Potter And Perry Funds Of Nursing Chapter 2

Front 1

Proffesional standards review organizations (PSROs)

Back 1

to review the quality, quanity and cost of hospital care

Front 2

The federal government is

Back 2

the biggest consumer of health care which paid for Medicare and Medicaid

Front 3

Utilization Review Comitties (UR)

Back 3

are physician supervised within medicare qualified hospitals ---they are to review the admissions, diagnostic testing, and treatments provided by physicians who cared for clients who recieved Medicare. THe intent was to eliminate overuse of diagnostic and treatment services

Front 4

Prospective payment System (PPS)

Back 4

Creates an incentive for hospitals to operate in a more cost-effective manner

Front 5

Diagnosis related groups (DRGs)

Back 5

PPS grouped inpatient hospital services for medicare clients (468 groups) Each group had a fixed reimbursment amount with adjustments based on case sevderity, rural/urban/regional costs, and teaching costs.

Front 6

Capitation

Back 6

the provider recieves a fixed amount per client or enrollee of a health care plan.

Front 7

Resource utilization group(RUGs)

Back 7

Any of a number of groups into which a nursing home resident is categorized, based on functional status and anticipated use of services and resources.

Front 8

Managed care

Back 8

health care systems in which there is admistrative control over primary health services for a defined population

Front 9

Health services pyramid

Back 9

serves as a model for imporving health care for american citizen it has 6 levels which are Teriary health care, Secondary Health care, Primary Health care, Clinical Preventive services, Population based health care services, and continueing care settings

Front 10

Intergrated delivery networks (IDNs)

Back 10

include a set of providers and services organized to deliver a continuum of care to a population of clients at a capitated cost in a particular setting. An intergrated system freduces duplication of services across levels or settings of care to ensure that clients recieve care in the most appripiate setting

Front 11

Disease prevention

Back 11

Activities that protect people from becoming ill because of actual or potential health threats

Front 12

Health Promotion

Back 12

Activities that develop human attitudes and behaviors to maintain or enhance well being

Front 13

Managed care Organization

Back 13

Organization that provides or contracts for specific health care services(ex.hospitals, presciption medications)

Front 14

Primary care

Back 14

focus on health services provided on an individual basis

Front 15

Primary Health Care

Back 15

Focuses on improved health outcomes for an entire population

Front 16

Primary Health care model

Back 16

emphasizes health promoption, the development of health policies, and the prevention of diseases within communities. The part are linked with each other and effect each other either positively or negatively

Front 17

Primary prevention

Back 17

Health promoting behaviors or activities that reduce the occurance of illness

Front 18

Public Health

Back 18

Community and interdisiplinary care aimed at preventing disease and promoting health

Front 19

Secondary prevention

Back 19

Early diagnosis and treatment of illness ( ex. hypertension)

Front 20

Teriary prevention

Back 20

Care that prevents futher progression of disease

Front 21

Adults between 19 and 29

Back 21

fastest growning age group of unisured citizens

Front 22

Acute care

Back 22

a branch of tertiary health-care where necessary treatment of a disease for only a short period of time in which a patient is treated for a brief but severe episode of illness

Front 23

Work Redesign

Back 23

understanding why and how well work gets done now (the current state);
· redesigning and implementing what should be (the future state);
· laying the foundation to enable systematic improvement

Front 24

Case Management

Back 24

A case manager who is usually a nurse or social worker, cordinates the efforts of all disiplines to achieve the most efficient and appropiate plan of care for the client--it focuses primaraly on discharge planning

Front 25

Case Manager

Back 25

advises nursing staff on specific nursing issues, cordinates the refferal of clients to services provided by other disciplines, ensures that staff impliments client education and monitors the clients progress through discharge

Front 26

Discharge Planning

Back 26

begins the moment a client is admitted--it is a centralized, cordinated, multidisiplinary process that ensures the client has a plan for continueing care after leaving a health care agency

Front 27

Critical Pathway

Back 27

is a multidisiplinary treatment plan that outlines the treatments or interventions of clients need to have while in the hospital for a specific condition or procedure. It also helps to collaborate among diffrent members of the health care team and enables the client to be discharged in a timely manner.

Front 28

Making the refferal process sucessful

Back 28

Make a refferal as soon as possible, Inform the care provider recieving the refferal with the nesc information, Involve the clkient and family in the process ( explain the service, the reason for it, and what to expect), determine what the refferal disicipline recommends for the clients care, and include this in the treatment plan asap

Front 29

Clients require the following instructions before the leave the health care facility

Back 29

Safe and effective use of equipent, instruction in potential food-drug interactions and couseling and nutrition and modified diets, rehabilitation techniques to support adaptation to and/or functional independence in the enviorment, acess to advailible and appripiate community resources, when and how to obtain futher treatment, the client and family's responsibilities in the client's ongoing health care needs and the knowledge and skills needed to carry out these responsibilities

Front 30

INtensive care unit ICU or critical unit

Back 30

is a hospital unit in which a client is closely monitored and intensive medical care

Front 31

Psychiatric Facilities

Back 31

Offer inpatient and outpatients services depending on the problem, clients enter voluntary or involuntary

Front 32

Rural Hospitals

Back 32

experience shortage of primaryu care providers, manyu have been closed because of economic failure,

Front 33

Restorative care

Back 33

is to help individuals through the promotion of indepence and self care

Front 34

Home health care(Home care)

Back 34

is the provision of medically related proffesional and paraproffesionak services and equipment to clients and families in their homes for health maitenance, education, illness prevention, diagnosis and treatment of disease, pallitaion, and rehabilitation.

Front 35

Rehabilitaion

Back 35

restores a person to the fullest physical, menta, social, vocational, and economic potential possible

Front 36

Extended care facilities

Back 36

provides intermediate medical nursing or custodial care for clients recovering from acute illness or clients with cronic illness or disabillities.

Front 37

Skilled Nursing facility or intermidiate care facility

Back 37

offers skilled care from a licensed nursing staff.

Front 38

Continuing care

Back 38

is for persons who are disabled, who never were funtionally independent, or who suffer a terminal disease and is provided over a long period of time

Front 39

Nursing center or facilities

Back 39

provide 24hr intermediate and custodial care such as nursing rehabilitation, dietary, recreational, social, and religious services for residents of any age with cronic or debilitating illnesses.

Front 40

MInimum Data set MDS

Back 40

is a rich resource for nurses the best type of interventions to support the health care needs of the growing population

Front 41

Asisted Living

Back 41

offers a attractive long term setting witha homier enviorment and greater resident autonomy. It provides security independence and privacy at the same time

Front 42

Respite care

Back 42

is a service that provides short-term relief or time off for persons providing home care to an ill, disabled,, or frail older adult. The family caregiver is able to leave the home for errands or social time while a responsible person stays in the home to care for the loved one

Front 43

Adult day care centers

Back 43

provide a variety of health and social services to specific client populations who live alone or with family in the community

Front 44

Hospice

Back 44

is a system of family- centered care that allows clients to live and remain at home with comfort, independence, and dignity while easing the pains of terminal illness.

Front 45

Pew health proffesions commission

Back 45

21 competencies for health care proffesional in the 21rst century

Front 46

Evidence based practice

Back 46

is a problem-solving approach to clincal practice that involves the concientious use of current best evidence, along with clinical expertise and client preferences and values in making decisions about client care

Front 47

Nursing sensitive outcomes

Back 47

are client outcomes that are diorectly related tot he nursing care. They have a major effect on client saftey and quality of care.

Front 48

Client centered care

Back 48

see box 2-10 page 28 chapter 2

Front 49

Nursing informatics

Back 49

combines the best of computer science and information science with nursing science it supports nursing practice and the delivery of nursing care by providing nursing with a way to process and manage nursing data, information and knowledge

Front 50

Data

Back 50

are individually distint pieces of reality

Front 51

Information

Back 51

nurses gain or use INFORMATION when they organize, structure, or interpret data

Front 52

Knowledge

Back 52

develops when nurses combine and identify relationships between different pieces of information

Front 53

Electronic Health Record (EHR)

Back 53

is replacing the traditional printed medical record and provides a comprehensive electronic record of a clients medical problems, treatment, diagnostic procedures, and nursing care

Front 54

Asisted Living

Back 54

offers a attractive long term setting witha homier enviorment and greater resident autonomy. It provides security independence and privacy at the same time

Front 55

Respite care

Back 55

is a service that provides short-term relief or time off for persons providing home care to an ill, disabled,, or frail older adult. The family caregiver is able to leave the home for errands or social time while a responsible person stays in the home to care for the loved one

Front 56

Adult day care centers

Back 56

provide a variety of health and social services to specific client populations who live alone or with family in the community

Front 57

Hospice

Back 57

is a system of family- centered care that allows clients to live and remain at home with comfort, independence, and dignity while easing the pains of terminal illness.

Front 58

Pew health proffesions commission

Back 58

21 competencies for health care proffesional in the 21rst century

Front 59

Evidence based practice

Back 59

is a problem-solving approach to clincal practice that involves the concientious use of current best evidence, along with clinical expertise and client preferences and values in making decisions about client care

Front 60

Nursing sensitive outcomes

Back 60

are client outcomes that are diorectly related tot he nursing care. They have a major effect on client saftey and quality of care.

Front 61

Client centered care

Back 61

see box 2-10 page 28 chapter 2

Front 62

Nursing informatics

Back 62

combines the best of computer science and information science with nursing science it supports nursing practice and the delivery of nursing care by providing nursing with a way to process and manage nursing data, information and knowledge

Front 63

Data

Back 63

are individually distint pieces of reality