Hartman's Nursing assistant Care the Basics Chapter 1 Already Graded A

Hartman's Nursing assistant Care the Basics Chapter 1 Already Graded A Long-term care Given in long term care facilities for persons who need 24-hour skilled care Skilled care Medically necessary care given by a skilled nurse or therapist Length of stay Number of days a person stays in a care facility Terminal illness An illness that will eventually cause death Chronic condition A condition lasting a long period of time, even a lifetime Diagnoses Medical conditions determined by a doctor Home health care Provided in a person's home Assisted living Residences for people who need some help with daily care Adult day services people who need some help and supervision during certain hours Acute care 24 hour skilled care given in hospitals and ambulatory surgical centers. Subacute care Care given in a hospital or in a long-term care facility Outpatient care Usually given for less than 24 hours Rehabilitation Care given by specialists to help restore or improve function after an illness or injury. Hospice care Given in facilities or homes for people who have about six months or less to live ADL's Activities of Daily Living Culture change A term given to the process of transforming services for elders so they are based on the values and practices of the person receiving care Person-directed care Emphasizes the individuality of the person who needs care and seeks to build community by recognizing and developing each person's capabilities Assistive or Adaptive Devices Equipment to assist in ADL's Chain of command Describes the line of authority and helps to make sure that residents get proper health care Scope of practice Tasks that health-care providers are allowed to do and how to do them correctly Medicare A federal health insurance program established in 1965 for people aged 65 or older, also covers people of any age with permanent kidney failure or certain disabilities Medicaid Medical assistance program for low-income people as well as for people with disabilities. Care plan Developed to achieve the goals of care Policy A course of action that should be taken every time a certain situation occurs Procedure A method, or way, of doing something Professionalism Behaving properly when on the job Compassionate Being caring, concerning, empathetic, and understanding Empathy Identifying with feelings of others 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 Trying to do your best, guided by a sense of right and wrong. Ethics Knowledge of right and wrong Laws Rules set by the government to help people live peacefully together and to ensure order and safety Omnibus Budget Reconciliation Act Requires that the Nurse Aid Training and Competency Evaluation Program set minimum standards for nursing assistant training Residents' Rights An ethical code of conduct for healthcare workers, relates to how residents must be treated while living in a facility Informed consent Process in which a person, with the help of a doctor, makes informed decisions about his or her health care. Abuse Purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone Neglect Failure to provide needed care that results in physical, mental, or emotional harm to a person Physical abuse Any treatment, intentional or not, that causes harm to a person's body. Includes slapping, bruising, cutting, burning, physically restraining, pushing, shoving, or even rough handling. Psychological abuse Emotional harm caused by threatening, caring, humiliating, intimidating, isolating, or insulting a person, or treating him or her as a child, includes verbal abuse Sexual abuse Forcing of a person to perform or participate in sexual acts against his or her will. Includes unwanted touching and exposing oneself to a person and sharing of pornographic material Financial abuse The improper or illegal use of a person's money, possessions, property, or other assets Assault A threat to harm a person, resulting in the person feeling fearful that he or she will be harmed Battery The intentional touching of a person without his or her consent. Domestic violence Abuse by spouses, intimate partners, or family members False imprisonment Unlawful restraint that affects a person's freedom of movement Involuntary seclusion The separation of person from others against the person's will Workplace violence Abuse of staff by other staff members, residents, or visitors. It can be verbal, physical, or sexual Sexual harassment Any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive working environment Substance abuse The use of legal or illegal drugs, cigarettes, or alcohol in a way that harms oneself of others Active neglect The purposeful failure to provide needed care, resulting in harm to a person Passive neglect The unintentional failure to provide needed care, resulting in physical, mental, or emotional harm to a person Negligence Actions, or the failure to act or provide the proper care for a resident, resulting in unintended injury. Example: A CNA forgetting to lock a resident's chair before transferring her. Malpractice Occurs when a person is injured due to professional misconduct through negligence, carelessness, or lack of skill. Suspicious injuries that should be reported Poisoning, teeth marks, buckle or strap marks, bruises, contusions, welts, scars, fractures, dislocations, burns, scalding burns, scratches or puncture wounds, patches of missing hair, scalp tenderness, swelling in face, broken teeth, nasal discharge, bruises, bleeding, or discharge from vaginal area Signs that could indicate Abuse Yelling obscenities, fear, apprehension, fear of being alone, poor self control, constant pain, threatening to hurt others, withdrawal, apathy, alcohol or drug abuse, agitation or anxiety, signs of stress, low self-esteem, mood changes, confusion, disorientation, resident not allowed private conversations, reports of questionable care by resident or family Signs that could indicate Neglect Pressure ulcers, unclean body, body lice, unanswered call lights, soiled bedding or incontinence briefs not being changed, poorly fitting clothing, unmet needs relating to hearing aids, eye glasses, etc., weight loss, poor appetite, uneaten food, dehydration, freshwater or beverages not being offered regularly, reports of not receiving prescribed medication by the resident or his family Ombudsman Assigned by law as legal advocate for residents; visits facilities and listen to residents Confidentiality Keeping private things private HIPPA Health Insurance Portability and Accountability Act; Protects confidential healthcare information PHI Protected Health Information - the information kept private under HIPPA (name, address, phone, social, diagnoses, etc) Incident An accident, problem, or unexpected event during the course of care; something that is not part of the normal routine