Chaper 1 CNA Review

Understanding Healthcare Settings

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. These include insurance companies, government programs like Medicare and Medicaid, and the individual patients, residents, or clients.

Long term care

Given in a long term care facility for people who need 24-hour skilled care.

Skilled care

Medically necessary care given by a skilled nurse or therapist; it is avaliable 24 hours a day.

Length of stay

the number of days a person stays in a healthcare facility. May be short, such as a few days or months or longer than six months.

Terminal Illness

means that the illness will eventually cause death.

Chronic Illness

Conditions last a long period of time or even a lifetime.

Home Health Care

Provided in a persons home. Generally given to people who are older and chronically ill but who are able to and wish to remain at home.

Diagnoses

Medical conditions determined by doctors.

Assisted Living

facilities are 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

People who need some assistance and supervision during certain hours, but who do not live in the facility where care is provided.

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

A level of medical care that is more intense than that of a skilled nursing facility, typically focused on patients transitioning from acute care.

Outpatient care

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

Rehabilitation

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

Hospice Care

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

Managed care

insurance plans employ cost-control strategies.

Health maintenance organizations (HMOs)

Form of health insurance in which the cost of care is only covered when a person uses a particular doctor or group of doctors except in case of emergency; seeing specialists generally requires referrals from primary doctors.

Preferred provider organizations (PPOs)

Form of health insurance in which the patients are encouraged to receive care from a network of providers, but can see other providers at an additional cost. Patients usually choose their providers, including specialists, without being referred to by another doctor.

Activities of daily living (ADLs)

Daily personal tasks, such as bathing; skin, nail, and hair care; mouth care, and walking, eating, and drinking, dressing, transferring and elimination.

Catherters

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

Policy

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

Procedure

Method or way of doing something

Cite

In a long term care facility, to find a problem through a survey

Joint Commission

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

Centers for Medicare and Medicaid (CMS)

a federal agency within the U.S department of health and human services that is responsible for Medicare and Medicaid, among other responsibilities.

Medicare

A federal health insurance program for people who are 65 or older, have certain disabilities, or permanent kidney failure, or are ill and cannot work.

Medicaid

a medical assistance program for people who have low income, as well as people with disabilities.

Culture change

term for the process of transforming services for elders so that they are based on the values and practices of the person receiving care.

Person-centered care

A type of care that places the emphasis on the person needing care and their individuality and capabilities.

Trauma informed care

an approach to patient care that recognizes that people may have experienced trauma in their lives so their trauma, experiences, and preferences should be considered when providing care.