Assisted Living Care Terminology PDF

assisted living: residences for people who do not need 24-hour skilled care, but who do require some help with daily care. chain of command: the order of authority within a facility. dementia: the serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating. empat...

assisted living: residences for people who do not need 24-hour skilled care, but who do require some help with daily care. chain of command: the order of authority within a facility. dementia: the serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating. empathetic: being able to identify with and understand the feelings of others. hospice care: holistic, compassionate care given to people who have approximately six months or less to live; care is available until the person dies. long-term care: 24-hour skilled care provided in long-term care facilities for people with ongoing conditions. Medicaid: a medical assistance program for peo. ple who have low incomes, as well as for people with disabilities. Medicare: a federal health insurance program for people who are 65 or older, have certain disabilities or permanent kidney failure, or are ill and cannot work. nursing assistant (NA): an unlicensed healthcare worker who performs assigned nursing tasks and gives personal care. person-centered care: a type of care that places the emphasis on the person needing care and their individuality and capabilities. policy: a course of action to be followed every time a certain situation occurs. Skilled care is medically necessary care given by a skilled nurse or therapist. This care is available 24 hours a day. It is ordered by a doctor and involves a treatment plan. Chronic means long-term or long-lasting. Chronic conditions last a long period of time, even a lifetime. Examples of chronic conditions include physical disabilities, heart disease, and recovery from stroke. Other common terms for long-term care facilities are nursing homes, skilled nursing facili-ties, rehabilitation centers, or extended care facilities. In assisted living facilities (sometimes referred to as assisted living residences [ALRs]), residents are generally more independent. Staff are available to provide whatever daily care residents need, such as help with bathing and dress-ing. Sometimes staff assist with medications. Residents in these facilities do not usually need skilled care. Many assisted living centers have different areas available if a person requires additional care. The advantage is that the resident can remain at the facility as his needs change. Acute care is 24-hour skilled care given in hospitals and ambulatory surgical centers. It is for people who require immediate care for illnesses or injuries. People are also admitted for short stays for surgery. The length of time the person remains depends on the illness. Hospice care is given in facilities or homes for people who have approximately six months or less to live. Hospice workers give compassionate physical and emotional care and comfort until the person dies. Medicare (medicare.gov) is a federal health insurance program for people who are 65 years of age or older. Medicare also covers people of any age with permanent kidney failure or certain disabilities. Medicare has four parts. Part A helps pay for care in a hospital or skilled nursing facility or for care from a home health agency or hospice. Part B helps pay for doctor services and other medical services and equipment. Part C allows private health insurance companies to provide Medicare benefits. Part D helps pay for medications prescribed for treatment. Medicare will only pay for care it determines to be medically necessary. Medicaid (medicaid.gov) is a medical assistance program for people who have a low income, as well as for people with disabilities. It is funded by both the federal government and each state. Eligibility is determined by income and special circumstances. People must qualify for this program. Medicare and Medicaid pay long-term care facilities a fixed amount for services. This amount is based on the resident's needs upon admission and throughout their stay at the facility. The groups with the longest average stay are people who are developmentally disabled. Dementia is the serious loss of mental abilities, such as thinking, remembering, reasoning, and com-municating. A nursing assistant (NA) performs assigned nursing tasks. Most of the tasks are related to helping care for residents. Examples of nursing tasks include measuring residents' temperature and blood pressure. activities of daily living (ADLs), which are daily personal care tasks, such as bathing; caring for skin, fingernails, and hair; caring for the mouth and teeth; dressing; walking; trans-ferring; eliminating; and communicating. Common NA tasks include the following: Serving meal trays and helping residents eat and drink Helping residents dress and undress Bathing residents Shampooing residents' hair Shaving residents Making residents' beds Tidying residents' living areas Do not accept tips or gifts from residents, their families, or other visitors. Empathetic: Empathetic people identify with the feelings of others. They care about other people's problems. They think about what it would be like to be ill and dependent on others for help. accountable. This means that they can admit when they make a mistake and apologize. Keep your hair neatly tied back and away from your face. You will need to wear a simple, waterproof watch and an identification badge The care team consists of many members who have had different training and experience in order to provide care for each resident. The resident is the most important part. NAs are some of the most important team members because they have the most direct contact with residents. The chain of command describes the line of authority in the facility. For example, the nurse will usually be the NA's immediate supervisor. CNA-Staff nurse-Charge nurse- nursing supervisor charge nurse, who is a nurse responsible for a team of healthcare workers. The Five Rights of Delegation are the Right Task, Right Circumstance, Right Person, Right Direction/ Communication, and Right Supervision/Evalua-tion. Primary Nursing: A registered nurse provides much of the daily care to residents in this method of nursing care. This allows for a closer relationship between the nurse and the resi-dents. Consistency and continuity of care yield positive results. Functional Nursing: Using this method of nursing care, each member of the care team is given one or more specific tasks to complete for a large number of residents. For example, one team member is assigned to measure vital signs for all residents in the unit. Another completes all of the daily weights. One nurse administers medications, while another gives treatments. This type of care is not as organized as other methods. Staff may not have enough time to accurately observe each resident, and changes in a resident's condition may be overlooked. person-centered care (also known as person-directed care). Person-centered care emphasizes the individuality of the person who needs care and recognizes and develops his capabilities. Person-centered care revolves around the resident and promotes his individual preferences, choices, dignity, and interests. A policy is a course of action to be taken every time a certain situation occurs.The policy manual has information about every facility policy. For example, one basic policy is that the chain of command must always be followed. A procedure is a specific method, or way, of doing something. The procedure manual has information on the exact way to complete every procedure. For example, there will be a procedure for how to give a resident a bed bath. To cite means to document a problem through a survey. 11. Which of the following statements is true of long-term care (LO 2)? Answer: B A-Long-term care is only given during certain hours of the day. B-Long-term care assists people with ongo-ing, chronic medical conditions. C-Long-term care is given in an adult day services setting. D-Long-term care is for people who need care for a short time after surgery. 12. One common NA task is (LO 5)Answer: D A-Prescribing medication B-Creating residents' care plans C-Managing other NAs' work D- Bathing residents 13. Which of the following is true of proper grooming for an NA (LO 8)?Answer: B A-Acrylic nails should be freshly applied. B-A simple waterproof watch should be worn. C-Earrings can dangle just past the earlobe. D-Perfume should be worn behind the ears or on both wrists. 14, If an NA is following the chain of command, to whom would she normally report a problem (LO 10)?Answer:A A-Nurse B-Administrator C-Resident D-Medical social worker 15. If an NA has forgotten the correct order in which to perform a procedure, which of the following would be the best way for her to proceed (LO 13)?Answer: A A-The NA should review the procedure manual before beginning. B-The NA should ask the resident to see if he remembers the correct order. C-The NA should perform the procedure to the best of her memory, knowing that she will probably do it correctly. D-The NA should consult with the administrator to find out the correct order.