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Hartman's Nursing as
| Term | Definition |
|---|---|
| Long-term care | Given in long term care facilities for persons who need 24-hour skilled care |
| Skilled care | Medically necessary care given by a skilled nurse or therapist |
| Length of stay | Number of days a person stays in a care facility |
| Terminal illness | An illness that will eventually cause death |
| Chronic condition | A condition lasting a long period of time, even a lifetime |
| Diagnoses | Medical conditions determined by a doctor |
| Home health care | Provided in a person's home |
| Assisted living | Residences for people who need some help with daily care |
| Adult day services | people who need some help and supervision during certain hours |
| Acute care | 24 hour skilled care given in hospitals and ambulatory surgical centers. |
| Subacute care | Care given in a hospital or in a long-term care facility |
| Outpatient care | Usually given for less than 24 hours |
| Rehabilitation | Care given by specialists to help restore or improve function after an illness or injury. |
| Hospice care | Given in facilities or homes for people who have about six months or less to live |
| ADL's | Activities of Daily Living |
| Culture change | A term given to the process of transforming services for elders so they are based on the values and practices of the person |
| Emphasizes the individuality of the person who needs care and seeks to build community by recognizing and developing each | |
| Assistive or Adaptive Devices | Equipment to assist in ADL's |
| Chain of command | Describes the line of authority and helps to make sure that residents get proper health care |
| Scope of practice | Tasks that health-care providers are allowed to do and how to do them correctly |
| Medicare | A federal health insurance program established in 1965 for people aged 65 or older, also covers people of any age with |
| Medicaid | Medical assistance program for low-income people as well as for people with disabilities. |
| Care plan | Developed to achieve the goals of care |
| Policy | A course of action that should be taken every time a certain situation occurs |
| Procedure | A method, or way, of doing something |
| Professionalism | Behaving properly when on the job |
| Compassionate | Being caring, concerning, empathetic, and understanding |
| Empathy | Identifying with feelings of others |
| Sympathy | Sharing in the feelings and difficulties of others |
| Tactful | Showing sensitivity and having a sense of what is appropriate when dealing with others |
| Conscientious | Trying to do your best, guided by a sense of right and wrong. |
| Ethics | Knowledge of right and wrong |
| Laws | Rules set by the government to help people live peacefully together and to ensure order and safety |
| Omnibus Budget Reconciliation Act | Requires that the Nurse Aid Training and Competency Evaluation Program set minimum standards for nursing assistant training |
| Residents' Rights | An ethical code of conduct for healthcare workers, relates to how residents must be treated while living in a facility |
| Informed consent | Process in which a person, with the help of a doctor, makes informed decisions about his or her health care. |
| Abuse | Purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone |
| Neglect | Failure to provide needed care that results in physical, mental, or emotional harm to a person |
| Physical abuse | Any treatment, intentional or not, that causes harm to a person's body. Includes slapping, bruising, cutting, burning, physically |
| Psychological abuse | Emotional harm caused by threatening, caring, humiliating, intimidating, isolating, or insulting a person, or treating him or her as a child, includes verbal abuse |
| Sexual abuse | Forcing of a person to perform or participate in sexual acts against his or her will. Includes unwanted touching and exposing oneself to a person and sharing of pornographic material |
| Financial abuse | The improper or illegal use of a person's money, possessions, property, or other assets |
| Battery | A threat to harm a person, resulting in the person feeling fearful that he or she will be harmed |
| Domestic violence | Abuse by spouses, intimate partners, or family members |
| False imprisonment | Unlawful restraint that affects a person's freedom of movemen |
| Involuntary seclusion | The separation of person from others against the person's will |
| Workplace violence | Abuse of staff by other staff members, residents, or visitors. It can be verbal, physical, or sexual |
| Sexual harassment | Any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive working environment |
| Substance abuse | The use of legal or illegal drugs, cigarettes, or alcohol in a way that harms oneself of others |
| Active neglect | The purposeful failure to provide needed care, resulting in harm to a person |
| Passive neglect | The unintentional failure to provide needed care, resulting in physical, mental, or emotional harm to a person |
| Negligence | Actions, or the failure to act or provide the proper care for a resident, resulting in unintended injury. Example: A CNA |
| Malpractice | Occurs when a person is injured due to professional misconduct through negligence, carelessness, or lack of skill. |
| Suspicious injuries that should be reported | Poisoning, teeth marks, buckle or strap marks, bruises |
| Signs that could indicate Abuse | Yelling obscenities, fear, apprehension, fear of being alone, poor self control, constant pain, threatening to hurt others, withdrawal, apathy, alcohol or drug abuse, agitation or anxiety, signs of stress, low self-esteem |
| Signs that could indicate Neglect | unanswered call lights, soiled bedding or incontinence briefs not being changed |
| Ombudsman | Assigned by law as legal advocate for residents; visits facilities and listen to resident |
| Confidentiality | Keeping private things private |
| HIPPA | Health Insurance Portability and Accountability Act; Protects confidential healthcare information |
| PHI | Protected Health Information - the information kept private under HIPPA (name, address, phone, social, diagnoses, etc) |
| Incident | An accident, problem, or unexpected event during the course of care; something that is not part of the normal routine |
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