long term care - Answer - 24-hour care provided for people with ongoing conditions who are generally unable to manage their ADLs for those who need skilled care long term care facilities are also referred to as - Answer - skilled nursing facilities, rehabilitation centers, extended care facilities acute care - Answer - 24-hour skilled care for short-term illnesses or injuries; generally given in hospitals and ambulatory surgical centers assisted living - Answer - residences for people who do not need skilled, 24-hour care, but do require some help with daily care subacute care - Answer - care for an illness or condition given to people who need less care than for an acute (sudden onset, short-term) illness or injury but more than for a chronic (long-term) illness Patient Protection and Affordable Care Act - Answer - This is the health care reform law. Medicare - Answer - A federal program of health insurance for persons 65 years of age and older Medicaid - Answer - A federal and state assistance program that pays for health care services for people who cannot afford them. most residents in long care facilities are - Answer - women policy - Answer - A proposed or adopted course or principle of action procedure - Answer - An established or official way of doing something HIPPA (Health Information Portability and Accountability Act) - Answer - information remains confidential Joint Commission - Answer - Sets quality standards for accreditation of health care facilities Nas are not allowed - Answer - change sterile dressings give medications give tube feedings insert or remove tubes chain of command protects healthcare workers from - Answer - liability Ethics - Answer - knowledge of right and wrong t/f laws are based on ethics - Answer - true OBRA - Answer - Omnibus Budget Reconciliation Act requires NA training and competency evaluation minimum standards of care Nas must complete ____ hours of initial training - Answer - 75 in service training for NAs - Answer - 12 hours Minimum data Set - Answer - detailed form with guidelines for assessing residents lists what to do if resident problems are identified must complete one within 14 days of admission and each year reviewed every 3 months and a new one must be done every time there is any significant change in the resident ombudsman - Answer - assigned by law as the legal advocate for residents HITECH - Answer - Privacy laws related to electronic transmission of health information apart of PHI advance directives - Answer - A legal document designed to indicate a person's wishes regarding care in case of a terminal illness or during the dying process examples include : living will and durable power of attorney for health care living wil - Answer - outlines the medical care a person wants if they becoming unable to make those descisions durable power of attorney - Answer - a legal agreement that allows an agent or representative of the patient to act on behalf of the patient Patient Self-Determination Act - Answer - ...federal law that ensures patients are informed of their rights DNR (do not resuscitate) - Answer - an order that tells medical professionals not to perform CPR Physician Order for Life-Sustaining Treatment (POLST) - Answer - specifies treatments to be used when a person is very ill Cyanotic - Answer - Bluish skin color due to lack of Oxygen Bradycardia - Answer - slow heart rate military time - Answer - add + 12 to hour for pm Nas role hearing impairment - Answer - speak clearly, slowly and in good lighting face the person walk in front of the resident or touch them lightly on the arm to let them know you are near hyperopia - Answer - farsightedness ability to see objects in the distance better than up close myopia - Answer - nearsightedness, see objects near but not far role with vision impairment - Answer - use face of an imaginary clock as a guide walk slightly ahead cerebrovascular accident (CVA) - Answer - stroke ischemic is the most common type - blood supply is blocked in brain hemiplegia - Answer - paralysis of one side of the body hemiparesis - Answer - weakness on one side of the body One-sided neglect - Answer - tendency to ignore one side of the body expressive aphasia - Answer - trouble communicating through speech or writing receptive aphasia - Answer - trouble understanding spoken or written words emotional lability - Answer - laughing or crying without any reason or when it is inappropriate dysphagia - Answer - difficulty swallowing combative - Answer - Aggressively uncooperative infection prevention - Answer - the set of methods practiced in healthcare facilities to prevent and control the spread of disease Microorganisms/Microbes - Answer - small living things infections occur when _______ invade the body - Answer - pathogens localized infection - Answer - an infection that is limited to a specific location in the body and has local symptoms ex. wound infected (red swollen and painful)