chapter 8 Cna

What is the main reason individuals are admitted to long-term care facilities?

They need help with Activities of Daily Living (ADLs) such as bathing, dressing, and toileting.

What are ADLs?

Basic self-care tasks like bathing, dressing, eating, toileting, and transferring.

What are IADLs?

More complex tasks like managing money, cooking, shopping, and housekeeping.

Why are IADLs important in care planning?

They help determine whether someone needs assisted living or full-time nursing care.

What is the most common condition among long-term care residents?

Dementia

What is the biggest source of stress for new long-term care residents?

Loss of independence

How can nursing assistants help residents adjust to long-term care?

Build personal connections, respect preferences, and provide emotional support.

Why might residents have “good days and bad days”?

Chronic illnesses can cause daily changes in ability and mood.

How should care be adjusted for residents with chronic conditions?

Provide more help on difficult days and encourage independence when possible.

Why is maintaining professional boundaries important?

To protect residents, staff, and maintain appropriate care relationships.

Who are younger residents in long-term care?

Adults with conditions like cerebral palsy or spinal cord injuries.

What challenges do younger residents often face?

Isolation and lack of age-appropriate activities.

How can nursing assistants support younger residents?

Encourage social connections and activities outside the facility.

How should family members be involved in care?

Encourage participation at a level they are comfortable with.

Why might family members feel guilt or anxiety?

They are adjusting from being primary caregivers to trusting facility staff.

How can loss of independence affect resident behavior?

It may cause demanding, irritable, or “difficult” behavior.

What is OBRA?

A law that protects resident rights and quality of life in long-term care.

When does Medicare cover nursing home care?

Short-term skilled nursing care after a hospital stay.

What does Medicaid provide?

Financial assistance for long-term care for eligible residents

Why are more short-term rehab beds available today?

Earlier hospital discharges increase rehabilitation needs.

What is the Green House Project?

A model that creates a home-like environment and promotes independence.

What is resident-directed care?

Care that allows residents to make choices about their daily lives.