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33 Cards in this Set
- Front
- Back
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Disability
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Inability to perform and activity in a normal manner.
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Disability Example
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Inability to cut food due to arthritic fingers.
Abnormal gait related to hemiplegia. |
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Frailty
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3 or more of the following symptoms:
Progressive weight loss (10 or more pounds in the past year) Slow walking speed Low grip strength Fatigue, poor endurance Low activity levels |
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Frailty Example
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Self-care neglect due to weakness, fatigue.
Frequent falls due to unsteady gait and weakness. |
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Impairment
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Psychological, physiologic, or anatomic loss or abnormality.
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Impairment Example
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Loss of limb due to amputation.
Altered thought process r/t dementia. |
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Handicap
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Limitation in ability to fulfill role (possible consequence of diability or impairment).
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Handicap Example
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Loss of job r/t amputation.
Forfeiture of participation in family activities due to altered cognition. |
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Assessing Capacity to Perform ADLs
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Blank
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Eating Total Independence
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Uses all utensils
Cuts meats Butters bread Drinks from cup or glass |
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Eating Partial Independence
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Needs tray set up
Cannot cut foods or butter bread Needs encouragement, reminders to eat |
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Eating Dependence
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Needs to be fed
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Hygiene Total Independence
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Transfers in or out of tub or shower
Reaches and bathes all body parts Brushes teeth or dentures Brushes or combs hair Cleanses self ater toileting Turns faucets, flushes toilet |
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Hygiene Partial Independence
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Reaches some body parts to cleanse
Unable to brush teeth, dentures Unable to turn faucets or flush toilet Needs assistance transfering in or out of tub or shower Needs assistance to comb or brush hair Must have basin brought Needs reminders, encouragement to bathe |
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Hygiene Dependence
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Needs complete bathing assistance
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Dressing Total Independence
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Selects appropriate garments
Puts on all clothing Slips on shoes, socks, stockings Ties shoelaces Able to manage zipper, buttons, snaps |
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Dressing Partial Independence
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Needs assistance with some garments, zippers, buttons, snaps
Unable to select appropriate garments Needs encouragement, reminders to dress |
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Dressing Dependence
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Needs to be fully dressed
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Continence Total Independence
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Continent of bladder and bowels
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Continence Partial Independence
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Incontinent less than once daily
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Continence Dependence
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Total incontinence
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Toileting Total Independence
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Uses bedpan or toilet w/out assistance
Able to reach or transfer to and from bedban/toilet Manages ostomy or catheter independently |
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Toileting Partial Independence
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Needs to be taken to toilet or have bedpan brought or taken
Needs encouragement or reminders to toilet Needs assistance with ostomy or catheter care |
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Toileting Dependence
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Needs assistance getting on or off bedpan or commode
Unable to use bedpan or commode Unable to perform ostomy or catheter care |
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Mobility Total Independence
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Ambulates with no assistance
Turns corners Climbs stairs Sits or lifts from chair and bed Uses wheelchair, cane, walker with no assistance |
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Mobility Partial Independence
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Ambulates with assistance
Climbs stairs with assistance Transfers with assistance Propels wheelchair but needs to be assisted in and out Wanders in limited area |
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Mobility Dependence
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Bedbound
Needs to be pushed in wheelchair Unable to transfer Unable to climb stairs Wanders away if not supervised |
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What is social security?
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A benefit check paid to retired workers of specific minimum age (eg 65y/o), disabled workers of any age, and spouses and minor children of those workders. Benefits are not dependent on financial need. It is intended to serve as a supplement to other sources of income in retirement.
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What is Supplemental Security Income (SSI)?
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A benefit check paid to persons over age 65 and/or persons with disabilities based on financial need.
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What are the 10 leading chronic conditions affecting individuals 65 and older?
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Arthritis, high blood pressure, hearing impairments, heart conditions, visual impairments (including cataracts), deformities or orthopedic impairments, diabetes, chronic sinusitis, hay fever or allergic rhinitis (w/out asthma), and varicose veins.
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What are the 3 leading causes of death for persons 65 and older?
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Heart disease, cancer, stroke
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What is the Minimum Data Set (MDS)?
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A standardized assessment tool that must be completed on admission, whenever there is a change in the resident's status, and annually.
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What is the hierarchy of nursing facility residents' needs?
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Hygiene, Holism, and Healing
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