Fundamentals Of Nursing Chapter 2 Key Terms

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ADULT DAY CARE CENTERS

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CENTERS THAT PROVIDE A VARIETY OF HEALTH AND SOCIAL SERVICES TO SPECIFIC CLIENT POPULATIONS WHO LIVE ALONE OR WITH FAMILY IN THE COMMUNITY

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ASSISTED LIVING

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ATTRACTIVE LONG-TERM CARE SETTING WITH A HOMIER ENVIROMENT AND GREATER RESIDENT AUTONOMY

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ASSISTIVE PERSONNEL (AP)

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PEOPLE WHO PROVIDE SUPPORT TO RN 'S AND LPNS IN THE HEALTH CARE SETTING

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BLOCK NURSING

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PRACTICE IN WHICH NURSES WHO LIVE WITHING A NEIGHBORHOOD COLLABORATE TO OFFER SERVICES TO PEOPLE IN THE COMMUNITY

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CAPITATION

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METHOD OF PAYING A PHYSICIAN, HOSPITAL, OR MANAGED CARE SYSTEM FOR ANNUAL SERVICES BASED ON A FEE PER CLIENT

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CASE MANAGEMENT

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MODEL OF CARE; THE CASE MANAGER ADVISES NURSING STAFF ON SPECIFIC NURSING CARE ISSUES, COORDINATES THE REFERRAL OF CLIENTS TO SERVICES PROVIDED BY OTHER DISIPLINES, ENSURES THAT CLIENT EDUCATION HAS BEEN IMPLEMENTED, AND MONITORS THE CLIENTS PROGRESS THROUGH DISCHARGE

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CRITICAL PATHWAY

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TOOL USED IN MANAGED CARE THAT INCORPORATES THE TREATMENT INTERVENTIONS OF CAREGIVERS FROM ALL DISCIPLINES WHO NORMALLY CARE FOR A CLIENT. DESIGNED FOR A SPECIFIC CASE TYPE, A PATHWAY IS USED TO MANAGE THE CARE OF A CLIENT THROUGHOUT A PROJECTED LENGTH OF STAY

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DELEGATION

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PROCESS OF ASSIGNING ANOTHER MEMBER OF THE HEALTH CARE TEAM ASPECTS OF CLIENT CARE

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DIAGNOSIS-RELATED GROUPS (DRGS)

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GROUPS OF CLIENTS CLASSIFIED FOR PURPOSES OF MEASURING A HOSPITALS DELIVERY OF CARE

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DISCHARGE PLANNING

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SET OF DECISIONS AND ACTIVITIES INVOLVED IN PROVIDING CONTINUITY AND COORDINATION OF NURSING CARE WHEN A CLIENT IS DISCHARGED FROM A HEALTH CARE AGENCY

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EVIDENCE-BASED PRACTICE

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THE INTEGRATION OF BEST RESEARCH EVIDENCE WITH CLINICAL EXPERTISE AND PATIENT VALUES TAKING INTO ACCOUNT A NURSES'S CLINICAL EXPERIENCE, PRACTICE TRENDS, AND INDIVIDUAL CLIENT PREFERENCED

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EXTENDED CARE FACILITY

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INSTITUTION PROVIDING MEDICAL, NURSING, OR CUSTODIAL CARE FOR CLIENTS OVER A PROLONGED PERIOD

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HOME CARE

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THE PROVISION OF MEDICALLY RELATED PROFESSIONAL AND PARAPROFESSIONAL SERVICES AND EQUIPMENT TO CLIENTS AND FAMILIES IN THERI HOMES FOR HEALTH MAINTENANCE, EDUCATION, ILLNESS PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE, PALLIATION AND REHABILITATION.

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HOSPICE

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A SYSTEM OF FAMILY-CENTERED CARE DESIGNED TO ALLOW CLIENTS TO LIVE AND REMAIN AT HOME WITH COMFORT INDEPENDENCE, AND DIGNITY WHILE ALLEVIATING THE STRAINS CAUSED BY TERMINAL ILLNESS

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INTEGRATED DELIVERY NETWORKS (IDNS)

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A SET OF PROVIDERS AND SERVICED ORGANIZED TO DELIVER A COORDINATED CONTINUUM OF CARE TO THE POPULATION OF CLIENTS SERVED AT A CAPITATED COST

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MANAGED CARE

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HEALTH CARE SYSTEM IN WHICH THERE IS ADMINISTRATIVE CONTROL OVER PRIMARY HEALTH CARE SERVICES REDUNDANT FACILITIES AND SERVICED ARE ELIMINATED AND COSTS ARE REDUCED. PREVENTIVE CARE AND HEALTH EDUCATION ARE EMPHASIZED

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MEDICAID

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STATE MEDICAL ASSISTANCE BASED ON TITLE XIX OF THE SOCIAL SECURITY ACT. STATES RECEIVE 50%IN MATCHING FEDERALFUNDS TO PROVIDE MEDICAL CARE AND SERVICED TO PEOPLE MEETING CATEGORICAL AND INCOME REQUIREMENTS; COVERS HOME CARE SERVICED BASED ON MEDICARE GUIDELINES

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MEDICARE

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FEDERAL GOVERNMENT INSURANCE COVERAGE FOR PERSONS OVER 65 (OR DISABLED AND UNDER 65)YEARS OF AGE WHO HAVE PAID INTO THE SOCIAL SECURITY OR RAILROAD RETIREMENT SYSTEM; COVERS INPATIENT HOSPITAL CHARGES AND SOME HOME CARE SERVICES

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NURSING CENTER

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WRITTEN GUIDELINES OF NURSING CARE THAT DOCUMENT SPECIFIC NURSING DIAGNOSIS FOR THE CLIENT AND GOALS, INTERVENTIONS AND PROJECTED OUTCOMES

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PARISH NURSING

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A NONTRADITIONAL SETTING WHERE PREVENTIVE AND PRIMARY CARE CAN BE FOUND. CHURCHES AND SYNAGOGUES OFFER THE SITE AND SUPPORT SYSTEM FOR THE PROGRAMS ACTIVITIES

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PRIMARY CARE

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FIRST CONTACT IN A GIVEN EPISODE OF ILLNESS THAT LEADS TO A DECISION REGARDING A COURSE OF ACTION TO RESOLVE THE HEALTH PROBLEM

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PRIMARY HEALTH CARE

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AN APPROACH FOR BUILDING INTERVENTIONS THAT LEAD TO IMPROVED HEALTH OUTCOMES FOR AN ENTIRE POPULATION

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PROFESSIONAL STANDARDS REVIEW ORGANIZATIONS (PSRO'S)

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ORGANIZATION THAT FOCUSES ON THE EVALUATION OF NURSING CARE PROVIDED IN A HEALTH CARE SETTING. THE QUALITY, EFFECTIVENEDD AND APPROPRIATENESS OF NURSING CARE FOR THE CLIENT ARE THE FOCI OF EVALUATION

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PROSPECTIVE PAYMENT SYSTEMS (PPS)

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METHOD OF REIMBURSEMENT FOR HEALTH CARE SERVICES. IT INVOLVES A FIXED REIMBURSEMENT FOR A MEDICAL CONDITION/PROCEDURE REGARDLESS OF CLIENTS LENGHT OF STAY

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REHABILITATION

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RESTORATION OF AN INDIVIDUAL TO NORMAL OR NEAR NORMAL FUNCTION FOLLOWING A PHYSICAL OR MENTAL ILLNESS INJURY OR CHEMICAL ADDICTION

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RESPITE CARE

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CARE THAT GIVES THE PRIMARY CARE PROVIDER THE OPPORTUNITY TO HAVE TIME AWAY. THESE SERVICES CAN TAKE PLACE IN THE CLIENTS HOME, HOSPITAL, OR EVEN EXTENDED CARE SETTING

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RESOURCE UTILIZATION GROUPS (RUGS)

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A SYSTEM FOR REIMBURSEMENT USED IN THE LONG TERM CARE SETTING

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RESTORATIVE CARE

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CARE SETTINGS THAT INCLUDE BUT ARE NOT LIMITED TO INPATIENT AND OUTPATIENT REHABILITATION FACILLITIES, SUBACUTE CARE AGENCIES, CLINICS, AND HOME CARE AGENCIES. THE SERVICES PROVIDED IN THE RESTORATIVE CARE SETTINGS ARE DESIGNED TO BRING THE CLIENT TO THE MAXIMAL LEVEL OF FUNCTION AND HEALTH

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SKILLED NURSING FACILITY (SNF)

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INSTITUITION OT PART OF AN INSTITUTION THAT MEETS CRITERIS FOR ACCREDIATION ESTABLISHED BY THE SECTIONS OF THE SOCIAL SECURITY ACT THAT DETERMINE THE BASIS FOR MEDICAID AND MEDICARE REIMBURSEMENT FOR SKILLED NURSING CARE

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UTILIZATION REVIEW (UR)

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ASSESMENT OF THE APPROPRIATENESS AND ECONOMY OF AN ADMISSION TO A HEALTH CARE FACILITY OR CONTINUES HOSPITALIZATION