Long Term Care & Rehabilitation Nursing
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Long Term Care & Rehabilitation Nursing - Leaderboard
Long Term Care & Rehabilitation Nursing - Details
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Long Term Care is Defined? | The range of services physical psychosocial spiriual social and economic, needed to help people attain maintain and regain their optimum level of functioning. |
Define Activities of Daily Living | Those activities of daily life such as toileting, bathing, dressing, and grooming that promote maintenance of functional abilities and independance in the enviroment. |
Define Quality of Life | Is an individualized concept, but refers to an individuals overall well being and feeling of physical, social and spiritual happiness. |
Define Ethnicity | A persons indentification with a certin ethnic group is based on shared traditions national orgin, physical characteristics, and other markers such as language food and dress. |
As of ______there were more than _____________Americans aged 65 and older and 6.4 milliom aged 85 and over living in the United States. | 2017, 48.2 million |
At present there are numerous setting for long term care including | Home, community and specialized facilities |
Medicare and Medicaid offer a program called? | Program of All Inclusive Care (PACE) Which still helps people remain in their homes while receiving the necessary care. |
To qualify for PACE a person must be? | 55 years or older. Live in the service area and qualify for nursing home level care, and be deemed safe to live at home with the help of pace. |
What is the role of Hosplce Agencies? | To provide services to patients and families as the end of life approaches. |
Who qualifies for Hospice Services? | Hospice services are availible to any age group, not just older adults. Medical certification is required for terminal care. |
What is Palliative Care? | It extends the principles of hospic care to a broader population that has the possibility to benefit from comfort care elier in the illness or disease process. |
Adult daycare centers are designed to serve? | Adults who need supervision, social opportunities or assistance because of physical or cognitive imparement. |
Typical Services offered by adult daycare centers are. | Transportation, social services, meals, limited nursing care, personal care, counseling, therapeuitc activities, rehabilitation therapies, crafts, recreational activities. |
Respite Care? | Respite care is provided to give family members or caregivers a break from the responsibility of care. |
What are residential care facilities? | They are Assisted Living facilities, Congragate Care Facilities and Continuing Care Retirement facilities. |
What is Assisted Living? | A type of residential care setting in which the adult patient rents a apartment or studio, and has the option of receiving personal services such as bathing, dressing, and administration of medications. |
Sub Acute care has become necessary because of? | Increased lifespan as well as changes in hospital reimbursement. |
The Intesive Care Unit (ICU) cares for patients who? | Condition is so critical that thay formally would not have survived |
In the acute care setting, strict rules about length of stay and limitations on cost reinburstment? | Limit the amount of time an adult can be hospitalized. |
Define OBRA? | Omnibus Budget Reconiliation Act |
ICP | Interdisciplinary Care Planning Meeting. |
The Long Term Care Facility is managed by? | The Administrator and DON |
DON | Director Of Nurses |
DSD | Director Of Staff Development |
HCFA? | Health Care Financing Administration |
Six Ethical Issues Related to Long Term Care 1 | Adherence to the patience Bill of Rights |
Six Ethical Issues Related to Long Term Care 2 | Advanced Directives |
Six Ethical Issues Related to Long Term Care 3 | Do Not Resuscitate orders (DNR) |
Six Ethical Issues Related to Long Term Care 4 | Guardianship |
Six Ethical Issues Related to Long Term Care 5 | Power of Attorney |
Six Ethical Issues Related to Long Term Care 6 | Resposible Party Designation |
DNR | Do Not Resuscitate |
The Joint Commission has established? | Five national safety goals |
1-5 of the National Safety Goals established by the TJC 1 | Identify the residents correctly |
1-5 of the National Safety Goals established by the TJC 2 | Use Medicine Safely |
1-5 of the National Safety Goals established by the TJC 3 | Prevent Residents from falling |
1-5 of the National Safety Goals established by the TJC 4 | Prevent Pressure Injuries |
The role of the LVN?LPN in the Nurse in process 1 | Participate in planning care for patients based on patient based needs |
The role of the LVN?LPN in the Nurse in process 2 | Review patients plan of care recommend revisions as needed |
The role of the LVN?LPN in the Nurse in process 3 | Review and follow defined prioritization for patient care |
The role of the LVN?LPN in the Nurse in process 4 | Use clinical pathways care maps or care plans to guide and review patient care |
Strategy to Meet Goal 1 | Identify residents correctly |
Strategy to Meet Goal 2 Answer (term) | Use medications safely. Upon admissions ensure current medications list is obtained |
Strategy to Meet Goal 3 Answer (term) | Prevent Infection, Use good hand hygine at all times, Follow policy to prevent the spread of infection amoung patients. |
Strategy to Meet Goal 4 Answer (term) | Prevent residents from falling, determine which reidents or fall risks and institute fall protical |
Strategy to Meet Goal 5 Answer (term) | Prevent bed sores, perform skin assessments to idenify patients or residents at risk for impared skin integrity |
The Nurse and Team Identify Patient Problems from the assessment. Possible patient problems in long term health. Prioritize patient problems 1 | Anxiousness, related to financial difficulies |
He Nurse and Team Identify Patient Problems from the assessment. Possible patient problems in long term health. Prioritize patient problems 2 | Complex Grief Related to multiple losses |
He Nurse and Team Identify Patient Problems from the assessment. Possible patient problems in long term health. Prioritize patient problems 3 | Compromised Physical Mobility, related to abnormal gait. |
TBI | Traumatic Brain Injury |
The goal of Rehabilitive Nursing is? | To support patients in the restoreation of ahealth state or in adaptation of changes that have resulted in chonic illness or disability |
Impairment | Any loss or abnormality of psychological, physical or atonomic structure of function |
Disability | The loss of an ability to participate in one or more major life activities as a result of mental emotional or physical imparements.The imparement may limit participation in a manner within the range of ability that is considarded normal. |
Functional limitations | Any loss of ability to perform tasks or activities of daily living |
Chronic Illness | A chronic illness generally refers to a condition or state that lasts for 3 months or longer. A chronic illness can have periods of remission and exacerbation. |
Exacerbation | An increase in the seriousness of a disease or disorder marked by greater intensity in the signs or symptoms of the patient being treated |
Focuse Areas Related to Chronic Illness and Disability 1 | Access to health services |
Focuse Areas Related to Chronic Illness and Disability 2 | Arthritis, osteoporosis, and chronic back conditions |
Focuse Areas Related to Chronic Illness and Disability 4 | Dementias, including Alzheimers Disease |
Focuse Areas Related to Chronic Illness and Disability 6 | Disability and Health |
Focuse Areas Related to Chronic Illness and Disability 7 | Hearing and other sensory or communication disorders |
Focuse Areas Related to Chronic Illness and Disability 8 | Heart disease and Stroke |
Focuse Areas Related to Chronic Illness and Disability 9 | Human Immunodeficiency Virus (HIV) Infection |
Focus Areas Related to Chronic Illness and Disability 10 | Mental health and Mental health disorders |
Focus Areas Related to Chronic Illness and Disability 11 | Respiratory disease |
Chronic Illness have the potential to be either | Abrupt or insidious in onset and by definition persist for an extended and indefinite period. |
The scope of conditions that necessitate rehabilitation is | Broad and spans the life continuum |
Goals of rehabilitation 1 | To maximize the quality of life for the patient |
Goals of rehabilitation 2 | To address the patients spacific needs |
Goals of rehabilitation 3 | To assist the patient in adjusting to an altered lifestyle |
Goals of rehabilitation 4 | Are directed in promoting a healthy lifestyle wellness and minimizing complications |
Goals of rehabilitation 5 | To assist the patients in attaining the highest degree of function and self-sufficiency possible |
Goals of rehabilitation 6 | To assist the patient with home and community reentry |
Some important factors to keep in mind and help patients reach thier goal are 1 | Focus on the individule, and all the efforts of rehabilitation or centered on the patients goals |
Some important factors to keep in mind and help patients reach thier goal are 2 | Community reentry, rehabilitation is considered successful if the patient is able to reenter the community |
Some important factors to keep in mind and help patients reach thier goal are 3 | Independance, The goal of rehabilitation is to focus promoting and maintaining the patience independance. |
Some important factors to keep in mind and help patients reach thier goal are 4 | Functional Ability, progress in rehabilitation is measured in terms of functional outcomes |
Some important factors to keep in mind and help patients reach thier goal are 5 | Quality of life, Goals focus on improving the quality of life, rather than increasing the quantity |
Some important factors to keep in mind and help patients reach thier goal are 6 | Change process, Patients who experiance a disabling condition or chronic illness experiance a change process so do their families. |
Some important factors to keep in mind and help patients reach thier goal are 7 | Adaptation, Although patients with disabilities do not alway accept thier new condition they need to learn to adapt to it. |
Some important factors to keep in mind and help patients reach thier goal are 8 | Patient and family education, Knowledge and skills are essential components of the rehabilitation program. |
Multidisciplinary team | Team characterized by discipline specific goals clear boundries between disciplines and outcomes that are the sum of each dicsciplines efforts |
What is the role of the rehab nurse | Educator, Provider of Care, Collaborator, Patient Advocate |
Autonomic Dysreflexia | A sudden and extreme elevation in the blood pressure caused by a reflex action of the autonomic nervous system. |
Patients with spinal lesions above the T5 sometimes experience | Autonomic Dysreflexia |
Deep Vein Thrombosis | Clotting of blood vessels of gthe legs caused by slowing of the circulation or an alterration in the blood vessel walls. |
Patients with spinal injuries have the potential to develope | Deep vien thrombosis |