Chapter 1: The Nursing Assistant in Long-Term Care

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What are 10 examples of ADLs?

1) bathing 2) caring for skin, fingernails, and hair 3) eating 4) drinking 5) caring for the mouth and teeth 6) dressing 7) walking 8) transferring 9) eliminating 10) communicating

Which 4 tasks do nursing assistants NOT do?

1) give medications 2) insert or remove tubes 3) give tube feedings 4) change sterile dressings

What are the 10 qualities good nursing assistants have?

1) patient and understanding 2) honest and trustworthy 3) conscientious 4) enthusiastic 5) courteous and respectful 6) empathetic 7) dependable and responsible 8) humble 9) tolerant 10) unprejudiced

What 4 types of needs does holistic care entail?

1) physical 2) social 3) emotional 4) spiritual

What are the Five Rights of Delegation?

1. Right Task 2. Right Circumstance 3. Right Person 4. Right Direction/Communication 5. Right Supervision/Evaluation

How many hours of training does Oregon require for nursing assistants?

155 total

What is "acute care"?

24-hour skilled care given in hospitals and ambulatory surgical centers for short-term, immediate illnesses or injuries

What is "long-term care"?

24-hour skilled care provided in long-term care facilities for people with ongoing conditions

How many parts does Medicare have?

4 (A,B,C,D)

What federal agency runs Medicare and Medicaid?

The Centers for Medicare & Medicaid Services (CMS), within the United States Department of Health and Human Services

What are "allergies"?

a condition in which the body's immune response is triggered after exposure to a substance called an allergen; reactions such as sneezing, difficulty breathing, and skin issues may result

What is a "policy"?

a course of action to be followed every time a certain situation occurs

What is the National Center for Complementary and Integrative Health (NCCIH)?

a federal agency that conducts and supports scientific research about the safety and effectiveness of different therapies to improve health/health care

What is "Medicare"?

a federal health insurance program for people who are 65 or older, have certain disabilities or permanent kidney failure, or are ill and cannot work

What is "liability"?

a legal term that means a person can be held responsible for harming someone else

What is a physician assistant (PA)?

a licensed health professional who works under a doctor's supervision, performing medical duties such as diagnosing diseases/illnesses, prescribing treatments/medication; has a master's degree

What is an occupational therapist (OT or OTD)?

a licensed health professional who works with people who need help adapting to disabilities and performing their ADLs; develops treatment plans and can order assistive devices; has a master's or doctoral degree

What is a "registered nurse (RN)"?

a licensed nurse who assesses residents, creates care plans, monitors progress, provides skilled nursing care, administers treatments and medications, and supervises the care given by nursing assistants and other members of the care team

What is a "licensed practical nurse (LPN)" or "licensed vocational nurse (LVN)"?

a licensed nurse who provides skilled nursing care and gives treatments and medications

What is "Medicaid"?

a medical assistance program for people who have low incomes, as well as for people with disabilities

What is "primary nursing"?

a method of nursing care in which the registered nurse provides much of the daily care to residents

What is a "procedure"?

a method or way of doing something

What is a "team leader"?

a nurse in charge of a group of residents for one shift of duty

What is a "charge nurse"?

a nurse responsible for a team of healthcare workers

What is a "resident"?

a person living in a long-term care facility

What is "rehabilitation"?

a program of care given by specialists, such as physical therapists, to restore or improve function after an illness or injury

What is an advanced practice nurse (APRN)?

a registered nurse who has completed training at the postgraduate level (master's or doctoral); can make diagnoses and prescribe treatment

What is "person-centered care"?

a type of care that places the emphasis on the person needing care and his or her individuality and capabilities

What is a "first impression"?

a way of classifying or categorizing someone or something at the first meeting

What are the benefits of primary nursing?

allows for a closer relationship between the nurse and the residents; consistency and continuity of care abound

What does Part C of Medicare do?

allows provide health insurance companies to provide Medicare benefits

What is the "Joint Commission"?

an independent, not-for-profit organization that evaluates and accredits different types of healthcare facilities

What is "continuity of care"?

an ongoing coordination of a resident's care over time, during which the care team regularly exchanges information and works toward shared goals

Define "accountable."

answerable for one's actions

When in class, skills, and clinical, how should you introduce yourself?

as a STUDENT nursing assistant

Are the residents of long-term care facilities or assisted living facilities generally more independent?

assisted living facilities

How often must an organization undergo a comprehensive survey process to receive accreditation from the Joint Commission?

at least every three years

What does "empathetic" mean?

being able to identify with and understand the feelings of others

What are "adult day services"?

care for people who need some assistance or supervision during certain hours, but who do not live in the facility where care is given

What is "subacute care"?

care given in hospitals or in long-term care facilities for people who need less care for an acute (sudden onset, short-term) illness or injury but more than for a chronic (long-term) illness

What is "outpatient care"?

care given to people who have had treatments, procedures, or surgeries and need short-term skilled care

What does Part A of Medicare help pay for?

care in a hospital or skilled nursing facility or care from a home health agency or hospice

What is "holistic care"?

care that involves the whole person

What is "intergenerational care"?

caring for children and the elderly in the same setting

What are "activities of daily living (ADLs)"?

daily personal care tasks

What does "trustworthy" mean?

deserving the trust of others

What group of people stays the longest in long-term care?

developmentally disabled folks

What does Part B of Medicare help pay for?

doctor services and other medical services and equipment

What is one of a nursing assistant's most important duties?

documenting observations

What is Medicaid funded by?

federal and state governments

What is a "care team"?

group of people with different kinds of education and experience who provide resident care

What does "conscientious" mean?

guided by a sense of right and wrong; principled

What is "home health care"?

health care that is provided in a person's home

What is "hospice care"?

holistic, compassionate care for people who have approximately six months or less to live

When surveyors visit a facility, what do they study and observe?

how well the staff cares for residents, focusing on how residents' needs are being met; they interview residents and families and observe the staff's interactions with residents and the care given; they review resident charts and observe meals

What does "cite" mean?

in a long-term care facility, to find a problem through a survey

What are "surveys"?

inspections of long-term care facilities that are performed periodically by the state agency that licenses facilities, in order to help ensure that long-term care facilities are following regulations

Approximately how long do people in hospice care have left to live?

less than six months

What type of healthcare setting does the textbook focus on?

long-term care for elderly residents

What does "chronic" mean?

long-term or long-lasting

What is "skilled care"?

medically necessary care given by a skilled nurse or therapist

What does Part D of Medicare help pay for?

medications prescribed for treatment

What is "team nursing"?

method of nursing care in which a nurse acts as a leader of a group of people giving care

What is "functional nursing"?

method of nursing care that involves assigning specific tasks to each team member for a large number of residents

Are nursing assistants allowed to change sterile dressings?

no

Are nursing assistants allowed to give medications?

no

Are nursing assistants allowed to insert or remove tubes?

no

Can a nursing assistant use their personal phone in residents' rooms or in resident care areas?

no

Can nursing assistants accept tips or gifts from residents, their families, or other visitors?

no

Can nursing assistants wear artificial nails?

no

Do residents in assisted living facilities usually need skilled care?

no

Should nursing assistants wear or use scented items?

no

Are healthcare facilities required to participate in the Joint Commission's survey process?

no; it's voluntary

Who will usually be the NA's immediate supervisor?

nurse

What are other common terms for long-term care facilities?

nursing homes, skilled nursing facilities, rehabilitation centers, extended care facilities

What is the "sandwich generation"?

people responsible for the care of both their children and aging relatives

What is a "nursing assistant (NA)"?

person who performs assigned nursing tasks and gives personal care

What are some examples of chronic conditions?

physical disabilities, heart disease, recovery from stroke

What does "courteous" mean?

polite, kind, and considerate

What is "assisted living"?

residences for people who do not need 24-hour skilled care, but who do require some help with daily care

What are some members of the care team?

resident, resident's family, nurse, advanced practice nurse (APRN), physician or doctor (MD or DO), physician assistant (PA), physical therapist (PT or DPT), occupational therapist (OT or OTD), speech-language pathologist (SLP), registered dietician nutritionist (RDN), respiratory therapist (RT), activities director, medical social worker (MSW), nursing assistant (NA)

When a surveyor asks an NA a question she does not know the answer to, how should she respond?

she should respond honestly that she does not know, but that she will find out the information, and then find out shortly and tell the surveyor

What are "assistive devices"?

special equipment that helps a person who is ill or disabled perform activities of daily living

What is one drawback of functional nursing?

staff may not have enough time to accurately observe each resident, and changes in a resident's condition may be overlooked

What is a "diagnosis"?

the identification of disease or condition by its signs and symptoms and through test results

What is, most often, the main reason for admission into long-term care facilities?

the lack of ability to care for oneself and the lack of a support system

What is a "length of stay"?

the number of days a person stays in a healthcare facility

What is a "chain of command"?

the order of authority within a facility

What is "animal-assisted therapy (AAT)"?

the practice of bringing pets into a facility or home to provide stimulation and companionship

Who is the most important member of the care team?

the resident

Why might someone attend adult day services?

the sandwich generation is often unable to spend enough time at home, so if no one can care for an elderly relative at home or if a person needs a break from caregiving, adult day services is an option

What is "dementia"?

the serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating

What is "professionalism"?

the use of proper standards of behavior at work and in work-related settings

What makes nursing assistants some of the most important team members?

they have the most direct contact with residents; if a resident's health changes from day to day, NAs will often be the first ones to notice this change

What is "delegation"?

transferring responsibility to a person for a specific task

How long does hospice care stay available?

until the patient dies

Who makes up the majority of residents in long-term care facilities--men or women?

women

Are nursing assistants allowed to measure intake and output?

yes

Are nursing assistants allowed to take blood pressure?

yes


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