CHAPTER 1: The Nursing assistant in long term care

what is (Long Term Care)?

given to people who need 24 hour skilled care

what is (skilled care)?

-medically necessary care given by a skilled nurse or therapist

-ordered by doctors and involve treatment plans

Formerly called (Nursing Homes)

they are now called Long Term Care facilities, skilled nursing facilities, rehabilitation centers and extended care facilities.

whats is (length of stay)

the number of days a person stay in the facility

what is (terminal illness)

this means that the illness will eventually cause death

what is (chronic conditions)

conditions that last a long period of time even a lifetime

what is (residents)

-people who live in long-term facilities

-different diagnosis means different type of care needed

what is (home health care)

-provided to a persons home

-people who are able to stay and wish to stay home

what is (assisted living)

-facilities that help with daily task “showering, eating etc”

-people who do not need 24 hour care

-allow more independent living in home like environment

-an assisted living facility may be attached to a long term facility

what is (adult day services)

-people who need some help and supervision during certain hours

-for people who need some help but not seriously ill or disabled

what is (acute care)

-24 hour care given in hospitals and ambulatory surgical centers.

-it is for people who require short term, immediate care for illnesses and injuries

-also short days for surgery

what is (subacute care)

-given in hospitals

-use for people who need less care than acute

-treatment ends when condition is stable

-more care than chronic

-cost is less than acute care but more than longterm care

outpatient care

-given to people who had treatments or surgeries and need short term skilled care

-do not require overnight stay in the hospitals or other care facilities

rehabilitation center

-given by a specialist

-help restore function after illness or injury

hospice care

-given to facilities or homes of people who have 6 months left to live

-provide emotional and physical care until death

-support families in this process

long term care facilities

-are businesses that provide skilled nursing care 24 hours a day

-offered assisted living housing, dementia care or subacute care

-long term care for patients

-skin nails and mouth care aswell as assistance

activities of daily living

all the daily personal task

Activities of daily living

-physical,occupational and speech therapy

-wound care

-cares of different kinds of tubes such as carethers(thin tubes inserted into the body to drain fluids or inject fluids)

-nutrional therapy

-management of chronic diseases such as alzheimers, aids, diabetes and more

cultured care and person centered care

-many long term facilities promotes individualized approches in promoting care

culture change

-changing the type of care for the elders to adapt to their values and practices

-adapting to what the person wants

person centered care

-emphasizes the individuality of the person who needs care and recognizes and develop her capabilities

medicare and medicaid

-operated by the center of medicare and medicaid services

-a federal agency within the US government of health and human services

medicare

-is a federal insurance program established in 1965 for people aged 65 and older

-it also covers people with permanent kidney failure or certain disabilities

-only pays when necessary

4 parts of medicare

A-helps pay for hospital or skilled nursing facilities or home care

B-helps pay for doctor services and other medical services and equipment

C-allow other private health insurance companies to provide medicare benefits

D-helps pay for medication prescribed for treatment

nursing assistant different titles

nurse aid

certified nurse aid

patient care technician

certified nursing assistant

Nursing assistant

performs assigned nursing task

taking temperature

personal care

promoting independence and self care

common actirvities done by NA

bathing residents

helping residents with elimination needs

assisting with exercises and ambulation(walking)

transferring residents from a bed to chair or wheelchair

measuring vital signs (temperature, pulse rate, respiratory rate and blood pressure)

assisting with meals

helping residents dress and undress

giving back rubs

helping with mouth care

making and changing beds

keeping residents living areas neat and clean

caring for supplies and equipment

nursing assitant arent allowed to

insert remove tubes

give tube feedings

change sterile dressing

key terms about cna

some states allow them to administer medication

they spend more times with residents that other team members

act as eye and ears, observing patient condition and reporting them

charting/documenting

noting important information about residents

responsibility for residents

all resident get a nursing assistant

if residents need help NA must help

care team