Workbook Chapter One
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