Term
| T or F? The mission of all nursing homes is to provide a high quality of care for the aged, disabled and chronically ill who cannot be properly tended to in their homes or in other medical or nonmedical environments. |
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Definition
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Term
| Resident care management includes a wide spectrum of _____________. |
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Definition
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Term
| Components of resident care management include _________ provided by the medical staff, nurses, rehabilitation, dietary, pharmaceutical services, social services, and activities. |
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Definition
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Term
| Medical Record services and the management of resident rights must also be considered __________ elements of resident care. |
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Definition
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Term
| Standards of health-care practice dictate that a facility must be adequately _______ to provide the services that it offers to the public. |
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Definition
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Term
| Omnibus Budget Reconciliation Act (OBRA) regulations specify certain minimum levels of ________ which it considers necessary to provide quality service to residents. |
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Definition
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Term
| The responsibility for assessing, treating and documenting the nursing care provided the residents in either a NF or SNF fall to the ________ department. |
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Definition
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Term
| The ______________ oversees the nursing department, which is composed of RN, LPN and CNA's. |
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Definition
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Term
| T or F? The administrator should be aware of acuity levels in his/her facility and by prepared to staff accordingly. |
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Definition
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Term
| Under no circumstances can an LPN serve in the capacity of the _____________. |
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Definition
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Term
CMS permits waivers in DON and Charge Nurse staffing. Medicare waivers are granted by ___________.
Medicaid waivers may be granted by ___ __________. |
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Definition
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Term
| OBRA defines a _________ as "any individual providing nursing or nursing-related services to residents in a facility and who is not a licensed health professional, an RN, a registered dietician, or someone who volunteers to provide such services without pay." |
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Definition
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Term
| The ________________________ is a CMS-approved position. These aides must complete a state-approved training course and work under the supervision of an RN or LPN. |
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Definition
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Term
| The facility must ensure that a Paid Feeding Assisstant does not feed anyone with a __________ eating disorder, such as swallowing difficulties and aspiration problems. |
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Definition
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Term
| T or F? Surveyors will observe whether all the following activities are met: 1) staff are responsive to resident needs for assistance, (2) there is little delay in answering resident calls or needs for assistance, (3) nursing staff are always nearby or responsible, (4) resident's seeking staff have little difficulty locating a staff member when the need arises, and (5) residents do not have to call repeatedly for assistance. |
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Definition
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Term
| Daily staffing sheets must be kept on file for a minimum of __________, or as required by an individual state, whichever is greater. |
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Definition
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Term
| Resident care practices utilized by staff must reflect _________________ which promotes the highest practicable physical, mental, and psycholsocial well-being. |
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Definition
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Term
| The overall resident care management system should use a ____________ approach, since it must address the total needs of an individual. |
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Definition
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Term
| ____________ means the highest level of functioning and well-being that can be expected considering the residnet's functional status at the time, and his/her potential |
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Definition
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Term
| The most significant aspect of resident care practices are _______ __________________ toward residents. |
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Definition
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Term
| Through positive attitudes and emphasis on ______________, many elderly can be returned to independent living settings with appropriate therapy. |
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Definition
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Term
| The administrator sets the tone for __________ ___________. |
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Definition
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Term
| An ________ is an unintended event, but it does not include adverse outcomes associated as a direct consequence of treatment or care. |
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Definition
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Term
| A burn secondary to a topical treatment of a resident's skin is ________ an accident |
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Definition
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Term
| The facility should have clearly stated ___________, and teach them to staff, which identifies steps to follow when a resident is injured. |
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Definition
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Term
| Each resident must recieve _____________ assistive devices and supervision to prevent accidents. |
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Definition
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Term
| OBRA specifies the facility must ensure the resident's ______________________________________ do not diminish unless the resident's condition demonstrates that diminution is unavoidable. |
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Definition
| activities of daily living |
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Term
| _______________ include the following: Bathing, dressing, grooming, transfers, ambulation, toileting, eating and communicating. |
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Definition
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Term
| Each resident must be given appropriate treatment and services to maintain or improve abilites in each of the _________ __________________. |
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Definition
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Term
| If a resident is unable to carry out ________________, the staff must provide services to maintain good nutrition, grooming and personal and oral hygiene. |
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Definition
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Term
| ____________________ is defined as all care provided to NH residents by its employees, contractors, or volunteers with the intent to maximize the resident's functional abilities. |
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Definition
| Appropriate treatment and services |
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Term
| There are _______ categories of ADL's |
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Definition
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Term
| _________ will evaluate the resident's ADL's to determine whether the resident has experienced a change in one of the five ADL's over the past 12 months. |
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Definition
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Term
| If the resident was provided no help or oversight; or the staff provided help/oversight only one or two times during the last seven day period, they will be classified as _________. |
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Definition
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Term
| If oversight encouragement or cuing was provided three or more times during the last 7 days, or supervision plus physical assistance was provided only one or two times during the last 7 days by the saff, surveyors will classify as _________________. |
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Definition
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Term
| If resident was highly involved in activities, reveived physical help in guided maneuvering of limbs and/or other non-weight bearing help providedonly one or two times over a 7 day period, surveyors will classify as __________. |
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Definition
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Term
| If while the resident performed part of an activity, over propr seven day period, help of the following were provided at least three times: weight bearing support; or full staff performance of activity over the entire seven day period, surveyors will classify as _____________. |
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Definition
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Term
| If full staff performance of activity over the entire seven day period, surveyors will classify as _______________. |
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Definition
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Term
| When a resident changes physicians, the new physician is required by __________________________ to: (a) conduct and new H&P and physical exam, (b) write new orders, and (c) obtain a written release from the former physician when possible. |
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Definition
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Term
Actions to take with a death occurs: 1. ______________
2. Follow facility protocol in pronouncing death.
3. Completing forms and documents for releasing the body.
4. Prepare body for the family to view should they desire and for release to the mortuary.
5. Conferring with the family before release. |
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Definition
| Contact Physician , then contact family if none is present. |
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Term
| Data such as what funeral home to contact, the phone number, and what parties to notify when a death occurs _________ ____ ________ __________ to the staff as well as the family and friends of the deceased. |
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Definition
| reduces the emotional trauma |
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Term
| Proper _____________ that direct immediate, appropriate action are helpful in lessening the impact of dealing with death. |
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Definition
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Term
A Discharge Summary should include the following content:
1. It must contain a recapitulation of the entire resident stay.
2. it must contain a final summary of the resident's status, including all items listed in the comprehensive assessment.
3. There must be a post d/c plan of care, developed with the participation of the residnet and his family which will assist the resident adjust to the new living environment. |
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Definition
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Term
| ______ ___________ ________ applies to a resident who is discharged to a private residence, another nursing facility, a residental facility, or other living arrangement. |
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Definition
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Term
| ____________ ___________ begins on admission, otherwise families may bring residents to the facility with the idea of dumping them. Discussing discharge probability and plans in the event that improvement may affect the dumping syndrome. It may assist in keeping such families more involved in resident care. |
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Definition
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Term
| ____________ monitor to determine whether or not the facility assisted the resident and family in locating post-discharge services. Also, they determine what type of predischarge prepartaion the facility provided. |
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Definition
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Term
| Standard Health Care practices require that a facility have plans for the care of residents in an _____________ ___________. |
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Definition
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Term
| All staff should be trained in exactly what to do when an _____________ ______________ is activated. |
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Definition
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Term
| ______________ ________________ is a resident care area, focused on the prevention of the development and transmission of disease and infection. |
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Definition
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Term
| A _________ _________ should be maintained on each infection. It should identify each resident with infection, date, causative agent, origin or site of infection, & description of cautionary measures taken to enable the facility to analyze clusters and/or significant increases in the rate of infection. |
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Definition
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Term
| New infections, referred to as ________, should be identified quickly, paying especial attention to residents at high risk of infection. |
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Definition
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Term
Incidents of contagious desease are required to be reported to the ______________.
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Definition
| State Department of Health |
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Term
| ___________ determine if there are unexplained and/or similar infections, and if there is a significant increase in the rate of infection. |
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Definition
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Term
| Infection Control Policies for patients with AIDS or hepatitis B must meet requirements set forth by ________ and ___________. |
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Definition
OSHA - Occupational Health and Safety Administration
&
CDC - Centers for Disease Contol and Prevention |
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Term
| ________ __________, as a part of the care plan, outlines the needs of the resident each day in multiple modalities; including, bed mobility, transfer, dressing, grooming, eating or swallowing, amputation/prosthesis care, and communications. |
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Definition
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Term
| _______________ means the extent of movement of a joint. |
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Definition
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Term
| Residents admitted with limited Range of Motion must recieve appropriate treatment and services to __________ Range of Motion, and/or prevent further decline unless the resident's condition demonstrates that a reduction is unavoidable. |
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Definition
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Term
| Residents who are admitted without limited Range of Motion, must be monitored to ensure that _________ in Range of Motion does not occur, unless the resident's clinical condition demonstrates that it is unavoidable. |
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Definition
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Term
| Clinical conditions that are considered ____________________ for decreased Range of Motion are: immobilization, strokes, multiple sclerosis, cerebreal palsy, polio, pain, spasms, and immobility due to arthritis or Alzheimer's Disease. |
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Definition
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Term
| Nursing and other health-care professionals should routinely perform ________ __________ in the daily care of residents; including, maintaining good body alignment and proper positioning, making every effort to keep resident as active as possible, encouraging resident to achieve independence in ADL's by teaching self care, and ambulation, assisting to carry out therapeutic excersises, assisting with ROM exercises. |
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Definition
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Term
| _____________ _______________ begins suddenly when a person who has never been incontinent can't get to the toilet on time. May be caused by medication or infection. May also disappear of its own accord, or it can nearly always be treated. |
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Definition
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Term
| Surveyors detemine if there has been a _________ in ROM and/or muscle atrophy that was unavoidable. |
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Definition
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Term
| ___________ may be used only to control a resident's behabior that is harmful to the resident or to others. |
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Definition
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Term
| An appropriate _______ ________ dictates that safety is not just a matter of environment, but also a concern for those who are in that environment. |
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Definition
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Term
| If physical restraints are used, standard practice requires they be ___________ at least q30mins. |
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Definition
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Term
| OBRA recommends that satff develop __________ to restraints. |
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Definition
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Term
| Use of restraints should be seen as a __________ ___________ practice that is used as a last resort, and then for the shortest possible time. |
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Definition
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Term
| __________ __________ are physician orders that nurses activate in specific situations without having to first call the doctor. |
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Definition
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Term
| When used properly, standing orders can expedite the care for the nursing home residnet and allow the facility to be ____________ in providing quality resident care. |
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Definition
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Term
| OBRA makes it clear that the lack of program funding does not relieve the nursing home of its obligation to ensure residents recieve all needed services per Medicaid and Medicare requiremetns. Further, it is the ________ ________ responsibility to assist the resident in securing needed services not covered by the programs. |
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Definition
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Term
| Special Services that are _________ include: injections, parenteral and enteral fluids, colostomy, ureterostomy or ileostomy care, tracheostomy care and suctioning, foot care, and prostheses. |
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Definition
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Term
| ____________ ___________ primarily affects women when the cought, laugh, strain, exercise, sneeze, or lift something heavy. The sphincter muscles around the urethra become loose and stretched out, usually due to bearing children or hormonal changes after menopause. |
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Definition
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Term
| ___________ or __________ incontinence occurs when a person has a sudden urge to urinate and cannot hold it until the reach the toilet. Strokes, infections, bladder contractions and other reasons cause the bladder to release urine with little or no warning. |
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Definition
| Urge of Reflex Incontinence |
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Term
| ____________ Incontinence often occurs in men who have prostate problems. The bladder holds the urine and it eventually overflows and dribbles out. If untreated, can lead to kidney and bladder infections. |
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Definition
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Term
| __________ Incontinence is caused by the brain in such cases as dementia, head injury and stroke. The brain is unable to receive the message from the bladder; therefore, invonluntary incontinence occurs. |
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Definition
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Term
| A training program must be developed for all patients who could benefit from a ________ and _________ program. |
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Definition
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Term
| If professionals determine the cause of the __________ is such that no training would be helpful, the nursing staff documents their findings and implements protocols to ensure the resident is monitored, cleaned, and changed appropriately. |
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Definition
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Term
| ____________ or ____________ of urinary incontinence involves correcting the underlying problem. Usually consists of bladder training schedules, kegel exercises and regular toileting schedules. |
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Definition
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Term
| Kegel exercises, regular schedules, bladder training, biofeedback, bedpans, commodes, dietary changes, medications, surgery, pads, adult briefs, and catheters are all ____________________________. |
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Definition
| Methods of Handling Urinary Incontinence |
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Term
| _________ will monitor a sampling of residents who are incontinent. They examine care given, whether individual goals were set and attained, whether residents are properly hydrated, and whether sampled residents have UTI's. |
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Definition
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Term
| Nursing Staff in particular, should understand that the CVA resident needs help in re-establishing __________ in ADL's. |
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Definition
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Term
| Presbycusis is one of two major types of hearing loss. In this type is noted by the ____________ loss of _________ hearing in which the resident may hear what is said buy has poor word acuity. Often characterized by inability to hear certain tones such as high pitched, shrill, or low frequency sounds. |
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Definition
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Term
| __________ hearing loss results fro impairment, damage, or malfuntion of any portion of the conductive mechanisms of the ear. |
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Definition
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Term
| Staff should be aware that the loss of hearing is often more ___________ to residents than loss of sight. |
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Definition
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Term
| __________ will question certain residents about whether they asked for assistance in seeing an otologist or going to a hearing aid specialist, and how staff responded to the request. |
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Definition
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Term
| Many elderly experience a problem or disturbance with the inner ear that regulates sense of balance called ______________ _________ of ________. This is a serious matter that may lead to increased falls and other accidents. |
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Definition
| Benign Disequilibrium of Aging (BDA) |
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Term
| The facility must make appointments and arrange transportation for residents who need the care of a practitioner specializing in treatment of _________. |
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Definition
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Term
| _________ is painless and can develop so slowly it is hardly noticable; but, it can also develop rapidly, resulting in impaired vision in both eyes. |
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Definition
| ARMD or Age Related Macular Degeneration |
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Term
| _________ will select a sample of residents with visual disorders and question them about assistance with appointments, transportation, and obtaining eyeglasses as needed. |
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Definition
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Term
| _____________ will select and a sample of residents who exhibit psychosocial adjustment difficulties. They will monitor the facility's efforts to accommodate the resident's usual and customary routines and the programs carried out to remotivate the resident and maintain or improve psychosocial functioning. |
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Definition
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Term
| ______________ means walking around aimlessly, in and out of rooms and outside the building, with little or no awareness of potential dangers. |
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Definition
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Term
CMS has identified three quality measures/indicators as SENTINEL EVENTS:
1. ____________________
2. ____________________
3. ____________________ |
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Definition
1. Low risk residents w/pressure ulcers
2. Dehydration
3.Fecal Impactions |
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