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Chap 1&10 Vocabulary
Chapter 1 and 10 Vocabulary
| Term | Definition |
|---|---|
| LTC | Long term Care, Nursing Home, Skilled care, extended care People who need 24 hour care |
| Skilled Care | Medically Necessary Care given by a skilled nurse or therapist 24 hours/day |
| Length of Stay | Number of days a person can stay in a facility |
| Terminal Illness | the illness will eventually cause death |
| Chronic | Condition lasts a long period of time even a lifetime. Physical disabilities, heart disease, dementia. Most people who live in LTC |
| Diagnosis | Medical condition determined by a Doctor or MD |
| Home Healthcare | Care provided in a persons home |
| Assisted Living | Facilities are residences for people who need some help with daily tasks, but do not need 24 hour care. Allows independent living |
| Adult Day Care | Facilities that are for people who need some help and supervision during certain hours but do not live in the facility where the care is provided |
| Acute Care | 24 hour skilled care given in a hospital or ambulatory surgical centers. Short term, immediate care for illness or injuries |
| Subacute Care | given in hospitals or long term care facilities. It is used for people who need less care that acute, but more care than chronic long-term |
| Outpatient care | Usually given to people who have had treatments, procedures, or surgeries that need short-term skilled care. Do not require overnight stay in the hospital or clinic |
| Rehabilitation | care given by specialists. Physical, occupational, and speech therapists help restore or improve function after and illness or injury |
| Hospice Care | given in facilities or homes for people who have about 6 months or less to live. They give PALATIVE care. Physical, emotional and comfort care until a person dies |
| ADL | Activities of Daily Living. Daily personal care tasks performed by the CNA |
| Cultural Change | A term given to the process of transforming services for elderly so that they are based on the values and practices of the person receiving care. |
| Core Values of Cultural Change | Promoting Choice, dignity, respect, self-determination, and purposeful living |
| Person-centered care | Emphasizes the individuality of the person who needs care, and recognizes and develops his or her capabilities. |
| Medicare | A federal health insurance program that was established in in 1965 for people aged 65 and over, a person any age with permanent kidney failure, and certain disabilities. MEDICARE WILL ONLY PAY FOR CARE IT DETERMINES TO BE MEDICALLY NECESSARY |
| Medicaid | A medical assistance program for people with a low income as well as people with disabilities. Funded by state and Federal government. MEDICARE AND MEDICAID PAY LONG TERM FACILITIES A FIXED AMOUNT BASED ON THE RESIDENT'S NEEDS AT ADMISSION |
| Charting | Documenting , recording. Noting important information about a resident. Used to revise the care plan |
| Assistive Device or Adaptive Device | Equipment that helps the resident perform ADL's. Splints, braces, special utensils, etc are examples |
| Policy | A course of action that should take place EVERY time a certain situation occurs. May be compiled in a book or on the computer. |
| Procedure | A method or way of doing something. All employees are EXPECTED to follow these in order to be in compliance. TASKS not listed on the Care Plan or approved by the nurse should not be performed |
| Professional | Having to do with work or your job |
| Personal | Refers to life outside a job such as family, friends, and home life |
| Professionalism | Behaving properly while on the job. Dressing properly and speaking well. Following the care plan, being on time, completing tasks |
| Sympathy | Sharing in the feelings and difficulties of others |
| Empathy | Identifying with the feeling of others and putting yourself in their place |
| Compassion | Being caring, concerned, empathetic, and understanding |
| Honest | Tells the truth and can be trusted |
| Tactful | Showing sensitivity and having a sense of what is appropriate when dealing with others |
| Conscientious | Guided by a sense of right and wrong and always tries to do their best. Alert, observant, accurate and responsible |
| Dependable | Make and keep commitments. Skillfully do tasks and be at work on time, help others when needed |
| Patient | Do not lose their temper easily and does not act irritated when things are hard |
| Respectful | Valuing other people's individuality. Including age, religion, culture, feelings, practices and beliefs |
| Unprejudiced | Give each resident the same quality care regardless of age, gender, sexual orientation, religion, race, ethnicity, or condition |
| Tolerant | Respecting others beliefs and not judging them even if you do not agree with their decision. |
| Ethics | Knowledge of right and wrong |
| Laws | Rules set by the government to hep people live peacefully together and to ensure order and safety |
| OBRA | Omnibus Budget Reconciliation Act |
| Omnibus budget Reconciliation Act (Define) | Passed in 1987 in response to reports of poor care and abuse in LTC facilities . Requires that that NA must complete at least 75 hours of training and pass a competency evaluation program before they can be employed. |
| Surveys | Facility inspections done periodically to help make sure that LTC facilities follow state and federal regulations |
| Cite | A problem that inspectors may find during a survey that must be corrected |
| Resident's Rights | Specify how resident's must be treated while living in a facility. The are also an ethical code of conduct for healthcare workers. Each resident gets a list of these when admitted and they are gone over with them. These are legal rights |
| Quality of Life | Right to the best care available. Dignity, choice, and Independence |
| Informed Consent | the process by which a person with the help of a doctor makes informed decisions about his or her healthcare |
| Abuse | The purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone |
| Physical Abuse | Any treatment , intentional or not that causes harm to a persons body. Slapping, brusing, etc |
| Psychological Abuse | Emotional harm caused by threatening, scaring, humiliating, intimidating, isolating, or treating them as a child |
| Verbal Abuse | Use of spoken or written words, pictures, or gestures that threaten, embarrass or insult a person |
| Sexual Abuse | Forcing an individual to perform or participate in sexual acts against his or her will. Included is unwanted touching, or exposing oneself |
| Financial Abuse | Improper or illegal use of a person's money, possessions, property or other assets. |
| Assault | A threat to harm a person, resulting in the person feeling fearful that he or she will be harmed |
| Battery | Intentional touching of a person without his or her consent |
| Domestic Violence | Abuse by spouses, intimate partners or family members |
| False Imprisonment | Unlawful restraint that affects a person's freedom of movement. |
| Involuntary Seclusion | The separation of a person from others against their will. Confining a resident to their room |
| Workplace Violence | Abuse of staff members by other staff members, residents, or visitors |
| Sexual Harassment | Any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive work environment. |
| Substance Abuse | The repeated use of illegal drugs, legal drugs, cigarettes, or alcohol in a way that harms oneself or others |
| Neglect | FAILURE TO PROVIDE NEEDED CARE THAT RESULTS IN PHYSICAL, MENTAL , OR EMOTIONAL HARM TO A PERSON |
| Active Neglect | PURPOSEFUL FAILURE TO PROVIDE NEEDED CARE RESULTING IN HARM |
| Passive Neglect | UNINTENTIONAL FAILURE TO PROVIDE NEEDED CARE RESULTING IN HARM |
| Negligence | Actions or failure to act or provide the proper care for a resident resulting in unintended injury. (forgetting to lock the bed or W/C) |
| Malpractice | When a person is injured due to professional misconduct through negligence, carelessness, or lack of skill. NEVER ATTEMPT TO DO A SKILL THAT YOU HAVE NOT BEEN PROPERLY TRAINED TO DO |
| Ombudsman | Assigned by law as the legal advocate for residents. They help resolve conflicts and settle disputes |
| Confidentality | Keeping Private things Private |
| HIPAA (abbreviation) | Health Insurance Portability and Accountability Act |
| HIPAA (definition) | Law that helps keep health information private and secure |
| PHI (abbreviation) | Protected health information |
| PHI (definition) | Information that can be used to identify a person and relates to the patient's condition, any healthcare the person has had, and payment for healthcare. Person's name, SS#, Etc |
| MDS (abbreviation) | Minimum Data Set |
| MDS (definition) | Detailed form with guidelines for assessing residents. It also lists what to do if resident problems are identified. Must be done if there is any changes in residents condition. Completed by the nurse |
| Incident | An accident, problem, or unexpected event during the course of care. |
| Incident Report | A report that documents the incident that is confidential and intended for INTERNAL use (within the facility) to help prevent further incidents. |
| Laws | rules set by the government to help people live peacefully together and to ensure order and safety |
| Proactive | means anticipating potential problems and needs before they occur |
| Care Plan | individualized for each resident |
| Scope of Practice | defines the tasks that healthcare providers are legally allowed to do according to state and federal laws |
| Liability | a legal term that means that someone can be held responsible for harming someone else |
| Chain of Command | describes the line of authority and helps to make sure that residents get proper health care |
| Trauma-Informed Care | an approach to patient care that recognizes that people may have experienced trauma in their lives |
| Stress | the state of being frightened, excited, confused, in danger, or irritated |