Workbook Chapter One

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Two groups of people who qualify for medicare

-People who are 65 years old and older -People with permanent kidney failure and other certain disabilities

List for examples of how you think elderly people living in care facilities can benefit from person directed care

-person centered care is an individualized care that can make a patient feel like they are getting the best care due to the personalization -Focuses on patients capabilities and recognizes what they can and can't do -allows and promotes patients preferences, choices interests, and beliefs to be included in care -the main goal is giving a resident a high quality of life

List four parts of Medicare and what each pays for

1. Hospital Insurance- care in hospital or skilled nursing facilities 2. Medical Insurance- doctor services and other medical services and equipment 3. Medical Advantage Plans- allows private health insurance companies to provide Medicare benefits 4. Prescription Drug Coverage- helps pay for medications prescribed for treatment

PPO's (Preferred Provider Organizations)

A health plan that states that customers must use a particular doctor or group of doctors

HMOs (Health Management Organizations)

A network of providers that contract to provide health services to a group of people

Why is it important for a nursing assistant to care for each resident as a whole person?

Because residents tend to not have support systems which are crucial for there care and stay in a facility.

Managed care

Cost-control strategies for health care

True or False: It is all right to preform small tasks not listed in the job description

False

True or False: Nonprofit organizations cannot own long-term care facilities

False

More than half 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 6 months

Need 24-hour care

How is eligibility for Medicaid determined?

People have to qualify by having a low income or a disability

Payers

People or organizations paying for healthcare services

Assisted living facilities are initially for

People who need some help with daily care

Facilities

Places where healthcare is delivered or administered

Care given by specialists to restore or improve function after an illness or injury is called

Rehabilitation

People who live in a long-term care facility are usually called

Residents

Another name for a long-term care facility is

Skilled nursing facility

If a surveyor asks a nursing assistant a question, the nursing assistant should:

Tell the truth even if she doesn't know the answer.

What is the most important thing for a nursing assistant to know about the resident in her care?

That each resident is an individual with his own abilities and needs

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 adult day services? -This type of care id for people who need to live in the facility where care is provided - This type of care is for people who need some assistance and supervision during certain hours -Most people who need adult day services are seriously ill or disabled -Many types of outpatient surgeries are preformed at adult day service centers

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

True or False: A policy is a course of action to be followed. For example, all healthcare information must remain confidential.

True

True or False: Changes in residents' conditions should be reported to the nurse

True

True or False: Each step in a procedure is important and must be strictly followed

True

True or False: Facilities that offer specialized care must have specially trained employees

True

True or False: Facilities will have procedures for reporting information about residents

True

True or False: Long-term care facilities may offer assisted living, subacute care, or specialized care

True

True or False: The goal of the Joint Commissions survey process is to improve safety and quality of care

True

Providers

people or organizations that provide health care


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