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