Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
ARENAS OF CA...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
ARENAS OF CA...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
LICENSURE, C...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
LICENSURE
 ...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
CERTIFICATIO...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
ACCREDITATIO...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
ACCREDITATIO...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
ACUTE CARE H...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
NURSING UNIT...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
SPECIALIZED
...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
DIAGNOSTIC D...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
THERAPY DEPA...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
SUPPORT SERV...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
ROLE OF THE
...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
LONG-TERM CA...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
SUBACUTE CAR...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
CONTINUING C...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
ASSISTED LIV...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
ADULT DAY CA...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
RESPITE CARE...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
FOSTER CARE
...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
ROLE OF THE ...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
OUTPATIENT C...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
ROLE OF THE ...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
HOME HEALTH ...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
ROLE OF THE ...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
HOSPICE
 Hu...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
HOSPICE (con...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
REHABILITATI...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
THE INTERDIS...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
FUNCTIONAL A...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
ROLE OF THE ...
Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license.
REHABILITATI...
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Chapter 6.ppt

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  • Chapter 6.ppt

    1. 1. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. ARENAS OF CARE UNIT 2 THE HEALTH CARE ENVIRONMENT CHAPTER 6
    2. 2. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. ARENAS OF CARE  Acute care hospital  Long-term care facilities  Home health care agencies  Hospice  Outpatient settings  Schools
    3. 3. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. LICENSURE, CERTIFICATION, AND ACCREDITATION Several methods have been designed to ensure that an agency, facility, or service meets minimal standards of care.
    4. 4. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. LICENSURE  A state-regulated, mandatory system of granting licenses according to specified standards.  Designated agencies visit each facility annually.  If deficiencies are not corrected, the facility may lose its license to operate.
    5. 5. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. CERTIFICATION  A voluntary process that establishes and evaluates compliance with rules and regulations.  Required for any provider who seeks reimbursement from government funds.
    6. 6. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. ACCREDITATION  An additional, voluntary confirmation of quality.  Generally indicates that the delivery of care and service is above minimum standards.
    7. 7. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. ACCREDITATION (continued) Agencies include:  Joint Commission on Accreditation of Healthcare Organizations (JCAHO)  The Commission on Accreditation of Rehabilitation Facilities (CARF)
    8. 8. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. ACUTE CARE HOSPITAL  Provides the greatest number of services, including:  Nursing units  Specialized client care units  Diagnostic departments  Therapy departments  Support services
    9. 9. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. NURSING UNITS  Most nursing care is provided in client rooms.  Often serve a particular type of client.  Unit coordinator, nurse manager, or head nurse is in charge of the unit.  RNs, LP/VNs, and nursing assistants provide the nursing care.
    10. 10. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. SPECIALIZED CLIENT CARE UNITS  Provide nursing care for specific needs.  May employ LP/VNs.  Examples include emergency departments, intensive care units, psychiatric units, rehabilitation units, dialysis units, hospice units, outpatient units, home care and education units.
    11. 11. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. DIAGNOSTIC DEPARTMENTS Provide specialized tests that assist the physician in making a diagnosis:  Clinical laboratory  Radiology and nuclear medicine  Other diagnostic services such as sleep centers, EKGs, and EEGs
    12. 12. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. THERAPY DEPARTMENTS Provide specialized treatments and/or rehabilitation services to improve functional level in specific area:  Physical therapy  Respiratory therapy  Occupational therapy  Speech therapy
    13. 13. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. SUPPORT SERVICES  Pharmacists  Dietitians  Social workers  Chaplains  Admission department  Medical records  Housekeeping and maintenance
    14. 14. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. ROLE OF THE LP/VN IN ACUTE CARE  Provides direct care.  Performs client assessments.  Works with the RN to formulate nursing diagnoses and write the plan of care.  May work in specialized units after some years of experience, additional education.
    15. 15. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. LONG-TERM CARE  Various services provided to individuals having an ongoing need for health care.  Provides services to those who are not acutely ill, but who cannot function independently at home.  May be licensed for either intermediate care or skilled nursing care.
    16. 16. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. SUBACUTE CARE  Provides services for clients who are out of the acute stage of their illness but still requiring skilled nursing, monitoring, and ongoing treatments.  Intended to fill the gap between the acute care hospital and the traditional long-term care facility.
    17. 17. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. CONTINUING CARE RETIREMENT COMMUNITIES  Designed to provide continuous care as the individual’s health care needs change.  May include:  Independent  Assisted living  Short-term or permanent health care
    18. 18. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. ASSISTED LIVING  A combination of housing and services for people who need help with the activities of daily living.  Nursing care is not provided.
    19. 19. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. ADULT DAY CARE  This is a protective setting for adults unable to stay home alone but who don’t need 24-hour care.  Services may include socialization, some rehabilitation, and nursing care.
    20. 20. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. RESPITE CARE  May be offered by long-term facilities, adult day care centers, or private homes.  Provides break to caregivers for few hours a week, occasional weekend, or longer.  Supervision, meals, planned activities.
    21. 21. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. FOSTER CARE  For individuals unable to live independently yet do not require care in a health care facility  Similar to the foster home concept for children
    22. 22. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. ROLE OF THE LP/VN  Long-term facilities offer many career opportunities.  May supervise the evening or night shifts.  Needs good assessment skills, nursing judgment based on assessment findings.  Coordinates, supervises nursing assistants.
    23. 23. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. OUTPATIENT CARE  Includes services provided without the client actually being admitted to health care facility.  Same-day surgery may be in acute care hospital or free-standing facility.  Clinics, treatment centers offer testing, chemotherapy, physical therapy, etc.
    24. 24. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. ROLE OF THE LP/VN  Preparing the client for the treatment or procedure  Checking vital signs  Answering questions  Discharge teaching  Assisting with tests or procedures
    25. 25. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. HOME HEALTH CARE  The fastest-growing segment of health care.  Encompasses many services delivered to persons in their homes.
    26. 26. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. ROLE OF THE LP/VN  Must have excellent assessment skills.  Teaching is a major responsibility.  Clients, caregivers must be taught:  The disease process  Medications  Special skills  Documentation and communication
    27. 27. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. HOSPICE  Humane, compassionate care for clients who can no longer benefit from curative treatment and have 6 months or less to live.
    28. 28. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. HOSPICE (continued)  Provides sensitive support allowing clients to be alert, pain-free and have other symptoms managed so the last days are spent with dignity and quality of life at home or in a home-like setting.
    29. 29. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. REHABILITATION  The process of helping individuals reach their optimal level of physical, mental, and psychosocial functioning.
    30. 30. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. THE INTERDISCIPLINARY HEALTH CARE TEAM  An essential component of the rehabilitation process.  Professionals are selected based on client need.  A holistic approach is used to identify client’s physical, mental, and psychosocial needs.
    31. 31. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. FUNCTIONAL ASSESSMENT AND EVALUATION  Criteria for admission to a program requires the client to be:  Medically stable  Able to learn  Able to sit supported for at least 1 hour a day and actively participate in the program
    32. 32. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. ROLE OF THE LP/VN  Requires:  Specialized knowledge, skills, attitudes.  Sound knowledge of anatomy and physiology of the neurological, musculoskeletal, gastrointestinal, urological systems.  Excellent skills in ROM, ADLs, positioning, transfers, and ambulation.
    33. 33. Copyright 2005 Thomson Delmar Learning. Thomson and Delmar Learning are trademarks used herein under license. REHABILITATION SETTINGS  Hospital inpatient programs  Skilled nursing facilities  Outpatient rehabilitation  Home rehabilitation
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