Long Term Care & Rehab Nursing Awesome Study Guide With Complete Answers.

What percentage of adults live at home after 65 years old - correct answer 67% Approximately how much less expensive is it to care for an older adult at home than in a long term care facility - correct answer Home health costs 50% as much than long-term care facility What is the role of the LVN in the home care setting - correct answer Involves private duty/shift work, home visits to gather data to evaluate care, provides human resource as a staffing coordinator, intake coordinator, medical chart auditor/reviewer What is the role of the RN in the home health setting - correct answer Provides visits for holistic care, supervisory home visits, comprehensive assessments, referrals, nursing interventions, health care education, health maintenance, home management, functions as manager & administrator Who can initiate hospice services - correct answer The provider Assisted Living Facility - correct answer assistance as requested, type of residential setting, adults rents a one bedroom has the option of receiving help with ADL's (continuing care) Long Term Care Facility - correct answer known as nursing home/ extended care facility, provides 24 hr. care to people who don't need hospital services but don't have the option for home care, becomes the home for the adult, more than one health disorder when they are admitted Continuing Care Retirement Community (CCRC) - correct answer when your condition worsens, you go to skilled nursing next door, offers housing & health care accommodations, independent living to skilled nursing, enables older adults to experience a smooth transition from independent living to skilled nursing while remaining at the same location How long is a contract with the CCRC - correct answer It's a lifetime commitment Sub acute care unit - correct answer less expensive than hospital/acute care, bridge between acute & long-term care, located in long term care facilities that provide skilled nursing care, stronger rehab focus & shorter length of stay What are people living in long term facilities referred to as - correct answer Residents Short term stay in a long term care facility is how long - correct answer Expected to be discharged within 6 months Interdisciplinary approach - correct answer Everyone works together to help the patient In a long term care facility, what time frame must medications be given in - correct answer 2 hours ( one hour before the scheduled time, one hour after) OBRA, What is it? What requirements does it define - correct answer Known as the nursing home reform legislation, defines requirements for the quality of care, licensing, gives nurse wider scope of practice OBRA guidelines, how often do summaries need to be documented? What does it include - correct answer Annually ; includes vital signs & weight Health Care Financing Administration- What is it? Who must they report to - correct answer Administers & monitors the OBRA guidelines through survey, reports to OBRA Medicaid- What is it? Who qualified for it & when - correct answer Program of medical assistance for people with low income (state) Medical Medicare- What is it? Who qualified for it & when - correct answer health insurance program for people older than 65 (national) What is OSCHA - correct answer Long term care facilities come under OSCHA, increases cost in long-term care facility but ensures safe environment for staff What is hospice & what is it's focus - correct answer Promotes dignity in the last stages of life What is the resident assessment instrument (RAI)? What does it include - correct answer Intended to lead to improved planning & provision of care for residents, three parts: minimal data sets, resident Assement protocols, utilization of guidelines Functional Status-What components are looked at - correct answer Initial assessment, the residents ability to perform normal, expected, required activities How often is a residents plan of care revised in a long term care facility - correct answer Every 90 days In a long term care facility, how often do nurses make rounds to monitor residents for safety - correct answer Every 2 hours Instrumental ADL's - correct answer activities related to independent living and include preparing meals, managing money, shopping for groceries or personal items, performing light or heavy housework, doing laundry, and using a telephone. Certified Med Tech/Aide (CMT) - correct answer first required to become a nursing assistant, can pass medicine Restorative nursing Assistant - correct answer basic concepts of physical therapy for maintenance of functional mobility and physical activity Rehab Nursing-What is it? Definition - correct answer Holistic care, process of outcome focused patient care delivered by the team of trained professional with the goal of restoring the patient to the fullest physical, mental, social, vocational, economic capacity they are capable of; process of regaining strength/adjusting to a new set of needs by finding new ways to do things previously done What is the focus of rehab nursing - correct answer Focus on abilities rather than disabilities Spinal Cord Injuries - correct answer an injury in which the spinal cord undergoes compression by fracture/displacement of vertebrae by bleeding/edema, higher the injury the greater loss of function, irreversible because the cord is unable to repair itself includes paralysis, loses of normal bowel & bladder functions, loss of sensation Occupational Therapist - correct answer asses independent living needs, recommends equipment modifications, adapts equipment Rehab Nurse- What is their contribution? What must they have a broad knowledge be of - correct answer With the patient 24/7, they need a broad knowledge of pathophysiology of a wide range of med-surg conditions, skill regarding rehab What are rehab goals for the client - correct answer Assist the patient who has a disability/illness in restoring, maintaining, promoting their maximal health, prevents illness of disability