(Infection control,) and Managing a
comfortable environment - "Hartman's
Nursing Assistant Care The Basics" by
Hartman Publishing, Inc with Jetta Fuzy,
RN, MS solved
Long-Term Care - ANSWER-Is given in long-term care facilities for people who need 24-hour skilled care.
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Skilled care is medically necessary care given by a skilled nurse or therapist; it is available 24 hours a day.
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Care given to people who need a high level of care
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Chronic Conditions - ANSWER-The condition lasts a long period of time, even a lifetime. They include
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physical disabilities, heart disease, and dementia.
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Acute Care - ANSWER-24-hour skilled care for short-term illnesses or injuries; generally given in hospitals
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and ambulatory surgical centers. It is for people who require short-term, immediate care for illnesses or
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injuries. People are also admitted for short stays for surgery.
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Home health care (home care) - ANSWER-Care is provided in a person's home. This type of care is generally
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given to people who are older and are chronically ill but who are able to and wish to remain at home. Home
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care may also be temporary after a recent hospital stay or surgery.
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Assisted Living - ANSWER-Residents will receive care with some daily tasks such as showering, eating and
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dressing. Help with medications may also be given. Residents in these facilities do not need 24-hour skilled
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care. The allow independent living in a homelike environment.
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Adult Day services - ANSWER-People receive care and supervision during certain hours of the day, but the
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people do not live in the facility. Generally, adult day services are for people who need some help, but are
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not seriously ill or disabled.
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,Subacute care - ANSWER-care given in hospitals or long-term care facilities. It is used for people who need
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less care than for an acute (sudden onset, short term) illness, but more care than for a chronic (long-term)
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illness. Treatment usually ends when the condition has stabilized or after the set time for treatment has
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been completed.
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Outpatient Care - ANSWER-Usually given to people who had treatments, procedures, or surgeries and need
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short-term skilled care. They do not require and overnight stay in a hospital or other care facility.
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Rehabilitation - ANSWER-Care given by specialists. Physical, occupational, and speech therapists help
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restore or improve function after an illness or injury.
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Hospice care - ANSWER-given in facilities or homes for people who have about 6 months or less to live.
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Hospice workers give physical and emotional care and comfort until a person dies. They also support
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families during this process.
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Culture change - ANSWER-a term given to the process of transforming services for elders so that they are
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based on the values and practices of the person receiving care; core values include choice, dignity, respect,
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self-determination, and purposeful living.
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Person-Centered Care - ANSWER-a type of care that places the emphasis on the person needing care and hisg g g g g g g g g g g g g g g g g
or her individuality and capabilities.
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Residents - ANSWER-Term for people cared for in a long term facility
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-Skilled nursing facility (nursing home)
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-Assisted living g
Patient - ANSWER-A term to describe the person receiving care in and acute care setting such as:
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-hospital
-ambulatory surgical centers g g
-subacute care g
-outpatient care (out-patient) g g
, Client - ANSWER-term used to describe people receiving care usually in their home:
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-home health care g g
-Hospice care at home g g g
-Adult day services g g
Medicare - ANSWER-A federal program of health insurance, funded by social security, for persons 65 years
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of age and older. It also covers people of any age with permanent kidney failure or certain disabilities. (Page
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3 in Hartman)
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Medicaid - ANSWER-Is a medical assistance program for people who have low income, as well as for people
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with disabilities. Eligibility is determined by income and special circumstances. people must qualify for this
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program. (Page 3 in Hartman.)
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How does Medicare and Medicaid pay long-term care facilities? - ANSWER-Medicare and Medicaid pay a
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fixed amount for services. This amount is based on the resident's needs upon admission and throughout his
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stay at the facility.
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Nursing Assistant Duties - ANSWER--Bathing residents,
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-helping residents with elimination needs, g g g g g
-assisting with range of motion exercises and ambulation (walking,)
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-transferring residents from a bed to a chair or wheelchair, g g g g g g g g g g
-Measuring vital signs (temp, pulse, respiratory,) g g g g g
-Assisting with meals, g g g
-helping resident dress and undress, g g g g g
-giving back rubs, g g g
-providing oral care, g g g
-making and changing beds, g g g g
-keeping resident's living spaces neat and clean, g g g g g g g
-caring for supplies and equipment g g g g
-reporting and recording g g