NUR426 exam 3
Care that is designed not to treat an illness but to provide physical and emotional comfort to the patient
and support and guidance to his or her family.
- this care could be provided starting from the onset of the illness until death - ANSWER:palliative
medicine
palliative care is general done in the _________ but can also be done in ___________ -
ANSWER:hospital, clinics
the types of providers that work in palliative medicine are:
1.
2.
3.
4.
5. - ANSWER:physicians, nurses, social workers, chaplains, bereavement services
all aspects of palliative care are covered under the patient's ____________
this includes all medications, any equipment needed, and speech and occupational therapies -
ANSWER:health insurance
__________ care is not available for palliative care - ANSWER:respite
holistic, compassionate care given to dying people and their families within the comfort of their homes -
ANSWER:hospice care
a patient is only eligible for hospice if the provider states that they are not expected to live for more than
___ months (this does not mean the patient could not continue to receive hospice care past this time) -
ANSWER:6
hospice requires an order by a __________ - ANSWER:physician
all types of care under hospice is covered wether the patient is __________ or ___________ -
ANSWER:insured, uninsured
hospice care is available ______, ______ days a week - ANSWER:24/7, 7
hospice has a bereavement program for families that lasts up to ___ months after the patient's death -
ANSWER:12
there are four levels of care in hospice:
,1.
2.
3.
4. - ANSWER:routine care, general in patient, continuous care, respite care
routine care provided on a routine basis
- these are standard daily visits - ANSWER:routine care
type of care provided in hospice that considers if the patient has a symptom at home that cannot be
managed, the patient will be transferred to a hospital that is able to manage this symptom -
ANSWER:general in patient
hospice care in which the nurse will be in the home around the clock to manage symptoms (this could be
pain in which the patient is required to give around the clock pain medication) - ANSWER:continuous
care
hospice care that is not for the patient, but instead is for the family of the patient
- the patient can be admitted to a facility for up to 5 days so that the family can go out of town or have a
break from taking care of the patient full time - ANSWER:respite care
care that takes place in a person's home - ANSWER:home health care
in order to be considered for home health care the patient must be ___________ - ANSWER:homebound
home health care can be used for up to ____ days unless the patient is recertified to need it for longer -
ANSWER:60
Prior to certifying a patient's eligibility for the home health benefit, the certifying physician must
document that he or she, or an allowed non-physician practitioner (NPP), has had a face to face
encounter with the patient (____ days prior to admission or within _____ days after admission to home
health) - ANSWER:90, 30
services that are covered under home health are as follows:
1.
2.
3.
4.
5. - ANSWER:skilled nursing, physical therapy, speech pathology, occupational therapy, social worker
services
Use of technology to deliver health-related services and information, including telemedicine -
ANSWER:telehealth
, optimizes self-care capabilities of individuals and families and the capacity of systems and communities
to coordinate and provide services
- main role is to improve patient outcomes and decrease costs that are unnecessary within the hospital -
ANSWER:case management
a tool that specifies activities providers may use in a timely sequence to achieve desired outcomes for
care. The outcomes are measurable, and the pathway tools strive to reduce differences in client care. -
ANSWER:care map
a mental health professional who counsels patients and provides a link between the patient and the
treatment center - ANSWER:social worker
the unintentional injury that is also the primary cause of death - ANSWER:trauma
the primary preventable cause of death is ___________ - ANSWER:hemorrhage
___________ are the primary trauma population - ANSWER:young white males
a force that impacts or is applied to the body but is not sharp enough to penetrate it, such as a blow or a
crushing injury
examples: blast effect, acceleration-deceleration forces, widespread tissue damage - ANSWER:blunt
trauma
injury caused by an object that passes through the skin or other body tissues
examples: impalements, gunshot wounds, stabbing - ANSWER:penetrating trauma
serious multiple system injuries that requires immediate intervention to prevent disability, loss of limb,
or loss of life - ANSWER:major trauma
single system injuries that do not pose a threat to life or limb
- can be appropriately treated in a basic emergency facility - ANSWER:minor trauma
the number one thing a nurse should consider when going to treat a trauma patient is _________ -
ANSWER:abc
abc is - ANSWER:airway, breathing, circulation
this a medical center that has all of their teams on hand at all times
- all trauma and different fields - ANSWER:trauma center
this is determining whether or not the patient should be transported by ambulance (or other means) or
by helicopter - ANSWER:mode of transport
the second thing a nurse should asses when caring for a trauma patient is ____ - ANSWER:def
def is - ANSWER:disabilities, expose the patient, Fahrenheit
The time from injury to definitive care, during which treatment of shock and traumatic injuries should
occur because survival potential is best; also called the Golden Period.