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Primary nurse
a nursing care pattern, an RN is responsible for the person's total care
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Registered nurse (RN)
a nurse who has completed a 2, 3, 4 year nursing program and has passed a licensing test
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team nursing
a nursing care pattern, a team of nursing staff is led by an RA who decides the amount and kind of care each person needs
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terminal illness
an illness or injury for which there is no reasonable expectation of recovery
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Purpose of health promotion
to reduce the risk of illnesses
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Disease prevention purpose
measures are taken to reduce risk factors and prevent disease
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goal of rehabilitation and restorative care
to return persons to their highest possible level of physical and mental functioning and to independence
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Independence definition
not relying on or requiring care from others
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acute illness
a sudden illness from which the person is expected to recover
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chronic illness
an ongoing illness that is slow or gradual in onset
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terminal illness
illness or injury for which there is no reasonable expectation of recovery
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Rehab, restorative care purpose
return patient to highest possible functioning
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assisted living residence
no wound care or treatment
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What does assisted living residence provide?
housing, personal care, support services, health care, and social activities in a home-like setting
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Assisted living residence meals
3 meals and a snack
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Who are mental health centers for?
people with mental illnesses or others who present dangers to themselves or others because of how they think and behave
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Home care agencies definition
a wide range of services are provided to ppl where they live
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Services of home care agencies
health training, supervision to bedside nursing care, physical therapy, rehabilitation, and food services
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hospice definition
a health care agency or program for people who are dying
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Focus in a hospice
comfort not cure
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Needs met at hospice
physical, emotional, social and spiritual needs
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Health care system definition
usually has hospitals, nursing centers, home care agencies, hospice settings, and doctors' offices
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board of trustees
a governing body of an agency
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task of board of trustees
- -makes policies
- - makes sure that safe care is given at the lowest possible cost
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type of rules followed by board of trustees
local, state, and federal rules
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Administrator
manages the agency
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Directors or department heads
manage certain areas of the agency
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health team
involves the many health care workers whose skills and knowledge focus on the person's total care
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goal- health team
to provide quality care
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focus of their care-health care
the person
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Private insurance
- - is bought by individuals and families
- - insurance company pays for some or all health care costs
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Group insurance
- bought by groups or organizations for individuals
- often an employee benefit
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Medicare
- people 65 yrs of age or older
- some younger ppl with certain disabilities are covered
- also these ppl can't take of themselves
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Medicaid
for people without insurance, without money, and can't take of themselves
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Standards of licensure for an agency
- license is issued by the state
- agency must have license to operate and provide care
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standard of certification for agency
certification is required to receive Medicare and Medicaid funds
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Standard for accreditation agency
- this is voluntary
- it signals quality and excellence
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reason for surveys
done to see if agency meets set standards
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What does survey team do?
- review policies and procedures
- review medical records
- interview staff, patients and residents, and families
- observe how care is given
- observe if dignity and privacy are promoted
- check for cleanliness and safety
- review budgets and finances
- make sure the staff meets state requirements
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CNA roles during survey process
- provide quality care
- protect the person's rights
- provide for the person's and your own safety
- help keep the agency clean and safe
- conduct yourself in a professional manner
- have good work ethics
- follow agency policies and procedures
- answer questions honestly and completely
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