CNA Chapter 1: Long Term Care Facilities

Questions and Answers

What is another name for a long term care facility?

extended care facility

What are assisted living facilities initially for?

People who need some help with daily care

What is adult day services?

Care for people who need some help and supervision during certain hours

What care is given by specialists to restore or improve function after illness or injury?

rehabilitation Signup and view all the answers

What care is given to people who have about 6 months or less of life?

hospice care Signup and view all the answers

What are people who live in long term care facilities usually called?

residents Signup and view all the answers

What does chronic mean in the context of long term care?

Condition lasts a long time Signup and view all the answers

Who qualifies for Medicare?

Elderly or over 65, and people with kidney failure or certain disabilities Signup and view all the answers

What are the four parts of Medicare?

Part A: care in hospital or facility, Part B: doctor services, Part C: private company provides benefits, Part D: medication Signup and view all the answers

How is Medicaid eligibility determined?

By income or special circumstances Signup and view all the answers

What is the chain of command?

The line of authority in a facility Signup and view all the answers

What does liability mean?

Someone can be held responsible for harming someone else Signup and view all the answers

Why should a NA not do tasks that are not assigned?

To avoid putting him/herself or someone else in danger Signup and view all the answers

What is one task of an ombudsman?

Investigate and resolve residents' complaints Signup and view all the answers

What is the purpose of HIPAA?

To protect and secure the privacy of health information Signup and view all the answers

What is included under PHI (protected health information)?

Patients' Social Security numbers Signup and view all the answers

What is a resident's medical chart?

Legal record of residents' medical care Signup and view all the answers

When should care be documented?

Immediately after care is given Signup and view all the answers

How soon after a resident is admitted does an MDS need to be completed?

14 days, and reviewed every 3 months if no changes in between Signup and view all the answers

What is an incident?

An accident or unexpected event in the course of care Signup and view all the answers

Who should incidents be reported to?

The charge nurse Signup and view all the answers

Who does documentation of incidents help protect?

Residents, employer, and individual staff members Signup and view all the answers

Is information in an incident report confidential?

Yes Signup and view all the answers

What should incident reports be?

Factual Signup and view all the answers

Who should changes in residents be reported to?

The nurse Signup and view all the answers

What is a policy?

A course of action to be followed Signup and view all the answers

What does culture change mean?

Basing care on each individual's needs Signup and view all the answers

What does person-directed care mean?

Staff should recognize each person's capabilities Signup and view all the answers

What services may long term care facilities offer?

Assisted living, subacute care, or specialized care Signup and view all the answers

What is the role of an activities director?

Helps residents socialize and stay active Signup and view all the answers

What is the role of an MSW (medical social worker)?

Helps residents get support services such as counseling Signup and view all the answers

What is the role of an O.T. (occupational therapist)?

Helps residents learn to adapt to disabilities by training residents to perform ADLs and other activities Signup and view all the answers

What is the role of a P.T. (physical therapist)?

Administers therapy in the form of heat, cold, massage, ultrasound, electrical stimulation, and exercise to muscles, bones, and joints Signup and view all the answers

What is the role of an MD (physician or doctor)?

Diagnoses disease or disabilities and prescribes treatment Signup and view all the answers

What is the role of an RDT (registered dietitian)?

Creates diets for residents with special needs Signup and view all the answers

What is the role of an SLP (speech language pathologist)?

Teaches exercises to help residents improve or overcome speech problems Signup and view all the answers

What does compassionate mean?

Being caring, concerned, considerate, empathetic, and understanding Signup and view all the answers

What does conscientious mean?

Being guided by a sense of right and wrong and having principles Signup and view all the answers

What does dependable mean?

Getting to work on time and doing assigned tasks skillfully Signup and view all the answers

What does patient mean?

Not rushing residents Signup and view all the answers

What does honest mean?

Being truthful Signup and view all the answers

What does respectful mean?

Valuing other people's individuality and treating others politely and kindly Signup and view all the answers

What does empathetic mean?

Identifying with the feelings of others Signup and view all the answers

What does sympathetic mean?

Sharing in the feelings and difficulties of others Signup and view all the answers

What does tactful mean?

Showing sensitivity and having a sense of what is appropriate when dealing with others Signup and view all the answers

What does tolerant mean?

Putting aside personal opinions and not judging others Signup and view all the answers

What does unprejudiced mean?

Treating everyone equally Signup and view all the answers

What is passive neglect?

The unintentional failure to provide needed care resulting in physical, emotional, or mental harm Signup and view all the answers

What is active neglect?

Purposeful failure to give needed care resulting in harm to a person Signup and view all the answers

What is abuse?

Purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone Signup and view all the answers

What is assault?

A threat to harm someone resulting in someone becoming fearful Signup and view all the answers

What is malpractice?

Injury caused by professional misconduct through negligence, carelessness, or lack of skill Signup and view all the answers

Study Notes

Long-Term Care Facilities

Extended care facility is another name for a long-term care facility.
Assisted living facilities are initially for people who need some help with daily care.
Adult day services are for people who need some help and supervision during certain hours.

Types of Care

Rehabilitation is care given by specialists to restore or improve function after illness or injury.
Hospice care is given to people who have about 6 months or less of life.

Residents and Conditions

People who live in long-term care facilities are usually called residents.
Most conditions in long-term care are chronic, meaning they last a long time.

Medicare and Medicaid

Medicare is for the elderly (over 65) and people with kidney failure or certain disabilities.
Medicare has four parts: Part A (hospital or facility care), Part B (doctor services), Part C (private company benefits), and Part D (medication).
Medicaid eligibility is determined by income or special circumstances.

Facility Operations

Chain of command refers to the line of authority in a facility.
Liability is a legal term that means someone can be held responsible for harming someone else.
A NA (nursing assistant) should not do tasks that are not assigned to avoid putting themselves or someone else in danger.

Ombudsman and HIPPA

An ombudsman investigates and resolves residents' complaints.
The purpose of HIPPA is to protect and secure the privacy of health information.
PHI (protected health information) includes patients' SS#.

Documentation and Incidents

A resident's medical chart is a legal record of their medical care.
Care should be documented immediately after it is given.
An MDS (minimum data set) should be completed within 14 days of admission and reviewed every 3 months if no changes occur.
An incident is an accident or unexpected event in the course of care.
Incidents should be reported to the charge nurse.
Documentation of incidents helps protect residents, employers, and individual staff members.

Staff Roles

Activities director helps residents socialize and stay active.
MSW (medical social worker) helps residents get support services such as counseling.
OT (occupational therapist) helps residents adapt to disabilities by training them to perform ADLs and other activities.
PT (physical therapist) administers therapy to improve muscle, bone, and joint function.
MD (physician or doctor) diagnoses disease or disability and prescribes treatment.
RDT (registered dietitian) creates diets for residents with special needs.
SLP (speech language pathologist) teaches exercises to help residents improve or overcome speech problems.

Personal Qualities

Compassionate means being caring, concerned, considerate, empathetic, and understanding.
Conscientious means being guided by a sense of right and wrong and having principles.
Dependable means getting to work on time and doing assigned tasks skillfully.
Patient means not rushing residents.
Honest means being truthful.
Respectful means valuing other people's individuality and treating others politely and kindly.
Empathetic means identifying with the feelings of others. _sympathetic means sharing in the feelings and difficulties of others.
Tactful means showing sensitivity and having a sense of what is appropriate when dealing with others.
Tolerant means putting aside personal opinions and not judging others.
Unprejudiced means treating everyone equally.

Abuse and Neglect

Passive neglect means the unintentional failure to provide needed care resulting in physical, emotional, or mental harm.
Active neglect means the purposeful failure to give needed care resulting in harm to a person.
Abuse means purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone.
Assault means a threat to harm someone resulting in someone becoming fearful.
Malpractice means injury caused by professional misconduct through negligence, carelessness, or lack of skill.

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Description

Learn about long term care facilities, assisted living, adult day services and more in this Chapter 1 flashcard quiz for CNA training.