Resident Centered Care And Quality of Life Flashcards
Dentition
The makeup of a set of teeth including their kind, number, arrangement, and usability.
Dehydration
A loss of the body’s normal water content which can affect both physical and mental functions. Individuals with brain, kidney, or gastrointestinal disease may find it difficult to maintain a normal amount of water in the body without the aid of medications.
Controlled Substance
A drug, substance, or immediate precursor is included in schedules 1 to 5 of the Controlled Substance Act.
(morphine, acetaminophen w/ codeine, oxycodone)
Continence
The ability to self-regulate bladder and bowel elimination.
Consultant Pharmacist
Pharmacist who is contracted by the nursing home to do drug regimen reviews and provide other services.
Chemical Restraint
A psychoactive drug used by a facility for discipline or convenience and not for medical treatment.
Chronic
Continuing over a long period of time or recurring frequently.
Chronic conditions often begin inconspicuously and symptoms are less pronounced than in acute conditions.
Centers for Medicare and Medicaid Services
(CMS)
Federal agency responsible for administering the Federal Medicare & Medicaid programs.
CMS headquarters is located in Baltimore.
Charge Nurse
The nurse in charge or supervising a particular part of a facility for a given time shift.
Case Mix
A system that uses resident attributes (e.g., functional status in activities of daily living or cognitive ability) to classify residents for purposes such as reimbursement.
Care Plan
A plan designed to meet all of a residents identified physical, mental, emotional, cognitive, & functional needs.
Generally the result of assessment & collaboration by an interdisciplinary team (IDT) of provider staff.
Also known as: Plan of Care
Behavioral Intervention
Non-drug interventions used to change the residents behavior or environment to lessen or accommodate the residents behavioral symptoms.
Aspiration
The inhaling of foreign objects, such as food or beverages if swallowed incorrectly, into the lungs: results in the introduction of bacteria from the mouth and stomach into the lungs which can lead to pulmonary bacterial infection known as aspiration pneumonia.
Antianxiety Medications
Psychoactive medications given to reduce anxiety.
e.g., Ativan, valium, xanax
Annual Assessment
An annual assessment of a resident’s physical, mental, emotional, cognitive, & functional status.
Ambulatory
Able to walk with or without difficulty or help.
Adverse Drug Reaction
(ADR)
An unintended response to a drug that is injurious or harmful to health & which occurs at normal doses.
Advanced Directive
Written instructions from residents about the management & provision of care if they become incapacitated (e.g., living will, DNR, durable power of attorney for healthcare)
Administer
The direct application of a vaccine or a prescribed drug or device, whether by injection, ingestion, or any other means to the body of a resident.
Activity Therapist
An allied health professional trained to develop & provide leisure time activities for facility residents.
Activities of Daily Living
(ADLs)
Individual self-performance skills needed in everyday life such as ambulation, locomotion, eating, toileting, grooming/personal hygiene, and bathing.
Federal law requires all nursing homes to be surveyed annually between how many months?
9 to 15 months from the last survey date.
What is abuse?
Willful intent to cause harm. Ma be resident to resident or staff to resident harm.
What is harm? `
Negative effects that have occurred to a resident, infringement of a resident’s rights, or compromising a resident’s ability to meet their highest practicable level of physical, mental, or psychosocial well-being.
What is a Guardian?
A legal representative, appointed by a court, to make decisions for a person not competent to make their own decisions.
Generally have all of the legal rights normally granted to competent residents.
Gerentology
The study of aging from the broadest perspective. Examines not only the clinical & biological aspects of aging but also psychosocial & historical conditions.
Geriatric Medicine
(geriatrics)
The medical knowledge of physical disability in older persons– including diagnosis, treatment, & prevention of disorders.
Recognizes aging as a normal process, not a disease.
Geriatrician
Physician that specializes in geriatric medicine.
1 & 3 year training programs are available for this.
What is gait?
How a person walks.
Extrapyramidal Symptoms
(EPS)
Abnormal movements of the mouth or tongue, pill-rolling, tremors, rigid movements, mask-like face, constant movement of legs or body, tics, blinking, pacing, eyes rolled up, & drooling.
Extended Survey
A federal survey conducted within 14 days of a finding of substandard care during a standard federal survey.
What is energy metabolism?
The process in the body of breaking down calories consumed into useable energy to allow the body to perform normal body functions.
What is the Enforcement Grid in regard to survey?
A table developed by CMS that defines severity and scope of federal deficiencies & indicates whether plans of correction & remedies are necessary.
Drug Utilization Review
(DUR)
The study of drug use patterns in a facility.
Drug Review Regimen
(DRR)
The review of drugs being used by a resident to determine effect & potential for harmful effects.
What is a Drug?
Any substance intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease or other conditions in a person.
Any substance other than a device or food intended to affect the structure or any function of the body of a person.
What is a Drug Irregularity?
A drug that is given w/o a medical reason, in an excessive or inadequate dose or duration of therapy.
Dose modification or discontinuation is indicated.
The consulting pharmacist should address potential problem at time of monthly review.
What does it mean to dispense?
To deliver a prescribed drug to an ultimate user, including the compounding, packaging, & labeling necessary to prepare the prescribed drug
Director of Nursing
(DON)
A registered nurse (RN) responsible for supervising the activities, functions, & training of nurse personnel.
What is the Dietary History?
A review of a resident’s usual food intake patterns, including any food preferences, chewing, swallowing problems, or difficulties w/ self-feeding that might affect overall food intake.
What is Hospice Care?
Supportive care provided to terminally ill patients and their families in the final six months (Medicare definition) of a patient’s life. This care is managed and coordinated by a certified Medicare hospice provider.
What is a hypnotic medication?
A psychoactive medication given to sedate or calm (e.g., Sonata, restoril, ambien)
What is Immediate Jeopardy in relation to survey?
A situation in which a provider’s noncompliance with one or more regulations has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident.
What is an “incidence” related to MDS?
A type of CSRA QI that describes what has taken place with a resident over the course of the last two MDS or OASIS assessments.
What is incontinence?
Lacking voluntary control over the bladder or bowel. In most people, it can be treated and controlled, if not cured. Specific changes in body function, often resulting from disease or the use of medications, are the cause of incontinence.
Individual Program Plan
(IPP)
A written statement of the services to be provided, as developed by an IDT, and based on a comprehensive functional assessment of an individual’s active treatment needs.
What is informed consent?
The person giving consent receives information necessary to make a health care decision, including information about the benefits, reasonable risks, alternatives, the right to refuse, and consequences of any treatment or service.
What is an Initial Survey?
An on-site federal survey to determine whether a provider meets the requirements to begin participating in the Medicare and/or Medicaid programs.
Instrumental (Independent) Activities of Daily Living
(IADLs)
Activities that include meal preparation, house work, managing finances or medications, telephone use, shopping, and transportation (how one moves up and down stairs, how one moves in and out of cars)
What is a Licensed Practical Nurse?
(LPN)
A person licensed as a practical nurse by state statute. An LPN performs simple acts in the care of convalescent, subacute or chronically ill residents under the specific direction of a RN, physician, podiatrist, or dentist.
What is the Interdisciplinary Team?
(IDT)
A facility team that allows the involvement of multiple medical disciplines in providing patient care; can consist of all or some of the following professionals: physician, nurse, social worker/case manager, dietician, therapist, pharmacist, etc.
What is “licensure” in regards to a facility?
The granting of a license to a provider that has been determined to meet a state’s requirements for operation.
What is Long Term Care?
(LTC)
A general term that is used to describe care in nursing homes.
Also used to describe a broader continuum of care for chronic and disabled persons that include nursing homes, assisted livings, board and care facilities, and community care such as home health agencies.
What is Medicaid?
A state program that provides medical services to clients of the state public assistance program and, at the state’s option, other needy individuals, as well as supplements hospital and nursing facility (NF) services mandated under Medicaid.
States may decide on the amount, duration, and scope of additional services.
What is Medical Nutrition Therapy?
(Also known as Therapeutic Diet)
A diet ordered by a physician as part of treatment for a disease or clinical condition, or to eliminate, decrease, or increase specific nutrients in the diet.
What type of institutions does MCR cover?
Hospitals, hospices, nursing homes, and home health agencies.
What is Medicare?
A federal insurance program providing a wide range of benefits for specific periods of time through providers and suppliers participating in the program.
Who is entitled to MCR benefits?
Benefits are payable to most people over 65, social security beneficiaries under 65 entitled to disability benefits, and individuals needing renal dialysis or renal transplantation.
How is payment made for MCR services?
Payment for services is made by the federal government through designated fiscal intermediaries (FIs) and carriers to the providers and suppliers.
What is a Medication Error?
Medications not given as intended by a prescriber, as required by the drug manufacturer, or according to acceptable professional standards.
What is a Minimum Data Set?
(MDS)
A federally mandated resident assessment instrument is used to assess resident physical, mental, emotional, cognitive, and functional limitations and strengths.
Must be administered to all residents in MCR or MCD-certified facilities at the time of admission, annually, quarterly, and when a significant change in a resident’s condition occurs.
What is misappropriation?
The deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident’s belongings or money without the residents consent.
