CNA Quiz 1 Review

people  who need 24 hour supervised nursing care for on-going conditions - once called nursing homes.

expected to die from the illness

condition lasting a long time possibly till death such as physical disabilities, heart disease, stroke and dementia

provided in a person's home. Usually for older an chronically ill but are well enough to stay in their own homes. Possibly when weak after surgery or a fall

daily care (ADL's - showers, bathroom, meals, dressing) May also help with medication. Skilled 24-hour care not nessasary. Take place in facilities and may be attached to long-term facilities

care during daytime workin hours for people who need help butand generally healthy (simply old or forgetfull) They provide a break for families so that they don't have to send their loved one to a home because they cant take care of them while they are at work

given inhospitals and ambulatory surgical centers. Admitted for short stays for surgery or diseases. 24-hr skilled care for temporary, but serious, illnesses or injuries

Medically necessary care given by a skilled nurse or therapist.

given in hospital or in a lon-term care facility. Subacute care is given to people who have had an acute injury or illness or problem resulting from a disease. Need more care than long-term care facilites and less then acute illnesses reuire.

Given for less than 24 hours for people who had surgery or tretments and need skilled care

Physical, occupational and speech therapists restore or imporve function after an illness or injury.  

given in facilities or homes for people who have six months or less to live. give physical and emotional care and comfort. also support for families

Activites for dail living

• Physical occupational and speech therapy 
• wound care
• care of tubes and catheters
• Nutrition therapy
• management of chronic diseases such as AIDS Diabetes Chronic obstructive pulmonary disease (COPD) cancer, and congestive heart failure CHF

funds for 65 years or older patients

low-income people determined by income and special circumstances

insert /remove tubes, change sterile dessings, and give tube feedings in addition to many other things.

• provide personal routine care (bathing and toileting)
• takes vital signs

licensed professional who has completed two to four years of education. Provide skilled nursing care. Assigns tasks and supervises daily care of residents by nursin asssistants

outlines steps and taskss the care team must perform and how often and how 

completed one to two years of education - gives medications and treatments. may supervise nursing assistants daily care of residents

diagnose disease or disability and prescribe treatment. (DO stands for Doctor of Osteopathic Medicine)

• evaluates a person and develops a treatment plan with goals to increae movement, improve circulation, promote healing, reduce pain, prevent disability, and regain or maintain mobility
• gives heat, cold, massage, ultrasound, electricity and exercise to muscles, bones and joints.
• Safely use a walker, cane, or wheelchair. offered at two degree levels: doctor and masters. 

help residents learn to compensate for disabilites. Help residents with ADL's with assistive or adaptive devices. (using a special fork to eat by yourself) (doctor)

identifies communication disorders, addresses factor involved in recovery and develops a plan of care to meet recovery goals. Uses exercises to teach how to improve or overcoe speech problems. (say after a stroke) use a picture board to communicate pain or thirst

creates diets for residents with special needs to improve health and help manage illness. 

counseling, gets clothing and personal items in family is not involved or absent too often. books appointments and transporrtation. 

arranges activites meant to improve and maintain residents' well-being and to prevent further complications from illness or disability. (recreational therapist)

couse of action that should be taken everytime a certain situation occurs. ( healthcare information should be kept confidential

method or way of doing something.

not be performed

Omnibus Budget Reconciliation

a minimum standard for nursing assistant training. - at least 75 hours and pass a state exam. and for staff requirments. Complete assessments on every resident. Survays of facilites are done 9 to 15 months 

• How the resident must be treated while in the facility
• Quality of life
•  Services an activites to maintain a high level of wellness
• the right to be fully informed regarding rights and services
• the right to particpate in their own care ( Informed consent)
• The right to make independent choices
• the right to privacy and confidentiality
• The right to dignity, respect, and freedom
• The right to security of possesions
• Rights during transfers and discharges
• the right to complain
• right to visits
• rights with regard to social services

• harm a person physically mentally or emotionally by failing to provide needed care
• can be (purposeful) Active neglect or (unintentional) Passive neglect

actions or the failure to act or provied proper care for a resident that results in uninteded injury

person is injured due to professional misconduct through negligence carelessness or lack of skill

purposely causing physical mental or emotional pain or injury to someone

slapping bruising, cutting, rough handling

emotionally harming a peron by threatening, scaring, humiliating intimidating, isolating, insulting, or treating him or her as a child. 

spoken or written words that treaten embarrassess or insults a person

treatening to touch a person without his/her permission. (ex: telling the patient you'll slap them if they don't stop yelling )

actually touching someone with out permission ( forcing a resident to eat a meal )

forcing sexual acts on a person against their will (sharing pornographic pictures)

stealing, taking advanage of or improperly using the money property or other assets of another

abuse by spouses intimate partners or family members. ( physical sexual or emotional 

abuse of staff by residents or other staff members. verbal physical or sexual (discussion about sexual subjects)

unlawful restraint of someone which affects the peron's freedom of movement. 

separating a person from others against the person's will (confind to his/her room without consent

unwelcome sexual advance or behavior that creates an intiidating or hostile / offensive working environment.

legal or illegal drugs, cigarettes or alcohol in a way that harms oneself or others

Reporting abuse is not an option - it is the law

• assist residents
• legal advocate for residents  Older Americans Act (OAA) federal law that requires all states to have an ombudsman program 
• takes action if there are problems
• resolve conflicts
• Ongoin presence in long-term care facilites.

• keep private thigns private 
• protect information to related to the well-being of the patient ( urinary output, scars, ect.)

• 1996 then 2001 then 2002 final revision
• keep health info private and secure
• facilities MUST take proper steps to protect health info.
• People can be fined (100 to 250,000) or imprisoned if information is leaked.

protected health information: name address telephone number social security email address and mecical record number.

Do not record any care before it has been done

detailed form with guidelines for assessing residnets. Lists what to do if resident problems are idenified. Facilites must complete the MD Sfor each resident with 14 days of admission and again each year. Must be reviewed every 3 months. Also a new assesment is done if something changes with the patient

accident or unxpected event during the couse of care

accident or incident that results in grave physical or psychological injury or death. (Serious problem : patient falls, you make a mistake, sexual remarks, expsed to blood or body fluids