Chapter 1 Understanding Healthcare Settings
List four examples of how you think elderly people living in care facilities can benefit from person-centered care.
-Accessible and personalized care -Respecting personal and family values -Encourages presence of family and friends -Residents engage in activities of their choosing or catered to their interests
List two groups of people who qualify for Medicare.
-Aged 65 or older -People of any age with permanent kidney failure or certain disabilities
PPOs (preferred provider organizations)
A form of health insurance in which patients are encouraged to receive care from a network of approved providers, but can see other providers at an additional cost
HMOs (health maintenance organizations)
A form of health insurance in which the cost of care is covered only when a person uses a particular doctor or group of doctors except in case of emergency
Why is it important for nursing assistants to care for each resident as a whole person instead of treating only their disorders and disabilities?
Because some residents have very little outside support from family or friends.
Managed care
Cost-control strategies for health care
How is eligibility for Medicare determined?
Determined by income and special circumstances
Nonprofit organizations cannot own long-term care facilities.
False
Nursing assistants may perform tasks not listed in the job description if they are very simple.
False
Approximately 68% of residents in long-term care facilities are
Female
Care given to people who have approximately six months or less to live is called
Hospice care
Home health aides
May clean or shop for groceries
In general, residents who stay at a facility for more than six months
Need 24-hour care
List four parts of Medicare and what each helps pay for.
Part A: helps pay for care in a hospital or skilled nursing facility or for care from a home health agency or hospice Part B: doctor services and other medical Part C: allows private health insurance companies to provide Medicare benefits Part D: medications prescribed for treatment
Payers
People or organizations paying for health care services
Assisted living facilities are initially for
People who need some help with daily care
Facilities
Places where health care is delivered or administered
How can healthcare workers incorporate trauma-informed care?
Planning treatment with patients and promoting choice and safety
Care given by specialists to help restore or improve function after an illness or injury is called
Rehabilitation
People who live in a long-term care facility are usually called __________ because it is where they live for the duration of their stay.
Residents
Another name for a long-term care facility is
Skilled nursing facility (SNF)
What is the most important thing for a nursing assistant to know about the residents in her care?
That each resident is an individual with their own abilities and needs
If a surveyor asks a nursing assistant a question, and the NA does not know the answer, what would be her best response?
The NA should admit that she does not know and should find out the answer
Most conditions in long-term care are chronic. This means that
The conditions last a long time.
Which of the following statements is true of the Joint Commission?
The goal of the Joint Commission's survey process is to improve safety and quality of care
Which of the following statements is true of adult day services?
This type of care is for people who need some assistance and supervision during certain hours
What is the purpose of surveys in long-term care facilities?
To study how well residents are cared for
A policy is a course of action to be followed. For example, all healthcare information must remain confidential.
True
Changes in residents' conditions should be reported to the nurse.
True
Each step in a procedure is important and must be strictly followed.
True
Facilities that offer specialized care must have specially trained employees.
True
Facilities will have procedures for reporting information about residents.
True
Long-term care facilities may offer assisted living housing, subacute care, or specialized care.
True
What types of experiences can cause trauma?
Witnessing or experiencing abuse or neglect, violence, prison, military combat, unstable home environments, poverty, discrimination, life-threatening illness, and negative experiences in a medical setting