CNA Chapters 1-5

providers

organizations that provide health care, clinics, agencies

facilities

where care is delivered

Payers

people or organizations paying for health care services

long term care

for people who need skilled care 24 hours

skilled care

medically necessary care given by a skilled nurse or therapist. (ordered by a provider)

Length of stay

Number of days a resident is in a health care facility

terminal illness

a disease or condition that will eventually cause death

Chronic Illness

long term Illness that could eventually go away but could last forever.

Home health care

Provided in a persons home, may need a skilled assistant. for people who can function in their daily lives.

Acute Care

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

Adult day services

for people who need some assistance during specific hours. Helps families get breaks.

ambulatory care

health care settings located in areas that are convenient for people to walk into and receive care (urgent care/medical clinic)

Assisted living facilities

Non 24 hour skilled care, patients often sleep with roommates or live Independently just need help on with certain activities.

Dementia

memory loss communication loss mental ability

behavioral health care

inpatient or outpatient basis dealing with substance abuse managing meds, therapy.

inpatient care

treatment that requires a person to stay overnight at a facility

outpatient care

services that do not require the patient to stay overnight in the hospital

hospice care

6 months or less to live, workers give emotional and physical support

rehabilitation

specialists can be in patient or outpatient. Physical, occupational or speech.

sub acute care

A comprehensive inpatient care program for patients with a serious illness, injury, or disease who do not need intensive (acute care) hospital services.

managed care

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

examples of managed care plans

HMO (Health maintenance Org) and PPO (Preferred Provider Org)

activities of daily living (ADL)

the activities usually done during a normal day in a person's life

examples of activities of daily living (ADl)

bathing showering skin nail hair mouth care eating and drinking

catheter

tube for injecting or removing fluids

policy

a course of action that must taken every time in a certain situation

procedure

certain steps that need to be done every time to complete a certain task

survey

inspection to make sure facility is following federal and state regulations

cite

a documented issue found

joint commission

a independent non profit organization that evaluates and accredits health care org.

surveyors

Inspector from the state who visits nursing homes to determine if the nursing home meets federal and state rules

Medicare

federal program for for ages 65 and up, people with certain disabilities and or kidney failure

medicaid

a federal and stat assistance program that helps lower income who cant afford health care services for people with certain disabilities as well

person centered care

emphasis the person as an individual and improving their quality of life

trauma informed care

an approach to treatment that acknowledges the role that trauma can have on the mental health of individuals

care team

resident and their family, nursing assistant, licensed practical nurse (LPN) or licensed vocational nurse (LVN), registered Nurse (RN)

Advanced Practice registered Nurse (APRN)

can make diagnosis and prescribe treatment (Masters or Doctoral)

Physician Assistant (PA)

diagnosis diseases and comes up with treatment plans (masters or doctoral)

Physician or Doctor

licensed healthcare professional diagnosis Diseases or disability and prescribes treatment and medication

Physical Therapist

Movement plans therapy heat cold massage ultrasounds

occupational therapy

Help residents deal with disabilities and do activities to help them get back to their own independance

assistive devices

special equipment that helps residents

speech language pathologist

assesses and helps progress speech disorders, comes up with plans to reach certain goals

registered dietician

come up with specific nutrition plans to maintain residents health and manage illness

medical social worker

helps residents needs and gets supportive services helps resident with financial assistance if needed

activities director

organize games arts and crafts for wellness of residents to stay physically and mentally active

ambulation

moving or walking, with or without an assistive device

range of motion (Rom)

the movement of a joint to the extent possible without causing pain

Passive range of motion (PROM)

caregiver moves joints for the resident and the resident doe not put in any effort

Active Range of Motion (AROM)

Resident moves joints and does exercises all by themself with their own muscle and strength

charting /documenting

recording information about the resident

tactful

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

conscientitious

trying to do their best, they have integrity

compassionate

being caring concerned considerate

empathy

identifying with the feelings of others understanding others peoples problems

sympathetic

sharing in the feelings and difficulties of others, having similar situations or have been through it before

chain of command

the line of authority that moves from the top of a hierarchy to the lowest level

liability

someone can be held responsile for harming someone else

chain of command long term health care facility

nursing assistant, staff nurses lpns lvns rn, charge nurse, nursing supervisor, minimum data set coordinator, staff development coordinator, assistant director of nursing, director or nursing

scope of practice

defines the roles and responsibilities and procedures that are withing your qualifications

Nurses process

Assessment Diagnosis Planning Implantation Evaluation

Assessment

Getting information from medical history, physical assessments and identifying the problem

Diagnosis

Identifying the health problem after looking at what the resident needs

Implementation

Putting the care plan into action

Evaluation

A careful examination to see what goals were met or progress

Delegation

Giving someone else the responsibility to complete a task

the 5 rights to delegation are

right task, right circumstance, right person, right direction/communication, right supervision/evaluation

demonstrate how to manage time

prioritize, plan ahead, make a schedule, combine activities, get help.

Ethics

knowing right from wrong

Laws

Rules that are enforced that people must follow.

Omnibus Budget Reconciliation Act (OBRA)

an act passed in 1987 to improve the quality of life for people who live in long-term care facilities by making sure that residents receive a certain standard of care

NATCEP (Nurse Aide Training and Competency Evaluation Program)

75 hours of training before taking exam to become na / 12 hours of review each year

Impairment

partial or complete loss of function or ability

Minimum Data Set (MDS)

standardized clinical assessment in long term care goes in depth of residents information medical needs and overall health status

Minimum Data Set (MDS) Must be completed for a resident withing how many days of admission

14 days

Minimum Data sets (MDS) must be reviewed withing a maximum time of blank months,

must be reviewed every 3 months (90 days )

Why would a new Minimum Data Sets (MDS) be needed

if there is a significant change or major event in a residents condition

Residents Rights

Specify how residents must be treated while living in the facility

Quality of life

services and activities to maintain a high level of wellness

A care plan for a resident should be developed withing blank hours or days of admission

48 hours or 2 days

informed consent

person with a help of a doctor or a provider makes a decision about their health

Resident Council

group of residents who discuss concerns & problems of a long term care facility

Americans with disabilities act (ADA

prohibits discrimination because of a disability, must be able to get around in buildings use bathrooms and drink from fountains (1990)

Neglect

failure to provide needed care to a resident

Negligence

failure to act or provide proper care, resulting in an injury

example of Negligence

NA transferring a resident from bed to wheel chair but forgets to lock wheelchairs wheels and resident falls.

Malpractice

Occurs when a person is injured due to professional Misconduct

example of malpractice

doctor using nonsterile instruments during surgery

Abuse

Purposeful mistreatment that causes physical mental or emotional pain

Assault

use of words or actions to cause person to feel fearful of being harmed

battery

intentionally touching of someone without consent

Domestic Violence

abuse by spouses family members physical sexual emotional child or adult

Intimate Partner Violence (IPV)

Romantic relationship abuse physical sexual mental

False Imprisonment

Unlawful restraint on someone and they aren't able to move freely

Financial abuse

improper use if persons money property and or assets

psychological abuse

Harm emotionally caused by searing humility intimidating a person like a child

sexual abuse

non nonconsensual sexual contact of any type

substance abuse disorder (SUD)

uncontrolled use of legal or illegal substances in a way that is harmful

Verbal Abuse

Spoken or written words to insult or embarrass a person

Workplace Violence

is abuse of staff members by other staff members, residents or visitors verbal physical or sexual