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Flashcards covering definitions of providers, types of care, insurance systems (HMO/PPO), Medicare/Medicaid facts, and patient care philosophies according to Hartman's Nursing Assistant Care 5th Edition.
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People or organizations that provide health care, including doctors, nurses, clinics, and agencies, are known as __________.
providers
In medicine, places where health care is delivered or administered, including hospitals, long-term care facilities, and treatment centers, are collectively called __________.
facilities
The people or organizations paying for healthcare services are referred to as __________.
payers
Care given in long-term care facilities for people who need 24-hour skilled care is known as __________.
long-term care (LTC)
Medically necessary care given by a skilled nurse or therapist is called __________.
skilled care
The number of days a person stays in a healthcare facility is known as the __________.
length of stay
A disease or condition that will eventually cause death is a(n) __________.
terminal illness
A disease or condition that is long-term or long-lasting and requires management of symptoms is a(n) __________.
chronic illness
Health care that is provided in a person's home is called __________.
home health care
Medical conditions determined by a doctor are known as __________.
diagnoses
Residences for people who do not need 24-hour skilled care, but do require some help with daily care, are called __________ facilities.
assisted living
A general term that refers to a serious, progressive loss of mental abilities such as thinking, remembering, reasoning, and communicating is __________.
dementia
__________ provide care for people who need some assistance or supervision during certain hours, but who do not live in the facility where care is given.
adult day services
Short-term, immediate care for illnesses and injuries provided in hospitals and ambulatory surgical centers is called __________.
acute care
Care given in hospitals or long-term care facilities for people who need less care than for an acute illness, but more care than for a chronic illness, is __________.
subacute care
Care given to people who have had treatments, procedures, or surgeries and need short-term skilled care is called __________.
outpatient care
Care given by specialists to help restore or improve function after an illness or injury is __________.
rehabilitation
Holistic, compassionate care given to people who have approximately 6 months or less to live is called __________.
hospice care
A system or strategy of managing health care in a way that controls costs is __________.
managed care
A form of health insurance where care costs are covered only when using a particular doctors' group (except emergencies) and usually require referrals for specialists is the __________.
health maintenance organizations (HMOs)
In a(n) __________, patients are encouraged to use a network of approved providers but can see others at an additional cost, usually without a referral.
preferred provider organizations (PPOs)
Daily personal care tasks, such as bathing, dressing, eating, and walking, are referred to as __________.
activities of daily living (ADLs)
A thin tube inserted into the body to drain fluids or inject fluids is a(n) __________.
catheter
A(n) __________ is a course of action that should be taken every time a certain situation occurs.
policy
A method or way of doing something is known as a(n) __________.
procedure
To find a problem through a survey in a long-term care facility is to __________ the facility.
cite
The __________ is an independent, not-for-profit organization that evaluates and accredits healthcare organizations.
Joint Commission
The federal agency responsible for Medicare and Medicaid within the U.S. Department of Health and Human Services is the __________.
Centers for Medicare & Medicaid Services (CMS)
__________ is 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.
Medicare
A medical assistance program specifically for people who have a low income or disabilities is __________.
Medicaid
In the Medicare program, Part A helps pay for care in a hospital, skilled nursing facility, home health agency, or __________.
hospice
Medicare Part __________ helps pay for doctor services and other medical services and equipment.
Part B
Medicare Part __________ allows private health insurance companies to provide Medicare benefits.
Part C
Medicare Part __________ helps pay for medications prescribed for treatment.
Part D
The process of transforming services for elders based on the values of choice, dignity, respect, self-determination, and purposeful living is called __________.
culture change
Care that places the emphasis on the individuality and capabilities of the person needing care is known as __________.
person-centered care
An approach to patient care that recognizes and considers a patient's past life experiences and preferences is called __________.
trauma-informed care