Chapter 37,38,39
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Chapter 37,38,39 - Leaderboard
Chapter 37,38,39 - Details
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| Assisted Living | Residential care setting where adult patients rent a small 1 bedroom & can receive personal care services like bathing, dressing, admin of meds |
| Residential-Care | Settings serve the older adult population & mentally or physically disabled person & offers a wide variety of services |
| Pallitiave care | Comfort care earlier in an illness or disease process (broader population for hospice |
| Adult Daycare | Services are community based programs, to meet the needs of functionally or cognitively impaired adults through supervised health care & social & recreational activities |
| Hospice | Hospice care is provided for terminally ill patients as end of life approaches |
| Activities Of Daily Living (ADLs) | Daily routine of hygiene, dressing & grooming, toileting, eating and ambulation |
| Quality Of Life | An individual's overall well-being & feeling of physical, social, & spiritual happiness |
| Long- Term Care | Array of services an individual may find necessary to help in meeting various personal care needs |
| Diagnosis- Related Groups (DRGs) | This system is based major diagnostic categories & pays a set rate (according to diagnosis) |
| Home Health Care | Enables individuals of all ages to remain in the comfort & security of their home while recieving care |
| Telehealth Services | Allows for patients & care providers interactions & monitoring through the use of telephones, computers, televisions, and two way monitors |
| Restorative Nursing Care | Basic concepts of physical therapy for maintenance of functional mobility and physical activity |
| Minimum Data Set (MDS) | Provides a system for assessment of each resident's functional, medical, mental, & psychosocial status upon admission and after |
| Residential Assessment Instrument (RAI) | Comprehensive tool that includes the minimum data set, resident assent protocols & guidelines for functional assessment of residents |
| Functional Assessment | The assessment of functional status of the patient, which is the ability of individual to perform normal, expected, or required activities of daily living |
| Skilled Nursing Care | The provision of care by a team of trained and/ or licensed health care providers |
| Subacute Unit | Institutional setting that's less expensive than acute care; a bridge between acute care & long term care |
| Medicaid | Program pays for home care services to indigent & low income people of all ages |
| Instrumental Activities Of Daily Living (IADLs) | Complex daily tasks; shopping, using the phone, assistance with meds, tube feeding, oxygen therapy |
| Accreditation | A process where by a professional associate or nongovernment agency grants recognition to a school or institution for demonstrated ability in a special area of practice or training |
| Certification | Process in which an individual or institution, agency, or educational program is evaluated & recognized as meeting certain predetermined standards |
| Continuing Care Retirement Community (CCRC) | A complete range of housing & health care accommodations, from independent living to 24 hr nursing care (usually good health & need little assistance) |
| Medicare | Is a federal program that requires agencies to be certified as meeting the federal conditions of participation ( 65 yrs or older, disabled, or have end stage renal disease & under the care of a licensed physician) |
| Omnibus Budget Reconciliation Act (OBRA 1987) | Obra defines requirements for the quality of care given to the residents & many aspects of the institution life ( nutrition, staffing, qualifications required of personnel e.t.c) |
| Impairment | Any loss or abnormality of psychological, physical, or anatomic structure or function |
| Disability | The loss of ability to participate in one or more major life activities as a result of mental, emotional, or physical impairments |
| Functional Limitations | Any loss of ability to perform tasks or activities of daily living |
| Chronic Illness | A chronic illness generally refers to a condition or state that lasts for 3 moons or longer |
| Exacerbation | An increase in the seriousness of a disease or disorder; marked by the greater intensity in the signs and symptoms being treated |
| Commission on Accredition of Rehabilitation Facilities | A nonprofit private, international standard-setting & accreditation body whose missions to promote & advocate |
| Comprehensive Rehab Plan | Care within 24 hours of admission & have it ready for review & revision by rehab team within 3 days of admission |
| Psychiatrist | Physicians specializing in physical medicine or rehab |
| Multidisciplinary Rehab Team | Discipline- specific goals, clear boundaries between discipline |
| Interdisciplinary Rehab Team | Identify individuals goals & features a combo of expanded problem solving beyond the boundaries of individual discipline |
| Transdisciplinary Rehab Team | A blurring of boundaries between discipline as well as cross-training & flexibility to minimize duplicate of effort toward individual goal attainment |
| Family-Centered Care | A philosophy that a recognizes the pivotal role of the family in the lives of children with disabilities or other chronic conditions |
| Posttraumatic Stress Disorder (PTSD) | Mental health condition related to the experiencing of or witnessing of traumatic even outside the normal range of human experience |
| Spinal Cord Injury (SCI) | An injury in which the spinal cord undergoes compression by fracture or displacement of vertebrae |
| Traumatic Brain Injury (TBI) | From mild concussion to more devastating kind that renders injured people comatose for the remainder of their lives |
| Pediatric Rehab Nursing | Is a specialty practice that also continues to expand within the field of rehab for children |
| Gerontologic Rehab Nursing | A specialty practice that focuses on the unique requirements of older adult rehab patients |
| What did community based care lead to? | Increased number of acutely ill patients and change in home health care. |
| What is needed for HMO ( insurance to cover home care) | Patient must be homebound meaning unable to travel or lots of effort to travel to and from appointments |
| What has enabled more care to be delivered in the home? | Advanced technology |
| What determines how often and how long home visits are? | Depending on the services need can be as often as twice daily or monthly |
| What does home health care preserve? | Individual independence, integrity, and keeps families together. |
| What are the different prospective view from home health? | Official comprehensive health care, Patient compassionate care, Family keeping families together, provider challenges all discipline involved to provide excellent care. |
| BBA 1977 | Balanced Budget Act |
| IPS | Interim Payment System |
| What are agencies classified as? | Tax status (profit or non profit), Location (freestanding or institution), Governance ( private or public) |
| PICC line care? | Peripherally Inserted Central Catheter |
| What does the use of technology do? | Allows patient care outside of the traditional inpatient settings |
| What does the social worker do? | Provide assistance with patients emotional, financial, and household problems. |
| How does a social worker help nurses? | Social workers do more patient home needs and that allows the nurse more time to perform nursing interventions |
| What does pet care have to do with home health? | Provide pet care " Durable Power Of Attorney For Pet Care" (special pet services like transportation to the vet. |
| TPN | Total Parenteral Nutrition |
| What are three of the most common if IV therapy? | Antibiotics, Hydration, Total Parenteral Nutrition (TPN) |
| What has the list of IV meds grown to include? | Analgesics,Chemotherapeutic agents, Hormones, Antiemetic agents |
| What are some of the services Home Health offers to follow the basic Medicare services? | Skilled Nursing, Physical Therapy, Speech-language Therapy, Occupational Therapy, Medical Social Service, Home Health Aide |
| Who does the LVN/LPN provide care under? | A RN who is also responsible for the development of the care plan |
| What are four major goals of skilled nursing services? | Restorative: returning previous, Improvement: achieving better health, Maintenance: preserving current health, Promotion: teaching health and prevent recurring illness |
| What is crucial for nurses caring for patients in home health? | Reliability, communication, ongoing assessment and reinforcement of the care plan accepting different culture plans. |
| Who makes the initial admission and evaluation for home health after a referral? | The RN within 24-48 hours unless nursing care is not needed right away the physical therapist may do it |
| When is discharge and planning done? | Discharge for home care, as in hospitals, begin with admission when patient goals or other criteria are met the discharge begins |
| What are three major goals to improve quality in home health? | Structural: overall organization, Process: care delivery, Outcome: results of patient care |
| What is the standard of care for many illness? | Management and control rather than cure |
| How is federal and private insurance trying to stop the rising cost of health care? | By shortening hospital stays and controlling admissions |
| What does acuity mean | How sick a patient is |
| When is there a need for long term care? | When a patient is not capable of meeting daily needs independently, perhaps because of a physical or psychological impairment |
| Culture is a system of what? | Values, beliefs, and practices that guides a persons behavior |
| Define Ethnicity? | Is a persons identification with a certain ethnic group ( based on shared traditions, physical characteristics, origin, language, religion and food |
| Who is majority of the elderly living at home? | Women because the age expectancy is higher for women then men |
| PACE? | Program of All-Inclusive Care for the Elderly |
| Whats is Respite Care? | Rescue Care to give family members or caregivers a break |
| Who is usually the director of Adult Daycare? | Social worker or RN |
| Who usually attends adult daycare? | Adults over 75 or disabled adults |
| NCAL | National Center for Assisted Living |
| What does CCRC offer? | Apartments, townhomes, detached dwellings or a combination |
| What does the nursing interventions depend on in CCRC? | Functional abilities of the elder adult |
| What is the reward for nursing working long term care for CCRCs? | The opportunity of working with patients over a long time frame |
| Whats does a subacute unit mainly focus on? | Rehabilitation and shorter length of stay than long term care |
| Who does ICU care for? | Patients conditions who are so critical they would have not survived |
| What is some of the most common care in subacute care? | Physical rehab, Stroke rehab, wound care, Recovery from hip fracture |
| What does Long-Term care mostly provide? | 24 hour care and usually to adults 65 or older |
| What are most common disorders or illness in long term care? | Cardiovascular disease, Hypertension, Depression, Dementia, Type 2 diabetes |
| What are some other reasons other than illness why an older adult might enter long term care? | Cognitive impairment, incontinence, assistance with ADLs, Alzheimer's, safety |
| ICPs | Interdisciplinary Care Planning |
| OBRA | Omnibus Budget Reconciliation Act |
| What's the window for legal administration for meds in longterm care? | 2 hours: 1 hour before scheduled time or 1 hour after scheduled time |
| What does restorative nursing assistance forces on? | Basic concepts of physical therapy to maintain functional mobility and physical activity |
| HCFA | Health Care Financing Administration |
| What are some positive outcomes of OBRA? | Empowerments of residents, reduce or eliminate restraints, improve staffing |
| How did the OBRA law effect nursing? | Expand the role of LVN/LPN and required facilities to use greater numbers of licensed nursing staff |
| What does MDS provide? | A system for assessment of residents functional, medical, mental, psychological status upon admission and after |
| What are RAPS? | Assessment guides that are address common clinical problems such as delirium, falls and urinary incontinence |