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1. Long Term Care Designed for persons who cannot care for themselves: Medical, nursing, dietary,
Centers recreational, rehabilitative, and social services are provided
2. 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;
3. Alert, oriented Resident knows who & where they are, the year, and time of day. They have
residents physical problems. Disability level affects the amount of care required. Some
require complete care, others need help with daily activities
4. Confused & dis- Resident is mildly to severely confused & disoriented. Some simply have trouble
oriented resi- remembering where the dining room is, the month, or year. Others are more
dents 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
5. Complete care Residents who are disabled, confused, and disoriented. They cannot meet their
residents own needs or tell you what they need. They need to be kept clean, safe, and
comfortable
6. Short-term Residents who need to recover from surgery, fractures, or illnesses and regain
resi- strength & mobility to return to their former living situations. Home care-giver is
dents/Respite given a rest.
Care
7. Life-long Resi- Residents with birth defects & childhood injuries & diseases can cause disabilities
dents 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.
8. Developmental A disability occurring before 22 years of age; May be a physical impairment,
Disability intellectual impairment, or both
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9. Mentally ill resi- Residents with problems coping or adjusting to stress affecting behavioral and
dents function.
10. Terminally ill resi- Residents who are going to die from terminal illness (cancer, AIDS, liver/heart/kid-
dents ney/respiratory disease.
11. Nursing Team RN's, LPN's (LVN's), & Nursing Assistant's
12. 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.
13. Medicare A federal health insurance program for persons 65 yrs of age or older
14. Medicaid A health care payment program sponsored by federal & state governments
15. OBRA-Residents Right to all his or her information records; Right to refuse treatment; Right to pri-
Rights vacy & 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
16. Quality of Life Ac- Nursing center provides activity programs that allow personal choice. They must
tivities promote physical, intellectual, social, spiritual, & emotional well being. Religious
services promote spirtual health
17. Quality of Life En- Nursing centers environment must promote quality of life by being clean, safe &
vironment as home-like as possible.
18.
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OBRA Require- 1. Courteous & Dignified Interactions (right tone of voice, good eye contact, stand
ments for Dignity or sit close, use proper name & title, gain attention before interacting with resi-
& Privacy dent, 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)
19. OBRA Require- Nursing Assistant training and competency evaluation program must be complet-
ments (all 50 ed to work in nursing centers and hospital long-term care units.
states)
20. OBRA Training Requires at least 75 hours of instruction (16 hrs are supervised practical training);
Program includes knowledge & skills needed to give basic nursing care; takes place in a
laboratory or clinical setting
21. OBRA Competen- After training program you take a written test that has multiple-choice questions
cy Evaluation and a skills test that is performing certain skills learned in training program. OBRA
allows at least 3 attempts to successfully complete the evaluation
22. OBRA Nursing An official record or listing of persons who have successfully completed a compe-
Assistant Reg- tency evaluation; Each state must have a nursing assistant registry; all information
istry stays in registry for at least 5 years
23. OBRA other re- Retraining & new competency evaluation program are required for NA who have
quirements & not worked for 2 consecutive years. It does not matter how long you worked, it
provisions is how long you did NOT work: Requires new competency evaluation OR Both