Questions And Answers Verified 100% Correct
Settings-assisted living : potential issues - answer- - change in
Condition of resident; who now needs more skilled care
Settings-assisted living : potential issues - answer- mostly non-
Professional staff
Settings-assisted living : potential issues - answer- expensive
Settings- long term care - answer- for patients that require
Around the clock care
Settings- long term care - answer- professional nurse always
Present
Settings- long term care - answer- subject to rigid regulations
Settings- long term care - answer- should make sure medicaid and
Medicare certified
settings- long term care (obra- omnibus budget reconciliation
Act) - answer- - nursing home reform
- Enforced many regulations
- Staffing- needs to be posted
- Certification process
- Resident rights
- Minimum data set (mds)
Settings- long term care (mds - minimum data set) - answer- mds -
Has to be completed by rn
Settings- long term care (mds - minimum data set) - answer-
assessment findings are entered into the computer and compared
On a state to state basis
Settings- long term care (mds - minimum data set) - answer-
Comprehensive review of patient assessments
,settings- long term care (mds - minimum data set) - answer- indicates percentage of
falls, decubs, etc.. And compares with a
Norm
Settings- long term care (service requirements) - answer-
Assessment- labs, x-rays
Settings- long term care (service requirements) - answer-
Screenings
Settings- long term care (service requirements) - answer-
Comprehensive care plan for each resident
Settings- long term care (service requirements) - answer-
Pharmaceutical services
Settings- long term care (service requirements) - answer- dietary
Services
Settings- long term care (service requirements) - answer- no
Restraints
Settings- long term care (service requirements) - answer- social
Services
General health concerns - answer- -screenings
- Bp control
-mammogram
-immunizations
-vision/ hearing checks - elder
abuse!!
- Diet (low fat, low sodium) can cause weight loss
- Falls!! - pain
- meds use (polypharmacy); beers. Criteria: side effects, and how many
- Skin issues!!
Skin issues--prevention of pressure ulcers risk scales: - answer- -norton
-braden
- waterlow
Braden score( braden scale) - answer- sensory perception
Braden score( braden scale) - answer- moisture activity
, Braden score( braden scale) - answer- mobility
Braden score( braden scale) - answer- nutrition
Braden score( braden scale) - answer- friction and shear
Braden score( braden scale) - answer- at risk with score of 18 or
Less
Braden score( braden scale) - answer- 9 or less is severe risk
Skin issues - prevention of pressure ulcers - answer- preventive
Measures- cream, repositioning, padding on bed
Skin issues - prevention of pressure ulcers - answer- early
Treatment
Skin issues - prevention of pressure ulcers - answer- teaching
Elder abuse - answer- -increasing in us
-usually a known family member
Types of elder abuse - answer- pain or injury
Types of elder abuse - answer- withholding food, housing, basic
Needs
Types of elder abuse - answer- confinement
Types of elder abuse - answer- threats, insults, harassment
Types of elder abuse - answer- theft or mismanagement of assets
Types of elder abuse - answer- sexual
Falls- risk factors - answer- - fall risk chart
- get up and go test (observe) (get up from chair and walk)
Falls- prevention - answer- - survellience
-clear path
-call light within reach
=items handy