CNA Class: Long Term Care Flashcards

Questions and Answers

What does HIPAA stand for?

Health Information Privacy and Accountability Act

Healthcare Information and Privacy Act

Health Insurance Portability and Accountability Act (correct)

Health Insurance Protection and Accountability Act

What is routine reporting?

Report to charge nurse at the end of shift about residents cared for and care provided.

What is immediate reporting?

Immediately report any situation that could be dangerous to anyone.

What is meant by 'by a certain time' reporting?

Info needed at a set time like vitals must be reported to charge nurse and other staff. Signup and view all the answers

What is an H&P Exam?

History and physical exam given upon admission by physician. Signup and view all the answers

What is systolic blood pressure?

Pressure in artery when heart is pumping (top number), usually between 90-120. Signup and view all the answers

What is diastolic pressure?

Pressure in the artery when the heart is at rest between beats (bottom number), usually between 60-80. Signup and view all the answers

What does NPO stand for?

Nothing by mouth. Signup and view all the answers

What does PO stand for?

By mouth. Signup and view all the answers

What is a long term care facility?

Health or personal care services are provided for an extended period of time. Signup and view all the answers

What needs does LTC care for?

Medical and ADL. Signup and view all the answers

What does ADL stand for?

Activities of daily living. Signup and view all the answers

How many people will need some kind of LTC service?

1 out of every 5. Signup and view all the answers

Which of the following are types of long term care facilities? (Select all that apply)

Intermediate Care Facilities Signup and view all the answers

Why are people admitted to long-term facility centers?

Short-term illness/injury, chronic or terminal diseases and conditions. Signup and view all the answers

What is the goal of admitting someone to a long-term care facility?

To maintain or restore each resident's level of optimal function. Signup and view all the answers

What does the facility interdisciplinary team center around?

Resident is the center. Signup and view all the answers

What is respite care?

Giving caretaker a break. Signup and view all the answers

How can you maintain a resident's dignity?

Show respect and treat them as I'd like to be treated. Signup and view all the answers

What are standard precautions?

Infection control measures based on the assumption that all blood and body fluids are infectious. Signup and view all the answers

What is the #1 way to prevent disease?

Hand washing. Signup and view all the answers

What are the steps for putting on PPE (Donning)?

Gown, mask, goggles, gloves. Signup and view all the answers

What are the steps for removing PPE (Doffing)?

Gloves, goggles, gown, mask. Signup and view all the answers

What are isolation precautions?

Steps to keep microorganisms from spreading Signup and view all the answers

What is infection prevention?

Methods practiced in healthcare facilities to prevent and control the spread of disease. Signup and view all the answers

What is cleaning?

Removes soil from objects using water, detergent, and scrubbing. Signup and view all the answers

What is disinfection?

Eliminates virtually all microorganisms on an object using special chemicals. Signup and view all the answers

What is sterilization?

Complete elimination of all microorganisms, often using an autoclave. Signup and view all the answers

What is included in personal care?

Bathing, mouth care, grooming, and dressing. Signup and view all the answers

What should be done with dentures?

Washed 2 times a day in cool water. Signup and view all the answers

How often should mouth care for comatose patients be done?

Every 2 hours. Signup and view all the answers

What is the best time to observe a patient?

Bath time. Signup and view all the answers

What are the themes of care? (Select all that apply)

Maximizing capabilities Signup and view all the answers

What does RACE stand for in fire procedures?

Rescue, announce, contain, extinguish. Signup and view all the answers

What does PASS stand for in fire fighting?

Pull, aim, squeeze, sweep. Signup and view all the answers

What are the top three blood borne pathogens?

Hepatitis B, Hepatitis C, HIV/AIDS. Signup and view all the answers

What is the purpose of a care plan?

A written plan for each resident created by a nurse outlining care steps. Signup and view all the answers

Where is the care plan kept?

In the chart. Signup and view all the answers

What is relocation stress syndrome?

The physical and emotional distress that occurs after moving from one setting to another. Signup and view all the answers

Study Notes

Long Term Care Facilities

Definition: Facilities providing health or personal care services for extended periods.
One in five people will need some form of long-term care.
Types include assisted living, continuing care retirement communities, intermediate care facilities, and units for specialized needs (Alzheimer's, pediatrics, rehab, etc.).

Activities of Daily Living (ADL)

Refers to essential daily self-care tasks.

Facility Admission

Reasons for admission: short-term illnesses, chronic or terminal conditions; aim to maintain or restore optimal function.
Admission process involves greeting, orienting, and preparing the room.

Care Team Dynamics

The resident is the central focus of an interdisciplinary team which includes family, social workers, doctors, and caregivers.

Dignity in Care

Show respect, maintain privacy, and treat residents according to their preferences.

Infection Control and Precautions

Standard precautions include hand washing and appropriate PPE usage.
Hand hygiene is the foremost method to prevent disease transmission.
Isolation precautions prevent microorganism spread among residents.

Cleaning and Disinfecting

Cleaning removes soil, while disinfection eliminates microorganisms; sterilization completely removes all pathogens, often via autoclave.

Personal Care

Includes bathing, grooming, and mouth care; special attention is given to those with limitations or special needs.

Communication Techniques

Tailor communication for residents with hearing, vision, speech, and cognitive impairments. Strategies include using clear language, visuals, and patience.

Resident Behaviors and Emotional Needs

Recognize and respond to behavioral problems, depression, anxiety, and aggression with empathy, patience, and appropriate strategies.

Vital Signs and Body Mechanics

Normal ranges: temperature (97.6°F - 99.6°F), pulse (60-90 BPM), respirations (12-20 breaths/min), blood pressure (90-120/60-80 mmHg).
Body mechanics principles emphasize safety and efficiency during lifting or movement tasks.

Emergency Responses

Understand procedures for fire safety (RACE; rescue, announce, contain, extinguish) and choking management.
For medical emergencies like heart attacks or seizures, remain calm and assist while following protocols.

Patient Records and Privacy

Medical charts are legal records containing residents’ histories, care plans, and treatment documents.
HIPAA ensures the privacy of patient health information.

Discharge and Transfer Procedures

Discharges can occur for various reasons, including improved health or family proximity.
Transfers involve preparing residents for new care environments, ensuring continuity of care.

Fall Prevention

Encourage safe practices including using glasses, keeping paths clear, and reporting any changes in resident behavior.

Gerontology

The study of aging and its implications on care is crucial in understanding the needs of older adults in long-term care settings.

Care Planning

Each resident has a care plan developed by a nursing team. This plan is essential for individualized care and is kept in the patient’s medical chart.

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Description

Test your knowledge on long term care terminology with these flashcards designed for CNA classes. Learn key definitions and concepts related to long term care facilities and activities of daily living. Perfect for students preparing for their certification exams.