long-term care + health care settings

Chapter 1

long term care(LTC)

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

skilled care

medically necessary care given by a skilled nurse of therapist

terminal illness

illness will eventually cause death

chronic conditions

condition lasts a long period of time and stay in LTC facilities.

assisted living

people who need help with daily tasks: showering, meals, dressing etc.

adult care services

daycare for adults

acute care

24-hr skilled care given in hospitals and ambulatory surgical centers.

rehabilitation

care given by specialists and professionals: physical, occupational, and speech therapists.

hospice care

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

activities of daily living(ADLs)

bathing, skin, nails, and hair care; mouth care; assistance with walking, eating, and drinking

medicare

people 65 or older, permanent kidney failure, or certain disabilities.

4 parts medicare helps pay

care in hospitals, SNF, HHF, or hospice: DR services or other medical care, and equipment: private health insurance companies to provide medicare benefits: medications prescribed for treatments.

medicad

program for people with low income and disabilities.

CNA’s cannot..

give tube feedings, change sterile clothing, insert or remove tubes

You must update a residents chart when their ___ changes

conditions

chain of command

line of authority and helps make sure residents get proper care.

liability

legal term

scope of practice

defines the tasks that healthcare providers are legally allowed to do according to the state or federal law

care plan

individualized for each resident. developed to help achieve the goals of care and meet the resident’s specific needs.

ethics

knowledge of right and wrong

Omnibus Budget Reconciliation Act (OBRA)

requires that nursing aide training and competency evaluation program set minimum standards for nursing assistant training. Was based in response of poor care and abuse of long-term facilities.

cite

document a problem through a survey

residents’ rights

specify how residents must be treated while living in a facility.

ombudsman

assigned by law as the legal advocate for residents. visit facilities and listen to residents.

confidentiality

to keep private things private

health insurance portability and accountability act (HIPAA)

help keep health information private and secure.

protected health information (PHI)

information that can be used to identify a person and relates to the patients condition, any health care that the person has had, and payment for the health care. EX: persons name, address, telephone number.m9

minimum data set( MDS)

detailed form with guide lines for assessing residents. must be completed within 14 days of admission and again each year.

incident

accident, problem, or unexpected event during the course of care.