Chapter Eight

1

• 1. Define important words in this chapter
• accountable
• answerable for ones actions.
• activities of daily living (ADLs)
• personal daily care tasks, including bathing,
  dressing, mouth care, hair care, toileting, and
  eating and drinking.
• acute care
• 24-hour skilled care for temporary 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 (cont)
• adult daycare
• care given to adults at a facility during daytime
  work hours.
• assistive devices
• special equipment that helps a person who is ill
  or disabled perform ADLs also called adaptive
  devices.
• assisted living
• a setting for people who require some help with
  daily care, but who need less care than a
  long-term care facility offers.
• 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 (cont)
• 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
• to find a problem through a survey.

4

• 1. Define important words in this chapter (cont)
• 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 (cont)
• dementia
• the 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 anothers
  feelings.
• first impression
• a way of classifying or categorizing people at
  the first meeting.

6

• 1. Define important words in this chapter (cont)
• 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 persons home.
• hospice care
• care for people who have six months or less to
  live.

7

• 1. Define important words in this chapter (cont)
• 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
  responsible for harming someone else.

8

• 1. Define important words in this chapter (cont)
• licensed practical nurse (LPN) or licensed
  vocational nurse (LVN)
• licensed nurse who has completed one to two
  years of education LPN/LVN passes medications,
  gives treatments, and may supervise daily care of
  residents.
• long-term care
• 24-hour care provided usually in nursing homes
  for people with ongoing conditions.
• nurse practitioner (CNP)
• a registered nurse with advanced education who
  is able to see patients and write prescriptions.

9

• 1. Define important words in this chapter (cont)
• nursing assistant
• an important member of the care team 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 or surgery.
• 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.

10

• 1. Define important words in this chapter (cont)
• 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.
• 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, monitor
  progress, provide skilled nursing care, give
  treatments, and supervise the care given by
  nursing assistants and other members of the care
  team.

11

• 1. Define important words in this chapter (cont)
• rehabilitation
• a program of care given by a specialist to
  restore or improve function after an illness or
  injury.
• resident
• a person living in a long-term care facility.
• resident-focused care
• method of care in which the resident is the
  primary focus team members are cross-trained in
  skills, allowing residents to see many of the
  same people performing their care.
• sandwich generation
• people responsible for the care of both their
  children and aging relatives.

12

• 1. Define important words in this chapter (cont)
• skilled care
• medically necessary care given by a skilled nurse
  or therapist.
• subacute care
• care given in a nursing home or a hospital used
  for people who need a higher level of care and
  observation than some long-term care facilities
  can give.
• 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.

13

• 1. Define important words in this chapter (cont)
• trustworthy
• deserving the trust of others.

14

• 2. Describe healthcare settings
• There are many job opportunities for those
  trained to perform the important work of nursing
  assistants.
• Description of long-term care
• LTC facilities provide 24-hour skilled care.
• LTC assists people with ongoing, chronic medical
  conditions.
• Other terms for LTC facilities are nursing homes,
  nursing facilities, skilled nursing facilities,
  and extended care facilities.
• The long-term care (LTC) facility is the
  residents home.

15

• 3. Explain Medicare and Medicaid
• Medicare is a health insurance program for people
  who are 65 or older and people under 65 who are
  disabled and cannot work.
• Medicare will only pay for care that it deems
  medically necessary.
• Medicaid is a medical assistance program for
  low-income people. People qualify for Medicaid
  based on income and special circumstances.

16
1 The Nursing Assistant in Long-Term Care

• Transparency 1-1 Facts about Medicare and
  Medicaid
• For 65 or older or disabilities and illnesses
• Hospital Insurance (Part A) pays hospitals,
  skilled nursing facilities, hospice care,
• and some home health care
• Medical Insurance (Part B) pays physicians
  services and other medical services and
• equipment

17

• 4. Describe the Residents for Whom You Will Care
• It is more important to understand each
  individual in your care than to understand the
  entire population.

18

• Transparency 1-2 Residents in LTC facilities
• Almost 91 are over 65
• Almost 72 are female
• More than 85 are Caucasian
• About 1/3 come from a private residence
• Over 50 come from a hospital

19

• 5. Describe the nursing assistants role
• Nursing assistants perform delegated nursing
  tasks to help care for residents.
• Many of these tasks will involve assisting
  residents with ADLs.

20

• 5. Describe the nursing assistants role
• Some common nursing assistant tasks are
• Serving meal trays and feeding residents
• Helping residents dress and undress
• Bathing, shaving, and shampooing residents
• Bedmaking
• Tidying living areas
• Taking vital signs

21

• 5. Describe the nursing assistants role
• Some tasks that nursing assistants do not perform
  are
• Giving medications
• Inserting or removing tubes
• Giving tube feedings
• Changing sterile dressings

22

• 6. Discuss professionalism and list examples of
  professional behavior
• Professionalism is the act of behaving properly
  for a certain job.
• Examples of professional behavior for nursing
  assistants are
• Arriving at work on time
• Avoiding unnecessary absences
• Keeping a position attitude
• Being polite and respectful
• Following policies and procedures
• Documenting carefully

23

• 7. List qualities that nursing assistants must
  have
• The best nursing assistants have the following
  qualities
• Patient and understanding
• Honest and trustworthy
• Conscientious
• Enthusiastic
• Courteous and respectful
• Empathetic
• Tolerant
• Lacking prejudice

24

• 8. Discuss proper grooming guidelines
• It is important to make a good first impression.
• Proper grooming guidelines include
• Keeping your uniform neat
• Bathing and wearing deodorant each day
• Brushing your teeth twice each day
• Keeping hair neat and tied back
• Keeping beards trimmed and neat
• Keeping nails short, filed, and clean
• Keeping shoes and laces clean

25

• 8. Define the roles of each member of the care
  team
• The care team is made up of professionals,
  including
• Registered Nurse (RN)
• Nurse Practitioner (CNP)
• Licensed Practical or Vocational Nurse (LPN,
  LVN)
• Physician or Doctor (MD or DO)

26

• 8. Define the roles of each member of the care
  team (cont.)
• The care team is made up of professionals,
  including
• Social Worker (MSW)
• Physical Therapist (PT)
• Registered Dietitian (RDT)
• Nursing Assistant/Certified Nursing Assistant
  (NA/CNA)
• The resident is the most important member of the
  team

27

• 10. Discuss the facility chain of command
• It is important to follow the chain of command to
  lessen the risk of liability.

28

• 11. Explain The Five Rights of Delegation
• The Five Rights of Delegation are
• Right Task
• Right Circumstance
• Right Person
• Right Direction/Communication
• Right Supervision/Evaluation
• Asking questions and asking for help when you
  need it will help you to provide better care.

29
12. Describe four methods of nursing care

• A policy is a course of action to be taken every
  time a certain situation occurs.
• A procedure is a specific method, or way, of
  doing something.
• Holistic care improves the residents quality of
  life because it considers the whole person.
• The four basic types of nursing care used at
  facilities are
• Resident-focused Care
• Team Nursing
• Primary Nursing
• Functional Nursing

30
13. Explain policy and procedure manual You
should always ask questions or consult the policy
manual or procedure manual when youre unsure of
something.
31

• 14. Describe the long-term care survey process
• Important points to know about the survey process
  are
• Inspections are done periodically.
• Surveyors observe and interview residents and
  staff to find out how well residents needs are
  being met.
• Nursing assistants should answer any questions
  asked by surveyors to the best of their ability.
• If a nursing assistant does not know the answer
  to a question, he should say so and then find out.