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Written documents or oral statements that allow people to decide what kind of medical care they wish to have if they are unable to make those decisions themselves; types of advance directive are: Living Will, Durable Power of Attorney for Health Care, & DNR
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terms list

Written documents or oral statements that allow people to decide what kind of medical care they wish to have if they are unable to make those decisions themselves; types of advance directive are: Living Will, Durable Power of Attorney for Health Care, & DNR
Private law; law between individuals
Public law; related to committing a crime against the community
Do No Resuscitate; an order that tells medical professionals not to perform CPR
health insurance portablility and accountability act of 1996; protects privacy of health informaiton & to facilitate the transferring of protected health informaiton for payment & research needs
OBRA Omnibus Budget Reconciliation Act
law that includes minimum standards for N.A.'s training (at least 75 hours), staffing requirements, resident assessment instructions, & information on rights for resisdents
person assigned by law as the legal advocate for residents
physical abuse
intentional or unintentional treatment that causes harm or injury to a person's body
psychological abuse
harming a person by threatening, scaring, insulting, humiliating, or treating him or her as a child; also includes verbal abuse
substance abuse
the use of drugs, cigarettes, or alcohol in a way that harms oneself or others
verbal abuse
oral or written words, pictures, or gestures that threaten or embarrass a person
purposely causing physical, mental, or emotional pain or injury to someone
the knowledge of what is right & wrong; they help guide conduct
code of proper behavior & courtesy in a certain setting
rules set by the government to help protect the public
legal & ethical guidelines
keep all resident information confidential, keep staff information confidential, be honest at all times, be trustworthy, do not accept tips or gifts from residents, do not report to work under the infuence of alcohol or drugs, follow all facility policies, rules, & procedures
Material Safety Data Sheet MSDS
sheets that provide information on the safe use, hazards, & emergency steps to take when using chemicals
postural support/restraint/protective device
device that maintains good posture or body alignment
acronym for steps taken during a fire: Remove-Activate-Contain-Extinguish
physical or chemical way to restrict voluntary movement or behavior
How you prevent injury to the fallen patient:
identify residents who may be at risk & guard against falls, know which medications cause unsteadiness or problems moving about, respond to call lights promptly, wipe up spill immediately, remove clutter from walkways, get help when moving a resident, lock bed wheels before giving care, make sure side rails are up if needed, residents should wear proper fitting clothing, report equipment that does not work properly if a resident begins to fall do not try to stop him or catch him, make sure night light is on in room.
Safety Guidelines For Oxygen Use
Post "no smoking" & "oxygne in use" signs, no smoking anywhere around oxygen equipment, remove fire hazards from the room such as electric razors, hair dryers, or radios, remove flammmable liquids from the area as well, no candles lighters, or matches around oxygen, residents must not use wool nylon, or any other synthetic clothing or bedcovers, check nasal area & behind ears often & report signs of irritation from the tubing from the nasal cannula, learn how to turn oxygen offf in case of a fire in you facility
position with the resident sitting up with the feet over the side of the bed to regain balance, equalize blood flow in the body, & return blood flow to the head; helps prevent dizziness & lightheadedness that can cause fainting
Science of designing equipment & setting up areas to make them safer & to suit the worker's abilities
position with the person lying on his back with head of bed elevated about 45 to 60 degrees
gait belt/transfer belt
belt made of canvas material used to help residents walk
position with person on their side
moving a person as a unit, wihtout disturbing the alignment of the body
mechanical lift
special equipment used to lift & move or lift & weigh a person
rubbing or friction resulting from the skin moving one way & the bone underneath it remaining fixed or moving in the opposite direction
position with person lying on his left side with one leg drawn up
position with perosn lying flat on his back
Body Alignment
also known as posture
Ten Guidelines of Proper Body Mechanics
Assess the load, think ahead, plan, & communicate the move, check your base of support & be sure you have firm footing, face what you are lifting, keep your back straight, begin in a squatting position, & lift with your legs, tighten your stomach muscles when beginning the lift, keep the object close to your body, do not twist, push or pull when possible rather than lifting
a set of learned values, beliefs, customs, & practices that are shared by a group & are passed from one generation to another
difficulty in swallowing
Minimum Data Set: Resident Assessment System, must be completed on each resident within 14 days of admission & every year, reviewed every three months, ID's problems
Healthcare Worker's Code of Ethics
revolves around the idea that ALL residents are valuable people who deserve ethical care
Harming a person in your care, physically, mentally, or emotionally by failing to give needed care. Abuse is something you do & neglect is something you do not do!
Residents Bill of Rights
Residents have input concerning thier personal treatment within the facility in which they reside, posted in lobby of every facility, quality of life, expect a high level of wellness, services, & activities, right to participate in their own care
Patient Self-Determinaiton Act: provices patients information regarding their rights under state laws governing Advanced Directives
Protected Health Information Includes: name, address, phone #, SSN, E-mail address, Medical record Number, anything that ties a document to a patient
Legal Advocate
the nurse becomes the patients legal advocate, nurse has a legal & ethical obligation to safeguard the patient's interests
Pull the pin, Aim at the base of the fire, Squeeze the handle, Sweep back & forth
Body Mechanics
Alignment, Base of Support, Center of Gravity ABC
Knee-chest (genupectoral)
patient kneels; weight of body supported by knees & chest, with abdomen raised, head turned to one side, & arms flexed
lying supine with hips & knees flexed & thighs abducted U rotated externally
head low & body & legs elevated upward on an incline
Reverse Trendelenburg
head high with feet elevated downward on an incline
ROM Range of Motion Exercises
The total amount of activity required to prevent physical disuse syndrome is only about 2 hours for ever 24 hour period; any body action involving the muscles & joints in natural directional movements
"Lift Twice"
once mentally and once physically
Washing hands, ID of yourself & resident, Explanation of procedure with eye contact, Providing for privacy, Adjusting bed/locking wheels
Affected or Weak Side
do not refer to patient's bad side as the BAD side, affected or weak side only
End of procedure
Making resident comfortable, returning bed to proper position, placing call light & water within reach, washing hands, reporting changes, & documenting procedure

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