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36 Cards in this Set
- Front
- Back
Clients Residents Patients |
Community Facility Hospital |
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Maslow's needs |
Physical needs- 1st Need for safety Need for love and belonging Need for self esteem Need for self actualization |
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Nurse delegation to PSWs |
Only nurses can delegate Can authorize an act but has to be a routine activity or living Delegating nurse remains accountable for task |
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5 rights of delegation |
Right task Right circumstance Right person Right directions and communication Right supervision and evaluation |
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Delegation Facility vs community |
Facility: a nurse who delegates a task in a facility is required to teach, assess and monitor Community: same process as facility and should also provide you with written instruction on how to carry out task, predicted outcome, and what you need to record. |
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Addressing a client |
Professional. Call by their title and last name |
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Health care team |
Communicate to give coordinated and effective care Goal is to provide client with the best possible care Should share information about what was done for client, what needs to be done for client, the clients response to treatment |
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Types of teams |
Multidisciplinary team - includes Heath care professionals from a variety of backgrounds and specialties Hospice and palliative care units - are facilities but also considered community bases services. Outreach programs Assisted-living facilities- # of staff usually small, members depend on needs of client |
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Teamwork |
May be a nurses and support worker only Long term care teams often include physician, nurses, support workers, therapists,client and family Family conference -meeting attended by team and family to discuss clients care. A time to ask questions, express feelings, make decisions |
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Benefits of teamwork |
Opportunity for collaboration, communication Wide array of abilities, skills, and perspectives Better decision making and problem solving Positive, trusting atmosphere |
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Challenges of working on a team |
Recognizing role boundaries Being flexible Handling conflict Expressing your needs and views |
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ADLs |
Eating,bathing,grooming, walking, dressing, toile ting, moving and positioning |
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Regulated vs unregulated |
Regulated- self governing. Has a college which sets education and license requirements, the organization establishes scope of practice, code if ethics and conduct standards for members Unregulated- does not have a college, no official requirement for educational programs, no code of ethics. PSWs |
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Scope of practice |
Legal limit or role as a support worker Education, employers policies, supervisor |
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Principles of Medicare |
Comprehensiveness, universality, portability, accessibility, public administration |
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Comprehensiveness |
Insurance plan must pay for all medically necessary services |
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Universality |
Every permanent resident if a province or territory is entitled to receive the insured health care services provided by the plan on similar terms and conditions. |
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Portability |
People, can keep their hath care coverage even when they are unemployed, change jobs, relocate between provinces and territories, or travel within Canada or abroad |
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Accessibility |
People can receive medically necessary services regardless of their income, age, health status, gender, or geographical location . Additional charges for insured services are not permitted |
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Public administration |
The insurance plan must be run by a public organization on a nonprofit basis, the public organization must be accountable to the citizens and the government of the province or territory |
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Acute vs chronic |
Acute- an illness or disability that appears suddenly and lasts for a shirt period, usually less than 3 months Chronic- ongoing, slow or gradual in onset, may grow worse over time. Focus is on preventing complications of illness or disability |
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12 key determinants of health |
1. Income and social status 2. Social support networks 3. Education and literacy 4. Employment and working conditions 5. Social supports 6. Physical environments 7. Personal health practices and coping skills 8. Healthy child development 9. Biology and genetic endowment 10. Health services 11. Gender 12. Culture |
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Illness vs disability |
Illness is the loss of physical or mental health Disability is the loss do physical or mental function |
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Change and loss associated with illness and disability |
Change in routine, work life, family life, sexual function, self image . And loss of independence and dignity |
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dimensions of health |
All dimensions of health: physical, emotional, social, cognitive, spiritual Holism involves all |
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Personal factors that influence the dimensions of health |
Personal life skills Stress Personal beliefs about health care Social relationships and belonging A sense of control |
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Hospitals and other medical facilities |
Acute care, subacute care, long term care, respite care, rehabilitation services, palliative care, hospice, mental health care services |
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Residential facilities |
Assisted living facilities, group homes, retirement residences, long-term care facilities |
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Community based services |
Services provided outside of a facility such as school boards, community Hewitt centres, doctors offices, home care agencies, day programs |
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DIPPS |
Dignity, independence, preference privacy, safe |
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Health care challenges |
Worker shortages, aging population, long waiting lists, increasing cost of care |
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Primary |
First point of contact with health care system ex. Dr visit |
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Secondary |
Assessment, diagnosis, treatment and preventative services associated with more complex medical issues ex, hospital |
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Tertiary |
Specialized, highly technical level of health care, most costly level of health care ex. Research |
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PSW professional BEHAVIOUR |
a positive attitude, a sense of responsibility, a professional appearance, discretion about client information, keeping your knowledge up to date, discretion about personal matters, using acceptable speech and language |
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Subacute |
Condition is stable but still needs care, requiring complex equipment and procedures |