Ch. 1-2 Hartman's Nursing Assistant Care -
4th Ed.
Long-term care (LTC)
Given in long-term care facilities (LTCFs) for persons who need 24-hour skilled care.
Skilled care
Medically necessary care even by a skilled nurse or therapist; it is available 24 hours a day. It is ordered
by a doctor and involves a treatment plan. This type of care is given to people who need a high level of
care for ongoing conditions.
Length of stay
The number of days a person stays in a care facility. May be short, such as a few days or months, or
longer than six months.
Terminal illness
The illness will eventually cause death.
Chronic
The conditions last a long period of time, even a lifetime. Most people that live in long-term care
facilities have this kind of condition.
Diagnoses
Medical conditions determined by a doctor.
Home health care
Health care provided in a person's home. Generally given to people who are older and are chronically ill
but who are able to and wish to remain at home.
Assisted living
Facilities where residents who need some help with daily care, such as showers, meals, and dressing.
People who live in these facilities do not need 24-hour skilled care.
Adult day services
For people who need some help and supervision during certain hours, but who do not live in the facility
where care is provided.
Acute care
A 24-hour skilled care given in hospitals and ambulatory surgical centers. It is for people who require
short-term, immediate care for illnesses or injuries.
, Subacute care
Care given in hospitals or in a long-term care facility. Used for people who need less care than acute
illness, but more care than for chronic illness.
Outpatient care
Usually given for less than 24-hours for people who have had treatments or surgery and need short-term
skilled care.
Rehabilitation
Care given by specialists. Physical, occupational, and speech therapists 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. Provide physical and
emotional care and comfort.
Activities of daily living (ADL's)
Bathing, skin care, nail and hair care, assistance with walking, eating, dressing, transferring, and toileting.
Culture change
Term given to the process of transforming services for elders so that they are based on the values and
practices of the person receiving care. Involves respecting both elders and those working with them.
Person-directed care
Emphasizes the individuality of the person who needs care, and seeks to build community by recognizing
and developing each persons capabilities. Promoting dignity and providing caring environments is key.
Medicare
A federal health insurance program that was establish in 1965 for people aged 65 or older. It also covers
people of any age with permanent kidney failure or certain disabilities.
Medicaid
A medical assistance program for low-income people, as well as for people with disabilities. It is funded
by both the federal government and each state.
NA
Preforms assigned tasks, such as taking vital signs. Also provides or assists with person care, such as
bathing residents and helping with toileting.
RN
Coordinates, manages, and provides skilled nursing care. Includes giving special treatments and
medications as prescribed. Also assigns tasks and supervises daily care of residents by NA's.
4th Ed.
Long-term care (LTC)
Given in long-term care facilities (LTCFs) for persons who need 24-hour skilled care.
Skilled care
Medically necessary care even by a skilled nurse or therapist; it is available 24 hours a day. It is ordered
by a doctor and involves a treatment plan. This type of care is given to people who need a high level of
care for ongoing conditions.
Length of stay
The number of days a person stays in a care facility. May be short, such as a few days or months, or
longer than six months.
Terminal illness
The illness will eventually cause death.
Chronic
The conditions last a long period of time, even a lifetime. Most people that live in long-term care
facilities have this kind of condition.
Diagnoses
Medical conditions determined by a doctor.
Home health care
Health care provided in a person's home. Generally given to people who are older and are chronically ill
but who are able to and wish to remain at home.
Assisted living
Facilities where residents who need some help with daily care, such as showers, meals, and dressing.
People who live in these facilities do not need 24-hour skilled care.
Adult day services
For people who need some help and supervision during certain hours, but who do not live in the facility
where care is provided.
Acute care
A 24-hour skilled care given in hospitals and ambulatory surgical centers. It is for people who require
short-term, immediate care for illnesses or injuries.
, Subacute care
Care given in hospitals or in a long-term care facility. Used for people who need less care than acute
illness, but more care than for chronic illness.
Outpatient care
Usually given for less than 24-hours for people who have had treatments or surgery and need short-term
skilled care.
Rehabilitation
Care given by specialists. Physical, occupational, and speech therapists 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. Provide physical and
emotional care and comfort.
Activities of daily living (ADL's)
Bathing, skin care, nail and hair care, assistance with walking, eating, dressing, transferring, and toileting.
Culture change
Term given to the process of transforming services for elders so that they are based on the values and
practices of the person receiving care. Involves respecting both elders and those working with them.
Person-directed care
Emphasizes the individuality of the person who needs care, and seeks to build community by recognizing
and developing each persons capabilities. Promoting dignity and providing caring environments is key.
Medicare
A federal health insurance program that was establish in 1965 for people aged 65 or older. It also covers
people of any age with permanent kidney failure or certain disabilities.
Medicaid
A medical assistance program for low-income people, as well as for people with disabilities. It is funded
by both the federal government and each state.
NA
Preforms assigned tasks, such as taking vital signs. Also provides or assists with person care, such as
bathing residents and helping with toileting.
RN
Coordinates, manages, and provides skilled nursing care. Includes giving special treatments and
medications as prescribed. Also assigns tasks and supervises daily care of residents by NA's.
