Health care setting

Question 1

Level 0

Answer 1

Private care/Private residence( their own home)
- Independent adults, homegivers HCA
- RNs give minimal assistance/wound care
- Anyone eligible
- Self/cognitive assessments
Promotes individuality with a goal of keeping them at home as long as possible

Question 2

Level 1

Answer 2

Home care
- any ages/ AHS provides the care and physiotherapists
- What is the RN role: Hygiene, administering medication, light housekeeping, wound care, case managers, meal prep, Manage the risks, private or public health care
- Wound care, administering meds, overall dependent on what the client needs, however any wants/needs outside of what the clients assessment will not be given
- anyone in Alberta with a health care card are eligible , can be referred by peers, family, hospital, themself
- functional assessment, cognitive assessments

Question 3

Level 2

Answer 3

Seniors Lodge
- Who lIves/Works there: residence who needs minimal-moderate
- What is the RN role: There is no RNs, however they have access to them if needed
What are the services provided by client and professional: meals, activities, scheduled check ins
- Who is eligible: need an Income, and proof they need this assistance
- What assessment tools might be used: health history, family support
- Any other applicable info you think would be important to know

Question 4

Level 3

Answer 4

DSL3 (designated supportive living
- Medically/physically stable but living with disability, mental health diagnosis, or mild dementia with no risks of wandering (those who lack ADLS)
- Mobility independent or 1 person assist
- able to call for assitance
- HCA are on site 24hrs

Question 5

Level 4

Answer 5

DSL4
- Individuals who have more complex medical needs that are predictable and safely managed with onsite, professional nursing (LPN level) and the direction of the case manager
- Full/ two person lift
- HCA and LPN 24 hrs a day

Question 6

Level 4 dementia

Answer 6

4D
- For individuals with moderate to severe dementia, who may have a high risk of wandering and unpredictable behaviours but who are not a safety risk to themselves or others

Question 7

LTC

Answer 7

Long term care
- Those who cannot be alone safely (RN, LPN and HCA)
- RN role: Vitals, Admin meds, Coordinate with others to meet needs of patient (OT, PT, social work, triage)
- Complex and unpredictable needs 24/7 care
- assessment tools: ADLs, Dementia, cognitive, physical
- Publically funded

Question 8

Functional ability

Answer 8

Things that they can do on their own

Question 9

Functional ability assesment

Answer 9

Geriatrics, physical, delirium, depressions, fall risk, KATZ, LAWTON, InteRIA, safety at home, driving safely

Question 10

ADLs vs IADLs

Answer 10

ADLs: Fundamental skills required to care for oneself (eating bathing, mobility
IADLs, Not necessary for fundamental living but significantly improves quality of life

Question 11

Functional assesment

Answer 11

Used to develop apprirate teaching and appriate interventions

Question 12

InterRAI

Answer 12

Performed on admission and every 3 months. Assessing the clinical status and the best place to live

Question 13

Lawton

Answer 13

IADLs

Question 14

Katz

Answer 14

ADLs

Question 15

Parkinson’s Physio

Answer 15

Lack of dopamine balance and AcH growth causing sporadic and uncontrolled movements. Can lead to difficulty walking shakiness and stiffness. Decreased ADLs, IADLs and may lead to an increase of level of care

Question 16

MS Physio

Answer 16

Immune system attacks the myelin sheath that covers nerve tissue leading to connectivity problems between brain and rest of body leading to detonation and perma damage on nerves. May lead to loss of mobility of limbs (IADLs, ADLs) may lead to higher level of care

Question 17

Steps of MS progression

Answer 17

clinically isolated syndrome.
relapsing-remitting MS: MS cases where small amount and does not bother. Often a full recovery. The residual effects will lead to secondary
secondary-progressive MS: progression occurs with or without relapse
primary-progressive MS:disablilting symptom

Question 18

Parkinson’s symptoms

Answer 18

TRAP, bradykinesia

Question 19

MS symptom’s

Answer 19

Pain, fatigue, perimenopausal, muscle breakdown, impaired conditions

Question 20

Nursing Process

Answer 20

AAPIE
Assement: Functional assement, KATZ, Lawton, Interrail
Analysis: Struggle with ADLs, IADLs at home
Planning: InterRAI, put where they can be watched
Implementation: Follow the plan
Evaluation: Reassess