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Long Term Care Centers ✔✔Designed for persons who cannot care for themselves: Medical,
nursing, dietary, recreational, rehabilitative, and social services are provided
Residents ✔✔Persons in long-term care centers; Center is their permanent or temporary home;
Most residents are older and have chronic diseases, poor nurtrition, or poor health; Some
residents are disabled from birth defects, accidents, or diseases;
Alert, oriented residents ✔✔Resident knows who & where they are, the year, and time of day.
They have physical problems. Disability level affects the amount of care required. Some require
complete care, others need help with daily activities
Confused & disoriented residents ✔✔Resident is mildly to severely confused & disoriented.
Some simply have trouble remembering where the dining room is, the month, or year. Others are
more confused & disoriented--they do not know who or where they are. Sometimes the problem
is short term. For others it is permanent and becomes worse
,Complete care residents ✔✔Residents who are disabled, confused, and disoriented. They cannot
meet their own needs or tell you what they need. They need to be kept clean, safe, and
comfortable
Short-term residents/Respite Care ✔✔Residents who need to recover from surgery, fractures, or
illnesses and regain strength & mobility to return to their former living situations. Home care-
giver is given a rest.
Life-long Residents ✔✔Residents with birth defects & childhood injuries & diseases can cause
disabilities such as mental retardation & Down syndrome. Person has limited function in at least
3 ares: self-care, understanding, or expressing language, learning, mobility, self-direction,
independent living, & financial support. Person needs lifelong assistance, support and special
services.
Developmental Disability ✔✔A disability occurring before 22 years of age; May be a physical
impairment, intellectual impairment, or both
Mentally ill residents ✔✔Residents with problems coping or adjusting to stress affecting
behavioral and function.
,Terminally ill residents ✔✔Residents who are going to die from terminal illness (cancer, AIDS,
liver/heart/kidney/respiratory disease.
Nursing Team ✔✔RN's, LPN's (LVN's), & Nursing Assistant's
Nursing Process ✔✔1) Assessment - Collects information. 2) Nursing Diagnosis - Describes
health problems. 3) Planning - Setting priorities and goals. 4) Implementation - Carries out the
plan (goals). 5) Evaluation - Measures if the goals of the planning step were met.
Medicare ✔✔A federal health insurance program for persons 65 yrs of age or older
Medicaid ✔✔A health care payment program sponsored by federal & state governments
OBRA-Residents Rights ✔✔Right to all his or her information records; Right to refuse
treatment; Right to privacy & confidentiality; Right to personal choice; Right to voice concerns,
questions, & complaints about care; Right to not have to work for care, care items, or other
things or privileges; Right to form & take part in resident & family groups; Right to keep and use
personal items; Right to be free from all abuse, mistreatment, & neglect; Right to be free of
restraint; Right to a quality of life that promotes dignity & self esteem; Promotes physical,
psychological, and mental well-being for quality of life
, Quality of Life Activities ✔✔Nursing center provides activity programs that allow personal
choice. They must promote physical, intellectual, social, spiritual, & emotional well being.
Religious services promote spirtual health
Quality of Life Environment ✔✔Nursing centers environment must promote quality of life by
being clean, safe & as home-like as possible.
OBRA Requirements for Dignity & Privacy ✔✔1. Courteous & Dignified Interactions (right
tone of voice, good eye contact, stand or sit close, use proper name & title, gain attention before
interacting with resident, use touch IF person approves, respect social status, listen with interest,
DO NOT yell, scold, or embarrass resident) 2. Courteous & Dignified Care (grooming, dressing,
clothing is personal choice, promote independence & dignity in dining, respect private space &
property, assist with walking, transfers, bathing & hygiene preferences) 3. Privacy & Self-
Determination (avoid exposure & embarrassment, keep person properly draped at all times, use
curtains & screens during all care & procedures, knock before entering, close bathroom door
when person uses it) 4. Maintain Personal Choice & Independence (Person smokes in allowed
areas, takes part in activities according to interests, involved in scheduling activities & care,
gives input to care plan about preferences & independence, involved in room or roommate
change)
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Long Term Care Centers ✔✔Designed for persons who cannot care for themselves: Medical,
nursing, dietary, recreational, rehabilitative, and social services are provided
Residents ✔✔Persons in long-term care centers; Center is their permanent or temporary home;
Most residents are older and have chronic diseases, poor nurtrition, or poor health; Some
residents are disabled from birth defects, accidents, or diseases;
Alert, oriented residents ✔✔Resident knows who & where they are, the year, and time of day.
They have physical problems. Disability level affects the amount of care required. Some require
complete care, others need help with daily activities
Confused & disoriented residents ✔✔Resident is mildly to severely confused & disoriented.
Some simply have trouble remembering where the dining room is, the month, or year. Others are
more confused & disoriented--they do not know who or where they are. Sometimes the problem
is short term. For others it is permanent and becomes worse
,Complete care residents ✔✔Residents who are disabled, confused, and disoriented. They cannot
meet their own needs or tell you what they need. They need to be kept clean, safe, and
comfortable
Short-term residents/Respite Care ✔✔Residents who need to recover from surgery, fractures, or
illnesses and regain strength & mobility to return to their former living situations. Home care-
giver is given a rest.
Life-long Residents ✔✔Residents with birth defects & childhood injuries & diseases can cause
disabilities such as mental retardation & Down syndrome. Person has limited function in at least
3 ares: self-care, understanding, or expressing language, learning, mobility, self-direction,
independent living, & financial support. Person needs lifelong assistance, support and special
services.
Developmental Disability ✔✔A disability occurring before 22 years of age; May be a physical
impairment, intellectual impairment, or both
Mentally ill residents ✔✔Residents with problems coping or adjusting to stress affecting
behavioral and function.
,Terminally ill residents ✔✔Residents who are going to die from terminal illness (cancer, AIDS,
liver/heart/kidney/respiratory disease.
Nursing Team ✔✔RN's, LPN's (LVN's), & Nursing Assistant's
Nursing Process ✔✔1) Assessment - Collects information. 2) Nursing Diagnosis - Describes
health problems. 3) Planning - Setting priorities and goals. 4) Implementation - Carries out the
plan (goals). 5) Evaluation - Measures if the goals of the planning step were met.
Medicare ✔✔A federal health insurance program for persons 65 yrs of age or older
Medicaid ✔✔A health care payment program sponsored by federal & state governments
OBRA-Residents Rights ✔✔Right to all his or her information records; Right to refuse
treatment; Right to privacy & confidentiality; Right to personal choice; Right to voice concerns,
questions, & complaints about care; Right to not have to work for care, care items, or other
things or privileges; Right to form & take part in resident & family groups; Right to keep and use
personal items; Right to be free from all abuse, mistreatment, & neglect; Right to be free of
restraint; Right to a quality of life that promotes dignity & self esteem; Promotes physical,
psychological, and mental well-being for quality of life
, Quality of Life Activities ✔✔Nursing center provides activity programs that allow personal
choice. They must promote physical, intellectual, social, spiritual, & emotional well being.
Religious services promote spirtual health
Quality of Life Environment ✔✔Nursing centers environment must promote quality of life by
being clean, safe & as home-like as possible.
OBRA Requirements for Dignity & Privacy ✔✔1. Courteous & Dignified Interactions (right
tone of voice, good eye contact, stand or sit close, use proper name & title, gain attention before
interacting with resident, use touch IF person approves, respect social status, listen with interest,
DO NOT yell, scold, or embarrass resident) 2. Courteous & Dignified Care (grooming, dressing,
clothing is personal choice, promote independence & dignity in dining, respect private space &
property, assist with walking, transfers, bathing & hygiene preferences) 3. Privacy & Self-
Determination (avoid exposure & embarrassment, keep person properly draped at all times, use
curtains & screens during all care & procedures, knock before entering, close bathroom door
when person uses it) 4. Maintain Personal Choice & Independence (Person smokes in allowed
areas, takes part in activities according to interests, involved in scheduling activities & care,
gives input to care plan about preferences & independence, involved in room or roommate
change)
