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Details

Ch. 9 Elderly Wellness
N/A
17
Nursing
Undergraduate 3
10/05/2010

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Cards

Term
Competency
Definition
he ability to fulfill one’s role and handle one’s affairs in an adequate manner
Term
Decision-making capacity
Definition
refers to the ability of a person to consent to or refuse a specific medical treatment or procedure
Term
DNR order
Definition
medical directive that compels health care providers to refrain from cardiopulmonary resuscitation if the person is no longer breathing and has no heartbeat
Term
Durable power of attorney for health care
Definition
advance directive that takes effect whenever someone cannont or any reason provide informed consent for health care tx decisions
Term
Advance directives
Definition
legally binding documents that allow competent people to document what medical care they would or would not want to receive if they were capable of making decisions and communicating their wishes.
Term
Living wills
Definition
legal documents whose purpose is to allow people to specify what type of medical treatment they would want or not want if they become incapacitated as a result of terminal illness; only apply to terminal illnesses
Term
Guardianship
Definition
a drastic legal measure that takes away rights and entails court proceedings and court monitoring; a full guardianship means the person loses all of his or her rights to make decisions; usually lasts until death of the incompetent person.
Term
Implementing advance directives
Definition
Although they must be drawn up while the pt is capable of understanding their intent, the advance directives are only put into effect when the pt lacks the capacity to make a particular health-related decision (particularly relevant to early-stage dementia pts)
Term
What are the 4 rights to be fully informed for nursing home residents?
Definition
1-right to daily communication in their language
2- right to assistance if they have a sensory impairment
3- right to be notified in advance of any plans to change their room or roommate
4- right to be fully informed of all services available and the charge for each service
Term
What are the 4 rights to participate in their own care for nursing home residents?
Definition
1-right to receive adequate and appropriate care
2- right to participate in planning their treatment, care and discharge
3-right to refuse mediations, treatments, and physical & chemical restraints
4- right to review their own record
Term
What are the 4 rights to make independent choices for nursing home residents?
Definition
1-right to make personal choices, such as what to wear and how to spend their time
2- right to reasonable accommodation of their needs and preferences
3-right to participate in activities, both inside and outside the nursing home
4-right to organize and participate in a resident council
Term
What are the 3 rights to privacy and confidentiality of nursing home residents?
Definition
1-right to private and unrestricted communication with any person
2-right to privacy in treatment and in personal care activities
3- right to confidentiality regarding their medical, personal or financial affairs
Term
What are the 3 rights to dignity, respect and freedom of nursing home residents?
Definition
1-right to be treated with the fullest measure of consideration, respect and dignity
2- right to be free from mental and physical abuse
3-right to self-determination
Term
What are the 2 rights to security of possessions of nursing home residents?
Definition
1-right to manage their own financial affairs
2- right to be free from charge for services covered by Medicaid or Medicare
Term
What are the 2 rights during transfers and discharge?
Definition
1-right to remain in the facility unless a transfer or discharge is necessary, appropriate or required
2-right to receive a 30-day notice of transfer or discharge
Term
What are the 2 rights to complain of nursing home residents?
Definition
1-right to present grievances without fear of reprisal
2-right to prompt efforts by the nursing home to resolve grievances
Term
What are the 2 rights to visit of nursing home residents?
Definition
1-right to immediate access by their relatives
2-right to reasonable visits by organizations or individuals providing health, social, legal or other services
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