short final

Maceration

Gramma fingers

Mastectomy

Removal of breast

Orange stick

Pointed end and wedged flat end. Nail care

Stoma

Opening connecting internal organ to outside body

Shear

Force on skin: sliding bed=injury to tissue

Paraphimosis

Swelling in penis

Bony prominence

Bone sticks out

Anti-Embolism

TED hose

Intellectual disability

Can’t think, learn, achieve develop

Cerebral palsy

Damage to the brain (Can’t move)

Epilepsy

Seizure disorder

Parkinson’s disease

A brain disorder that slowly affects movement and later the mind

Alzheimer’s disease

Oseteoarthritis

No cartilage between bones of joints

Rheumatoid Arthritis

Joints become red,warm, swollen, and painful

Osteoporosis

Gradual thinning of the bone

COPD

Lung disease that makes it hard to breathe and gets worse over time

Asthma

A trigger causing inflammation in lungs

Tuberculosis (TB)

Contagious bacterial infection of the lungs

Pneumonia

Infection of the lung

Arteeriosclerosis

Hardening of the arteries

Atherosclerosis

Plaques stick to inside of artery wall

Heart attack

Plaque/blood clot blocks a coronary artery

Angina

Chest pain caused inadequate (not enough) amount of oxygen to the heart

Peripheral vascular disease

Pain in lower legs and stasis ulcers (open sores)

Cerebral vascular accident (CVS)

Blood supply to brain is disturbed by blockage or uncontrolled bleeding

Dementia

Deterioration in brain function that affects memory and ability to complete daily tasks

Cataracts

Lens of eye becomes clouded

Glaucoma

High pressure within the eyes leads to decreased sight and possibly blindness

Diabetes mellitus (TYPE 1)

No or little insulin made

Diabetes

Body can’t control blood sugars

Diabetes Mellitus (TYPE 2)

The body doesn’t use insulin properly

Hypothyroidism

Thyroid too slow, body uses energy slowly.

Hyperthyroidism

Thyroid too fast, body uses energy quickly.

Long term care facilities also known as?

Nursing homes or SNFs

Which federal legislation governs long-term care facilities

OBRA of 1987 (Omnibus Budget Reconciliation Act).

How often are long-term care facilities surveyed?

At least every year

Who regulates long-term care facilities?

The state

helps protect residents’ rights i

An ombudsman

delegated task

An action or job that the supervisor asks you to complete.

OSHA 1970

Occupational Safety and Health Administration

OSHA main purpose

To ensure all employees have safe and healthy working conditions.

FMLA

Birth and care of a newborn child

Titlte 22

Standards for safe patient care and CNA duties

CNA Training

75 hours min.

State of California

Requieres to complete 60 hrs classroom and 100 hours of clinic training

48 hour in service training

During 24 month to maintain certification

2yr certification

Minimum 12 hours each year

HIPAA

Protects all health care information

Orientation

8hr become familiar w facility

8hr cover patients care policies

Absence

A single or repeated action that was purposeful to harm

Therapeutic communication

Active listening and acknowledging feelings (verbal and nonverbal talk)

Cognital

Born with the disorder

Acquired

disorder develops

Receptive Aphasia

Trouble understanding

Expressive Aphasia

difficulty expressing

SNF Governed by

Federal legislation OBRA of 1987

Ombudsman

Helps protect residents’ rights

Delegated task

Action/job supervisor ask u to do

Refuse a delegated task

Determine if outside scope of practice

Can’t say no or ignore

OSHA

Created by the occupational safety + health Act of 1970

FMLA can be also used for

Not able to work bc medical condition

Place child adoption/foster

Care of a family member w condition

OBRA 1987

• Improves care quality

• Sets care standards

• Protects residents’ rights

Therapeutic communication

Active listening +acknowledging feelings

Therapeutic communication

Eye contact, summarize, suggestion. Use “I” statements

Congenital communication disorder

Resident is born with it

Acquired Communication disorder

Disorder develops

Receptive Aphasia

Trouble understanding

Expressive Aphasia

Difficulty expressing

Emotional communication deficit

Does not understand nonverbal messages

Autism

Be less likely to engage in talks/activities

Routine bath

1 or 2 times a weeK

Routine bathing check for

Red, open. Skin fold, peri area, pressure areas

Acute care places

Emergency departments, hospitals, and surgical clinics

Joint commission

Accredits and Surveys most acute care facilities. 1x every 3yrs. Most states require joint commission accreditation

Delegated task

Being asked to complete

Accepting or refusing a delegated task

1. Determine if the task is in my scope of practice

2. If not state within the proper chain of command

3. State the reason and report in document

Teaching

The nurse is responsible not the CNA

Reinforcing

CNA can the reinforce what was taught

Ethics

Principles of right and wrong that drives our behavior

RCAC

Residential care apartment

Outpatient surgery is a surgical procedure

Not require overnight stay

Most cost effective for long term placement of older adults and disabled people 24hr care

Long term care facility

Risks of refusal is told by a

Nurse

Negligence

Fails to give proper care. Like not giving water as assigned

Federal nursing home reform act is part of

OBRA

Autism

Neurological disorder that can impair communication and social interaction

Projection

Attributing feelings or thoughts to another person.

Repression

When the subconscious brain ignores thoughts or situations to protect themselves

Cultural competence

When you can accept the differences between yourself and your resident, and willing incorporate the residents beliefs into caregiving process

An infection acquired after the admission to the hospital is called

Nosocomial

Medical asepsis

The practice used to remove or destroy the spread of pathogens

All microorganisms are destroyed this process is called

Surgical asepis

Semi-sitting position

Folwers

You can limit odor

But cannot do personal hygiene

When making a bed

Don’t bring more than enough linens

When making a bed

Raise the bed to an appropriate level for good body mechanics

For mouth care, the unconscious person should be

In side lying position

Cleaning dentures

Over a basin water lined with a towel