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ADVANCE DIRECTIVES

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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

ADVANCE DIRECTIVES

CIVIL LAW

Private law; law between individuals

CRIMINAL LAW

Public law; related to committing a crime against the community

DNR

Do No Resuscitate; an order that tells medical professionals not to perform CPR

HIPAA

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

Ombudsman

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

abuse

purposely causing physical, mental, or emotional pain or injury to someone

ethics

the knowledge of what is right & wrong; they help guide conduct

etiquette

code of proper behavior & courtesy in a certain setting

laws

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

RACE

acronym for steps taken during a fire: Remove-Activate-Contain-Extinguish

restraint

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

Dangling

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

Ergonomics

Science of designing equipment & setting up areas to make them safer & to suit the worker's abilities

Flowler's

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

Lateral

position with person on their side

logrolling

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

shearing

rubbing or friction resulting from the skin moving one way & the bone underneath it remaining fixed or moving in the opposite direction

Sims'

position with person lying on his left side with one leg drawn up

Supine

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

Culture

a set of learned values, beliefs, customs, & practices that are shared by a group & are passed from one generation to another

dysphagia

difficulty in swallowing

MDS

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

Neglect

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

PSDA

Patient Self-Determinaiton Act: provices patients information regarding their rights under state laws governing Advanced Directives

PHI

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

PASS

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

lithotomy

lying supine with hips & knees flexed & thighs abducted U rotated externally

Trendelenburg

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

WIDEPA

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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