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Long Term Care & Rehabilitation Nursing


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Rose Kin


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Long Term Care is Defined?
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The range of services physical psychosocial spiriual social and economic, needed to help people attain maintain and regain their optimum level of functioning.

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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.
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
Define OBRA?
Omnibus Budget Reconiliation Act
ICP
Interdisciplinary Care Planning Meeting.
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 3
Do Not Resuscitate orders (DNR)
DNR
Do Not Resuscitate
The Joint Commission has established?
Five national safety goals
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
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 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 7
Hearing and other sensory or communication disorders
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
Chronic Illness have the potential to be either
Abrupt or insidious in onset and by definition persist for an extended and indefinite period.
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.
Deep Vein Thrombosis
Clotting of blood vessels of gthe legs caused by slowing of the circulation or an alterration in the blood vessel walls.