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Long Term Care; Rehabilitation Nursing (Ch.37 & 38) Questions and ANSWERS Graded A+
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Long Term Care; Rehabilitation Nursing (Ch.37 & 38)
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Long Term Care; Rehabilitation Nursing(Ch.37 & 38)
Activities of daily living (ADL's) - answer Those activities of daily life, such as toileting,
bathing, dressing, and grooming, that promote maintenance of functional abilities and
independence in the environment
Adult Daycare - answer A community-based program designed to meet the needs of
functionally or cognitively impaired adults through an individualized plan of care
Assisted Living - answer Residential care whereby the adult patient rents a small one-
bedroom or studying apartment and can receive personal care services, for example,
for bathing, dressing, eating, etc.
Continuing care retirement community (CCRC) - answer Offers compiled the range of
housing and health care accommodations from independent to 24-hour skilled nursing
care
Instrumental Activities of Daily Living - answer Daily tasks that are more complex than
ADL's, such as shopping and using the telephone
Long-Term Care - answerThe range of services-physical, psychosocial spiritual, social,
and economic-needed to help people attain, maintain, and regain their optimum level of
functioning.
Medicaid - answerA federally funded, state-operated program of medical assistance to
people with low income; authorized by Title XIX of the Social Security Act
Medicare - answerA federally funded nation health insurance for certain people older
than 65 years of age.
Minimum Data Set (MDS) - answerA part of the patient assessment instrument (PAI)
that incorporates many of the same assessment factors as a functional assessment tool
and requires input from nursing and social services within specific time frame
Palliative Care - answerPreventing, relieving, reducing, or soothing symptoms of
disease or disorders without effecting a cure. Extends the principles of hospice care to a
broader population that could benefit from comfort care earlier in their illness or disease
process
,Quality of Life - answerA measure of the optimum energy that endows a person with the
power to cope successfully with the full range of challenges encountered in the real
world
Resident Assessment Instrument (RAI) - answerA comprehensive tool that includes the
minimum data set, resident assessment protocols, and guidelines for functional
assessment of the resident.
Residential Care - answerA care setting for older adults, providing a wide range of
services, such as assisted living and continuing care.
Restorative Nursing Care - answerBasic concepts of physical therapy for main
technique of functional mobility and physical activity
Skilled Nursing Care - answerHouses a sub acute unit with a stronger rehabilitative
focus and shorter length of stay than a long-term facility.
Sub acute Unit - answerInstitutional setting that provides a less expensive alternative to
acute care; a bridge between acute care and long-term care.
Chronic Illness - answerAn irreversible presence, accumulation, or latency of disease
states or impairments that involve the total human environment for supportive care,
function, and prevention of further disability.
Commission on Accreditation of Rehabilitation Facilities - answerA not-for-profit, private,
international standards setting and accreditation body. Its mission is to promote and
advocate delivery of quantity rehabilitation. It is governed by a board of trustees who are
responsible for accreditation decisions. Surveyors are peers involved in administrative
or professional positions within an organization that is eligible for CARF accreditation.
Comprehensive Rehabilitation Plan - answerAn overall individualized plan of care that is
initiated within 24 hours of admission and ready for review and revision by the team
within 3 days of admission for each individual; a planned, orderly sequence of services
for a disabled individual designed to help the patient realize maximum potential.
Disability - answerAny restriction or lack (resulting from an impairment) of an ability to
perform an activity in the manner or within the range considered normal for a human
being
Family-Centered Care - answerPhilosophy of care that recognizes the family as the
constant in the child's life and holds that systems and personnel must support, respect,
encourage, and enhance the strengths and competence of the family.
Functional Limitation - answerAny loss of ability to perform tasks and obligations of
usual roles and normal daily life
, Gerontological Rehabilitation Nursing - answerDisorder characterized by an impaired
ability to metabolize carbohydrates, usually caused by a deficiency of insulin; occurs in
pregnancy and disappears after delivery but in some cases returns years later.
Handicap - answerA disadvantage for a given individual resulting from an impairment or
disability that limits or prevents the fulfillment of a role that is normal for the particular
individual
Impairment - answerAny loss or abnormality of psychological, physical, or anatomic
structure or function
Interdisciplinary Rehabilitation Team - answerTeam that collaborates to identify an
individual's goals and is characterized by a combination of expanded problem solving
beyond discipline boundaries and discipline-specific work toward goal attainment.
Multidisciplinary Rehabilitation Team - answerTeam characterized by discipline-specific
goals, clear boundaries between disciplines, and outcomes that are the sum of each
discipline's efforts.
Pediatric Rehabilitation Nursing - answerSpecialty practice that focuses on the care of
children with disabilities or other chronic conditions and their families
Physiatrist - answerPhysicians specializing in physical or rehabilitation
Post-Traumatic Stress Disorder (PTSD) - answerPsychological reaction to the
experience of trauma outside the normal range of human experience
Spinal Cord Injury (SCI) - answerAn injury in which the spinal cord is compressed by
fractures or displaced vertebrae, bleeding or edema
Transdisciplinary Rehabilitation Team - answerTeam characterized by the blurring of
boundaries between discipline and by cross training and flexibility to minimize
duplication of effort toward individual goal attainment
Traumatic Brain Injury (TBI) - answerHead injury classified as either pertaining or
closed; may also be classified as mild, moderate, severe, or catastrophic
Describe setting of long-term care services. - answerMost of these individuals will be
cared for in the home setting, which leave about 40% who need admission to a nursing
facility. Of those admitted to a nursing home, about 10% will remain in the facility for 5
years or longer. Care of the older adults at home sometimes involves a great deal of
participation from loved ones. Most caregivers for the older adult are women. Older
women in some cases also may be caring for a spouse, children, grandchildren, and
great-grandchildren in a multi generational household. Without the support of the family
unit, there would undoubtedly be even more admissions to long-term care facilities.
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