CH38
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| 🇬🇧 | 🇬🇧 |
| Long-term care | An array of services an individual may find necessary to help in meeting various personal are needs. Goal is to keep them independent. |
| Quality of life | Individuals overall well-being and feeling of physical, social and spiritual happiness |
| What is hospice for? | Terminally ill cancer patients and a growing number of patients with chronic, life threatening illnesses. |
| Activities of daily living (ADLs) | Daily routines of hygiene, dressing and grooming, toileting, eating, and ambulatory each person carries out independent throughout life. |
| Subacute unit | Type of institutional setting that has become extremely popular since the late 1908s, when the advantage became clear of a less expensive alternative to acute care for patients with high acuity medical and nursing intervention needs. |
| Difference between subacute units and long-term care facility? | Subacute units have a stronger rehabilitative focus and shorter length of stay. |
| Who manages the long-term care facility? | Administrator and a director of nursing (DON) |
| What is a DON? | An RN |
| Omnibus Budget Reconciliation Act (OBRA) of 1987 | Nursing home reform legislation; defines requirements for the quality of care given to residents and covers many aspects of institutional ice, including nutrition, staffing, qualification required of personnel, and many others. |
| Positive outcomes of OBRA? | Empowerment of residents, focus on residents’ rights, reduction or elimination of physical restraint use, and improving staffing. |
| OBRA law helped expand the role of the LPN/LVN to include areas such as? | Intravenous therapy and team leading. |
| What is the Health Care Financing Administration (HCFA)? | Administers and monitors the OBRA guidelines through institutional surveys. |
| Medicare | A federally funded national health insurance program in the US for people older than age 65 |
| Medicaid | A federally funded, state-operated program of medical assistance to people with low incomes. |
| Continuing Care Retirement Communities (CCRC) | Offers a complete range of housing and health care accommodations, from independent living to 24-hour skilled nursing care. |
| Resident Assessment Instrument (RAI) | A comprehensive tool that includes the minimum data set, resident assessment protocols, and guidelines for functional assessment of the resident. |
| Minimum Data Sheet (MDS) | A part of the patient assessment instrument (PAI) that incorporates may of the same assessment factors as a functional assessment tool and requires input from nursing and social services within a specific time frame. |
| Respite Care | Care provided to give family members or caregivers a “break” from the responsibility of care to patients who are unable to care for themselves. |
| Home Health Care | Enable individuals of all ages to remain in the comfort and security of their home while receiving health care. |
| Health Maintenance Organization (HMO) | Various types of insurance. |
| What four different perspectives are viewed in home health care? | Official, patient, family, provider |
| Diagnosed-related groups (DRGs) | System the classifies patients by age, diagnoses, and surgical categories; used to predict the use of hospital resources, including length of stay. |
| Licensure by the state | Gives legal permission to operate within that state only. |
| Certification | A process in which the government evaluates and recognizes an individual, institution, or educational programs as meeting predetermined standards. |
| Accreditation | A precise whereby a professional association or nongovernmental agency grants recognition to a school or institution for demonstrated ability in a special area of practice or training. |
| What recant changes have occurred in the home health care? | The establishment of ethics committees to handle ethical issues that arise in the home. |
| What are the three most common form of home IV therapy? | Antibiotics, hydration, and total parenteral nutrition. |
| Primary services included in home health agencies: | Skilled nursing, physical therapy, speech-language therapy, occupational therapy, medical social services, homemaker-home health aide. |
| What are the four major goals of skilled nursing services? | Restorative (returning to a previous level of functioning as appropriate and realistic). Improvement (achieving better health and a higher level of functioning than at admission). Maintenance (preserving functional capacities and independence by maintaining current level of health). Promotion (teaching health y lifestyles that keep the effect of illness or disability to a minimum and prevent the recurrence of illness). |
| What are nurses who practice in the home setting? | Caregivers, teachers, counselors, case manager, and advocates. |
| Who makes referrals to the home health system? | Patient, family, social service agency, hospital, physician, or another agency. |
| RN makes the initial evaluation and admission visit within how many hours of the referral? | 24 to 48 hours |
| What is the physician required to sign? | The plan of treatment which serves as the traditional physician orders. The treatment plan is possible to alter at any time base on the patients needs. |
| How long does skilled nursing interventions typically take? | 30 to 45 minutes. |
| When does discharge planing begin? | Begins with admission. |
| Quality assessment programs provide what? | Documentation for outside organizations and for internal measures for improvements and refinements of policies and procedures. |
| What three major elements are included in continuous quality care improvement? | Structural criteria: the agency’s overall organization, philosophy, policies, procedures, bylaws, personnel practices, supervision, orientation, contracts, and physical facilities. Process criteria: evaluation of care delivery. Outcome criteria: measurement of change in patient behavior, the results of patient care in terms of change, health indications, and satisfaction. |
| What is the focus of rehabilitation nursing? | To support patients in the restoration of a health state or in the adaptation of changes that have resulted from chronic illness, disability, or injury. |
| Rehabilitation | Is a process of outcome-focused patient care delivered by an interdisciplinary team with the goal of restoring the patient to the fullest physical, mental, social, vocational and economic capacity of which he or he is capable. |
| What precipitates the need for rehabilitations? | Impairment, disability, functional limitation, chronic illness. |
| What is impairment? | Any loss or abnormality of psychological, physical, or anatomic structure or function. |
| What is disability? | The loss of ability to participate in one or more major life activities as a result of mental, emotional, or physical impairments. |
| What is functional impairment? | Any loss of ability to perform tasks or activities of daily living. |
| What is chronic illness? | Condition or state that lasts for 3 months or longer. May have periods of remission or exacerbation. |
| What are the goals of rehabilitation? | Goal oriented process. Maximize the quality of life of the patient. Address the patients specific needs. Assist the patient with adjusting to an altered lifestyle. Directed toward promoting wellness and minimizing complications. |
| Commission on Accreditation of Rehabilitation Facilities | A nonprofit, private, international standard-setting and accreditation body whose mission is to promote and advocate the delivery of quality rehabilitation. |
| When does the comprehensive rehabilitation plan of care intimated? | Within 24 hours of the patients hospital admission and have it ready fo review within 3 days. |
| Multidisciplinary rehabilitation team | Characterized by discipline-specific goals, clear boundaries between disciplines, and outcomes that are the sum of each disciplines effort. |
| Interdisciplinary Rehabilitation team | Collaborates to identify individuals goals and gestures a combination fo expanded problem solving beyond the boundaries of the individual disciplines, together the discipline-specific work toward goal attainment. |
| Transdisciplinary rehabilitation team | Blurring of boundaries between disciplines, as well as cross-training and flexibility to minimize any duplication of effort toward individual goal attainment. |
| What are the roles of a rehabilitation nurse? | Educator, provider of care, collaborator, patient advocate. |
| What is family centered care? | A philosophy that recognizes the pivotal role of the family in the lives of children with disabilities or other chronic conditions. |
| PT/BRI | Polytrauma/Blast Related Injury |
| How are blasted related injuries categorized? | Primary, secondary, tertiary, and quaternary. |
| Posttraumatic stress disorder (PTSD) | Mental health condition related to experiencing or witnessing a traumatic event outside the normal range of human experience. |
| What is PTSD also known as? | Shell shock or war neurosis. |
| Spinal cord injury (SCI) | Injury in which the spinal cord undergoes compress any fracture or displacement of vertebrate, by bleeding, or by edema. |
| How are head injuries classified? | Penetrating or closed-head injuries. |
| How are brain injuries classified? | Mild, moderate, severe, or catastrophic. |
| How are mild brain injuries characterized? | Brief or no loss of consciousness. |
| How are moderate brain injuries characterized? | A period of unconsciousness ranging from 1 to 24 hours. |
| How are severe brain injuries characterized? | Unconsciousness or post trauma amnesia for longer than 8 days. |
| How are catastrophic brain injury characterized? | Coma lasting several months or longer. |
| Gerontological rehabilitation nursing | Specialty price that focuses on the unique requirements of older adult rehabilitation patients. Primary goal is the assistance of older adult patients in achieving their personal optimal level of health and well-being through holistic care in therapeutic environment. |