Podcast
Questions and Answers
What do Long Term Care Centers provide?
What do Long Term Care Centers provide?
Who are referred to as residents in long-term care centers?
Who are referred to as residents in long-term care centers?
Persons in long-term care centers.
Alert, oriented residents know who and where they are.
Alert, oriented residents know who and where they are.
True
What characteristics describe confused and disoriented residents?
What characteristics describe confused and disoriented residents?
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What are complete care residents unable to do?
What are complete care residents unable to do?
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What is the purpose of short-term residents or respite care?
What is the purpose of short-term residents or respite care?
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Which of the following is included in Developmental Disability?
Which of the following is included in Developmental Disability?
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Medicare is a program for those under 65 years of age.
Medicare is a program for those under 65 years of age.
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What does Medicaid provide?
What does Medicaid provide?
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OBRA ensures that residents have rights to __________ and confidentiality.
OBRA ensures that residents have rights to __________ and confidentiality.
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What is a key component of the Nursing Process?
What is a key component of the Nursing Process?
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What are the 5 steps of the Nursing Process?
What are the 5 steps of the Nursing Process?
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What is required for restraint use?
What is required for restraint use?
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What is the primary focus of restorative nursing?
What is the primary focus of restorative nursing?
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What is the purpose of safety and security needs?
What is the purpose of safety and security needs?
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Retaining a job requires no competency evaluation after two years.
Retaining a job requires no competency evaluation after two years.
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Follow the rules for hand hygiene and DO NOT wear ______.
Follow the rules for hand hygiene and DO NOT wear ______.
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Which personal protective equipment (PPE) should be worn when in contact with blood or body fluids?
Which personal protective equipment (PPE) should be worn when in contact with blood or body fluids?
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You should touch your hair while wearing gloves in a care setting.
You should touch your hair while wearing gloves in a care setting.
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What should be done with used linens to avoid contamination?
What should be done with used linens to avoid contamination?
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Match the following body systems or parts with their functions.
Match the following body systems or parts with their functions.
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What is the main part of the uterus called?
What is the main part of the uterus called?
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The left ventricle pumps blood to the lungs.
The left ventricle pumps blood to the lungs.
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What is the outer layer of the heart called?
What is the outer layer of the heart called?
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The male sex hormone, ______, is produced in the testes.
The male sex hormone, ______, is produced in the testes.
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Where does food absorption primarily take place?
Where does food absorption primarily take place?
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The scrotum holds the testes suspended between the thighs.
The scrotum holds the testes suspended between the thighs.
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What type of joint allows movement in all directions?
What type of joint allows movement in all directions?
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In __________, the heart chamber fills with blood.
In __________, the heart chamber fills with blood.
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What is the term for the male sex cell?
What is the term for the male sex cell?
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Osteoarthritis is characterized by joint inflammation.
Osteoarthritis is characterized by joint inflammation.
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What happens during menstruation?
What happens during menstruation?
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Study Notes
Long Term Care Centers
- Provide essential services for individuals unable to self-care, including medical, nursing, dietary, and social support.
Residents
- Individuals residing in long-term care, either permanently or temporarily, often older with chronic conditions or disabilities.
Alert, Oriented Residents
- Residents aware of their identity, location, time, and year; may require varying levels of assistance based on physical conditions.
Confused & Disoriented Residents
- Range from mild confusion to severe disorientation; some may have permanent cognitive issues while others experience temporary difficulties.
Complete Care Residents
- Require full assistance for all needs, including safety, cleanliness, and comfort due to confusion or disability.
Short-term Residents/Respite Care
- Individuals recuperating from surgeries or illnesses, often needing temporary care and support for recovery.
Life-long Residents
- Residents with lifelong disabilities from early injuries or conditions requiring continuous support in multiple life areas.
Developmental Disability
- A type of impairment diagnosed before age 22, which may involve both physical and intellectual limitations.
Mentally Ill Residents
- Individuals facing challenges with stress management affecting behavior and functionality.
Terminally Ill Residents
- Patients nearing the end of life due to disease, requiring compassionate care in their final stages.
Nursing Team
- Comprised of Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Nursing Assistants (NAs) collaborating for patient care.
Nursing Process
- Five steps: Assessment, Nursing Diagnosis, Planning, Implementation, and Evaluation aim to ensure comprehensive patient care.
Medicare
- A federal program providing health insurance primarily for individuals aged 65 and older.
Medicaid
- Federal and state program designed to assist with healthcare costs for low-income individuals.
OBRA Residents Rights
- Rights encompassing privacy, treatment refusal, personal choice, and protection from abuse, promoting a dignified quality of life.
Quality of Life Activities
- Facilities must provide activity programs that support physical, spiritual, and emotional well-being.
Quality of Life Environment
- Nursing facilities should present a clean, safe, and home-like atmosphere to enhance residents' living experience.
OBRA Requirements for Dignity & Privacy
- Guidelines emphasize respectful care, maintaining privacy, and ensuring personal choices and independence are honored.
OBRA Requirements (All 50 States)
- Mandates a training program and competency evaluation for Nursing Assistants in nursing centers.
OBRA Training Program
- Involves a minimum of 75 hours of instruction, including practical training for basic nursing care.
OBRA Competency Evaluation
- Comprises a written test and a skills demonstration after training, allowing three attempts for completion.
OBRA Nursing Assistant Registry
- Official record of successfully evaluated Nursing Assistants, maintained for a minimum of five years.
OBRA Other Requirements & Provisions
- Nursing Assistants who haven't worked for two years must undergo retraining and reevaluation.
Delegation
- Registered Nurses can assign tasks to LPNs and NAs, abiding by guidelines for right task and adequate supervision.
Refusing a Task
- Nursing Assistants can refuse tasks outside their legal scope, for safety, training inadequacy, or unclear directives.
Ethical Aspects
- Emphasizes understanding right from wrong; behavior should prioritize patient well-being and fairness.
Good Work Ethics
- Key traits include empathy, dependability, respect, honesty, and cooperation in the care environment.
Assessment
- Involves gathering comprehensive information, including health history and related medical documentation.
Signs
- Objective data observable through physical examination or tests, such as vital signs or visible symptoms.
Symptoms
- Subjective experiences relayed by patients, such as pain or feelings, which cannot be independently observed.
Nursing Evaluation
- Assesses if planned goals were met, potentially leading to adjustments in care plans based on observed progress.
Safety & Security Needs
- Essential for residents to feel secure, including clear communication regarding upcoming procedures.
Dealing with Behavior Issues
- Maintain dignity and respect, offering clear answers and ensuring timely assistance to alleviate distress.
Family & Visitors
- The presence of loved ones supports emotional needs, impacting recovery and overall quality of life.
Accident Risk Factors
- Vulnerabilities arise with age, impaired senses, mobility issues, and the effects of medications.
Preventing Burns
- Key measures include proper supervision around hot materials and vigilant monitoring of environmental hazards.
Wheelchair Safety
- Ensure proper conditions of the wheelchair and secure the safety of residents during transport.
Stretcher Safety
- Collaborate with colleagues for safe transfers; essential to ensure safety straps are secure during transport.
Restorative Nursing/Rehabilitation
- Focused on holistic improvement in each resident’s self-care, mobility, communication, and cognitive skills.
Whole Person
- Respects the physical, social, psychological, and spiritual components of an individual.
Self-Help Devices
- Tailored devices to assist residents with specific limitations in everyday tasks to promote independence.
Rehab & Restorative Focus on PERSON
- Emphasis on comfort, ethical behavior, independence, and adherence to regulatory standards.
Restraint Use
- Should only occur as a last resort to prevent harm; not intended for convenience or discipline.
Restraint Risks
- Potential negative effects include physical and emotional distress, mobility limitations, and health complications.
Restraint Safety
- Restraints must follow strict guidelines, including proper sizing, securement, and regular monitoring for safety.
Hand Washing Procedure
- Essential steps for effective hygiene, ensuring prevention of infection through meticulous cleaning practices.
Standard Precaution Rules
- Guidelines focusing on hand hygiene, use of personal protective equipment, and proper handling of materials to prevent contamination.### Infection Control Guidelines
- Use disposable or utility gloves for cleaning or in care settings; remove gloves after contact with individuals or equipment.
- Never wear the same pair of gloves for multiple patients; change gloves if moving from contaminated to clean areas.
- Do not wash gloves for reuse; change gloves during patient care when necessary.
- Employ mouth, nose, and eye protection (masks, goggles, face shields) for tasks likely to cause splashes of bodily fluids.
- For respiratory secretions, wear gloves, gowns, and a face shield or mask with goggles.
Hygiene Practices
- Cover mouth and nose when coughing or sneezing; use tissues to contain respiratory secretions and dispose of them correctly.
- Practice hand hygiene and avoid contamination while handling visibly soiled care equipment.
Environmental Control
- Follow agency policies for cleaning and maintaining surfaces.
- Handle used linens gently to prevent the spread of contaminants.
Worker Safety
- Ensure personal protection against blood-borne pathogens in all healthcare activities.
- Use equipment like a mouthpiece for rescue breathing to avoid direct contact with oral secretions.
Patient Placement and Room Management
- Preferred placement for patients at risk of infection is in a private room.
- Follow nursing directives if a private room is unavailable.
Bed Making Protocols
- Use good body mechanics; practice standard and medical asepsis when making a bed.
- Handle linens carefully: avoid shaking or putting dirty linens on clean surfaces.
- Change wet or soiled linens immediately to maintain hygiene.
Denture Care
- Handle and clean dentures over a towel-lined basin to prevent breakage; use cool water to preserve shape.
- Store dentures in a designated container and remove them at bedtime for better oral care.
Perineal Care Guidelines
- For females, clean from front to back using separate parts of a washcloth with each stroke.
- For males, retract the foreskin (if uncircumcised); clean the tip with circular motions and return the foreskin afterward.
Dressing Assistance
- Always undress the stronger side first; dress the weaker side first to encourage patient participation in care.
Shaving Techniques
- Use electric razors for patients on anticoagulants; avoid safety razors to minimize cuts.
- Soften skin prior to shaving, and shave in the direction of hair growth to prevent irritation.
Skin Anatomy
- The epidermis is the outer skin layer and contains pigment but has no blood vessels.
- The dermis, the inner layer, contains blood vessels, nerves, and skin appendages like sweat and oil glands.
Joint Anatomy
- Tendons connect muscles to bones, while ligaments connect bones at joints.
- Joints can be categorized into ball-and-socket (hip, shoulder), hinge (elbow), and pivot (skull/spine) types.
Cardiac Anatomy
- The heart consists of several layers: the pericardium (outer), myocardium (muscular middle), and endocardium (inner lining).
- The right atrium receives blood from the body; the left atrium receives blood from the lungs.
Respiratory System
- The trachea (windpipe) divides into bronchi leading to alveoli for gas exchange.
Reproductive Anatomy
- Testes produce sperm and testosterone; ovaries secrete estrogen and progesterone.
- The prostate gland and urethra play vital roles in the male reproductive system.
Aging Effects
- Skin changes in older adults include loss of elasticity, dryness, fragility, and decreased sensation.
- Digestive system alterations may cause reduced saliva production, decreased appetite, and slower peristalsis, leading to potential digestion issues.
Fractures and Joint Health
- Closed fractures do not break the skin, while open fractures do.
- Conditions like osteoarthritis involve joint inflammation, resulting in pain and mobility issues, particularly in weight-bearing joints.
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Description
This quiz contains flashcards designed to help Certified Nursing Assistant (CNA) students learn key concepts related to long-term care facilities. It covers important definitions and terms that are essential for understanding the environment and residents of these centers.
