CNA Chapter 1 Chapter Review

What is long term care?

given in long-term care facilities for people who need 24 hour skilled care

List five services commonly offered at Long-term Care Facility (LTC)

1. bathing

2. assistance with walking

3. eating

4. dressing

5. toileting

Who makes up the majority of residents in long-term? men or women?

women

What are two general categories of residences who stay in a care facility for less than six months?

1. Residents who are admitted for terminal care who will probably die in the facility

2. residents admitted for rehabilitation or temporary illness

List five common policies at LTCF.

1. All residents information must remain confidential

2. the plan of care must always be followed

3. NA should not do tasks that are not listed in the job description

4. NAs must report important events or changes in residents to a nurse

5. personal problems must not be discussed with the resident to the residents family

List two ways that surveyors study how well staff care for residents in a facility.

1. they focus on how residents nutritional, physical, social, emotional, and spiritual needs are being met.

2. they interview residents and their families and observe the staff's interactions with residents and the care team

Briefly describe what the Medicare and Medicaid program do.

They both pay for health care and health insurance for millions of Americans.

home health care

Provides nursing, therapy, personal care, or housekeeping services in patient's own home

assisted living facility

A housing option providing care for elderly people who have instrumental ADL impairments and can no longer live independently but may not need a nursing home.

Adult day services

care for people who need some assistance or supervision during certain hours, but who do not live in the facility where care is given

acute care

24-hour skilled care for short-term illnesses or injuries; generally given in hospitals and ambulatory surgical centers

subacute care

care given in a hospital or in a long-term care facility for people who need less care than for an acute illness, but more care than for a chronic illness

outpatient care

Care given for less than 24 hours for people who have had treatments or surgery and need short-term skilled care.

Rehabilitation

A program for reforming the offender to prevent later offenses. (improves function after an illness)

hospice care

treatment of the terminally ill in their own homes, or in special hospital units or other facilities, with the goal of helping them to die comfortably, without pain ( they have approximately 6 months or less to live)

payers

People or organizations paying for health care services

skilled care

medically necessary care given by a skilled nurse or therapist

long term care

24-hour care provided for people with ongoing conditions who are generally unable to manage their ADLs (activities of daily living)

terminal illness

a disease or condition that will eventually cause death

home health aide

cares for elderly, disabled, and ill persons in their own homes, helping them live there instead of in an institution ( have more contact w the client's family than CNA's do)

Long term care facilities

mainly provide assistance and care for elderly patients, usually called residents. They provide assistance for 24hrs a day.

Medicare

A federal program of health insurance for persons 65 years of age and older

Medicaid

A federal and state assistance program that pays for health care services for people who cannot afford them.

person-directed care

a type of care that places the emphasis on the person needing care and his or her individuality and capabilities

culture change

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.

Dementia

a slowly progressive decline in mental abilities, including memory, thinking, and judgment, that is often accompanied by personality changes

Health Maintenance Organization (HMO)

an organization that provides comprehensive medical care to subscribers for a fixed fee

Preferred Provider Organization (PPO)

group of healthcare providers that provide services to a specific group, often at a reduced rate

what are inspections also called?

Surveys

culture change

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.

Mandate Reporters

people who are required to report suspected or observed abuse or neglect due to their regular contact with vulnerable populations, such as the elderly in long-term care facilities

violations can lead to

loss of NA training, money penalties, state monitoring, facility license termination

OBRA (Omnibus Budget Reconciliation Act)

law passed by federal government establishing minimum standards for nursing home care and for nursing assistant training

PT (Physical Therapist)

Helps patients recover lost motor function due to illness or injury.

OT (Occupational Therapist)

Help disabled conditions patients to maintain daily living and work skills, independent, and productive satisfying lives.

OT (Occupational Therapy) vs PT (Physical Therapy)

Dx

diagnosis

Providers

people or organizations that provide health care, including doctors, nurses, clinics, and agencies

facilities

Places where care is delivered or administered, including hospitals, long-term care facilities, and treatment centers.

Payers

people or organizations paying for healthcare services

Length of stay (LOS)

Number of calendar days a patient stays in the hospital from admission to discharge.

Catheters

thin tubes inserted into the body to drain fluids or inject fluids

Joint Commission

an independent, not-for-profit organization that evaluates and accredits healthcare organizations