Intro To Patient Care Flashcards
Resident
Patient in long term care facility
Acute
Sudden
Chronic
Lingering/ Life long
Decrease in functional performance could be caused by:
- Injury
- Condition onset
- Debilitating preexisting condition
ADL
Activities of Daily Living/Life
Atrophy
Waste away
Complication of immobility:
- Decubitus/ Pressure sores/ Pressure ulcer/ Bed sores
- Muscle stiffness, tightness and atrophy, muscle contractions
- Deep vein thrombosis (blood clot)
- Osteoporosis
DBT
Deep vein thrombosis
Risk factors of immobility:
- Arthritis
- Fractures
- Stroke
- Heart disease
- COPD
- Dementia
- Depression
COPD
Chronic Obstructive Pulmonary Disease
Goals of patient care for residents:
- Promote mobility
- Improve muscle strength
- Prevent contracture and tightness
- Improve quality of life
- Improve self-care
Too much assistance causes ________, while too little assistance causes _______.
Dependency; Discouragement
Skills to be performed:
- Range of Motion (ROM)
- Splint and brace assistance
- Bed mobility/ transfer
- Walking/ambulating
- Bladder/bowel training (incontinence, inability to control)
- Dressing/grooming
- Eating/swallowing
Passive ROM - PROM
Person performing range of motion moves the patients joints through available range of motion
Active ROM - AROM
The patient is actively moving joints through range of motion
Active - assistance ROM - AAROM
Patient moves some with help in others
Quality of life
A facility must care for its residents in an environment to promote maintenance and enhancement of each residents quality of life
Quality of life includes:
- Dignity - respect
- Self determination and participation
- Participate in resident / family group
- Accommodation of needs
- Social services
- Environment
Quality of care
- ADLs
- Vision / hearing
- Pressure sore
- Urinary incontinence
- Mental functioning
- Nutrition / hydration
- Immunizations
- Medications
Types of healthcare facilities:
- Long term care
- Home health care
- Assisted living facility
- Adult day care
- Acute (hospital) care
- Sub-acute-nursing home / long term
- Hospice
- Palliative
- Rehabilitation
Long term care
Supervised nursing care for 24 hrs. (convalescent care, skilled nursing facility, or extended care facilities)
Home health care
Come into the patients home and assist as a specialist
Adult day care
Patient can’t be left at home (similar to a child)
Acute (hospital care)
Short-term
Hospice
Terminally I’ll patients with less than six months or less of life expectancy
Palliative
Serious illness. Goal is to improve quality of life.
Rehabilitation
Restorative functions (physical, occupation, speech, and respiratory therapy)
CMS
Center for Medicare and Medicaid services
Medicare
Health insurance plan for people 65 years or older, also provided to younger people with disabilities and people with end stage renal disease
Medicare part A
Covers inpatient services (hospital surgery)
Medicare part B
Covers outpatient services (doctors office visits, pt clinic)
Medicare part C
Covers advantage plan
Medicare part D
Covers prescription
Medicaid
Health insurance for low income individuals and special circumstances (pregnancy)
Patient care
An ongoing process and it needs teams effort to achieve desired results
Diaphoresis
Sweating
Syncope
Fainting
