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36 Cards in this Set

  • Front
  • Back

Clients


Residents


Patients

Community


Facility


Hospital

Maslow's needs

Physical needs- 1st


Need for safety


Need for love and belonging


Need for self esteem


Need for self actualization

Nurse delegation to PSWs

Only nurses can delegate


Can authorize an act but has to be a routine activity or living


Delegating nurse remains accountable for task

5 rights of delegation

Right task


Right circumstance


Right person


Right directions and communication


Right supervision and evaluation

Delegation


Facility vs community

Facility: a nurse who delegates a task in a facility is required to teach, assess and monitor




Community: same process as facility and should also provide you with written instruction on how to carry out task, predicted outcome, and what you need to record.

Addressing a client

Professional. Call by their title and last name

Health care team

Communicate to give coordinated and effective care


Goal is to provide client with the best possible care


Should share information about what was done for client, what needs to be done for client, the clients response to treatment

Types of teams

Multidisciplinary team - includes Heath care professionals from a variety of backgrounds and specialties


Hospice and palliative care units - are facilities but also considered community bases services. Outreach programs


Assisted-living facilities- # of staff usually small, members depend on needs of client

Teamwork

May be a nurses and support worker only


Long term care teams often include physician, nurses, support workers, therapists,client and family


Family conference -meeting attended by team and family to discuss clients care. A time to ask questions, express feelings, make decisions

Benefits of teamwork

Opportunity for collaboration, communication


Wide array of abilities, skills, and perspectives


Better decision making and problem solving


Positive, trusting atmosphere

Challenges of working on a team

Recognizing role boundaries


Being flexible


Handling conflict


Expressing your needs and views

ADLs

Eating,bathing,grooming, walking, dressing, toile ting, moving and positioning

Regulated vs unregulated

Regulated- self governing. Has a college which sets education and license requirements, the organization establishes scope of practice, code if ethics and conduct standards for members




Unregulated- does not have a college, no official requirement for educational programs, no code of ethics. PSWs

Scope of practice

Legal limit or role as a support worker


Education, employers policies, supervisor

Principles of Medicare

Comprehensiveness, universality, portability, accessibility, public administration

Comprehensiveness

Insurance plan must pay for all medically necessary services

Universality

Every permanent resident if a province or territory is entitled to receive the insured health care services provided by the plan on similar terms and conditions.

Portability

People, can keep their hath care coverage even when they are unemployed, change jobs, relocate between provinces and territories, or travel within Canada or abroad

Accessibility

People can receive medically necessary services regardless of their income, age, health status, gender, or geographical location . Additional charges for insured services are not permitted

Public administration

The insurance plan must be run by a public organization on a nonprofit basis, the public organization must be accountable to the citizens and the government of the province or territory

Acute vs chronic

Acute- an illness or disability that appears suddenly and lasts for a shirt period, usually less than 3 months


Chronic- ongoing, slow or gradual in onset, may grow worse over time. Focus is on preventing complications of illness or disability

12 key determinants of health

1. Income and social status


2. Social support networks


3. Education and literacy


4. Employment and working conditions


5. Social supports


6. Physical environments


7. Personal health practices and coping skills


8. Healthy child development


9. Biology and genetic endowment


10. Health services


11. Gender


12. Culture

Illness vs disability

Illness is the loss of physical or mental health


Disability is the loss do physical or mental function



Change and loss associated with illness and disability

Change in routine, work life, family life, sexual function, self image . And loss of independence and dignity

dimensions of health

All dimensions of health: physical, emotional, social, cognitive, spiritual




Holism involves all

Personal factors that influence the dimensions of health

Personal life skills


Stress


Personal beliefs about health care


Social relationships and belonging


A sense of control

Hospitals and other medical facilities

Acute care, subacute care, long term care, respite care, rehabilitation services, palliative care, hospice, mental health care services

Residential facilities

Assisted living facilities, group homes, retirement residences, long-term care facilities

Community based services

Services provided outside of a facility such as school boards, community Hewitt centres, doctors offices, home care agencies, day programs

DIPPS

Dignity, independence, preference privacy, safe

Health care challenges

Worker shortages, aging population, long waiting lists, increasing cost of care

Primary

First point of contact with health care system ex. Dr visit

Secondary

Assessment, diagnosis, treatment and preventative services associated with more complex medical issues ex, hospital

Tertiary

Specialized, highly technical level of health care, most costly level of health care ex. Research

PSW professional BEHAVIOUR

a positive attitude, a sense of responsibility, a professional appearance, discretion about client information, keeping your knowledge up to date, discretion about personal matters, using acceptable speech and language

Subacute

Condition is stable but still needs care, requiring complex equipment and procedures