Hartman's Nursing Assistant Care -Ch. 1-2 4th Ed Exam With Complete Solution

Long-term care (LTC) - Answer Given in long-term care facilities (LTCFs) for persons who need 24-hour skilled care. Skilled care - Answer 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 - Answer 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 - Answer The illness will eventually cause death. Chronic - Answer 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 - Answer Medical conditions determined by a doctor. Home health care - Answer 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 - Answer 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 - Answer 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 - Answer 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 - Answer 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 - Answer Usually given for less than 24-hours for people who have had treatments or surgery and need short-term skilled care. Rehabilitation - Answer Care given by specialists. Physical, occupational, and speech therapists restore or improve function after an illness or injury, Hospice care - Answer 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) - Answer Bathing, skin care, nail and hair care, assistance with walking, eating, dressing, transferring, and toileting. Culture change - Answer 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 - Answer 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 - Answer 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 - Answer 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 - Answer Preforms assigned tasks, such as taking vital signs. Also provides or assists with person care, such as bathing residents and helping with toileting. RN - Answer 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. LVN - Answer Gives medications and treatments. Also supervise nursing assistants daily care of residents. Doctor - Answer Diagnoses disease or disability and prescribes treatment. PT - Answer Evaluates a person and develops a treatment plan. Goals are to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain or maintain mobility. Gives therapy in the form of heat, cold, massage, ultrasound, electrical stimulation, and exercise to muscles, bones, and joints. OT - Answer Helps residents learn to adapt to disabilities. May help train residents to perform daily living. Speech-language pathologist - Answer Identifies communication disorders, addresses factors involved in recovery, and develops a plan of care to meet recovery goals. Teaches exercises to help the resident improve or overcome speech problems. Registered Dietitian - Answer Creates diets for residents with special needs. Special diets can improve health and help manage illness. Medical Social Worker - Answer Determines residents' needs and helps get them support services, such as counseling or financial assistance. May help residents obtain clothing and personal items if the family is not involved or does not visit often. Activities Director - Answer Plans activities for residents to help them socialize and stay active. These activities are meant to improve and maintain residents wellbeing and to prevent further complications from illness or disability. Resident - Answer Important member of the care team. Has the right to make decisions about his or her own care. Helps plan care and makes choices. Chain of command - Answer Describes the line of authority and helps make sure than resident get proper health care. Liability - Answer Means that someone can be help responsible for harming someone else. Scope of practice - Answer Defines the tasks that healthcare providers are allowed to do and how to do them correctly. Care plan - Answer Developed to help achieve the goals of care. Policy - Answer A course of action that should be taken every time a certain situation occurs. Procedure - Answer A method, or way, of doing something. Professionalism - Answer Behaving properly when on the job. Includes dressing appropriately and speaking well, being on time, completing tasks, and reporting to the nurse. Compassionate - Answer Being caring, concerned, empathetic, and understanding. Empathy - Answer Identifying with the feelings of others. Sympathy - Answer Sharing in the feelings and difficulties of others.