Nursing: Unit 1: Chapter 1: Intro to Health Care

Acute Illness

An illness of rapid onset and short duration; the person is expected to recover

Admission

The official entry of a person into a health care setting

Assisted Living Residence (ALR)

Provides housing, personal care, support services, healthcare, and social activities in a home like setting to persons needing some help with daily activities.

Chronic Ilness

A long term health condition that may not have a cure; it can be controlled and complications prevented with proper treatment

Discharge

The official departure of a person from a health care setting

Health Team (interdisciplinary health care team)

The many health care workers whose skills and knowledge focus on the person’s total care; goal is to provide high quality care

Hospice

A health care agency or program that promotes comfort and quality life for the dying person and person’s family; a person usually has 6 months or less left to live, and focus is on comfort, not cure.

Licensed Practical Nurse (LPN)

A nurse who has completed a practical nursing program and has passed a licensing test; called Licensed vocational nurse (LVN) in California and Texas

Nursing Assistant

A person who has passed a nursing assistant training and competency evaluation program (NATCEP); performs delegated nursing tasks under the supervision of a licensed nurse

Nursing Team

Those who provide nursing care— RNs, LPNs/LVNs, and nursing assistants

Registered Nurse (RN)

A nurse who has completed a 2-, 3-, or 4-year nursing program and has passed a licensing test

Regulations

Rules made by government agencies

Survey

The formal review of an agency through the collection of facts and observations and is done in order to see if the standards are met

Surveyor

A person who collects information by observing and asking questions

Terminal Illness

An illness or injury from which the person will not likely recoverand is expected to lead to death within a relatively short period.

APRN

Advanced practice registered nurse abbreviation

DON

Director of nursing abbreviation

HHS

US Department of Health and Human Services abbreviation

LPN

Licensed practical nurse abbreviation

LVN

Licensed vocational nurse abbreviation

SNF

Skilled nursing facility abbreviation

Health promotion, disease prevention, detection and treatment, rehab and restorative

The Purposes of health care are: ______, ______, __________ of disease, and _________ care.

Hospital

Example of an acute care setting; provide emergency care, lab testing, treatments, procedures like x-rays, etc; commonly divided into units of different focuses (ec: surgical, pediatric, etc).

Patients

People cared for in hospitals are called:

These people either have acute, chronic, or terminal illnesses.

In-patient

This type of hospital care a person receives when admitted to an agency. At least one overnight stay is involved

Out-Patient

This type of hospital care includes medical or surgical care received when a person is not admitted to an agency, meaning no overnight stay.

Residents

This refers to those staying in Long term care centers

Skilled Care

Nursing or rehab services that must be provided by licensed nurses and therapists

Long term care centers

These have nursing centers, which skilled nurses in SNF provide skilled care and include memory care units and ALR.

Home Care Agencies

When healthcare services are provided to people where they live; people of all ages need home health care, and nursing care, rehab, and food services are common.

Board of Trustees (board of direcors)

Makes policies, and focus is safe care at the lowest possible cost (local state and federal laws are followed). The CEO reports directly to them.

Business, Facility services, ancillary services, Nursing, Medical staff

Departments in hospitals often include: (5)

Nursing Assistants, LPN/LVN, Staff RN, Charge nurse, nurse managers, DON

What is the flow of the nursing department? Least power to most power

patients, care

Staffing decisions are based on number of
______ and _____ needs of patients.

The DON and nurse managers are in charge of safe staffing.

Functional Nursing

Type of nursing care pattern; Focuses on tasks and jobs

Team Nursing

Type of nursing care pattern; involves a team of nursing staff led by an RN.

Primary Nursing

Type of nursing care pattern; responsible for the person’s total care, and the nursing team assists as needed.

Case Management

Type of nursing pattern; similar to primary nursing; A case manager (an RN) coordinates a person’s care into the home or long term care setting.

Patient focused care

Type of nursing pattern; when services performed by the nursing team are moved from departments to the bedside.

Private Insurance

Bought by individuals and families to pay for healthcare

Group Insurance

Bought by groups or organizations for individuals and is often an employee benefit to pay for health care

Medicare

Federal program for persons 65 or older (some people with disabilities or with end stage renal disease qualify) to pay for health care.

Medicaid

Jointly funded by the federal government and the states for people and families with low incomes and covering children and older, blind, and disabled persons to pay for health care.

Health Insurance marketplace

Service that helps people shop and enroll in affordable health insurance.

Prospective Payment Systems

These limit the amount paid by insurancers, medicare, and medicaid. The amount paid for services is determined before giving care

Licensure

This is required to be obtained through the state to operate and provide care

Certification

This is required to receive medicare and medicaid funds

Accreditation

Voluntary; signifies quality and excellence

Federal, State, Accrediting agencies

Standards are set by: ____ and _____ governments, and _____

Licensure, certification, accreditation

The three Standards:

Alert

Describes a person’s normal level of consciousness

Oriented

Relates to a person’s awareness of their name, time, and location

Short term residents

These people are recovering from