| 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. |
| Maintaining comfort as death approaches is central to? | Hospic 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. |
| ICP's are mandated by? | OBRA |
| The Long Term Care Facility is managed by? | The Administrator and DON |
| DON | Director Of Nurses |
| DSD | Director Of Staff Development |
| Provide the largest percentage of nursing care? | CNA's |
| HCFA? | Health Care Financing Administration |
| The HCFA administers and monitors the __________ guidelines through institutional surveys. | OBRA |
| ___________ defines requirements for the quality of care given to residents and covers many aspects of institutional life. | OBRA |
| 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 |
| A federally funded national health isurance program for people 65 and older | Medicare |
| A federally funded state operated program for low income individules | Medicaid |
| 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 |
| To prevent pressure injury the patient should be repositioned every? | 2 hours |
| 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. |
| In long term care the interdisciplinary team reviews the residents plan of care every______________? For resolution of problems or revision of goals and interventions. | 90 |
| Nursing evaluation must be aimed directly at patient? | Outcomes |
| 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 3 | Cancer |
| Focuse Areas Related to Chronic Illness and Disability 4 | Dementias, including Alzheimers Disease |
| Focuse Areas Related to Chronic Illness and Disability 5 | Diabetes |
| 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 |
| Focuse Areas Related to Chronic Illness and Disability 12 | Vision |
| 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 |
| Heterotopic Ossification | The abnormal formation of bone cells in joints |
| This commonly arises in people with SCIs and occurs below the level of the lesion. | Heterotopic Ossification |
| SCI - No motor or sensory function below the level of injury | Complete Injury |
| SCI - Some os all motor or sensory function below the level of injury | Incomplete injury |
| SCI - Damage to cervical spine or the neck that involves weakness or paralysis in all four extemities | Paraplegia |
| SCI - A slight paralysis incomplete loss of musular power or weakness of a limb | Paresis |
| SCI - Cervical Cord Injury | C2 to C7 involves paralysis of all extemities and the trunk. Respiratory failure bladder and bowel disturbance bradycardia persperation elevated temperature and headache |
| SCI - Thoracic Cord Injury | T1 to T2 Thorasic Spine injury involves paralysis of the lower extremities. After initial injury muscles are flaccid(soft and weak and flabby lacking normal muscle tone).And later become spastic having uncontrollable spasms or other movements of the skeletal system. Other symptoms are paralysis of bowel and bladder spincters, pain in the chest or back abdominal distention and loss of sexual function |
| SCI - Lumbar Cord Injury | L1 and L2 with paralysis of the lower extermities bladder and rectum and loss of sexual function |
| SCI's occur mainly as a result of? | Traumatic accidents and the individules paralyzed are primarily young men. |
| Postural Hypotension | Some patients with spinal cord injuries have a marked drop in blood pressure while sitting in the wheelchair. |
