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Acute illness
(a sudden illness from which theperson is expected to recover)
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Chronic illness
(an on-going illness that is slow or gradual in onset)
There is no known cure
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(an on-going illness that is slow or gradual in onset)
There is no known cure
Chronic illness
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(a sudden illness from which theperson is expected to recover)
Acute illness
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Terminal illness
(an illness or injury from whichthe person will not likely recover)
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Persons in long-term care centers are __________
residents
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What type of facility have residents insted of patients?
LONG-TERM CARE CENTERS
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Long term care centers provide
Medical, nursing, dietary, recreational,rehabilitative, and social services are provided.
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Board and care homes provide a room,meals, laundry, and supervision. Do not confuse them with ________ _______
Skilled Nursing Facilities (SNFs)
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Skilled Nursing facilities are _______ by governing agencies
Regulated
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Some nursing centers and hospitals provide subacutecare. What is subacute care?
After the hospital discharges an acute patient they may still need some rehabilitation in a facility less intensive then the hospital
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The goal is to _______ _______ care
provide quality
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Nursing assistants work under a _______ _______
Registered Nurse
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Functional nursing:
Focuses on tasks and jobs, each nurse has certain tasks and jobs to do, eg. one nurse administers all the drugs, the other gives all the treatments, etc
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What nursing care pattern is:
Focuses on tasks and jobs, each nurse has certain tasks and jobs to do, eg. one nurse administers all the drugs, the other gives all the treatments, etc
Functional Nursing
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Team nursing:
The nursing care pattern we will be exposed to the most.
Involves a team of nursing staff led by an RN- they delegate tasks to other nurses and nursing assistants, delegation is based on the persons needs and the team member abilities
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The nursing care pattern we will be exposed to the most.
Involves a team of nursing staff led by an RN- they delegate tasks to
other nurses and nursing assistants, delegation is based on the persons
needs and the team member abilities
Team Nursing
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Primary Nursing is:
Involves total care. The RN is responsible for the person's total care, and the nusing assistants assist as needed. The RN gives care and makes discharge plans as well as communicates with the family
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Involves total care. The RN is responsible for the person's total care, and the nusing assistants assist as needed. The RN gives care and makes discharge plans as well as communicates with the family
Primary Nursing
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Case management is:
Similar to Primary Nursing.
Case manager (RN) coordinates a person't care from admission through discharge and into the home setting. He/she communicates with the dr and health team, and agencies. Heart desease and cancer are examples.
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Similar to Primary Nursing.
_____ _______ (RN) coordinates a person't care from admission through discharge and into the home setting. He/she communicates with the dr and health team, and agencies. Heart desease and cancer are examples
Case Management
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Patient-Focused Care:
when services are moved from the departments to the bedside. The nursing team performs basic skills usually done by other health team members. The number of people caring for each person is reduced, this reduces care costs.
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when services are moved from the departments to the bedside. The nursing team performs basic skills usually done by other health team members.
The number of people caring for each person is reduced, this reduces care costs.
Patient-focused care
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Diagnosis-related groups (DRGs) are payment systems for what?
are for hospital costs.
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What payment system are for hospital costs?
Diagnosis-related groups (DRGs)
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What does MS-DRG stand for:
Medicare Severity adjusted Diagnosis Related Groups
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What does prospective payment mean?
Amount paid for services before care.
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SNF take what type of prospective payments?
RUG Resource utilization groups (RUGs) are for SNF payments.
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What type of prospective payments are used for rehabilitation centers.
Case mix groups (CMGs)
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OBRA stands for:
THE OMNIBUS BUDGET RECONCILIATION ACT OF 1987
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OBRA is a federal law that requires: (3 items)
Nursing centers to provide care in a manner and in asetting that maintains or improves each person’s quality of life, health, and safety
Nursing assistant training and competency evaluation
Promoting and protecting resident rights
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OBRA states that residents have rights (2 items):
As United States citizens
Relating to their everyday lives and care in a nursingcenter
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The NCSBN’s Five Rights of Delegation are:
The right task
The right circumstances
The right person
The right directions and communication
The right supervision
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NCSBN stands for:
National Council of State Boards of Nursing
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Delegation decisions must ______ the person's _______ and ___________
protect the person’s health and safety.
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You should refuse to perform a task when (10 answers):
The task is beyond the legal limits of your role.
The task is not in your job description.
You were not prepared to perform the task.
The task could harm the person.
The person’s condition has changed.
You do not know how to use the supplies or equipment.
Directions are not ethical or legal.
Directions are against agency policies or procedures.
Directions are not clear or not complete.
A nurse is not available for supervision.
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A _______ limits or separates something
Boundary
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What is a boundary violation?
A behavior that meets your needs, not the person's.
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What is a tort?
Tort is a wrong committed against a person of the person's property
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What is Negligence?
an unintentional wrong
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What is malpractice?
negligence by a by a professional person
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Libel is:
Making false statements in print
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Slander is:
Making false statements orally
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Defamation is:
injuring a person's name and reutation by making false statements to a third person
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False imprisonment is:
unlawful restraint or restriction of a persons freedom of movement, it also includes threatenting to restrain a person, and preventing a person from leaving the agency
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Invasion of privacy is:
Violating a person's right not to have his or her name, photo of private affairs exposed or made public without giving consent.
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HIPPAA stands for:
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) protects the privacy and security of a person’s health information.
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Failure to comply with HIPAA rules can result in _____, _______, and ______ ______including ______ _______.
fines, penalties, and criminal action including jail time.
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Fraud is
saying or doing something to trick, fool, or deceive a person.
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Assault is
intentionally attempting or threatening to touch a person’s body without the person’s consent
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Battery is
touching a person’s body without his or her consent.
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Informed consent (5 things)
A person has the right to decide what will be done to his or her body and who can touchhis or her body.
The doctor is responsible for informing the person about all aspects of treatment.
Consent is informed when the person clearly understands all aspects of treatment.
If the person is unable to give consent, a responsible party or a legal representativegives informed consent.
You are never responsible for obtaining written consent.
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Elder abuse is any knowing, intentional, or negligent act by a caregiver or any other personto an older adult. It includes: (8 catagories)
Physical abuse
Neglect
Verbal abuse
Involuntary seclusion
Financial exploitation or misappropriation
Emotional abuse
Sexual abuse
Abandonment
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Describe the 4 nursing care patterns:
- Functional nursing
- Team nursing (we will be exposed to this the most)
- Primary nursing
- Case Management
- Patient-focused care
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