last quiz 1term

How much time does it take for the average home health visit from the different staff members (i.e. CNA, RN, PT, OT, etc.

30 to 45mint

SO that the patient can plan accordingly the nurse tells the home health patients that a skilled nursing visit typically lasts.

30-45 mint.

Patients over the age of 65 account for _____ of all home health care pts

50%

Which person evaluates the patients psychological needs?

Social worker

which person assists the patient with his/her fears and uncertainty

Spiritual coordinator

Spinal Cord Injuries: know the levels of spine injury and what is affected.

C4 above cant breath spinal cord injury quadriplegia need ventilator. C5 below the can breathe on their own C3 spinal cord injury quadriplegia you may feel sensation below.

Which is a key element of family centered care

Collaboration among family and professionals

which facilities usually requires a lifetime contract

Continuing care retirement communities (CCRCs)

A multidisciplinary approach has what type of goals

Discipline specific

what does universal carry mean

How to remove a patient from the bed to the floor

which is not a cornerstone of rehabilitation

Independence

What are Adult Day Care centers? What services are / are not offered?

Provide companionship and assist in ADL Enable to socialize and enjoy activities while receiving needed health services

What is home health care? What are the advantages to the patient and their family?

Pt and family member is control of home health care/what happens

Subacute Care Unit-

Pt's recovery in surgery there are not sick,below in hospital

LPN/LVN comprise 10-20% of the home care workforce and are directly supervised by the

RN

Roles and responsibilities of RNs and LVNs in the home setting.

RN- in charge of detailed patient assessments and clinical judgments,Is the charge Nurse for LVN,CNA,HHA in home health setting. LVN-observe,documents and report any changes in the patients conditions, Perform basic assessment,

Define and differentiate: RNA, CMA

RNA- Restorative Nurse Assistant- Assist pts ROM(like assist in walking,exercise. CMA- Certified Medication Technician- A unique member of the caregiving team in the long-term care facility setting in some states .they can give meds like in homecare (OTC asset by the LVN)

What are the steps of getting admitted into home health services?

Referral who is the physician,social workers,family,non-essential referral 1st step is referral given by physician, social worker, nurse, pt and family member

Why should a hospital have a disaster plan?

To be prepared in times of an emergent community situation with the possibility of a large number of casualties

Multidisciplinary Approach-

are the mechanism for organising and coordinating health and care services to meet the needs of individuals with complex care needs. The teams bring together the expertise and skills of different professionals to assess, plan and manage care jointly.

Speech Language Therapist,-

assess / restore speech, language, cognitive-communication, and oral/feeding/swallowing skills. different ways to communicate, how to read lips, swallowing

What actions should we take when our patient is a victim of poisoning?

call poison control

In 1983 this system of medicare reimbursement played major role in the incrased need for home health care in the united state

diagnosis related group

what type of problem is a major concern for older adults

driving, hospitalizations,accidental poisoning, loneliness

an impairment is

loss of anatomic structure of function

Moderate injury

loss of consciousness for between 15 minutes and 6 hours, or a period of post-traumatic amnesia of up to 24 hours.

which method of reimbursement is available to individual who are disabled or low income

medicaid

Mild

person who has had a traumatically induced physiological disruption of brain function, as manifested by at least one of the following: 1. any period of loss of consciousness; 2. any loss of memory for events immediately before or after the accident;

A rehabilitation nurse must have a broad knowledge of

principle of physical therapy

Severe, -

patient has been in an unconscious state for 6 hours or more, or a post-traumatic amnesia of 24 hours or more

What are the eligibility for Medicare?

Patients older than 65 years ,terminal illness, physical, mental, renal disabilities, home bound. -Disability ,physically disable,physical and mental patients who have had a stroke, chronic obstructive pulmonary disease, fractured hips with or without surgical interventions, and joint replacement procedures often are referred to home health agencies. Medicaid Run by the state. Medical care provides for the low income/poor.

List some of the ways we can prevent the use of SRDs. intervention

Provide stimulation like keep busy during daytime activity Assist pt in the bathroom Sitter,put picture of the family,put in near nurse station, Monitor every 2hrs.dim the lights Therapeutic conversation, close to the nurse station, visual & audio stimulation, family photos, clock, music, auditory simulation, encourage family to visit/sitter .

WHo coordinates the implementation of the plan of care?

Rn coordinator

what does SRD stand for

Safety Reminder Device

Occupational Therapist

help these patients develop, recover, improve, as well as maintain the skills needed for daily living and working (ADL and provide special tools or devices so they can use and stay independent.teach different ways doing ADL stay independent

which agency provides end of life services

hospice

Who would provide respite care for THe caregiver

hospice volunteer

A subacute unit may be located in which environment

hospital

which is not a common disorders upon admission to a long term care facilities

hyperthyroidism

the long term care facilities focuses on what for its residents

individuals approach

Define and differentiate the different classifications of disaster situations.

internal- (inside)are emergency situations in which only patients, visitors, and staff within the hospital are injured.injured victim,evacuation External -(outside) location ,earthquake,massive explosion,flood,natural disaster,tsunami,terrorizism.

Individualized approach

is a patient-centered care model that simply asks the patient their priorities as they embark on treatment. Before, providing healthcare has been doctor-centered, where the doctor 'knows best'. increase pts satisfaction.

Continuing Care Retirement-

is a place where you have access to multiple levels of care on a single campus. combination of independent and assisted living care skilled nursing service.

the most important benefits of home health care is that

it preserves individual independence and integrity and keeps families together

Which of these is a benefits of long term care

it provides various services and setting for care.

what type of sensitivity is often seen in the health care environment

latex allergies

what national organization provides guidelines to protect health care workers in their environment?

occupational safety and health administration

what is the most common problem that nurses need to address to ensure the safety of the their patients?

percentage of falls in the facilities

Rehabilitation focuses on improving

quality of life

What are the advantages?-

socializing and interacting with others.

Physical Therapist, -

strengthen the patients,exercise and teach how to use walkers. strengthening limbs, exercises, ambulation, using walkers, crutches

the speech therapy works with the home care patients on tasks,including

swallowing issues

who set the rules of governing certification of home health agencies

the federal goverment

what need to be removed from a fire extinguisher before it can be activated

the pin

what are some safety considerations a nurse should contemplate when caring for an older adult

their visual acuity is not good,and their reflexes are slow

falls: when do they usually happen? Who are at risk?

transfer mostly elderly peoples

Discharge planning in home health services.

upon admission

discharge planning for a patient in the home care setting begin when

upon admission to the home care agency

which type of pain originates from internal organs

visceral pain

What is PASS? What does it stand for? What is it used for?

Use it when you use Fire extinguisher: Pull Aim Squeeze Sweep

Respiratory Therapist-

Breathing technique ,nebulizer treatment,breathing treatment ,nebulizer,breath exercises,o2.

What are the steps we need to take when we encounter smoke / fire?

-first things to do moving the patients safety place -sound alarm ,contain the fire by closing doors , extinguish the fire

What does RACE mean?

1. rescue 2. alarm 3. confine 4. extinguish

How much time does it take for the evaluation and admission process by the RN (Case Manager)?

1hr.

How often should nurses check on their long-term care residents?

2 hrs.

What is the appropriate amount of time between referral and initial evaluation by the home health RN?

24 to 48 hrs. 1hr.

What are the different types of terrorism?

Biochechemical Nuclear,chemical-scentetic Biologic -virus air Technological lost like hacker internet

WHich condition is difficult to manage in a long term care facilities

Alziemers disease

How is the Nursing Process utilized in home health care? How is it an essential tool in the patient's plan of care?

Assessment: Collect subjective and objective, Diagnosis , planning, implementation and evaluation. What you do as a nurse.accurate,quality,effective car. Assessment gives a good pt of what pt need Dx: identifies what pt need Plan: that the main focus should be evaluation: has things worked(if things should change to better the pt) proper documentation

a large long term care facilities might have which health care professional on staff?

Assistant nursing director

WHich aspect of assisted living appeals to the older adult

Availability of 24 hrs.services

Where did the hospice concept originate

Europe

What are the advantages of working as a nurse in home health?

Flexibility ,independent.

which condition affect the individuals who has had a spinal cord injury

Heterotopic ossification

What is hospice care? What is the focus of hospice care?

Hospice Care- hospice is to provide care and support to patients with a terminal illness (a disease in an advanced stage with no known cure and poor prognosis) and their families. WHat is the focus of hospice care- to promote quality of life as the end approaches.comfort to the pt's pain.

What is Medicaid? How is it managed?

Medicaid- program pays for home care services to indigent and low-income people of all ages. Medicaid is a state and federal program that provides health coverage if you have a very low income How is it managed?- state administers it, but state and federal funding subsidize it.Services covered vary from state to state, but most include the basic services covered by Medicare plus expansion of aide and personal care services.

Which person assumes responsibility for the hospice program

Medical director

What is palliative care?

Not a cure, but relieves pain and distress

When do we use ,patient, client, resident, customer?

We used Resident bcoz that there home. Some pt's they don't have arm bands.

Adult day care Center

elderly not safe alone ,dementia,provide meals,socializing,interaction,medication.

Catastrophic Brain Injury.-

expected to result in permanent loss of all brain function above the brainstem level

which process is similar to the nursing process?

five step process

which type of rehabilitation focuses on the older adult population

gerontologic rehabilitation

Interdisciplinary approach

health professionals from different disciplines, along with the patient, working collaboratively as a team.work together as team same goal

most older adults live in which setting

home

What rules apply to the use of SRDs (Safety Reminder Devices)? -

restraints. Need physician order for wrist restraints, proper documentation, renew every 24 hours because it expires, check/inspect pt wrist every 2 hours

Assisted living Center

retirement /senior community,elderly there independent but they are not cook or do laundry ,someone cleaning

the goal of restorative care is to assist the patient in

returning to the level of functioning prior to the present illness.

Which would not cause nausea

salivation

Who is in control of home health care?

Patient and Family bcoz if they dont like they can control and complain about you that's why they can control the setting.

Long term care facility

A facility that provides rehabilitative, restorative, and/or ongoing skilled nursing care to patients or residents in need of assistance with activities of daily living. A resident that who live there.

What tasks can you delegate to the Assistive Personnel (CNA, HHA)?

Adl, enema,feeding,shower. as a LVN we can't teach the cna and hha about medication bcoz is out scope practise.

Which type of rehabilitation is very intensive

Interdisciplinary

The hospice patient and family must agree that what will not be provided

Life support measures

List some of the safety hazards that can be found in a hospital setting.

Mercury spills, wet floors, things to slip/fall over, frade cordes, tubing, latex sensitivities, blocking exit signs