Quiz 1 Flashcards
What is professionalism
Behaving properly when working.
Don’t discuss personal problems at work, or use a personal phone.
Be on time. Dont leave early without permission
dress appropriately. be dependable.
What is dementia
the serious loss of mental abilities, such as thinking, remembering, reasoning and communicating.
ADL’s
Activities of Daily Living-
daily personal care tasks, such as. bathing, caring for skin, fingernails, and hair; caring for the mouth, teeth; dressing; walking; transferring ;eliminating; and communicating.
empathetic
being able to identify with and understand the feelings of others
care team
consists of many members who have had different training and experience in order to provide care for each resident
NA’s role
serving meals on trays
helping residents eat
helping R dress and undress
bathing R
Shampooing hair
Shaving R
Making R bed
Tidying R living area
Measuring Vital signs(temp, pulse, respiration, blood pressure),
Back rubs
Observe and report changes
Report complaints
Help R move around safely
Caring for supplies and equipment
Teeth
Holistic Care
considering the whole system, not dividing it into parts. (social, emotional, spiritual, intellectual)
Ethical Behaviors of CNA
Keep info confidential
Keep staff info confidential
Be honest when documenting care and hours worked.
Be trustworthy
Don’t accept tips
Report abuse
Don’t come drunk etc
Follow policy rules
Document promptly
If you make a mistake, report it promptly
Be positive
Be tactful
show respect
Be patient
OBRA
(Omnibus Budget Reconciliation Act) is a federal law passed in 1987 to set minimum standards of care, which included standardizing training of nursing assistants(75 hours for NA) ‘
work 8 hours every two years to keep state certificate
12 hours in-service education
Pass state exam
What is abuse
purposeful mistreatment that causes physical, mental, emotional, or financial pain or injury to someone.
false imprisonment
unlawful restraint that affects a persons freedom of movement. Both the threat of being physically restrained and actually being physically restrained are types of false imprisonment.
Negligence
actions, or the failure to act or give proper care to a person, resulting in unintended injury
What is an ombudsman
legal advocate for residents
HIPAA
(Health Insurance Portability and Accountability Act) sets standards for protecting the privacy of patients; health information.
protected health information
information that can be used to identify a person and relates to the patient’s past, present, or future physical or mental condition, and health care the person had, or payments for care
Policy
Tells us what to do
Procedure
Tells us how to do it
Person-centered care
takes needs into consideration. places emphasis on resident’s input
ethics
standard of right and wrong
laws
tells us rules set by government to protect public
something ethical but illegal
breaking into car when baby is suffocating from heat
advance directives
legal documents to allow people to make end of life decisions
-living will
-Durable Power of Attorney(health care proxy)
DNR(do not resuscitate)
Living will
what you do or don’t want at the end of life if you can’t verbalize
CPR if heart stops? yes, resuscitate, no, Do not resuscitate
non-verbal communication
body language
-posture
-facial expression
-gestures
-touch
Rolling eyes
crossing arms
tapping feet etc
verbal communication
involves words
including writing, symbols, and emoji’s.
MDS
Minimum Data set
Assessment tool crated by Gov’t to provide standard care in long term care facilities
care plans
individualized care guidelines for each resident.
Data gathered by NA’s , nurses, and care coordinators.
Patient will feed self using an assistive device(angled spoon or fork).
objective info
info based on what a person sees hears, touches or smells. Collected using four of the five senses; sight, hearing smell, and touch.
Subjective info
information collected from something that residents or families reported. may or may not be true.
Something a NA can’t or didn’t observe. An opinion.
incident
An accident, problem, or unexpected event during the course of care. ie, feeding resident from the wrong meal tray
or a fall or injury
incident report
a report that is factual, objective account of what happened. It is confidential. Complete asap.
Sentinel event
unexpected event that causes sudden injury or death. (immediate investigation and response ie. medication error that results in patient dying)
call light
always within reach of resident
should be answered promptly
cannot be purposefully ignored or it is considered abuse
Patient’s physical and psychosocial needs
Abraham Maslow, a psychologist and researcher of human behavior, believed that physecal needs must be met before psychosocial(Touch, emotions, thought and spirituality)
1. Physical needs
2. Safety and security needs
3. Need for love
4. Need for self-esteem
5. Need for self-actualization
cultural diversity
the wide variety of people throughout the world. Different customs, traditions religions, behaviors and lifestyles
Developmental disability
chronic condition that will exist throughout life. Physical or mental
cerebral palsy, spina bifida, Autism, retardation, Fraglie X
PRN
as necessary
BID
2x a day
I & O
intake and output
NPO
nothing by mouth
q.2h, q, 3h,
every two hours, every three hours etc
s(line above)
without
A & O
Alert and oriented
Who, where, when, why
Disorientation
not A&O.
1. who they are
2. where they are
3. When
4. Why they are here
Confusion
inability to think clearly and logically, unable to remember and make decisions.
DIA
Iowa department of Inspections
CMS
Centers for medicare and Medicaid services
Code status
the type of emergent treatment a person would or would not receive if their heart or breathing were to stop. Resuscitation, DNR
hospice
type of care that focuses on comfort and care at end of life by reducing pain and suffering. and attending to emotional and spiritual needs at end of life