Lesson 1: Long Term Care Introduction

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jpatelll
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94150
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Lesson 1: Long Term Care Introduction
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2011-07-15 21:22:52
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Long Term Care Introduction
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  1. Name community facilities that offer health care services
    • Life care communities
    • Assisted living facilities
    • Health and personal care for people in their homes
    • Hospice care for teminally ill
    • Care for the developmentally disabled
    • Health care in acute care hospitals
    • Extended (long term) care
    • Sub-acute care service
  2. Explain the differences between acute care, long-term care, home care, and hospice care
    • a. Acute Care:
    • Care Recipient: Patient
    • Length of Care: Few days to weeks
    • Service required: Cure oriented
    • Frequency of Doctor Visits: Frequent
    • Facility: Hospital - high technology, multiple support services, multiple departments specialized according to needs
    • Nurse requirement - high skilled nursing
    • Certification - May or may not be required
  3. Explain the differences between acute care, long-term care, home care, and hospice care
    • b. Long-term care:
    • Length of care: Weeks, Months, Years
    • Service Required: Restorative and maintenance oriented: activities of daily living, social and psychological needs
    • Frequency of Doctor Visits: Occasionally
    • Facility: Long-term care facility
    • Nurse requirement: Professional Nurse supervision
    • Certification: Required
  4. Explain the differences between acute care, long-term care, home care, and hospice care
    • c. Home health care:
    • Care Recipient: Client
    • Length of care: Intermittent, may have hospital stays
    • Service required: Procedures assigned and monitored by the RN or other care provider. Interaction and emotional support with family member
    • Facility: Client's personal residence
    • Nurse requirement: May or may not be needed
    • Certification: May or may not be needed
  5. Explain the differences between acute care, long-term care, home care, and hospice care
    • d. Hospice Care:
    • Care Recipient: Client
    • Length of care: during the dying process and postmortem
    • Service required: Palliative and terminally ill care
    • Facility: Specified area in the hospital, nursing home, client's home, or special hospice facility
  6. Discuss the reasons someone may need long-term care services
    • a. They need restorative care or rehabilitation
    • b. They cannot care for themselves because of illness or disability
    • c. They are too old or too frail to care for themselves
  7. Discuss the importance of state and federal regulations governing health care facilities
    • State and Federal regulations see to it that certain standards are met in the following areas:
    • Caregivers' qualifications
    • Care services
    • Safety of the facility
    • Sanitary conditions
  8. Explain the significance of OBRA regulations in Long-Term Care(LTC)
    • a. They set standards for nursing assistants working in LTC facilities
    • b. OBRA requires:
    • Promotion of resident independence
    • Elimination of restraints
    • Promotion of improved quality of life, care, health and safety for all
  9. Explain the significance of OBRA regulations in Long-Term Care(LTC)
    b. OBRA requires: Promotion of resident independenceElimination of restraintsPromotion of improved quality of life, care, health and safety for all
  10. Explain the significance of OBRA regulations in Long-Term Care(LTC)
    • c. OBRA focuses on these areas of the residents life:
    • Social
    • Mental
    • Physical
    • Spiritual
  11. Explain the significance of OBRA regulations in Long-Term Care(LTC)
    • d. OBRA is important to the field of nursing assitant
    • Nursing Assistants get recognition through certification and being placed on the State Registrar
    • Defines the range of Nursing Assistant practice
    • Ensures uniformity
    • Promotes Educational standards
  12. Explain who pays for Long-Term Care
    • a. There are several ways in which LTC is paid for
    • Private funds
    • Prepaid insurance
    • A preferred provider organization (PPO)
    • Health maintenance organization (HMO)
    • Charitable organization and/or community agencies
    • Medicare
    • Medicaid
  13. Discuss the NA's role and responsibilities in regard to the survey process
    • a. Stay Calm and Confident
    • b. Know the residence in your care
    • c. Know and adhere to the care plan for all residents in your care
    • d. Be cooperative
    • e. Keep all work areas clean
    • f. Perform every procedure the way it is outlined in the facility procedure manual
    • g. Know the policies of your facility
    • h. Know how to properly operate equipment
    • i. Respect the rights of the residents
    • j. Report to the location and time assigned to carry out assigned tasks
    • k. Participate in any in-house education programs and pre-survey audits
    • l. Answer questions honestly
    • m. If you don't know the answer to a question, tell them you will find out the answer
  14. List the requirements OBRA has regarding certification as a nursing assistant
    a. OBRA (Omnibus Budget Reconciliation Act) is legislation that sets the standards in training and the evaluation of nursing assistants. Because of OBRA, all Nursing Assistants are entered into their State's registry within 120 days before they can be employed in long-term care.

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