| Activities of daily living (ADLs) | Daily routines of hygiene, dressing, grooming, toileting, eating, and ambulating carries out independently throughout life |
| Adult day care | Community-based programs designed to meet the needs of functionally or cognitively impaired adults through supervised health care and social and recreational activities |
| Assisted living | A residential care setting in which the adult patient rents a small one-bedroom or studio-type apartment and has the option of receiving several personal care services such as bathing, dressing and administration of meds |
| Continuing care retirement community (CCRC) | Offers a complete range of housing and health care accommodations from independent living to 24-hour skilled nursing care |
| Functional assessment | The assessment of the functional status of the patient-the ability of an individual to perform normal, expected, or required activities of daily living |
| Hospice | End of life services |
| Instrumental activities of daily living (IADLs) | More complex daily tasks-shopping, using the phone, assistance with meds, to more complex car-tube feeding and oxygen therapy |
| Long-term care | Array of services of individual may find necessary to help in meeting various personal care needs |
| Minimum data set (MDS) | Provides a system for assessment of each resident's functional, medical, mental, and psychosocial status on admission to a facility and at regular intervals thereafter |
| Omnibus Budget Reconciliation Act (OBRA) | AKA nursing home reform legislation. Defines requirements for the quality of care given to residents and covers many aspects of institutional life, including nutrition, staffing, qualifications required of personnel and many others |
| Palliative care | Extends principles of hospice care to a broader population that has the possibility to benefit from comfort care earlier in an illness or disease process |
| Quality of life | An individualized concept, but it generally refers to an individual's overall well being and feeling of physical, social, and spiritual happiness |
| Resident assessment instrument (RAI) | Prescribed method of OBRA of resident assessment and care plan development |
| Residential care | Serve the older adult population and the mentally or physically disabled person and offer a variety of services |
| Restorative nursing care | Basic concepts of physical therapy for maintenance of functional mobility and physical activity |
| Skilled nursing care | Provision of care by a team of trained/licensed health care providers |
| Subacute unit | Type of institutional setting that has become popular since the late 1980s when the advantage of a less expensive alternative to acute care for patients with high-acuity medical and nursing intervention needs |
| What is the goal of ALL long-term care? | To keep people as independent as possible |
| Healthy People 2020 includes what? | The initiative health-related quality of life |
| What are the services to support home care providers for older adults? | Respite care
Daycare
Home health care
Nutrition programs
Senior centers
Transportation services |
| Respite care | Scheduled stays who needs long term care to give the caregiver a break |
| Daycare | A setting that provides structured age appropriate activities during the day |
| Home health care | Homemakers, shoppers, respite care workers, personal care attendants, home health aides, and nursing care staff |
| Nutrition programs | Community programs providing one hot meal per day |
| Senior centers | Govt. or community-funded centers that provide recreational activities, lunch, health screening, exercise classes, education, and transportation to and from the site |
| Transportation services | Community/govt. funded service to grocery shopping or medical appointments |
| What is PACE | Program of All-Inclusive Care for the Elderly
Helps people remain in their homes while still receiving necessary care |
| What philosophy is central to hospice care? | The philosophy of the overriding value of maintaining comfort as death approaches is central to hospice care |
| Who is the director of an adult daycare? | Usually a social worker or RN |
| Assisted living services are integrated with what? | Skilled nursing homes, hospitals, as components of continuing care retirement communities, or independent housing complexes |
| Key features of assisted living | Services and supervision available 24 hours per day
Services to meet scheduled and unscheduled needs
Care and services provided or arranged to promote independence
Emphasis on resident's dignity, autonomy, and choice
Emphasis on privacy and homelike environment |
| What is considered to be a bridge between acute care and long-term care? | Subacute unit |
| Why has subacute care become necessary? | Due to increased lifespan as well as changes in hospital reimbursement |
| Long-term care facility | Provide 24 hour care to individuals who do not need expensive inpatient hospital services but who do not have options for care at home or by other community agencies or services |
| A long-term care facility is managed by who? | Administrator and a director of nursing |
| Positive outcomes from OBRA | Empowerment of residents, focus on residents' rights, reduction/elimination of physical restraint use
Led to the requirement for long-term care facilities to use greater numbers of licensed nursing staff |
| Patient protection and affordable care act (PPACA) | The first comprehensive law in a generation to improve the care and safety of the elderly and people with disabilities in nursing homes and other long-term care settings
Fully implemented in 2013 |
| Ethical issues related to long-term care | Adherence to a patient's bill of rights
Advance directives
Do-not-resuscitate orders (DNR)
Guardianship
Power of attorney
Responsible party designation |
| RAPs | Assessment guides that address common clinical problems ie: delirium, falls, and urinary incontinence |
| 5 major patient safety goals according to The Joint Commission | Identify residents correctly
Use medicine safely
Prevent infection
Prevent residents from falling
Prevent pressure injuries |
| In the nursing process it is stated that the LPN/LVN will______ | Participate in planning care for patients based on patient needs
Review patient's plan of care and recommend revisions as needed
Review and follow defined prioritization for patient care
Use clinical pathways, care maps, or care plans to guide and review patient care |
| When does the need for long-term care services arise? | After the acute stage of an illness has resolved, when the need for services continues in order to maintain the current as well as changing physical, psychological, and functional abilities |
| In a long-term care facility, how often is the resident's plan of care reviewed and why? | Every 90 days for resolution of problems or revision of expected outcomes and interventions by the team |
