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1. Define important words in this chapter

1. Define important words in this chapter . accountable answerable for one’s actions. activities of daily living (ADLs) personal daily care tasks, including bathing, skin, nail, and hair care, walking, eating and drinking, mouth care, dressing, transferring, and toileting. acute care

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1. Define important words in this chapter

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  1. 1. Define important words in this chapter • accountable • answerable for one’s actions. • activities of daily living (ADLs) • personal daily care tasks, including bathing, skin, nail, and hair care, walking, eating and drinking, mouth care, dressing, transferring, and toileting. • acute care • 24-hour skilled care for short-term illnesses or injuries; generally given in hospitals and ambulatory surgical centers. • adaptive devices • special equipment that helps a person who is ill or disabled perform ADLs; also called assistive devices.

  2. 1. Define important words in this chapter • adult daycare • care given to adults at a facility during daytime work hours. • assisted living • a residence for people who require some help with daily care, but who need less care than a long-term care facility offers. • assistive devices • special equipment that helps a person who is ill or disabled perform ADLs; also called adaptive devices. • care team • the group of people with different kinds of education and experience who provide resident care.

  3. 1. Define important words in this chapter • chain of command • the order of authority within a facility. • charge nurse (nurse-in-charge) • a nurse responsible for a team of healthcare workers. • chronic • the term for an illness or condition that is long-term or long-lasting. • cite • in a long-term care facility, to find a problem through a survey.

  4. 1. Define important words in this chapter • conscientious • guided by a sense of right and wrong; principled. • continuity of care • coordination of care for a resident over time, during which the care team is always exchanging information about the resident and working toward shared goals. • courteous • polite, kind, considerate. • delegation • transferring authority to a person for a specific task.

  5. 1. Define important words in this chapter • dementia • a serious, progressive loss of mental abilities such as thinking, remembering, reasoning, and communicating. • diagnosis • the identification of a disease by its signs and symptoms and from the results of different tests. • empathetic • identifying with and understanding another’s feelings. • first impression • a way of classifying or categorizing people at the first meeting.

  6. 1. Define important words in this chapter • functional nursing • method of care assigning specific tasks to each team member. • holistic • care that involves the whole person; this includes his or her physical, social, emotional, and spiritual needs. • home health care • care that takes place in a person’s home. • hospice care • care for people who have approximately six months or less to live; care is available until the person dies.

  7. 1. Define important words in this chapter • inter-generational care • mixing children and the elderly in the same care setting. • Joint Commission • a not-for-profit organization that evaluates and accredits different types of healthcare facilities. • length of stay • the number of days a person stays in a healthcare facility. • liability • a legal term that means a person can be held legally responsible for harming someone else.

  8. 1. Define important words in this chapter • licensed practical nurse (LPN) or licensed vocational nurse (LVN) • licensed nurse who has completed one to two years of education; LPN/LVN administers medications, gives treatments, and may supervise daily care of residents. • long-term care • 24-hour care provided for people with ongoing conditions who are generally unable to manage their ADLs. • nursing assistant • person who performs assigned nursing tasks and gives personal care. • outpatient care • care usually given for less than 24 hours to people who have had treatments, procedures, or surgery.

  9. 1. Define important words in this chapter • pet therapy • the practice of bringing pets into a facility or home to provide stimulation and companionship. • policy • a course of action to be followed. • primary nursing • method of care in which the registered nurse gives much of the daily care to residents. • procedure • a method, or way, of doing something.

  10. 1. Define important words in this chapter • professionalism • the act of behaving properly for a certain job. • registered nurse (RN) • a licensed nurse who has completed two to four years of education; RNs assess residents, create the care plan, monitor progress, provide skilled nursing care, give treatments, and supervise the care given by nursing assistants and other members of the care team. • rehabilitation • a program of care given by a specialist or a team of specialists to restore or improve function after an illness or injury. • resident • a person living in a long-term care facility.

  11. 1. Define important words in this chapter • resident-focused care • method of care in which the resident is the primary focus; residents and their families actively participate in care, and their choices are honored by caregivers whenever possible. • sandwich generation • people responsible for the care of both their children and aging relatives. • skilled care • medically-necessary care given by a skilled nurse or therapist. • subacute care • care for an illness or condition given to people who need less care than for an acute (sudden onset, short-term) illness or injury but more than for a chronic (long-term) illness.

  12. 1. Define important words in this chapter • team leader • a nurse in charge of a group of residents for one shift of duty. • team nursing • method of care in which a nurse acts as a leader of a group of people giving care. • trustworthy • deserving the trust of others.

  13. 2. Describe healthcare settings • Nursing assistants have a very important job and many career opportunities. Your work will make a difference in the lives of many people. • Facts about long-term care (LTC): • Long-term care facilities provide 24-hour skilled care. • Long-term care assists people with ongoing, chronic medical conditions. • Other terms for LTC facilities include the following: nursing homes, nursing facilities, skilled nursing facilities, extended care facilities

  14. 2. Describe healthcare settings • Define the following terms: • long-term care • 24-hour care provided for people with ongoing conditions who are generally unable to manage their ADLs. • skilled care • medically-necessary care given by a skilled nurse or therapist. • chronic • the term for an illness or condition that is long-term or long-lasting. • resident • a person living in a long-term care facility.

  15. 2. Describe healthcare settings • REMEMBER: • The LTC facility is the resident’s home. • The resident’s room must be treated with respect.

  16. 2. Describe healthcare settings • Think about this question: • How would you feel if someone touched your personal • belongings or moved your things around without asking?

  17. 2. Describe healthcare settings • Define the following terms: • assisted living • a residence for people who require some help with daily care, but who need less care than a long-term care facility offers. • home health care • care that takes place in a person’s home. • adult daycare • care given to adults at a facility during daytime work hours. • sandwich generation • people responsible for the care of both their children and aging relatives.

  18. 2. Describe healthcare settings • Define the following terms: • inter-generational care • mixing children and the elderly in the same care setting. • acute care • 24-hour skilled care for short-term illnesses or injuries; generally given in hospitals and ambulatory surgical centers. • subacute care • care for an illness or condition given to people who need less care than for an acute (sudden onset, short-term) illness or injury but more than for a chronic (long-term) illness. • outpatient care • care usually given for less than 24 hours to people who have had treatments, procedures, or surgery.

  19. 2. Describe healthcare settings • Define the following terms: • rehabilitation • a program of care given by a specialist or a team of specialists to restore or improve function after an illness or injury. • hospice care • care for people who have approximately six months or less to live; care is available until the person dies. • pet therapy • the practice of bringing pets into a facility or home to provide stimulation and companionship.

  20. 3. Explain Medicare and Medicaid • Medicare is a health insurance program for people • • who are 65 or older • • who are under 65 but are disabled and cannot work • Medicare will only pay for care that it deems medically necessary.

  21. Transparency 1-1: Facts about Medicare and Medicaid • Medicare • • Medicare is for people 65 or older and people under 65 who are disabled and cannot work. • • 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. • Medicaid • • Medicaid is a medical assistance program for low-income people. • • People qualify based on income and special circumstances.

  22. 4. Describe the residents for whom you will care • REMEMBER: • Understanding each individual in your care is far more important than understanding facts about the entire population.

  23. Transparency 1-2: Residents in LTC Facilities • Residents in LTC facilities • Over 88% are over 65. • Over 71% are female. • More than 85% are Caucasian. • About 1/3 come from a private residence. • Over 64% come from a hospital or other facility.

  24. 4. Describe the residents for whom you will care Define the following terms: length of stay the number of days a person stays in a healthcare facility. dementia a serious, progressive loss of mental abilities such as thinking, remembering, reasoning, and communicating.

  25. 5. Describe the nursing assistant’s role Define the following terms: nursing assistant person who performs assigned nursing tasks and gives personal care. activities of daily living (ADLs) personal daily care tasks, including bathing, skin, nail, and hair care, walking, eating and drinking, mouth care, dressing, transferring, and toileting.

  26. 5. Describe the nursing assistant’s role • Common nursing assistant tasks include: • Serving trays and feeding residents • Helping residents dress and undress • Bathing, shaving, and shampooing residents • Bedmaking • Tidying living areas • Measuring vital signs, including temperature, pulse, respiration, blood pressure and observing and reporting pain levels

  27. 5. Describe the nursing assistant’s role • Common nursing assistant tasks include (cont’d.): • Helping residents with toileting • Assisting with mouth care • Giving back rubs • Observing and reporting changes in conditions and complaints • Helping residents move safely around facility • Caring for equipment

  28. 5. Describe the nursing assistant’s role • Tasks which nursing assistants usually do not perform include: • Giving medications • Inserting or removing tubes • Giving tube feedings • Changing sterile dressings

  29. 5. Describe the nursing assistant’s role REMEMBER: Nursing assistants can have different titles, such as nurse aide, patient care technician, health care assistant, etc.

  30. 6. Discuss professionalism and list examples of professional behavior Define the following term: professionalism the act of behaving properly for a certain job.

  31. 6. Discuss professionalism and list examples of professional behavior • Understanding how to be professional is a key step to success for a nursing assistant. • Professionalism has to do with behaving properly on the job.

  32. 6. Discuss professionalism and list examples of professional behavior • As a nursing assistant, you must practice the following professional behavior: • Be neatly dressed, groomed, and clean. • Do not discuss personal problems with residents. • Be at work on time and avoid unnecessary absences. • Never leave work early without permission. • Do not report to work under the influence of drugs and/or alcohol • Keep a positive attitude. • Do not gossip about co-workers.

  33. 6. Discuss professionalism and list examples of professional behavior • Professional behavior for nursing assistants (cont’d.): • Be polite and respectful. • Address residents and visitors in the way they wish to be addressed. • Do not curse. • Keep resident information confidential. • Follow procedures and policies. • Report problems to your supervisor. • Maintain educational requirements.

  34. 6. Discuss professionalism and list examples of professional behavior • Professional behavior for nursing assistants (cont’d.): • Ask questions when you do not understand something. • Be honest and document carefully. • Accept and learn from constructive criticism. • Do not accept tips or gifts. • Be loyal to your facility and be a good role model.

  35. 6. Discuss professionalism and list examples of professional behavior REMEMBER: Whenever you are unsure about care, be sure to ask questions or to review the policy manual about policies or procedures you do not understand.

  36. 7. List qualities that nursing assistants must have • Think about these questions: • The best nursing assistants have certain traits. As you review these traits, ask yourself, “Do I have these traits?” and, “Is there a way I can better develop them?”

  37. 7. List qualities that nursing assistants must have • Define the following terms: • trustworthy • deserving the trust of others. • conscientious • guided by a sense of right and wrong; principled. • courteous • polite, kind, considerate. • empathetic • identifying with and understanding another’s feelings.

  38. 7. List qualities that nursing assistants must have • Define the following terms: • accountable • answerable for one’s actions.

  39. 7. List qualities that nursing assistants must have Nursing assistants should be: Patient and understanding Honest and trustworthy Conscientious Enthusiastic Courteous and respectful

  40. 7. List qualities that nursing assistants must have • Nursing assistant traits (cont’d.): • Empathetic • Dependable and responsible • Humble and open to growth • Tolerant • Unprejudiced

  41. 7. List qualities that nursing assistants must have • Think about these questions: • Choose one of the qualities that nursing assistants must have. Can you imagine a situation on the job where that quality is needed? Can you describe a time that you used that quality in a previous job, or in your personal life?

  42. 8. Discuss proper grooming guidelines • Making a good first impression is very important, and proper grooming is an essential part of making a good first impression. • Do these things to be properly groomed: • Keep uniform clean and neat. • Bathe and wear deodorant every day. • Brush teeth at least twice a day. • Avoid strongly-scented items. • Keep hair neatly tied back.

  43. 8. Discuss proper grooming guidelines • Do these things to be properly groomed (cont’d.): • Keep beards trimmed and neat. • Apply makeup lightly. • Keep nails short, filed, and clean. Do not wear artificial nails. • Keep shoes and laces clean and in good condition. • Wear as little jewelry as possible, except for a simple waterproof watch and identification badge.

  44. REMEMBER: Keep in mind that residents may be allergic to certain scents. Heavy perfumes or scents should be avoided. This is an important part of meeting residents’ needs. 8. Discuss proper grooming guidelines

  45. 9. Define the role of each member of the care team • Define the following terms: • care team • the group of people with different kinds of education and experience who provide resident care. • registered nurse (RN) • a licensed nurse who has completed two to four years of education; RNs assess residents, create the care plan, monitor progress, provide skilled nursing care, give treatments, and supervise the care given by nursing assistants and other members of the care team.

  46. 9. Define the role of each member of the care team • Define the following terms: • diagnosis • the identification of a disease by its signs and symptoms and from the results of different tests. • assistive devices • special equipment that helps a person who is ill or disabled perform ADLs; also called adaptive devices.

  47. 9. Define the role of each member of the care team • The care team consists of many members who each play a different role. The resident is at the center of the care team. • Members of the care team include: • Resident and resident’s family • Nurse (RN, LPN or LVN) • Advanced practice nurse • Physician • Medical social worker

  48. 9. Define the role of each member of the care team • Members of the care team (cont’d.): • Physical therapist • Occupational therapist • Registered dietitian • Speech-language pathologist • Activities director • Nursing assistant

  49. REMEMBER: The resident is the most important member of the care team. 9. Define the role of each member of the care team

  50. 10. Discuss the facility chain of command • Define the following terms: • chain of command • the order of authority within a facility. • charge nurse (nurse-in-charge) • a nurse responsible for a team of healthcare workers. • liability • a legal term that means a person can be held legally responsible for harming someone else.

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