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Providers

answer

health care facilities or health professionals that provide health care services

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Facilities

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are places where care is delivered or administered, including, hospitals, long-term care facilities or nursing homes, and treatment centers.

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Payers

answer

People or organizations paying for healthcare services.

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Long-Term Care (LTC)

answer

care for persons who require 24-hour care and assistance.

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Length of Stay

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the number of days a person stays in a healthcare facility

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Terminal Illness

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an illness or injury for which there is no reasonable expectation of recovery

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Chronic

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being long-lasting and recurrent or characterized by long suffering

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Diagnosis

answer

identifying the nature or cause of some phenomenon or medical condition determined by a doctor ONLY

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Assisted Living

answer

a residence for people who require some help with daily care, but who need less care than a long-term care facility offers

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Home Health Care

answer

provides nursing, therapy, personal care or housekeeping services in the patient's own home

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Adult Daycare

answer

care given at a facility during daytime hours; generally for people who need some help but are not seriously ill or disabled.

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Acute Care

answer

Level of health care, generally provided in hospitals or emergency departments, for sudden, serious illnesses or trauma

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Skilled Care

answer

medically necessary care given by a skilled nurse or therapist.

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Subacute Care

answer

care given to people who have had an acute injury or illness or problem resulting from disease. This care given in a nursing home or a hospital and is for people who need a higher level of care and observation than some long-term care facilities can give

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Outpatient care

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care usually provided for less than 24 hours for persons who have had treatments or surgery requiring short-term skilled care.

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Rehabilitation

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care given in facilities or homes by a specialist. Physical, occupational, and speech therapists restore or improve function after an illness or injury.

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Hospice Care

answer

treatment of the terminally ill in their own homes, or in special hospital units or other facilities, with the goal of helping them to die comfortably, without pain

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Health Maintenance Organizations (HMOs)

answer

both health care delivery systems and types of health insurance. Provide preventive health care for a fee that is usually fixed and prepaid. The disadvantage is that you must use only HMO-affiliated providers or pay it yourself if out of network

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Preferred Provider Organizations (PPOs)

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client chooses from a list of contracted providers. using non-contracted providers increases the client's out of pocket costs

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Managed Care

answer

"Cost control strategies" A system that combines the financing and the delivery of appropriate, cost-effective health care services to its members.

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Catheters

answer

a thin flexible tube inserted into the body to permit introduction or withdrawal of fluids or to keep the passageway open

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Dementia

answer

a slowly progressive decline in mental abilities, including memory, thinking, and judgment, that is often accompanied by personality changes

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Policy

answer

a standing plan that indicates the general course of action that should be taken in response to a particular event or situation

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Procedure

answer

a series of steps taken to accomplish a task

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Cite

answer

to find a problem through a survey

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Joint Commission

answer

formally the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), is a not-for-profit organization that evaluates and accredits different types of healthcare facilities

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The Centers for Medicare & Medicaid Services (CMS)

answer

formally known as the Health Care Finance Administration (HCFA), is a federal agency within the Health and HumanServices Dept. that runs Medicare an Medicaid

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Medicare

answer

A program added to the Social Security system in 1965 that provides hospitalization insurance for the elderly and permits older Americans to purchase inexpensive coverage for doctor fees and other health expenses.

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Medicaid

answer

a federal and state assistance program that pays for health care services for people who cannot afford them or special needs

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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.

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Pioneer Network

answer

a small group of professionals working in long term care that began meeting in 1997 to share ideas and create a new vision for the future of long-term care

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The Eden Alternative

answer

• A new response to cultural change and living arrangements William and Judy Thomas aim to de-institutionalize long term care, increase well-being in residents, encourage late-life development • "Three Plagues" o Loneliness: Provide companionship with other friends, children and animal o Helplessness: Provide opportunity to partake in one's own care or the care of others o Boredom: Involve residents in meaningful and unpredictable activities and event

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Medicare Part A

answer

The part of the Medicare program that pays for hospitalization, care in a skilled nursing facility, home health care, and hospice care.

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Medicare Part B

answer

The part of the Medicare program that pays for physician services, outpatient hospital services, durable medical equipment, and other services and supplies.

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Medicare Part C

answer

Medicare Managed Care Plans (formally Medicare Plus (+) Choice Plan) was created to offer a # of healthcare services in addition to those available under Part A ; Part B. The CMS contracts w/ managed care plans or PPO's to provide Medicare benefits. A premium similar to Part B may be required for coverage to take affect

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Medicare Part D

answer

prescription drug reimbursement plans offered to Medicare beneficiaries

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Joint Commission Survey

answer

a process undergone at least every 3 years in which performance in areas such as patient rights, treatment, and infection prevention are all graded.

question

HIPPA

answer

Health Insurance Portability and Accountability Act - 1996- written to protect the privacy of health info., 2 parts: Title I- health ins reform; Title II- provides rights for the transfer of electronic health care data. Administration and Simplification Standards (Title II) put privacy and security mechanisms in place to ensure personal health info is kept confidential

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Activities of Daily Living (ADLs)

answer

personal care tasks a person does every day to care for him- or herself; include bathing, dressing, caring for teeth and hair, toileting, eating and drinking, and moving around.

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Empathy

answer

the ability to identify with someone else and understand that person's situation of feelings because of personal experience

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Sympathy

answer

sharing the feelings of others (especially feelings of sorrow or anguish) feeling sorry for someone

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Tact

answer

consideration in dealing with others and avoiding giving offense

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conscientious

answer

Thorough; careful

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6 Principles of Care

answer

Dignity, Safety, Independence(allow them to make decisions), Privacy(tactful), Infection Control(wash hands), Communication

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Nursing Assistant (NA)

answer

a person who has passed a nursing assistant training and competency evaluation program; performs delegated nursing tasks under the supervision of a licensed nurse (ie taking temps and providing assistance with ADL's) must have at least 100 hours of training per CA law

question

Registered Nurse (RN)

answer

Health care professional who has completed a course of study at an accredited school of professional nursing (at least 2 yrs) and has passed an examination administered by a State Board of Nursing

question

Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)

answer

licensed nurse who has completed one to two years of education; LPN/LVN administers medications, gives treatments, and may supervise daily care of residents

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Physician or Doctor (MD or DO)

answer

4 years of education. diagnose disease or disability and prescribe medication and treatment

question

Physical Therapist (PT)

answer

A professional who is devoted to improving a person's physical abilities through activities that strengthen muscular control and motor coordination. They have obtained either a Masters or doctoral degree

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Occupational Therapist (OT)

answer

help resident to compensate for disabilities and to help adapt so they can perform (adls) activities of daily living

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Assistive or Adaptive devices

answer

Devices used to help a person compensate for a disability. Often used by occupational therapists., Devices which help residents perform ADL's.

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Speech Language Pathologist (SLP)

answer

A trained therapist who provides treatment to help a person develop or improve articulation, communication skills, and oral-motor skills, Also helps children with speech errors and/or those with difficulties in language patterns. These professionals are licensed or certified.

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Registered Dietitian (RD)

answer

"a professional trained in foods and the management of diets (dietetics) who is credentialed by the Commission on Dietetic Registration based on completing a bachelor of science degree from an approved program, receiving clinical and administrative training, and passing a registration examination."

question

Medical Social Worker (MSW)

answer

helps with social needs , support services, counseling, & financial assistance advice. These professionals generally hold Masters in Social Work

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Activities Director

answer

Plans activities for residents to help them socialize and stay physically and mentally active.

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Explain a Nursing Assistants role

answer

Feeding, Toileting, ambulation, maintaining a clean and safe environment, encouraging eating an drinking, stocking supplies, Making beds, dressing residents, giving back rubs, oral care.

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Charting

answer

writing down important information and observations about residents

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Professional

answer

of or relating to a job

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Personal

answer

concerning or affecting a particular person or his or her private life and personality...(the opposite of professional)

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Professionalism

answer

how to behave while at work, the ability to handle problems and criticism gracefully and maturely

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Professional Relationship with residents

answer

Maintaining a positive Attitude, Completing on the assigned tasks, Keeping information confidential, Being Polite and Cheerful (even if you are not), Not discussing Personal Problems, no Profanity, Listening to resident, addressing my proper prefix, never giving or accepting gifts, always explaining care given, Following sanitation practices,

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NA's must be...

answer

Compassionate, Honest, Tactful, Conscientious, Dependable, Respectful, Unprejudiced, Tolerant

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Liability

answer

the state of being legally obliged and responsible

question

Scope of Practice

answer

legal description of what a specific health professional may and may not do

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Care Plan

answer

a written plan for each resident created by a nurse or doctor; outlines the steps taken by the staff to help the resident reach his or her goals

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Nursing Process

answer

Systematic problem-solving method by which nurses individualize care for each client. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation.

question

The Five Rights of Delegation

answer

1) right circumstance 2) right task assigned to the right person 3) the right health care provider using 4) the right direction (clear, concise, correct, complete, communication) 5) the right supervision

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Ethics

answer

the principles of right and wrong that guide an individual in making decisions

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Laws

answer

society's values and standards that are enforceable in the courts

question

Omnibus Budget Reconciliation Act (OBRA)

answer

an act passed in 1987 to improve the quality of life for people who live in long-term care facilities by making sure that residents receive a certain standard of care, law that regulates the education and cerification of nursing assistants in acute care and long term care facilities

question

Minimum Data Sheets (MDS)

answer

a part of the U.S. federally mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes. This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home staff identify health problems, Must be completed within 14 days of admission and again each year.

question

Residents Rights

answer

A list of the rights and freedoms guaranteed to all residents regardless of their illness or behavior, 1. Quality of life. 2. Services and activitis to maintin a high level of wellness. 3. The right to be fully informed about rights and services. 4, The right to participate in own care. 5. Right to make independent choices. 6. Right to privacy and confidentiality, dignity, respect and freedom, right to security of possessions. Right to complain, the right to visits.

question

Neglect

answer

The act of harming person by failing to provide needed care

question

Active Neglect

answer

purposely harming a person physically, mentally, or emotionally by failing to provide needed care

question

Passive Neglect

answer

unintentionally harming a person physically, mentally, or emotionally by failing to provide needed care

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Negligence

answer

careless neglect, often resulting in injury

question

Malpractice

answer

professional wrongdoing that results in injury or damage

question

Abuse

answer

physical or emotional harm to someone

question

Physical Abuse

answer

any treatment, intentional or not, that causes harm to a person's body; includes slapping, bruising, cutting, burning, physically restraining, pushing, shoving, or rough handling.

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Psychological Abuse

answer

emotionally harming a person by threatening, scaring, humiliating, intimidating, isolating, insulting, or treating him or her as a child; also includes verbal abuse.

question

Verbal Abuse

answer

oral or written words, pictures, or gestures that threaten, embarrass, or insult a person.

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Assault

answer

a threatened or attempted physical attack by someone who appears to be able to cause bodily harm if not stopped

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Battery

answer

an assault in which the assailant makes physical contact

question

Sexual Abuse

answer

any sexual act that happens without consent

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Financial Abuse

answer

the act of stealing, taking advantage of, or improperly using the money, property, or other assets of another

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Domestic Violence

answer

violence or physical abuse directed toward your spouse or domestic partner or family

question

Workplace Violence

answer

abuse of staff by residents or other staff members; can be verbal, physical, or sexual.

question

Involuntary Seclusion

answer

separating a person from others against his or her will; keeping the person confined to a certain area or away from his or her room without consent

question

Sexual Harassment

answer

Any unwelcome behavior of a sexual nature.

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Substance Abuse

answer

any unnecessary or improper use of chemical substances for nonmedical purposes

question

Mandated Reporter

answer

are professionals who, in the ordinary course of their work and because they have regular contact with children, disabled persons, senior citizens, or other identified vulnerable populations, are required to report (or cause a report to be made) whenever financial, physical, sexual or other types of abuse has been observed or is suspected, or when there is evidence of neglect, knowledge of an incident, or an imminent risk of serious harm

question

NATCEP

answer

Nurse Aide Training and Competency Evaluation Program, part of OBRA that sets minimum requirements for nursing assistants for training and testing

question

Ombudsman

answer

a legal advocate for residents who visits the facility, listens to residents, and decides what course of action to take if there is a problem.

question

PHI

answer

Protected Health Information., info about a patient's past, present, or future physical or mental health or payment for health care that can be used to identify the person.

question

Advance Directive

answer

A legal document that makes known a person's wishes about health care and life-support measures.

question

Living Will

answer

A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes.

question

Durable Power of Attorney for Health Care

answer

a signed and dated legal document that appoints someone to make the medical decisions for a person in the event he or she becomes unable to do so

question

DNR

answer

a legal document, usually signed by the patient and his physician, which states that the patient and his physician, which state that the patient has a terminal illness and does not wish to prolong life through resuscitation efforts (do not resuscitate)

question

Communication

answer

process of sending and receiving messages to share thoughts and feelings (send, receive, feedback)

question

Verbal Communication

answer

messages sent through spoken words, vocalizations, tone of voice

question

Non Verbal Communication

answer

communication that uses factors other than words, such as gestures, facial expressions, eye contact, and body language

question

Cultural Diversity

answer

differences among individuals based on cultural, ethnic, and racial factors

question

Bias

answer

a partiality that prevents objective consideration of an issue or situation

question

Communicating Accurately

answer

Listen, provide feedback, bring up topics of concern, allow for pauses, tune into other cultures, accept religion or lack there of, touch, ask for more info, maintain communication aids properly

question

Objective

answer

undistorted by emotion or personal bias

question

Subjective

answer

influenced by personal opinion, biased

question

Incontinence

answer

involuntary urination or defecation

question

cyanotic

answer

the bluish color of the mucous membranes, nail beds, and skin that occurs when blood is not picking up an adequate amount of oxygen from the lungs

question

incident

answer

is an accident or unexpected event

question

Incident Reporting

answer

-Tell what happened (state the time and condition of resident) -Tell how resident tolerated the incident -State facts only -Do not write anything in the incident report on the medical record (they are confidential) -Describe action taken to give care -Include suggestions for change

question

Hearing Impairment

answer

-Make sure the resident is wearing the device -Clean daily -turn off/remove batt when not in use -reduce noise -get attention before speaking

question

Vision Impairment

answer

-Make sure glasses are clean -Knock on the door and identify before entering room -explain procedures -Orient to new spaces -create proper lighting -describe spaces using imaginary clock do not remove furniture

question

CVA

answer

cerebrovascular accident (stroke), a sudden loss of consciousness resulting when the rupture or occlusion of a blood vessel leads to oxygen lack in the brain

question

Hemiplegia

answer

paralysis of one side of the body

question

hemiparesis

answer

slight paralysis or weakness affecting one side of the body

question

expressive aphasia

answer

aphasia in which expression by speech or writing is severely impaired

question

receptive aphasia

answer

aphasia characterized by fluent but meaningless speech and severe impairment of the ability understand spoken or written words

question

emotional lability

answer

laughing or crying without any reason, or when it is inappropriate.

question

dysphagia

answer

condition in which swallowing is difficult or painful

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