Intro to Patient Care Flashcards

1
Q

What does acute (hospital) care consist of?

A

short-term care
primary goal: recovery (back to norm)
inpatient or outpatient

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2
Q

what does sub-acute care consist of?

A

post-acute care

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3
Q

Hospice care

A

provided to terminally-ill individuals w/ life expectancy of 6 months or less

focus: spiritual, mental, emotional, physical comfort

comfort for families as well

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4
Q

Palliative care

A

Specialized medical care for individuals w/ symptoms/discomfort of a serious illness

focus: provide relief

goal: improve quality of life

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5
Q

Rehabilitation Care

A

care provided to restore function of individual via physical therapy, occupational therapy, respiratory, speech therapy, etc.

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6
Q

What are the complications resulting from being immobile?

A
  • muscle contractions
  • osteoporosis (low bone mass)
  • pressure ulcers (bed sores)
  • muscle stiffness
  • muscle tightness
  • muscle wasting (atrophy)
  • deep vein thrombosis ( blood clot)
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7
Q

What does the term Resident mean?

A

used for patients in a long-term facility or nursing home

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8
Q

What are ADLs?

A

Activities of Daily Life (or Living)

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9
Q

results of:
providing too much assistance?
providing too little?

A

too much => dependency
too little => discouragment

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10
Q

Define patient care

A

an ongoing process that needs team effort to achieve desired results

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11
Q

how to stop functional performance decline?

A

by performing proper patient care skills

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12
Q

what impact does an increase in patient’s dependency have?

A

an increase in demand for caregivers

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13
Q

Performing patients care activities can…

A

decrease level of dependency of pt & slow other complications of immobility

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14
Q

Name a few complications of immobility

A

-muscle contractures
-osteoporosis
-pressure ulcers (bed sores)
- muscle stiffness
- muscle tightness
- muscle wasting (atrophy)
- deep vein thrombosis (blood clot)

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15
Q

Common causes and risks of immobility:

A

Musculature, joint, and skeleton:
- arthritis
- osteoporosis
- fractures (mainly hip & femur)
- podiatric problems

Neurological problems:
- stroke
- parkinson’s disease
- cerebellar dysfunction
- neuropathies

heart, lung, and circulation problems:
- chronic coronary heart disease
- chronic obstructive lung disease
- severe heart failure
- peripheral vascular disease

congnitive, psychological & sensory:
-dementia
- depression
- fear and anxiety (fear from instability and falling
- pain
-imparied vision

environment causes:
- forced immobilization (restraint use)
- inadequate aids for mobility

others
- general weakness after prolonged bed rest
- malnutrition
- drug side effects
- severe illness of any type

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16
Q

goal of patient care for residents:

A
  • promote required mobility
  • increase/maintain in muscle strength
  • help prevent contracture and tightness
    -decrease level of dependence while performing activities
    -decrease risk factors for decubitus ulcer (bed sores)
    -increase in skills performance due to increase muscle coordination
    -improvement in the quality of life
  • improvement in quality of self-care
17
Q

Patient care skills:

A
  • range of motion (passive)
  • range of motion (active)
  • splint or brace assistance
  • bed mobility
    -transfer
  • walking/ambulating
  • bladder/bowel training
  • dressing or grooming
  • eating or swallowing
  • amputation or prothesis care
  • communication
18
Q

Define Passive Range of Motion

A

the person performing the rom moves the patient’s joint through the available range of motion

19
Q

Define Active Range of Motion

A

Patient can actively move their own joint through available range of motion

20
Q

Define active assisted range of motion

A

patient can actively move their joint and may require assistance

21
Q

What type of facility …

  • provides a supervised care 24 hrs. or more
  • also known as Convalescent Care facility, skilled nursing facility, extended care facilities
  • Provides general care to those residents who are:
    > unable to take care of daily living needs
    > chronically ill or physically challenged
  • facility assists residents in performing activities of daily living (ADL); the services are provided to make resident independent
A

Long-term care facility

22
Q

what type of facility…

  • provides personal care assistance, also sometimes assist w/ household activities
    -provides skilled services for the short term as prescribed
    -assists w/ more household chores
A

Home Health Care

23
Q

What type of facility…

can an individual get assistance in different areas: personal care, laundry, medication, meals, etc.

A

Assisted Living

24
Q

What type of facility…

  • provides care for an individual during the day; duties range from personal care assistance to skilled care (therapeutic services)
  • Supervision during day allows caregiver to work, rest, or other activities
A

Adult Day Center or Adult Day Care

25
Q

what level of care …

  • short-term care
  • Primary goal: recovery (back to norm health status)
  • can be Inpatient or outpatient
A

Acute (hospital) care

26
Q

what level of care …

  • post-acute care
A

Sub-acute Care

27
Q

what level of care …

  • provided to terminally-ill individuals w/ life expectancy of 6 months or less
  • Focuses on spiritual, mental, emotional, and physical comfort
  • comfort for families as well
A

Hospice care

28
Q

what level of care …

  • specialized medical care for individuals w/ symptoms, discomfort of serious illness
  • focus is to provide relief
  • Goal is to improve quality of life
A

Palliative care

29
Q

what level of care …

  • care provided to restore function of individual via:
    - physical therapy
    - occupational therapy
    - respiratory therapy
    - speech therapy, etc.
A

Rehabilitation Care

30
Q

What does CMS stand for?

A

Centers for Medicare and Medicaid Services

31
Q

Define CMS

A

a component of the department of Health and Human Services (HHS); administers medicare and medicaid

32
Q

define medicare

A

health insurance plan for individuals 65< or may be younger but w/ disabilities and end stage renal disease

33
Q

What are the 4 parts of medicare ?

A

A) covers inpatient services
B) covers outpatient services
C) covers advantage plan
D) covers prescription drugs

34
Q

Define Medicaid

A

health insurance plan for low-income individuals and special circumstances
eg. pregnant women