Hartman's Nursing Assistant Care Ch 1+2

providers

people or organizations that provide health care, including doctors, nurses, clinics, and agencies

Medicare

A federal program of health insurance for persons 65 years of age and older

4 parts to it

person-centered care

a type of care that places the emphasis on the person needing care and his or her individuality and capabilities

professionalism

behaving properly when on the job

scope of practice

defines the tasks that healthcare providers are legally permitted to perform as allowed by state or federal law

delegation

transferring responsibility to a person for a specific task

joint commission

an independent, not-for-profit organization that evaluates and accredits healthcare organizations

(LTC) Long Term Care

given in long term care facilities for people who need 24hr skilled care

payers

people or organizations paying for healthcare services

dementia

the serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating

Centers for Medicare and Medicaid Services (CMS)

a federal agency within the U.S. Department of Health and Human Services that is responsible for Medicare and Medicaid, among many other responsibilities.

rehabilitation

care that is given by specialists to help restore or improve function after an illness or injury

catheter

thin tubes inserted into the body to drain fluids or inject fluids

hospice care

given in facilities or homes for people who have approx. 6 mo or less to live

Medicaid

a medical assistance program for people with low incomes, as well as for people with disabilities

trauma informed care

an approach to patient care that recognizes that people may have experienced trauma in their lives so their trauma, experiences, and preferences should be considered while providing care.

clients

people who receive home health care

facilities

Places where care is delivered or administered, including hospitals, long-term care facilities, and treatment centers.

skilled care

medically necessary care given by a skilled nurse or therapist

length of stay

the number of days a person stays in a healthcare facility

terminal illness

a disease or condition that will eventually cause death

chronic illness

an illness that begins gradually and is ongoing

home health care

care that takes place in a person's home

diagnoses

medical conditions determined by a doctor

assisted living facilities

Residences for people who need some help with daily care, such as showering, meals, and dressing

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

memory care unit

Inside assisted living facilities for people who have mild dementia

acute care

24-hour skilled care given in hospitals and ambulatory surgical centers for people who require short-term, immediate care for illnesses or injuries

subacute care

care for an illness or condition given to people who need less care than for an acute (sudden onset, short-term) illness or injury but more than for a chronic (long-term) illness

outpatient care

care given to people who have had treatments, procedures, or surgery and do not require an overnight stay in a hospital or other care facility

Affordable Care Act

an act created to increase the quality of health insurance, expanding insurance coverage, (both public and private), and reducing healthcare costs

managed care

seeks to control costs by limiting plan member's choice of healthcare providers and facilities

activities of daily living ( ADL's)

personal care that includes bathing; skin, nail and hair care; mouth care; and assistance with walking, eating, dressing, transferring, and elimination

caucasian female over the age of 65

most common resident in long term care facilities

Length of stay for over 2/3 residents in long term care

over 6 months

Longest average stay in long term care

those who are developmentally disabled

Policy

a course of action that should be taken every time a certain situation occurs

procedure

a method or way of doing something

(HIPAA) Health Insurance Portability and Accountability Act

ensures that all resident information

tasks not listed in the care plan or approved by the nurse

should not be performed

job description

only tasks nursing assistants should do

discussions with resident's + families

limited to professional dialogue with resident's and their families, no personal problems

money and/or gifts

cannot be accepted from resident's and their families because it's unprofessional and could lead to conflict

inspections

performed to help ensure that long- term care facilities follow state and federal regulations

surveys

inspections that are done periodically by the state agency that licenses facilities

cite

to document a problem found during a survey

to receive accreditation from the joint commission

the organization must undergo a comprehensive survey process at least every three years

culture change

term for the process of transforming services for elders so that they are based on the values and practices of the person receiving care

Pioneer network (1997)

a leader of the culture change movement, promotes caring environments

The Eden Alternative (1991)

by Dr. William Thomas and aims to improve lives by creating an environment that supports growth and development, while trying to eliminate problems of loneliness

places that have adopted The Eden Alternative philosophy

typically filled with plants and animals, children regularly visit

registered nurse (RN)

coordinates, manages, and provides skilled nursing care. ex. giving medication, and administering special treatments prescribed by a physician.

nursing assistant (NA)

performs assigned tasks, such as bathing residents and assisting with toileting, and has the most direct contact with residents

licensed practical nurse (LPN) or licensed vocational nurse (LVN)

administers medications and gives treatment. one to two years of education and passed a licensure examination

advanced practice registered nurse (APRN)

registered nurse who has completed training at the postgraduate level. 4 types: nurse practitioner(NP), nurse anesthetist (CRNA), nurse midwife (CNM), and clinical nurse specialist (CNS). Can make diagnoses and prescribe treatment.

physician or doctor (MD or DO)

a licensed professional who diagnoses disease or disability and prescribes treatment and medication. Has graduated from a 4 year medical school.

physician assistant (PA)

diagnoses disease and disability and develops treatment plans, as well as prescribes medication. Works under the supervision of a doctor. needs a master's degree.

physical therapist (PT or DPT)

evaluates a person and develops a treatment plan to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain or maintain mobility. graduated from a doctoral degree program.

occupational therapist (OT)

helps residents learn to adapt to disabilities. helps residents perform ADL's, and use of assistive devices. masters or doctoral degree

speech language pathologist (SLP)

identifies communication disorders, addresses factors involved in recovery, and develops a plan of care to meet improvement or recovery goals.

assistive devices

special equipment that helps a person who is ill or disabled to perform ADLS; also called adaptive devices.

registered dietitian (RD or RDN)

assesses a resident's nutritional status and develops a treatment plan to improve health and manage illness

medical social worker (MSW)

determines resident's needs and helps get them support services, such as counseling and financial assistance.

activities director

plans activities for residents to help them socialize and stay physically and mentally active.

resident and resident's family

important member of the care team. has the right to make decisions about his or her own care

nursing assistant tasks

bathing residents assisting with grooming tasks, helping with elimination needs, assisting with range of motion exercises and ambulation (walking), transferring residents from a bed to chair or wheelchair, measuring vital signs, assisting with meals, helping residents dress or undress, giving backrubs, helping with mouth care, making and changing beds, keeping residents' living areas neat and clean, caring for supplies and equipment.

nursing assistants are not allowed to

insert or remove tubes, give tube feedings, or change sterile dressings. maybe medications if they have completed additional specialized course + meet the requirements

charting

documenting important information and observations about residents

professional

having to do with work or a job

personal

relating to life outside one's job, such as family, friends, and home life.

compassionate

being caring, concerned, considerate, empathetic, and understanding

empathy

identification with and understanding of another's situation, feelings, and motives

sympathy

sharing in the feelings and difficulties of others

tactful

showing sensitivity and having a sense of what is appropriate when dealing with others

conscientious

guided by a sense of right and wrong, try to do your best.

chain of command

the order of authority within a facility

liability

a legal term that means someone can be held responsible for harming someone else

activities not listed in the care plan

should not be performed

assessment

getting information from many sources, including medical history, physical assessment, and environment, and reviewing this information

diagnosis

identifying health problems after looking at all the resident's needs

planning

setting goals and deciding how to achieve them

implementation

putting the care plan into action; giving care

evaluation

a careful examination to see if the goals we met or progress we achieved

five rights of delegation

a) Right Task

b) Right Circumstance

c) Right Person

d) Right Direction/Communication

e) Right Supervision/Evaluation