Important Words in Nursing Assistant Care
Define key terms in nursing assistant care such as ADLs, allergies, care team, dementia, and more. Understand concepts like accountability, chronic care, and delegation. Explore topics like continuity of care, empathy, and first impressions in long-term care settings.
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1 The Nursing Assistant in Long-Term Care
1 1. Define important words in this chapter accountable answerable for one s actions. activities of daily living (ADLs) daily personal care tasks, such as bathing; caring for skin, fingernails, and hair; eating; drinking; caring for the mouth and teeth; dressing; walking; transferring; eliminating; and communicating. acute care 24-hour skilled care given in hospitals and ambulatory surgical centers for short-term, immediate illnesses or injuries. adult day services care for people who need some assistance or supervision during certain hours, but who do not live in the facility where care is given. The Nursing Assistant in Long-Term Care 2
1 1. Define important words in this chapter allergies The Nursing Assistant in Long-Term Care a condition in which the body s immune response is triggered after exposure to a substance called an allergen; reactions such as sneezing, difficulty breathing, and skin issues may result. animal-assisted therapy (AAT) the practice of bringing pets into a facility or home to provide stimulation and companionship. assisted living residences for people who do not need 24-hour skilled care, but who do require some help with daily care. assistive devices special equipment that helps a person who is ill or disabled perform activities of daily living. 3
1 1. Define important words in this chapter care team the group of people with different kinds of education and experience who provide resident care. chain of command the order of authority within a facility. charge nurse a nurse responsible for a team of healthcare workers. chronic long-term or long-lasting. cite in a long-term care facility, to find a problem through a survey. The Nursing Assistant in Long-Term Care 4
1 1. Define important words in this chapter conscientious guided by a sense of right and wrong; principled. continuity of care an ongoing coordination of a resident s care over time, during which the care team regularly exchanges information and works toward shared goals. courteous polite, kind, considerate. delegation transferring responsibility to a person for a specific task. The Nursing Assistant in Long-Term Care 5
1 1. Define important words in this chapter dementia the serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating. diagnosis the identification of disease or condition by its signs and symptoms and through test results. empathetic Being able to identify with and understand the feelings of others. first impression a way of classifying or categorizing someone or something at the first meeting. The Nursing Assistant in Long-Term Care 6
1 1. Define important words in this chapter functional nursing method of nursing care that involves assigning specific tasks to each team member. holistic care care that involves the whole person; this includes his or her physical, social, emotional, and spiritual needs. home health care health care that is provided in a person s home. hospice care holistic, compassionate care for people who have approximately six months or less to live; care is available until the person dies. The Nursing Assistant in Long-Term Care 7
1 1. Define important words in this chapter intergenerational care caring for children and the elderly in the same setting. Joint Commission a independent, not-for-profit organization that evaluates and accredits different types of healthcare facilities. length of stay the number of days a person stays in a healthcare facility. liability a legal term that means a person can be held legally responsible for harming someone else. The Nursing Assistant in Long-Term Care 8
1 1. Define important words in this chapter licensed practical nurse (LPN) or licensed vocational nurse (LVN) a licensed nurse who provides skilled nursing care and gives treatments and medications. long-term care (LTC) 24-hour skilled care provided in long-term care facilities for people with ongoing conditions. Medicaid a medical assistance program for people who have low incomes, as well as for people with disabilities. Medicare a federal health insurance program for people who are 65 or older, have certain disabilities or permanent kidney failure, or are ill and cannot work. The Nursing Assistant in Long-Term Care 9
1 1. Define important words in this chapter nursing assistant (NA) person who performs assigned nursing tasks and gives personal care. outpatient care care given to people who have had treatments, procedures, or surgeries and need short- term skilled care. person-centered care A type of care that places the emphasis on the person needing care and his or her individuality and capabilities. policy a course of action to be followed every time a certain situation occurs. primary nursing a method of nursing care in which the registered nurse provides much of the daily care to residents. The Nursing Assistant in Long-Term Care 10
1 1. Define important words in this chapter procedure a method or way of doing something. professionalism the use of proper standards of behavior at work and in work-related settings. registered nurse (RN) a licensed nurse who assesses residents, creates care plans, monitors progress, provides skilled nursing care, administers treatments and medications, and supervises the care given by nursing assistants and other members of the care team. rehabilitation a program of care given by a specialist or a team of specialists, such as physical therapists, to restore or improve function after an illness or injury. The Nursing Assistant in Long-Term Care 11
1 1. Define important words in this chapter resident The Nursing Assistant in Long-Term Care a person living in a long-term care facility. sandwich generation people responsible for the care of both their children and aging relatives. skilled care medically necessary care given by a skilled nurse or therapist. subacute care care given in hospitals or in long-term care facilities for people who need less care than for an acute (sudden onset, short-term) illness or injury but more than for a chronic (long-term) illness. 12
1 1. Define important words in this chapter team leader a nurse in charge of a group of residents for one shift of duty. team nursing method of nursing care in which a nurse acts as a leader of a group of people giving care. trustworthy deserving the trust of others. The Nursing Assistant in Long-Term Care 13
1 2. Describe healthcare settings Define the following terms: The Nursing Assistant in Long-Term Care long-term care (LTC) 24-hour skilled care provided in long-term care facilities for people with ongoing conditions. skilled care medically necessary care given by a skilled nurse or therapist. chronic long-term or long-lasting. resident a person living in a long-term care facility. 14
1 2. Describe healthcare settings Nursing assistants do important work and have many different career opportunities. Long-term care (LTC) facilities employ many nursing assistants. The Nursing Assistant in Long-Term Care LTC facilities provide 24-hour skilled care LTC assists people with ongoing, chronic medical conditions 15
1 2. Describe healthcare settings REMEMBER: The Nursing Assistant in Long-Term Care The LTC facility is the resident s home. The resident s room must be treated with respect. 16
1 2. Describe healthcare settings Critical Thinking: Conversation Starter The Nursing Assistant in Long-Term Care How would you feel if someone touched your personal belongings or moved your things around without asking? 17
1 2. Describe healthcare settings Define the following terms: The Nursing Assistant in Long-Term Care assisted living residences for people who do not need 24-hour skilled care, but who do require some help with daily care. home health care health care that is provided in a person s home. adult day services care for people who need some assistance or supervision during certain hours, but who do not live in the facility where care is given. sandwich generation people responsible for the care of both their children and aging relatives. 18
1 2. Describe healthcare settings Define the following terms: The Nursing Assistant in Long-Term Care intergenerational care caring for children and the elderly in the same setting. acute care 24-hour skilled care given in hospitals and ambulatory surgical centers for short-term, immediate illnesses or injuries. subacute care care given in hospitals or in long-term care facilities for people who need less care than for an acute (sudden onset, short-term) illness or injury but more than for a chronic (long-term) illness. outpatient care care given to people who have had treatments, procedures, or surgeries and need short- term skilled care. 19
1 2. Describe healthcare settings Define the following terms: The Nursing Assistant in Long-Term Care rehabilitation a program of care given by specialists, such as physical therapists, to restore or improve function after an illness or injury. hospice care holistic, compassionate care for people who have approximately six months or less to live; care is available until the person dies. animal-assisted therapy (AAT) the practice of bringing pets into a facility or home to provide stimulation and companionship. 20
1 3. Explain Medicare and Medicaid Define the following terms: The Nursing Assistant in Long-Term Care Medicare a federal health insurance program for people who are 65 or older, have certain disabilities or permanent kidney failure, or are ill and cannot work. Medicaid a medical assistance program for people who have low incomes, as well as for people with disabilities. 21
1 3. Explain Medicare and Medicaid Medicare (www.medicare.gov) is a federal health insurance program for people who are The Nursing Assistant in Long-Term Care 65 or older Of any age with permanent kidney failure or certain disabilities Medicare will only pay for care that it deems medically necessary. Medicaid (www.medicaid.gov) is a medical assistance program for people who have a low income, as well as for people with disabilities. It is funded by the federal government and each state. 22
1 Key Material 1-1: Facts about Medicare and Medicaid Medicare Medicare is for people 65 or older and people of any age with permanent kidney failure or certain disabilities. Part A helps pay for care in a hospital or skilled nursing facility or for care from a home health agency or hospice. Part B helps pay for doctor services and other medical services and equipment. Part C allows private health insurance companies to provide Medicare benefits. Part D helps pay for medications prescribed for treatment. The Nursing Assistant in Long-Term Care Medicaid Medicaid is a medical assistance program for people who have a low income and for people with disabilities. People qualify based on income and special circumstances. 23
1 3. Explain Medicare and Medicaid Remember these facts about long-term care coverage under Medicare and Medicaid: The Nursing Assistant in Long-Term Care Pays LTC facilities a fixed amount for services Services are based on the resident s needs upon admission 24
1 4. Describe the residents in long-term care facilities REMEMBER: Understanding each individual s specific needs, illnesses, and preferences is far more important than understanding facts about the entire long-term care population. The Nursing Assistant in Long-Term Care 25
1 4. Describe the residents in long-term care facilities Define the following terms: The Nursing Assistant in Long-Term Care length of stay the number of days a person stays in a healthcare facility. dementia the serious loss of mental abilities, such as thinking, remembering, reasoning, and communicating. 26
1 Key Material 1-2: Residents in LTC Facilities 84.9% are over 65 67% are female More than 76% are white and non-Hispanic About 1/3 come from a private residence Over 50% come from a hospital The Nursing Assistant in Long-Term Care 27
1 4. Describe the residents in long-term care facilities Critical Thinking: Conversation Starter The Nursing Assistant in Long-Term Care What might influence a resident s length of stay at a LTC facility? 28
1 4. Describe the residents in long-term care facilities These facts are true of those residents in LTC with a length of stay of six months or more: The Nursing Assistant in Long-Term Care They make up over 2/3 of facility residents They require 24-hour care They did not have caregivers available to give enough care at home 29
1 4. Describe the residents in long-term care facilities These facts are true of those residents in LTC with a length of stay of less than six months: The Nursing Assistant in Long-Term Care They may have been admitted for terminal care (will die in the facility) They may have been admitted for rehabilitation or temporary illness (will recover and return to the community) 30
1 4. Describe the residents in long-term care facilities REMEMBER: The Nursing Assistant in Long-Term Care Many different kinds of care are needed in a facility. Residents in LTC often lack outside support, and it is very important to care for the whole person. 31
1 5. Describe the nursing assistant s role Define the following terms: The Nursing Assistant in Long-Term Care nursing assistant (NA) person who performs assigned nursing tasks and gives personal care. activities of daily living (ADLs) daily personal care tasks, such as bathing; caring for skin, fingernails, and hair; eating; drinking; caring for the mouth and teeth; dressing; walking; transferring, eliminating; and communicating. 32
1 5. Describe the nursing assistant s role NAs provide services for residents in two ways: The Nursing Assistant in Long-Term Care By performing assigned nursing tasks By providing personal care or assisting with self-care 33
1 5. Describe the nursing assistant s role Common nursing assistant tasks include the following: The Nursing Assistant in Long-Term Care Serving trays and helping residents eat and drink Helping residents dress and undress Bathing, shaving, and shampooing residents Bedmaking Tidying living areas Measuring vital signs (temperature, pulse, respiration, blood pressure and observing and reporting pain levels) 34
1 5. Describe the nursing assistant s role Common nursing assistant tasks (cont d): The Nursing Assistant in Long-Term Care Helping residents with elimination needs Assisting with mouth care Giving back rubs Observing and reporting changes in conditions and complaints Helping residents move safely around the facility Caring for supplies and equipment 35
1 5. Describe the nursing assistant s role Tasks which nursing assistants usually do not perform include the following: The Nursing Assistant in Long-Term Care Inserting or removing tubes Giving tube feedings Changing sterile dressings Giving medications 36
1 5. Describe the nursing assistant s role All of these job titles can mean the same thing as nursing assistant: The Nursing Assistant in Long-Term Care Nurse aide Certified nurse aide Patient care technician Certified nursing assistant 37
1 6. Discuss professionalism and list examples of professional behavior Define the following term: The Nursing Assistant in Long-Term Care professionalism the use of proper standards of behavior at work and in work-related settings. 38
1 6. Discuss professionalism and list examples of professional behavior Critical Thinking: Conversation Starter The Nursing Assistant in Long-Term Care What are some examples of professional behavior as it relates to nursing assistants? 39
1 6. Discuss professionalism and list examples of professional behavior Professional behavior for a nursing assistant includes following these guidelines: The Nursing Assistant in Long-Term Care Be neatly dressed, groomed, and clean. Do not discuss personal problems with residents. Do not use your personal phone in resident care areas. Be at work on time and avoid unnecessary absences. Never leave work early without permission. Do not report to work under the influence of drugs and/or alcohol Keep a positive attitude. Do not gossip about coworkers. 40
1 6. Discuss professionalism and list examples of professional behavior Guidelines for professional behavior for nursing assistants (cont d): The Nursing Assistant in Long-Term Care Be polite and respectful. Address residents and visitors in the way they wish to be addressed. Do not use profanity. Keep resident information confidential. Follow procedures and policies. Report problems to the supervisor. Maintain educational requirements. 41
1 6. Discuss professionalism and list examples of professional behavior Guidelines for professional behavior for nursing assistants (cont d): The Nursing Assistant in Long-Term Care Ask questions when you do not understand something. Be honest and document carefully. Accept and learn from constructive feedback. Do not accept tips or gifts. Be loyal to your facility and be a positive role model. 42
1 6. Discuss professionalism and list examples of professional behavior REMEMBER: The Nursing Assistant in Long-Term Care Whenever you are unsure about care, be sure to ask questions or to review the policy manual about policies or procedures you do not understand. 43
1 6. Discuss professionalism and list examples of professional behavior REMEMBER: The Nursing Assistant in Long-Term Care Performing a job with professionalism is best for residents and is also best for the nursing assistant. It earns the respect of others and helps an NA advance in her career. 44
1 7. List the qualities that nursing assistants must have Critical Thinking: Conversation Starter The Nursing Assistant in Long-Term Care The best nursing assistants have certain traits. As you review these traits, ask yourself, Do I have these traits? and, Is there a way I can better develop them? 45
1 7. List the qualities that nursing assistants must have Define the following terms: The Nursing Assistant in Long-Term Care trustworthy deserving the trust of others. conscientious guided by a sense of right and wrong; principled. courteous polite, kind, and considerate. empathetic being able to identify with and understand the feelings of others. accountable answerable for one s actions. 46
1 7. List the qualities that nursing assistants must have Nursing assistants should be: The Nursing Assistant in Long-Term Care Patient and understanding Honest and trustworthy Conscientious Enthusiastic Courteous and respectful 47
1 7. List the qualities that nursing assistants must have Nursing assistant traits (cont d): The Nursing Assistant in Long-Term Care Empathetic Dependable and responsible Humble and open to growth Tolerant Unprejudiced 48
1 8. Discuss proper grooming guidelines Critical Thinking: Conversation Starter The Nursing Assistant in Long-Term Care Choose one of the qualities that nursing assistants must have. Can you imagine a situation on the job where that quality is needed? Can you describe a time that you used that quality in a previous job, or in your personal life? 49
1 8. Discuss proper grooming guidelines Define the following term: The Nursing Assistant in Long-Term Care first impression a way of classifying or categorizing someone or something at the first meeting. allergies a condition in which the body s immune response is triggered after exposure to a substance called an allergen; reactions such as sneezing, difficulty breathing, and skin issue may result. 50
