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NURS 1110 misc
health concepts
| Question | Answer |
|---|---|
| managed care | system of care where a patient's care is managed by a primary care provider; choice in providers is limited and pre-approval may be required for specialty care |
| case management | method used to coordinate a patient's healthcare; interdisciplinary process; focus is on enhancing continuity of care and using healthcare resources effectively |
| primary healthcare | emphasizes universal access and affordability of healthcare, health of the whole population, and consumer involvement; not the same as primary care |
| interdisciplinary team | physician, physician assistant, physical therapist, respiratory therapist, occupational therapist, speech therapist, dietician, pharmacist, social worker, unlicensed assistive personnel (CNA, orderlies, PCA, techs) |
| methods of financing healthcare | Medicare, Medicaid, group plans, |
| trends and issues affecting healthcare delivery | focus on preventative care, knowledgeable consumers, cost containment, fragmentation of care, debate over whether healthcare is a right or a privilege |
| role of nursing in healthcare reform | nurses are changing how healthcare is delivered by providing more primary care (advanced practice nurses), caring for neglected populations (elderly, women, infants, children, poor), and promoting a holistic approach that aids in prevention of illness |
| continuity of care | process by which healthcare providers give appropriate, uninterrupted care and facilitate the patient's transition between different care settings and levels of care |
| nurse's role in continuity of care | nurses consider how a patient's needs will be met when they transfer to another facility or are discharged home; the nurse often is the primary person to communicate patient needs, teaching self-care, and is involved in admission and discharge. |
| ambulatory care setting | same day procedures; nurses take care of screenings, admission procedures, and teaching in advance. Patients arrive, have the procedure and go home. |
| hospital care setting | Nurses gather health history, perform physical assessment, prepare the room for admission, orient the patient to the room/unit, complete chart and Kardex, develops care plan, inventories personal belongings, provides care. |
| admission process | depends on the nature of the admission and the facility; the nurse is responsible for complete assessment - biophysical, psychosocial, environmental, self-care, educational, and discharge planning factors |
| transfer of patients between healthcare settings | can occur between different units of a hospital or between different care settings; nurses ensure comfort, safety, and teaching needs of patient and family are met upon discharge and admission to new facility |
| discharge planning | process of ensuring that patient and family needs are met when the patient moves from an acute care setting to care at home; assess and identify healthcare needs, set goals with the patient, provide teaching, discuss options |
| home healthcare system | care provided in the home for people with an acute illness, long-term health condition, permanent disability, or terminal illness who need treatment or support to function effectively in the home environment |
| home healthcare agencies | can be public or private, may be certified by Medicare, provide a variety of different levels of care - skilled professional services, custodial care, medical equipment services, hospice, respite care, high-tech pharmacy services |
| home healthcare patients | both the patient and the patient's family |
| home healthcare referral source | the person who recommends a home care service and supplies the home healthcare agency with details about the patient's needs |
| primary caregivers in the home healthcare setting | family members provide a great deal of care, care my also be provided by nurses, home healthcare aides, therapists (occupational. physical, respiratory, speech), social workers |
| reimbursement services for home healthcare | Medicare and Medicaid often reimburse for home healthcare services provided interventions are approved and home healthcare has been ordered by a physician or nurse practitioner |
| legal considerations for home healthcare | privacy and confidentiality, patient's access to health informaiton, patient's freedom from restraint, informed consent, negligence and malpractice; same nursing standards of practice and ethics apply in the home helathcare setting |
| role of the home healthcare nurse | caregiver, patient advocate, coordinator of services, patient and family educator |
| healthcare settings and services | hospitals, primary care centers, ambulatory care centers and clinics, home healthcare, long-term care, specialized care centers and settings, services for caregivers and end-of-life care |
| specialized healthcare centers | daycare centers, mental health centers, rural health centers, schools, industry, homeless shelters, rehabilitation centers |
| services for caregivers and end-of-life care | respite care, hospice, palliative care |
| healthcare agencies | voluntary agencies (AA, support groups), parish nursing, government agencies (VA, Public Health Service, public health agencies) |
| Medicare and Medicaid | Medicare - for patients over 65 years old; Part A includes hospital stays, Part B (voluntary) includes outpatient costs, medications, home health services; Medicaid - federally funded public healthcare for people of any age with low incomes |
Created by:
pinklrt98
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