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cite
a large term care factility, to document a problem through a survey
Delegation
The assignment of new or additional responsibilities to a subordinate
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
assisted living
residences for people who do not need skilled, 24-hour care, but do require some help with daily care
care team
the group of people with different kinds of education and experience who provide resident care
chain of command
the order of authority within a facility
charge nurse
a nurse responsible for a team of healthcare workers
chronic
long lasting or long term
Dementia
the serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating
empathetic
being able to identify with and understand the feelings of others
activities of daily living
daily personal care tasks, such as bathing; caring for skin, nails, hair, and teeth; dressing; toileting; eating and drinking; walking; and transferring.
functional nursing
method of nursing care that involves assigning specific tasks to each team member
holistic care
care that involves the whole person; this includes his or her physical, social, emotional, and spiritual needs
home health care
care that takes place in a person's home
hospice care
holistic, compassionate care given to dying people and their families
Licensed Pratical/ Vocational Nurse
a licensed nurse who provides skilled nursing care and give treatmnets and medications
long term care
24-hour care provided for people with ongoing conditions who are generally unable to manage their ADLs
medicaid
Federal program that provides medical benefits for low-income persons.
medicare
A federal program of health insurance for persons 65 years of age and older
Nursing Assistant (NA)
an unlicensed healthcare worker who performs assigned nursing tasks and gives personal care
primary nursing
a method of nursing care in which the registered nurse provides much of the daily care to residents
Registered Nurse (RN)
a licensed nurse who assesses residents, creates the care plan, monitors progress, provides skilled nursing care, gives treatments and medications, and supervises the care given by nursing assistants and other members of the care team
Rehabilitation
a program of care given by a specialist or a team of specialists to restore or improve function after an illness or injury
resident
A person who lives in a long term care facility
sandwich generation
people responsible for the care of both their children and aging relatives
skilled care
medically necessary care given by a skilled nurse or therapist
subacute care
care given in hospitals or in long-term care facilities for people who need less care than for an acute illness, but more care than for a chronic illness.
team leader
a nurse in charge of a group of residents for one shift of duty
team nursing
method of nursing care in which a nurse acts as a leader of a group of people giving care
coma
state of profound unconsciousness
dyspnea
difficulty breathing
impairment
a partial or complete loss of function or ability
care plan
A plan developed for each resident to achieve certain goals; it outlines the steps and tasks that the care team must perform.
charting
the act of noting care and observations; documenting
code status
formal documentation of the type and scope of care that should be provided to a particular resident in the event of a cardiac arrest, other catastrophic organ failure, or terminal illness
critical thinking
the process of reasoning and analyzing in order to solve problems; for the nursing assistant, critical thinking means making careful observations and promptly reporting all potential problems
edema
swelling in body tissues caused by excess fluid
incident
an accident, problem, or unexpected event during the course of care
incident report
A report documenting an incident and the response to the incident; also known as an occurrence report or event report.
medical chart
legal record of all medical care a patient, resident, or client receives
Minimum Data Set (MDS)
a detailed form with guidelines for assessing residents in long-term care facilities; also details what to do if resident problems are identified
nursing process
an organized method used by nurses to determine residents' needs, plan the appropriate care to meet those needs, and evaluate how well the plan of care is working; five steps are assessment, diagnosis, planning, implementation, and evaluation
objective information
factual information collected using the senses of sight, hearing, smell, and touch; also called signs
subjective information
information collected from residents, their family members and friends; information may or may not be true, but is what the person reported; also called symptoms
vital signs
temperature, pulse, respirations, pain , and blood pressure
advanced directives
legal documents that allow people to choose what medical care they wish to have if they are unable to make those decisions themselves
assault
a threat to harm a person, resulting in the person feeling fearful that he or she will be harmed
battery
An intentional touching of another person in a way that is harmful or offensive
civil law
private law; law between individuals
criminal law
public law; law related to committing a crime against the community
defamation
any untrue statement (written or oral) that injures a person's reputation and/or damages the person's ability to make a living
dni
do not intubate
DNR
do not resuscitate
durable power of attorney for health care
a legal document that appoints someone to make the medical decisions for a person in the event he or she becomes unable to do so
false imprisonment
unlawful restraint or restriction of a person's freedom of movement
HIPAA
Health Insurance Portability and Accountability Act
invasion of privacy
A violation of the right to be left alone and the right to control personal information.
involuntary seclusion
the separation of a person from others against the person's will
laws
rules set by the government to help protect the public
libel
written defamation
living will
A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes.
malpractice
professional misconduct that results in damage or injury to a person
mandated reporter
people who are required to report suspected or observed abuse or neglect due to their regular contact with vulnerable populations, such as the elderly in long-term care facilities
NATCEP
Nursing assistant training and competency evaluation program
neglect
Failure to provide the person with the goods or services needed
Neglience
actions, or the failure to act or provide proper care for a person, resulting in unintended injury
obra
Omnibus Budget Reconciliation Act
Ombudsman
a legal advocate for residents in long-term care facilities
Physical abuse
any treatment that causes harm or injury to a persons body
Protected Health Information (PHI)
information that can be used to identify a person and relates to his or her past, present, or future physical or mental condition, including any health care the patient has had, or payment for that health care
psychological abuse
emotional harm caused by threatening, frightening, isolating, intimidating, humiliating, or insulting a person
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
scope of practice
the tasks that healthcare providers are legally permitted to perform according to state or federal law
sexual abuse
nonconsensual sexual contact of any type
sexual harassment
unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature
slander
spoken defamation
substance abuse
the repeated use of legal or illegal drugs, cigarettes, or alcohol in a way that is harmful to oneself or others
verbal abuse
the use of language, pictures, or gestures that threaten, embarrass, or insult a person
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