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long term care ( LTC ) :
24 - hour skilled care provided in long - term care facilities for people with ongoing conditions
skilled care
medically necessary care given by a skilled nurse or therapist
chronic
long-term or long-lasting .
resident
a person living in a long - term care facility
assisted living
residences for people who do not need 24 - hour skilled care , but who do require some help with daily care .
home health care
health care that is provided in a person's home .
adult day services
care for people who need some assistance or supervision during certain hours , but who do not live in the facility where care is given .
sandwich generation
people responsible for the care of both their children and aging relatives .
intergenerational care
caring for children and the elderly in the same setting .
acute care
24 - hour skilled care given in hospitals and ambulatory surgical centers for short - term , immediate illnesses or injuries
subacute care
for an acute ( sudden onset , short - term ) illness or injury but more than for a chronic ( long - term ) illness . care given in hospitals or in long - term care facilities for people who need less care than
outpatient care
care given to people who have had treatments , procedures , or surgeries and need short term skilled care .
rehabilitation
care that is managed by professionals to restore a person to the highest possible level of functioning after an illness or injury
hospice care
holistic , compassionate care for people who have approximately six months or less to live ; care is available until the person dies .
animal assisted therapy ( AAT )
the practice of bringing pets into a facility or home to provide stimulation and companionship
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
medical assistance program for people who have low incomes , as well as for people with disabilities .
length of stay
the number of days a person stays in a healthcare facility .
dementia
the serious , progressive loss of mental abilities such as thinking , remembering , reasoning , and communicating
nursing assistant ( NA )
an unlicensed healthcare worker who performs assigned nursing tasks and gives personal care
activities of daily living ( ADLs )
daily personal care tasks , such as bathing ; caring for skin , fingernails , and hair , eating ; drinking ; caring for the mouth and teeth dressing ; walking ; transferring , eliminating ; and communicating .
professionalism
the use of proper standards of behavior at work and in work - related settings .
trustworthy
deserving the trust of others
conscientious
guided by a sense of right and wrong ; principled .
courteous
polite , kind , and considerate .
empathetic
being able to identify with and understand the feelings of others .
accountable
answerable for one's actions .
first impression
a way of classifying or categorizing someone or something at the first meeting .
allergy
an immune response by the body after exposure to a substance called an allergen ; reactions may be mild or life - threatening .
care team
the group of people with different kinds of education and experience who provide resident care
registered nurse ( RN )
a licensed nurse who assesses residents , creates care plans , monitors progress , provides skilled nursing care , administers treatments and medications , and supervises the care given by nursing assistants and other members of the care team
licensed practical nurse ( LPN ) or licensed vocational nurse ( LVN )
a licensed nurse who provides skilled nursing care and gives treatments and medications .
diagnosis
the identification of disease or condition by its signs and symptoms and through test results .
assistive devices
special equipment that helps a person who is ill or disabled perform activities of daily living .
chain of command
the order of authority within a facility .
charge nurse
nurse responsible for a team of healthcare workers .
liability
the state of being legally responsible for something .
delegation
the assignment of tasks to another person that are within their scope of practice .
holistic care
care that involves the whole person ; this includes his or her physical , social , emotional , and spiritual needs .
team nursing
method of nursing care in which a nurse acts as a leader of a group of people giving care
team leader
nurse in charge of a group of residents for one shift of duty
primary nursing
method of nursing care in which the registered nurse provides much of the daily care to residents .
continuity of care
an ongoing coordination of a resident's care over time , during which the care team regularly exchanges information and works toward shared goals .
functional nursing
method of nursing care that involves assigning specific tasks to each team member .
person - centered care
type of care that places the emphasis on the person needing care and their individuality and capabilities .
policy
a course of action to be taken every time a certain situation occurs .
procedure
a method or way of doing something .
cite
in a long - term care facility , to document a problem through a survey .
Joint Commission
an independent , not - for - profit organization that evaluates and accredits different types of healthcare facilities .
sanitation
maintaining clean conditions in order to help prevent the spread of disease
infection prevention
set of methods used to control and prevent the spread of disease; formerly known as "infection control"
microorganism (MO)
a tiny living thing visible only by a microscope; also called a microbe
infection
the state resulting from pathogens invading and growing within the human body
pathogen
microorganism that are capable of causing infection and disease
localized infection
infection limited to a specific part of the body. It has local symptoms, which are near the site of infection. ex: eye infection
s/s of localized infection
local symptoms of redness, swelling, pain, heat, and drainage (fluid from a wound or cavity); infection limited to a specific part of the body
systemic infection
occurs when pathogens enter the bloodstream and move throughout the body; causes general symptoms . ex: AIDS
s/s of systemic infection
fever, chills, headache, change in other vital signs, nausea, vomiting and diarrhea, and/or mental confusion
healthcare-associated infection (HAI)
(nosocomial infection) infection associated with healthcare delivery in any setting, including long-term care facilities, hospitals, ambulatory settings and home care; can be mild or life-threatening & can be localized or systemic
infectious disease
a disease caused by the growth of a pathogen
resistance
the body's ability to prevent infection and disease
communicable disease
an infectious disease that is transmitted by direct contact with the infected person or his secretions, or indirectly by touching objects contaminated by the infected person
contagious disease
a type of communicable disease that spreads quickly from person to person. ex: chicken pox
non-communicable disease
a disease not capable of being spread from one person to another. ex: emphysema
cross-infection (cross-contamination)
acquiring an infection from another person, object, place, or from one of part of the body to another
reinfection
being infected again with the same pathogen
medical asepsis
refers to practices used to reduce and control the spread of microorganisms such as handwashing
surgical asepsis
to make an object or area sterile and completely free from all microorganisms
clean
a condition in which an object or thing has not been contaminated with pathogens
contaminated
soiled, unclean; having disease causing organisms or infectious material on it
dirty
a condition in which an area has been contaminated with pathogens
disinfection
a measure used to decrease the spread of pathogens and disease by destroying pathogens
autoclave
a type of special equipment that uses hot steam under pressure for a period of time to sterilize objects and kill pathogens that form spores
chain of infection
describes how disease is transmitted from one being to another
Causative Agent
Reservoir
Portal of Exit
Mode of Transmission
Portal of Entry
Susceptible Host
Links in the Chain of Infection
causative agent
a pathogenic microorganism that causes disease; includes bacteria, viruses, fungi, and parasites
reservoir
where the pathogen lives and grows; can be a human, an animal, a plant, soil, or a substance.
normal flora
the microorganisms that normally live in and on the body without causing harm to a health person as long as the flora remain in or at that particular area
incubation period
waiting period between the time the pathogen enters the body and the time it causes visible signs and symptoms of disease
vaccines
substances prepared from weakened or killed microorganisms
immunity
resistance to infection by a specific pathogen
direct spread
method of tansmission of disease directly from another person
carrier
a person carrying the disease
indirect spread
method of transmission of disease from an object, insect, or animal
formite
an object that is contaminated with a pathogen and can now spread the pathogen to another person; may be things like infected food, water, food utensils, bedpans, or bed linens
portal of exit
any opening on an infected person allowing the pathogens to leave; includes nose, mouth, eyes, or a cut in the skin
mode of transmission
how the pathogen travels from on host to another; main routes are contact, droplet, and airborne
contact transmission
occurs through contact with the person's blood or body fluids that are contaminated by the pathogen
body fluids
include tears, saliva, sputum (mucous coughed up), urine, feces, semen, vaginal secretions, pus or other wound drainage, and vomit; They do NOT include sweat
direct contact
happens by touching the infected person or his or her secretions
indirect contact
results from touching something contaminated by the infected person, such as a needle, instrument, or dressing.
droplet transmission
pathogen travels short distances after being expelled; normally travel less than three feet, but may travel further. Can be spread by laughing, suctioning, singing, and spitting
airborne transmission
pathogen is transmitted through the air after being expelled; pathogen is carried a distance, usually more than three feet, on air currents
portal of entry
any body opening on an uninfected person that allows pathogens to enter; includes the nose, mouth, eyes, and other mucous membranes, cuts in the skin, and cracked skin
mucous membranes
membranes that line body cavities that open to the outside of the body; include the linings of the mouth, nose, eyes, rectum, and genitals
susceptible host
an uninfected person who could become ill
catheter
tube inserted through the skin or into a body opening that is used to add or drain fluid
malnutrition
a serious condition in which a person is not getting proper nutrition
dehydration
occurs when there is an excessive loss of water from the body
Centers for Disease Control and Prevention (CDC)
a federal government agency that issues guidelines to protect and improve health. It promotes public safety through education and tries to control and prevent disease