chapter one CNA

Holistic care

Treats the whole person (physical, emotional, spiritual)

Family doctor (modern term)

General practitioner (GP) / Family physician

Where nursing assistants commonly work

Assisted-living & long-term care facilities

Hospice care focus

Comfort, pain management, emotional support (not cure)

Board of trustees role

Sets policies, ensures quality & safety of care

Head of nursing services

Director of Nursing (DON)

OBRA of 1987

Sets minimum standards for long-term care & NA training

OSHA purpose

Protects workers from workplace injuries

Main goal of healthcare team

Provide competent, holistic care

Why documentation matters

Insurance reimbursement & legal compliance

MDS stands for

Minimum Data Set

NA role in MDS

Collects ADLs, weight, mobility data

Humanistic care focus

Individuality, emotions, social needs

Assisted-living residents

Mostly independent, need some help

Long-term care residents

Cannot live independently, no acute care needed

Accrediting organization

The Joint Commission

Confidentiality rule

Discuss patient info in private only

Medicaid eligibility based on

Income level

Government healthcare oversight

Department of Health and Human Services (DHHS)

Who qualifies for hospice

Late-stage terminal illness patients

Hospice philosophy

Emotional & spiritual support for patient and family

Survey inspection rule

Say “I don’t know” if unsure

PPO insurance rule

Use network providers to avoid extra costs

ADLs documentation example

Ability to move from bed to restroom