Unit 1: The Nursing Assistant in Long-Term Care Flashcards
care given in ________
facilities for people who
need 24-hour skilled care.
long-term care (LTC)
medically necessary care
given by a skilled nurse or
therapist.
skilled care
the number of days a
person stays in a care
facility.
length of stay
a disease or condition
that will eventually cause
death.
terminal illness
long-term or long-lasting.
chronic
medical conditions
determined by a doctor.
diagnoses
care that is provided
in a person’s home.
home health care
residences for people who not need 24-hour skilled care, but do require some help with daily care tasks.
assisted living
care for people who need some help during certain hours, but who do not live in the facility where care is provided.
adult day services
24-hour skilled care given in hospitals and ambulatory surgical centers for short-term illnesses or injuries.
acute care
care given in hospitals or in long-term care facilities for people who need less care than for an acute illness, but more care than for a chronic illness.
subacute care
care given to people who have had treatments, procedures, or surgeries and need short-term skilled care.
outpatient care
care that is given by specialists to help restore or improve function after an illness or injury.
rehabilitation
holistic, compassionate
care given to people who
have approximately six
months or less to live.
hospice care
daily personal care tasks such as bathing; dressing; caring for skin, nails, hair, and teeth; eating; drinking; walking; transferring; and elimination.
activities of daily living
ADLs
a term given to the process of transforming services for elders so that they are based on the values and practices of the person receiving care; core values include choice, dignity, respect, self-determination, and purposeful living.
culture change
a type of care that places the emphasis on the person needing care and his or her individuality and capabilities.
person centered care
a federal health insurance program for people who are 65 or older, have certain disabilities or permanent kidney failure, or are ill and cannot work.
Medicare
a medical assistance program for people with low incomes, as well as for people with disabilities.
Medicaid
documenting information
and observations about
residents.
Charting
special equipment that
helps a person who is ill
or disabled to perform
activities of daily living.
assistive or adaptive devices
the line of authority
within a facility.
chain of command
a legal term that means
someone can be held
responsible for harming
someone else.
liability
defines the tasks that healthcare providers are legally allowed to do as permitted by state or federal law.
scope of practice
a plan developed for each resident to achieve certain goals; it outlines the steps and tasks that the care team must perform.
Care plan
a course of action that
should be taken every
time a certain situation
occurs.
Policy
a method or way of doing
something.
procedure
having to do with work or
a job.
professional
relating to life outside one’s job,
such as family, friends, and
home life.
personal
behaving properly when working; it includes how a person dresses, the words he uses, and the things he talks about.
Professionalism
being caring, concerned,
considerate, empathetic,
and understanding.
compassionate
identifying with the
feelings of others.
empathy
sharing in the feelings
and difficulties of others.
sympathy
showing sensitivity and
having a sense of what is
appropriate when dealing
with others.
tactful
guided by a sense of right
and wrong; principled.
conscientious
the knowledge of right
and wrong.
ethics
rules set by the government to help people live peacefully together and to ensure order and safety.
Laws
law passed by the federal government that includes minimum standards for nursing assistant training, staffing requirements, resident assessment instructions, and information on rights for residents.
Omnibus Budget
Reconciliation Act
(OBRA)
in a long-term care
facility, to find a problem
through a survey.
cite
numerous rights identified in the OBRA law that relate to how residents must be treated while living in a facility; they provide an ethical code of conduct for healthcare workers.
Resident’s Rights
the process in which a person, with the help of a doctor, makes informed decisions about his or her health care.
informed consent
purposeful mistreatment
that causes physical,
mental, or emotional pain
or injury to someone.
abuse
any treatment,
intentional or not, that
causes harm to a person’s
body.
physical abuse
emotional harm caused by threatening, scaring, humiliating, intimidating, isolating, or insulting a person, or by treating him as a child.
psychological abuse
the use of spoken or written words, pictures, or gestures that threaten, embarrass, or insult a person.
verbal abuse
the forcing of a person to perform or participate in sexual acts against her will; includes unwanted touching, exposing oneself, and sharing pornographic material.
sexual abuse
the improper or illegal
use of a person’s money,
possessions, property, or
other assets.
financial abuse
a threat to harm a
person, resulting in the
person feeling fearful
that he will be harmed.
assault
the intentional touching
of a person without her
consent.
battery
physical, sexual, or
emotional abuse by
spouses, intimate partners,
or family members.
domestic abuse
the separation of a
person from others
against the person’s will.
involuntary seclusion
verbal, physical, or sexual
abuse of staff by other
staff members, residents,
or visitors.
workplace violence
any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive working environment.
sexual harassment
the failure to provide needed care that results in physical, mental, or emotional harm to a person.
neglect
the purposeful failure to
provide needed care,
resulting in harm to a
person.
active neglect
the unintentional failure to provide needed care, resulting in physical, mental, or emotional harm to a person.
passive neglect
actions, or the failure to act or provide the proper care, that result in unintended injury to a person.
negligence
injury to a person due to professional misconduct through negligence, carelessness, or lack of skill.
malpractice
a detailed form with guidelines for assessing residents in long-term care facilities; also lists what to do if resident problems are identified.
Minimum Data Set
MDS
an accident, problem, or unexpected event during the course of care that is not part of the normal routine in a healthcare facility.
incident
the legal and ethical
principle of keeping
information private.
confidentially
a federal law that requires health information be kept private and secure and that organizations take special steps to protect this information.
Health Insurance
Portability and
Accountability Act
(HIPAA)
a person's private health information, which includes name, address, telephone number, social security number, email address, and medical record number.
protected health
information (PHI)
a legal advocate for residents in long-term care facilities; helps resolve disputes and settle conflicts.
ombudsman
