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`Hartman's Nursing Assistant Care Ch. 1-2
Terms in this set (158)
people or organizations that provide health care, including doctors, nurses, clinics, and agencies
places where care is delivered or administered, including hospitals, long-term care facilities, and treatment centers
people or organizations paying for healthcare services
the serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating
Health Maintenance Organizations (HMOs)
require that participants use a particular group of doctors except in case of emergency; their doctors are paid to provide care while keeping costs down, thus they can see more patients, order fewer tests, or cut costs in other ways
Preferred Provider Organizations (PPOs)
a network of providers that contract to provide health services to a group of people
a system or strategy of managing health care in a way that controls costs
Activities of Daily Living (ADLs)
daily personal care tasks, such as bathing; caring for skin, nail, hair, and teeth; dressing; toileting; eating and drinking; walking; and transferring
to find a problem through a survey (inspection)
an independent, not-for-profit organization that evaluates and accredits healthcare organizations
Centers for Medicare & Medicaid Services (CMS)
a federal agency within the U.S. Department of Health and Human Services that is responsible for Medicare and Medicaid, among many other responsibilities
Medicare Part A
helps pay for care in a hospital or skilled nursing facility or for care from a home health agency or hospice
Medicare Part B
helps pay for doctor services and other medical services and equipment
Medicare Part C
allows private insurance companies to provide medicare benefits
Medicare Part D
helps pay for medications prescribed for treatment
Long-term care (LTC)
Given in long-term care facilities (LTCFs) for persons who need 24-hour 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.
The illness will eventually cause death.
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.
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.
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.
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.
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.
Usually given for less than 24-hours for people who have had treatments or surgery and need short-term skilled care.
Care given by specialists. Physical, occupational, and speech therapists restore or improve function after an illness or injury,
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.
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.
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.
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.
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.
Preforms assigned tasks, such as taking vital signs. Also provides or assists with person care, such as bathing residents and helping with toileting.
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.
Gives medications and treatments. Also supervise nursing assistants daily care of residents.
Diagnoses disease or disability and prescribes treatment.
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.
Helps residents learn to adapt to disabilities. May help train residents to perform daily living.
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.
Creates diets for residents with special needs. Special diets can improve health and help manage illness.
Medical Social Worker
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.
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.
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
Describes the line of authority and helps make sure than resident get proper health care.
Means that someone can be help responsible for harming someone else.
Scope of practice
Defines the tasks that healthcare providers are allowed to do and how to do them correctly.
Developed to help achieve the goals of care.
A course of action that should be taken every time a certain situation occurs.
A method, or way, of doing something.
Behaving properly when on the job. Includes dressing appropriately and speaking well, being on time, completing tasks, and reporting to the nurse.
Being caring, concerned, empathetic, and understanding.
Identifying with the feelings of others.
Sharing in the feelings and difficulties of others.
Showing sensitivity and having a sense of what is appropriate when dealing with others.
Guided by a sense of right and wrong.
Knowledge of right and wrong.
Rules set by the government to help people live peacefully together and to ensure order and safety.
Law passed in 1987 requiring that Nurse Aide Training and Competency Evaluation Program (NATCEP) set minimum standards for nursing assistant training.
To find a problem through a survey.
Relates to how residents must be treated while living in a facility.
The process in which a person, with the help of a doctor, makes informed decisions about his or her health care.
Purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone.
The failure to provide needed care that results in physical, mental, or emotional harm to a person.
Any treatment, intentional or not, that causes harm to a person's body. Includes slapping, bruising, cutting, burning, physically restraining, pushing, shoving, or even rough handling.
Emotional harm caused by threatening, scaring, humiliating, intimidating, isolating, or insulting a person, or treating him/her as a child.
The use of spoken or written words, pictures, or gestures that threaten,embarrass, or insult a person.
The forcing of a person to preform or participate in sexual acts against his or her will. Includes unwanted touching and exposing oneself to a person.
The improper or illegal use of person's money, possessions, property, or other assets.
A threat to harm a person, resulting in the person feeling fearful that he or she will be harmed. Telling a resident that she will be slapped if she does not stop yelling is an example.
The intentional touching of a person without his or her consent.
Abuse by the spouses, intimate partners, or family members. It can be physical, sexual, or emotional.
Unlawful restraint that affects a person's freedom of movement.
The separation of a person from others against the person's will.
Abuse of staff by other staff members, residents, or visitors. It can be verbal, physical, or sexual.
Any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive working environment. Requests for sexual favors, unwanted touching, and other acts of a sexual nature are examples.
The use of legal or illegal drugs, cigarettes, or alcohol in a way that harms oneself or others.
The purposeful failure to provide needed care resulting in harm to a person.
The unintentional failure to provide needed care, resulting in physical, mental, or emotional harm to a person.
Actions or the failure to act or provide the proper care for a resident, resulting in unintended injury.
Occurs when a person is injured due to professional misconduct through negligence, carelessness, or lack of skill.
Assigned by law as the legal advice for residents.
To keep private things private.
Passed in 1996 to keep health information private and secure.
Protected health information (PHI)
Under HIPAA a person's health information must be kept private. Includes name, address, telephone number, social security number, email address, and medical record number.
Minimum Data Set (MDS)
A detailed form with guidelines for assessing residents. Also lists what to do if resident problems are identified.
An accident, problem, or unexpected event during the course of care.
The process of exchanging information with others,
Uses spoken or written words.
Communicating without using words.
Based on what a person sees, hears, touches or smells. Also called signs.
Something a person cannot or did not observe. Also called symptoms.
The inability to control the bladder or bowels.
Phrases that are used over and over again and do not really mean anything.
Unconscious behaviors used to release tension or cope with stress.
A system of learned behaviors, practiced by a group of people that is considered to be the tradition of that group and is passed on from one generation to the next.
A loss of function or ability; it can be partial or complete loss.
The normal functioning of emotional and intellectual abilities.
A disorder that includes emotions and mental functions.
Violent or hostile behavior.
The way the parts of the body work together when a person moves. Helps save energy and prevent injury.
The way a person holds and positions their body.
A broken bone.
Confusion about a person, place or time.
Burns caused by hot liquids.
An injury that rubs off the surface of the skin.
A federal government agency that makes rules to protect workers from hazards on the job.
Being mentally alert and having awareness of surroundings, sensations, and thoughts.
Emergency care given immediately to an injured person.
Medical procedures used when a person's heart or lungs have stopped working.
When something is blocking the tube through which air enters the lungs.
A method of attempting to remove an object from the airway of someone who is choking.
Occurs when organs and tissues in the body do not receive an adequate blood supply.
Can result from either too much insulin or too little food. Occurs when insulin is given and the person skips a meal or does not eat all the food required.
Caused by having too little insulin. Can result from undiagnosed diabetes, going without insulin or not taking enough, eating too much, not getting enough exercise, infection, or physical or emotional stress.
Cerebrovascular accident (CVA)
Occurs when blood supply to a part of the brain is blocked or a blood vessel leaks or ruptures within the brain. Commonly referred to as stroke. Signs included facial numbness, weakness or drooping, slurred speech, use of inappropriate words, inability to understand spoken or written words, redness on the face, noisy breathing, dizziness, blurred vision, trouble walking, ringing in the cards, severe headache, nausea/vomiting, seizures, loss of bowel/bladder control, elevated blood pressure, slow pulse rate, loss of consciousness.
Transient ischemic attack (TIA)
A warning sign of stroke. The result of a temporary lack of oxygen to the brain. Symptoms include difficulty speaking, weakness on one side of the body, temporary loss of vision, and numbness or tingling.
The act of ejecting stomach contents through the mouth and/or nose. Commonly referred to as vomiting.
The term for methods practiced in healthcare facilities to prevent and control the spread of disease.
A living thing or organism that is so small that is can be seen only under a microscope.
Occur when harmful microorganisms, called pathogens, invade the body and multiply.
Limited to a specific location on the body.
Infection that affects the entire body.
Healthcare-associated infection (HAI)
An infection acquired in a healthcare setting during the delivery of medical care.
Chain of infection
A way of describing how disease is transmitted from one being to another.
A pathogenic microorganism that causes disease. Includes bacteria, viruses, fungi, and parasites.
Where the pathogen lives and grows. Can be human, animal, plant, soil, or a substance. Microorganisms grow best in warm, dark, and moist places where food is present. Examples include lungs, blood, and the large intestine.
Portal of exit
Any body opening on an infected person that allows pathogens to leave. Includes nose, mouth, eyes, or a cut in the skin.
Mode of transmission
Describes how the pathogen travels. Can be through the air or direct/indirect contact.
Happens when touching the infected person or his secretions.
Results from touching something contaminated by the infected person, such as a needle. dressing, or tissue.
Portal of entry
In any body opening on an uninfected person that allows pathogens to enter. Includes nose, mouth, eyes and other mucous membranes, cuts in the skin, and cracked skin.
Membranes that line body cavities that open to the outside of the body. Includes mouth, nose, eyes, rectum, and genitals.
An uninfected person who could get sick. Includes healthcare workers and anyone in their care who is not already infected with that particular disease.
Passage or transfer.
Refers to measures used to reduce and prevent the spread of pathogens in all healthcare settings.
The state of being free of all microorganisms, not just pathogens. Commonly referred to a sterile technique.
A government agency under the Department of Health and Human Services that issues information to protect the health of individuals and communities. Promotes public health, as well as disease, injury, and disability prevention and control through education.
Means treating blood, body fluids, non-intact skin, and mucous membranes as if they were infected. Body fluids include saliva, sputum, urine, feces, semen, vaginal secretions, pus or other wound drainage, and vomit.
Needles or other sharp objects.
Washing hands with either plain or antiseptic soap and water or using alcohol-based hand rubs.
Destroys, resists, or prevents the development of pathogens.
Equipment that helps protect employees from serious injuries or illnesses resulting from contact with workplace hazards.
Care of the genitals and anal area.
Skin that is broken by abrasions, cuts, rashes, acne, pimples, lesions, surgical incisions, or boils.
A cleaning measure that destroys all microorganisms, including pathogens.
A process that kills pathogens but does not destroy all pathogens.
Equipment that is discarded after one use.
Transmission based precautions
Precautions used when caring for persons who are infected or suspected of being infected with a disease.
Microorganisms found in human blood. Can cause disease and infection in humans.
Inflammation of the liver caused by certain viruses and other factors, such as alcohol abuse, some medications, and trauma. Liver function can be permanently damaged. It can lead to other chronic, life-long illnesses. Most common forms are A, B, & C and are bloodborne.
A highly contagious lung disease caused by bacterium that is carried on mucous droplets suspended in the air.
An antibiotic-resistant infection often acquired in a healthcare facility.
Vancomycin resistant enterococci. Bacteria that live in the digestive and genital tracts.
A spore forming bacterium which can be part of the normal intestinal flora. When the normal intestinal flora is altered, it can flourish in the intestinal tract. It produces a toxin that produces watery diarrhea.
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