CNA

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 (such as for cancer)

Payers

People or organizations paying for health care, including insurance companies, government programs like Medicare and Medicaid, and individual patients or clients

Long-term care (LTC)

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

Skilled care

Medically necessary care given by a skilled nurse or therapist

Given to people who need a high level of care for ongoing conditions

Length of stay

The number of days a person stays in a healthcare facility

Terminal Illness

a disease or condition that will eventually cause death

Chronic conditions

any disease or condition that lasts a long time (usually longer than six months). It usually can't be cured and therefore requires ongoing treatment and management. Examples include arthritis and asthma.

Home health care

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

Diagnoses

medical conditions determined by a doctor

Assisted living facilities

Residences for people who need some help with daily care, such as showering, meals, and dressing

Dementia

the serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating

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 given in hospitals and ambulatory surgical centers for people who require short-term, immediate care for illnesses or injuries

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

Usually given to people who have had treatments, procedures, or surgeries and need short-term skilled care

Do not require overnight stay

Rehabilitation

Care given by specialists. Physical, occupational, and speech therapists restore or improve function after an illness or injury.

Hospice care

given in facilities or homes for people who have approximately six months or less to live

give patients physical and emotional care and comfort until a person dies and also supports the families

Managed care

A health care system whose goals are to provide cost effective quality care.

Health Maintenance Organization (HMO)

Alternative means of health care in which people or their employers are charged a set amount and the HMO provides health care and covers hospital costs.

Preferred Provider Organization (PPO)

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

Activities of daily living (ADLs)

basic self-care tasks such as eating, bathing, toileting, walking, and dressing

Catheters

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

Policy

A course of action that should be taken every time a certain situation occurs

Procedure

A method, or way, or doing something

Common policies at long-term care facilities

All resident information must remain confidential

The care plan must always be followed

Nursing assistants should not do anything that is not included in the job description

Nursing assistants must report important events or changes in residents to a nurse

Nursing assistants should not discuss personal problems with residents or resident's families

Nursing assistants should not take money or gifts from residents or residents families

Nursing assistants must be on time for work and must be dependable

Cite

To find a problem through a survey

Joint Commission

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

Its standards focus on improving the quality and safety of care given to patients

Centers for Medicare and Medicaid Services (CMS)

A federal agency within the U.S. Department of Health and Human Services that is responsible for Medicare and Medicaid, among many other responsibilities.

Medicare

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

It also covers people with permanent kidney failure or specific disabilities

Has 4 parts

Medicaid

A medical assistance program for people with low incomes, as well as for people with disabilities

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.

Person-centered care (person directed care)

Emphasizes the individuality of the person who needs care, and recognizes and develops his or her capabilities

Nursing assistant (NA) or Certified nursing assistant (CNA)

Performs assigned tasks, such as measuring vital signs, and provides or assists with personal care, such as bathing residents and helping with elimination needs

Considered the "eyes and ears" of the team

Registered Nurse (RN)

In long-term care, they may coordinate, manage, and provide skilled nursing care

Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (VCN)

Administers medications are gives treatments

Physician or Doctor

Diagnoses disease or disability and prescribes treatment

Physcial therapist

Evaluates a person and develops a treatment plan to increase movement, improve circulation promote healing, reduce pain, prevent disability, and regain or maintain mobility

Occupational Therapist

Helps residents learn to adapt to disabilities

Teaches them how to do daily activities

Assistive or adaptive devices

special equipment that helps a person who is ill or disabled perform activities of daily living

Speech-Language Pathologist (SLP)

identifies communication disorders, addresses factors involved in recovery, and develops a plan of care to meet recovery goals

evaluates a person's ability to swallow food and drink

also helps residents improve or overcome speech problems

Registered Dietitian (RD)

Assesses a resident's nutritional status and develops a treatment plan to improve health and manage illness

Medical Social Worker (MSW)

Determines residents' needs and helps get them support services, such as counseling or financial assistance

Activites Director

Plans activities to help residents socialize and stay mentally and physically active

Resident and Resident's Family

important member of the care team. has the right to make decisions about his or her own care

Common nursing assistant duties

Bathing residents

Assisting with grooming tasks

Helping residents with elimination needs

Assisting with range of motion exercises and ambulation (walking)

Transferring residents from bed to chair or wheelchair

Measuring vital signs (temperature, pulse rate, respiratory rate, blood pressure, and pain level)

Assisting with meals

Helping residents dress and undress

Giving backrubs

Helping with mouth care

Making and changing beds

Keeping residents' living areas neat and clean

Caring for supplies and equipment

Charting

the act of noting care and observations; documenting

Residents' Rights

Rights identified in OBRA that relate to how residents must be treated while living in a long-term care facility; they provide an ethical code of conduct for healthcare workers

Professional

Means having to do with work or a job

Personal

refers to life outside a job, such as family, friends, and home life

Professionalism

Behaving properly when on the job

Includes dressing appropriately and speaking well

Includes being on time, completing tasks, and reporting to the nurse

Compassionate

Means being caring, concerned, considerate, empathetic, and understanding

Empathy

the ability to understand and share the feelings of another

Sympathy

sharing in the feelings and difficulties of others

Honesty

Truthfulness and integrity

Tactful

showing sensitivity and having a sense of what is appropriate when dealing with others

Conscientious

diligent and careful

guided by a sense of right and wrong

alert, observant, accurate, and responsible

Proper personal grooming habits

Bathing or showering daily

Brushing teeth frequently

Keeping hair clean and neat

Keeping facial hair short

Dressing neatly in uniform

Clothes aren't too tight

Not wearing large jewelry

Identification badge

Not having visible tattoos

Clean closed toed shoes

Fingernails are kept short and clean