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STNA Terms
Chapter 1
Term | Definition |
---|---|
Long-term care | Given in long term care facilities for persons who need 24-hour skilled care |
Skilled care | Medically necessary care given by a skilled nurse or therapist |
Length of stay | Number of days a person stays in a care facility |
Terminal illness | An illness that will eventually cause death |
Chronic condition | A condition lasting a long period of time, even a lifetime |
Diagnoses | Medical conditions determined by a doctor |
Home health care | Provided in a person's home |
Assisted living | Residences for people who need some help with daily care |
Adult day service | people who need some help and supervision during certain hours |
Acute care | 24 hour skilled care given in hospitals and ambulatory surgical centers. |
Subacute care | Care given in a hospital or in a long-term care facility |
Outpatient care | Usually given for less than 24 hours |
Rehabilitation | Care given by specialists to help restore or improve function after an illness or injury. |
Hospice care | Given in facilities or homes for people who have about six months or less to live |
ADL's | Activities of Daily Living |
Culture change | A term given to the process of transforming services for elders so they are based on the values and practices of the person receiving care |
Person-directed care | Emphasizes the individuality of the person who needs care and seeks to build community by recognizing and developing each person's capabilities |
Assistive or adaptive devices | Equipment to assist in ADL's |
Chain of command | Describes the line of authority and helps to make sure that residents get proper health care |
Scope of practice | Tasks that health-care providers are allowed to do and how to do them correctly |
Medicare | A federal health insurance program established in 1965 for people aged 65 or older, also covers people of any age with permanent kidney failure or certain disabilities |
Medicaid | Medical assistance program for low-income people as well as for people with disabilities. |
Care plan | Developed to achieve the goals of care |
Policy | A course of action that should be taken every time a certain situation occurs |
Procedure | A method, or way, of doing something |
Professionalism | Behaving properly when on the job |
Compassionate | Being caring, concerning, empathetic, and understanding |
Empathy | Identifying with feelings of others |
Sympathy | Sharing in the feelings and difficulties of others |
Tactful | Showing sensitivity and having a sense of what is appropriate when dealing with others |
Conscientious | Trying to do your best, guided by a sense of right and wrong |
Ethics | Knowledge of right and wrong |
Laws | Rules set by the government to help people live peacefully together and to ensure order and safety |
Omnibus Budget Reconciliation Act | Requires that the Nurse Aid Training and Competency Evaluation Program set minimum standards for nursing assistant training |
Residents' Rights | An ethical code of conduct for healthcare workers, relates to how residents must be treated while living in a facility |
Informed consent | Process in which a person, with the help of a doctor, makes informed decisions about his or her health care. |
Abuse | Purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone |
Neglect | Failure to provide needed care that results in physical, mental, or emotional harm to a person |
Physical abuse | Any treatment, intentional or not, that causes harm to a person's body. Includes slapping, bruising, cutting, burning, physically restraining, pushing, shoving, or even rough handling. |
Psychological abuse | Emotional harm caused by threatening, caring, humiliating, intimidating, isolating, or insulting a person, or treating him or her as a child, includes verbal abuse |
Sexual abuse | Forcing of a person to perform or participate in sexual acts against his or her will. Includes unwanted touching and exposing oneself to a person and sharing of pornographic material |
Financial abuse | The improper or illegal use of a person's money, possessions, property, or other assets |
Assault | A threat to harm a person, resulting in the person feeling fearful that he or she will be harmed |
Battery | The intentional touching of a person without his or her consent. |
Domestic violence | Abuse by spouses, intimate partners, or family members |
False imprisonment | Unlawful restraint that affects a person's freedom of movement |
Involuntary seclusion | The separation of person from others against the person's will |
Workplace violence | Abuse of staff by other staff members, residents, or visitors. It can be verbal, physical, or sexual |
Sexual harassment | Any unwelcome sexual advance or behavior that creates an intimidating, hostile, or offensive working environment |
Substance abuse | The use of legal or illegal drugs, cigarettes, or alcohol in a way that harms oneself of others |
Active neglect | The purposeful failure to provide needed care, resulting in harm to a person |
Passive neglect | The unintentional failure to provide needed care, resulting in physical, mental, or emotional harm to a person |
Negligence | Actions, or the failure to act or provide the proper care for a resident, resulting in unintended injury. Example: A CNA forgetting to lock a resident's chair before transferring her. |
Malpractice | Occurs when a person is injured due to professional misconduct through negligence, carelessness, or lack of skill. |
Suspicious injuries that should be reported | Ex) Poisoning, teeth marks, buckle or strap marks, bruises, contusions, welts, scars, fractures, dislocations, and burns |
Signs that could indicate Abuse | Ex) Yelling obscenities, fear, apprehension, fear of being alone, poor self control, constant pain, and threatening to hurt others |
Signs that could indicate Neglect | Ex) Pressure ulcers, unclean body, body lice, unanswered call lights, soiled bedding or incontinence briefs not being changed, poorly fitting clothing |
Ombudsman | Assigned by law as legal advocate for residents; visits facilities and listen to residents |
Confidentiality | Keeping private things private |
HIPPA | Health Insurance Portability and Accountability Act; Protects confidential healthcare information |
PHI | Protected Health Information - the information kept private under HIPPA (name, address, phone, social, diagnoses, etc) |
Incident | An accident, problem, or unexpected event during the course of care; something that is not part of the normal routine |