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42 Cards in this Set

  • Front
  • Back
Managed Care
Way to provide care that is designed to control cost while maintaining quality of care.
Managed Care
-Care of individual is monitored by Primary Care Provider, (Case Manager)
_Ensure standards are followed and cost minimized.
Case Managment
Method used to coordinate Pt healthcare to achieve Pt wellness and optimum function through advocacy, communication, and education.
Case Managers
Often nurses who maintain continuity of care across settings for patients who are seriously ill or have chronic illness.
Primary Healthcare
Essential of healthcare based on practicle, scientifically sound, and socially acceptable methods made accessible to individuals in a community and at an afforable cost.
Primary Care
The delivery of healthcare services including the initial contact and ongoing care.
Public Hospitals
Nonprofit institutions. Financed and operated by local, state, or national agencies. Pts may NOT have insurance and services are provided at little or no cost to pt.
Private Hospitals
May be for-profit or nonprofit.
Operated by communities, churches, corporations and charitable organizations.
Pt have some kind of healthcare.
Inpatient
Person who enters the hospital and stays overnight for an intermediate time.
Outpatient
Pt who are not hospitalized overnight but who require diagnosis or treatment.
Outpatient services
inlude sergical procedure, diagnostic testing, medications, PT, counseling, health education.
Ambulatory Care
Agencies that deliver medical care on an outpatient basis.
-located in hospitals, free standing service provided by group of healthcare provider or managed by APRN (advanced practice registered nurse.)
Home Health Care
One of most rapidly growing areas.
Provided through community health dept, visiting nurses assoc, hospital based case managers, home health agencies.
Long Term Care
Provides medical and non medical care for people with chronic illness or disabilities.
Long Term Care Failities
Often independant but can be associated with hospital.
Include transitional subacute care , assisted living facilities, intermediate and long term care, nursing homes, retirement centers, and residential institutions for mentally /developmentally/physically disabled.
Day Care Centers
Nurses administer meds and treatments, conducthealth screenings, teach and counsel.
Mental Health Centers
Nuses have strong communication and counseling skills. Must be fimiliar with community resources specific to needs of patients to make appropriate referrals.
Rural Health Centers
Nurses who practice independently usually do so in collaboration with Dr who approves protocols for care.
Schools
Often major source of health assessment, health education, and emergency care for nation's children.
Industry
Occupational Health Nurses in industrial clinics focus on preventing work-related injury and illness by conducting health assessments, teaching for health promotion, caring for minor accidents and injury, and making referrals for more serious issues.
Homeless Shelters
Immunizing children, teaching pregnant women, treating infections and illness, referring for diagnosis and treatment of STI and providing info for maintaining health.
Rehab Centers
Direct Care , teaching, and counseling. The practice of rehab nurse is based on a philosophy of encouraging independent self care w/i patients ability.
Respite Care
Type of care provded for caregivers of homebound ill, disabled, or elderly patients.
Medicaid and most insurance providers do not cover cost.
Hospice
Program of palliative nd supportive care services providing physical, psychologial, social, and spiritual care for dying persons.
Hospice
To be eligible for hospice benefits from Medicare or Medicaid tge patient must have serious, progressive illness with a limited life expectancy.
Projected to grow.
Palliative Care
Focused on relief of physical, mental, and spiritual distress.
Goal is to prevent and relieve suffering by early assessment and treatment of pain and other physical problems.
Voluntary Agencies
Nonprofit
Meals on wheels, American Heart Associaton, American Lung Association
Can provide settings for support groups.
Parish Nursing
Emphasizes holistic healthcare, health promotion, disease prevention.
Combines professional nursing with health ministry.
Govt Agencies
VA-Veterans Administration
PHS-Public Health Service
PHA-Public Health Agencies.
VA
Provide healthcare services to veterans and military hospitals provide care to active members of the armed forces and their immediate families.
PHS
Supplies fund to health centers that provide are to migrant workers and community agencies that healthcare work to the poor and uninsured.
Public Health Agencies
Local, state, and federal govt agencies that provide public health services at local, county, state, or federal level.
Nurses focus on prenatal care, wellchild care, screenings, education, and community outreach.
Physician
Responsible for the diagnosis of illness and the medical or surgical treatment of that illness.
Hospitalists
Physicians who provide care to patients when they visit the emergency room or are admitted to the hospital.
Physician Assistant
(PA) Provides support to the physician.
Physical Therapist
Seeks to restore function or to prevent further disability in a patient after an injury or illness.
Respiratory Therapist
Trained in techniques that improve pulmonary function or oxygenation.
Occupational Therapist
Assist physically challenged patients to adapt to limitations
Speech Therapist
Trained to help hearing impaired patients speak more clearly, to assist patients who have had a stroke to relearn how to speak or to modift speech disturbances in children.
Dietitian
Plans for the dietary needs for patients based on knowledge on all aspects of nutrition.
Pharmacist
licensed to formulate and dispense medications.
Social Worker
Counsels patients and family members and also informs them of and refers them to various community resources.