions for specific clinical situations

A

Assignment

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7
Q

Restricted to one specific individual, situation, relationship, and outcomes

A

Client Specific

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8
Q

To be physically present to direct, teach, and to have a monitoring plan in place

A

Direct supervision

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9
Q

To delegate components of task from a health care professional to a UCP.

A

Delegation of task

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10
Q

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

A

Delegable task

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11
Q

The professional may delegate a specific task to a UCP who, in the professional’s opinion, has the necessary competencies to complete the task.

A

Indirect Supervision

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12
Q

Client renders a decision which they know if carried out, may result in injury or harm to themselves

A

Live at risk

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13
Q

Precautions that are applied universally to all person regardless of their presumed infectious status

A

Routine practices

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14
Q

Substantially uniform and well established by usage and widely recognized as acceptable. Serves as a baseline

A

Standard

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15
Q

Access to professional assistance in a timely manner

A

Support

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16
Q

A clearly defined function, procedure activity that you assist the client with or perform for the client

A

Task

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17
Q

Giving responsibility for providing care or support

A

Assigning

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18
Q

What does PAGS, delegation, assignable really mean?

A

-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

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19
Q

What the RN needs to know to delegate to the HCA

A

-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

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20
Q

Who can delegate?

A
  • 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
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21
Q

What are the responsibilities when a delegation can occur?

A

-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

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22
Q

Difference between Delegation in the community vs facility

A

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

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23
Q

Heat application

A

-heat dilates blood vessels therefore increasing oxygen and nutrients to the area

-it provides heat and comfort

-helps relax sore muscles
-helps relieves stress

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24
Q

Risk of heat application

A

-burns
-tissue death
-circulatory shock

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25
Q

Signs of problem of heat application

A

-excessive skin redness
-excessive facial redness
-blisters
-complaints of pain
-signs of skin irritation

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26
Q

Examples of heat application

A

Moist & dry

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27
Q

Cold application benefits

A

-cold constricts the blood supply to the are
-stops the bleeding
-reduce pain
-reduce swelling
-0reduce heat to an area-inflammation

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28
Q

Risk of cold application

A

-frostbite
-tissue death
-circulatory shock

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29
Q

Signs of problem of cold application

A

-pale,white,or grey skin
-cyanosis
-shivering
-complaints of pain, discomfort, numbness
-signs of skin irritation

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30
Q

Examples of cold application

A

Moist/dry

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31
Q

Who are at high risk for complications from heat or cold applications?

A

-clients with thin, delicate or fragile skin
-clients who have decreased sensations
-clients with dementia or confusion
-clients with metal implants

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32
Q

What are moist/dry application advantages?

A

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

33
Q

What are the procedures for heat and cold application?

A

-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

34
Q

What are the factors affecting oxygen needs?

A

-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

35
Q

What are the signs and symptoms of altered respiratory function?

A

-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

36
Q

True or false, the majority of the elderly people are seldom irritated or angry?

A

True

37
Q

True or false, The majority of the people past age 65 have some degree of cognitive impairment?

A

False

38
Q

True or false, it is almost impossible for most elderly to learn new things?

A

False

39
Q

True or false, elderly people take longer to learn something new?

A

True

40
Q

True or false, physical strength declines with age?

A

True

41
Q

True or false, the elderly person’s reaction time is slower than that of a young person?

A

True

42
Q

True or false, elderly people are seldom bored?

A

True

43
Q

True or false, elderly people feel miserable most of the time?

A

False

44
Q

True or false, in general, most elderly people are alike?

A

false

45
Q

True or false, statistics show that drivers over the age of 65 have ,fewer motor accidents than drivers under the age of 65?

A

True

46
Q

True or false, The majority of elderly people are socially isolated and lonely ?

A

False

47
Q

True or false, the majority of elderly people over the age of 70 are living in complex care facility?

A

False

48
Q

True or false, the majority of elderly people over the age of 65 have incomes below poverty line?

A

False

49
Q

True or false, people tend to become more religious as they age?

A

False

50
Q

True or false, elderly people are set in their ways and unable to change?

A

False

51
Q

Tru or false, all five senses tend to decline as a person ages?

A

True

52
Q

What is self esteem?

A

Respect to one’s self

53
Q

What is developmental task?

A

Physical, emotional and social maturity learned or accepted at specific times in our growth and development

54
Q

What is child develop self esteem?

A

Noting and reinforcing the child’s attempt to achieve

55
Q

What is development?

A

Growth of personality

56
Q

What is positive self esteem?

A

We understand and like ourselves

57
Q

What is growth?

A

Changes in body function throughout life

58
Q

What is developmental task of elderly?

A

Adjusting to losses

59
Q

What is aging?

A

The process of growing old

60
Q

What is chronological age?

A

Age as measured in years from date of birth

61
Q

What is biological age?

A

Relative age or condition of a person’s organ and body system

62
Q

What is psychological age?

A

Measures of a person’s adaptive capacities, coping skills, intelligence, and adaptability

63
Q

What is social age?

A

Social roles and expectations related to a person’s age

64
Q

What is gerontology?

A

Study of the aging process

65
Q

What is functional age?

A

Physical or functional capacity compared to others of similar to chronological age

66
Q

What are the 6 principles of human growth and development

A

-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

67
Q

What are the 5 developmental task of adulthood?

A

-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

68
Q

What are the ways you can respect and promote your client’s sexuality?

A

-respect clothing and grooming routine
-accepts the client’s sexual relationship
-allow privacy

69
Q

What is ageism?

A

Discrimination based on age

70
Q

What are the losses in older adults?

A

-work
-income
-social relationships
-role fulfillment
-loss of life partner/friends

71
Q

What is Geriatrics?

A

Branch of medicine that provides care for older adults

72
Q

What is cultural competence?

A

The ability of the person to interact effectively with people from diverse culture, gender or socioeconomic backgrounds

73
Q

What is ethnicity?

A

The sharing of of common history, language, geography, nationality, religion or identity

74
Q

What is prejudice?

A

An attitude that forms an opinion or prejudge a person based on their membership in a group

75
Q

What is culture?

A

Characteristics of group of people, including language, values, beliefs, customs, habits,

76
Q

What is stereotype?

A

An overly simple or exaggerated view of a group of people

77
Q

What is assimilate?

A

To Adopt the traditions of a larger society

78
Q

What are the emergency codes?

A

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

79
Q

What are the stages of Maslow’s hierarchy of needs?

A

-physiological
-safety/security
-belongingness
-self esteem
-self actualization

HCAP Students (7 decks)

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