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CNA Chapter 1
Long Term Care and the Nursing Assistants Role
86
Nursing
Not Applicable
05/10/2010

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Cards

Term

Long-term care

LTC

Definition

is for persons who need 24 hr care and help for conditions that are long term.

Ex: Nursing home

Term
Terminal
Definition
the person is expected to die from the illness
Term
chronic
Definition

refers to the fact that an illness or disease is long term or long lasting.

Ex: Heart Disease, Dementia

Term
Acute Care
Definition
is performed in hospitals and ambulatory surgical centers. 
Term
Skilled Care
Definition
medically necessary care given by a skilled nurse or therapist
Term
Subacute Care
Definition
care found in either a hospital or nursing home
Term
Outpatient Care
Definition
Care usually given for less than 24 hours
Term
Rehabilitation
Definition
Care provided by a specialist
Term
Assisted Living
Definition
care in which residents recieve some help with daily care
Term
Home health care
Definition
care provided in someones home
Term
Adult Daycare
Definition
care given at a facility during daytime work hours
Term
Hospice Care
Definition
care for people who have less than 6 months or less to live
Term
Charting
Definition
writing down info
Term
Care Team
Definition
Ppl with diff education and experience who care for a resident Include RN's MD's NA's PT's etc
Term

Activities of Daily Living

ADLs

Definition
Personal daily care tasks. include showering, eating, toileting, and dressing.
Term
Care Plan
Definition
a plan developed for each resident to achieve certain goals.
Term
Chain of command
Definition
the line of authority in a facility
Term
Liability
Definition
legal term means a person can be held responsible for harming someone else
Term
scope of practice
Definition
defines the things your allowed to do and how to do them correctly
Term
policy
Definition
course of action to be followed
Term
procedure
Definition
a method or way of doing something
Term
personal
Definition
refers to your life outside your job
Term
professional
Definition
having to do with work or a job
Term
professionalism
Definition
is behaving prperly on the job
Term
ethics
Definition
the knowledge of right and wrong
Term
laws
Definition
rules set by the government to protect people and help them live peacefully together
Term

Omnibus Budget Reconciliation Act

OBRA

Definition
set minimum standards for NA's and also identified residents rights in nursing homes. Set in 1987
Term
Residents Rights
Definition

relate to how residents must be treated while living in a facility

ex: the right to make independent choices

Term
Abuse
Definition
purposely causing physical harm to someone
Term
Neglect
Definition
harming a person in your care by failing to give them needed care
Term
Assault
Definition
happens when a person is threatened and feels fearful that he or she will be touched without permission
Term
battery
Definition
means a person is actually touched without their permission
Term
ombudsman
Definition
person assigned by law as the legal advocate for residents
Term
confidentiality
Definition
means to keep private things private
Term

Health Insurance Portability and Accountability Act

HIPAA

Definition
2003 keep health info private and secure. Health professionals must take special steps to protect all and any health info
Term
objective info
Definition
what you see hear touch or smell.
Term
subjective info
Definition
something you cannot or didnt observe, something the resident tells you to be true
Term
cliches
Definition
phrases that are repeated and dont mean anything
Term
defense mechanisms
Definition
unconscious behaviors used to release tension or cope with stress
Term
displacement
Definition
transferring a strong negative feeling to a safer place
Term
rationalization
Definition
making excuses to justify a situation
Term
repression
Definition
blocking painful thoughts or feeling from the mind
Term
regression
Definition
going back to an old usually immature behavior
Term
combative
Definition
violent or hostile behavior
Term
body mechanics
Definition
the way the parts of the body work together when you move
Term
disorientation
Definition
confusion about a place person or time
Term

Occupational Safety and Health Administration

OSHA

Definition
responsible for the safety of employees at work. Requires that all chemicals have a MSDS.
Term
P.A.S.S
Definition

Pull

Aim

Squeeze

Sweep

 

Term
R.A.C.E
Definition

Remove Residents

Activate 911

Contain fire

Extinguish

Term
Obstructed Airway
Definition
when something is blocking the tube which air enters the lungs
Term
shock
Definition

occurs when the organs and tissue in the body do not receive an adequate amount of blood.

Bleeding, heart attack and severe infection can cause shock. 

Signs include pale or bluish skin, staring, increased pulse rate and respirtations, low BP and extreme thirst


Term
infection control
Definition
set methods used to control and prevent the spread of disease
Term
microorganism
Definition
tiny living that is not visible to the naked eye
Term
pathogens
Definition
harmful microorganisms
Term
asepsis
Definition
means no pathogens are present
Term
systemic infection
Definition
occurs when pathogens enter the blood stream and move throughout the body
Term
localized infection
Definition
limited to a specific part of the body
Term
nosocomial infection
Definition
hospital acquired infection
Term
chain of infection
Definition
describes how disease is transmitted from being to another
Term
causative agent
Definition
is a pathogen or microorganism that causes diseases
Term
reservoir
Definition
is where the pathogen lives and grows
Term
portal of exit
Definition
is any body opening on an infected person allowing pathogens to leave
Term
mode of transmission
Definition
describes how the pathogen travels from one person to another
Term
portal of entry
Definition
any body opening on an uninfected person that allows pathogens to enter
Term
susceptible host
Definition
an uninfected person who could get sick
Term
sterilization
Definition
all microorganisms are destroyed not just pathogens
Term
disinfection
Definition
means that only pathogens are destroyed
Term
cognitive
Definition
related to thinking and learning
Term
terminal illness
Definition
a disease or condition that will eventually cause death
Term
advance directives
Definition
documents that allow ppl to choose what kind of medical care they wish to have if they are unable to make decisions themselves
Term
5 stages of dying
Definition

denial

anger

bargaining

depression

acceptance

Term
postmortem care
Definition
care of the body after death
Term
palliative
Definition
hospice care in which the goals are the comfort and dignity of the resident
Term
homeostasis
Definition
the condition in which all the body systems are balanced and working at their best
Term
metabolism
Definition
physical and chemical processes must be working at a steady level
Term
glands
Definition
secrete hormones
Term
hormones
Definition
chemical substances created by the body that control numerous body functions
Term
dilate
Definition
widen
Term
constrict
Definition
narrow
Term
atrophy
Definition
the muscles waste away, decrease in size
Term
contracture
Definition
muscle shortens becomes inflexible and freeze in posistion
Term
inspiration
Definition
breathing in
Term
expiration
Definition
breathing out
Term
sputum
Definition
fluid a person coughs up could be yellow, green, blood tinged or gray
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