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Chapter 2: Settings and Models for Nursing Care

front 1 contact w/ client is measured in minutes versus hours ex. office visits, er visits, and therapy sessions	back 1 In-and-Out Care
front 2 provides care to clients who suffer from acute conditions or need treatments that require fewer than 24 hours of care and monitoring ex. diagnostic tests or minimally invasive surgeries	back 2 Short stay
front 3 traditionally occurs in hospitals where clients stay more than 24 hours but fewer than 30 days	back 3 Acute care
front 4 provides care to residents for the remainder of their lives care includes services to clients with limited recovery needs, functional losses, chronic disease, mental illness, or major rehab that can vary from 30-90 days	back 4 Long-term care

front 5 refers to the gravity and degree to which a person's condition changes	back 5 Acuity
front 6 clients with complicated or high-risk surgery, massive traumas, or critical illnesses will be care in this type of hospital, where a high level of professional, skilled, and technological care is available RNs are instrumental in caring for these clients	back 6 Acute care
front 7 clients in these facilities require long term wound care or ventilator support or who have other conditions that are potentially unstable but do not have rapid changes RNs manage care of these clients	back 7 Long term acute care
front 8 provide an intermediate level of care of clients w/ requirements somewhere between that of general unit and the ICU clients are in this unit from 30-90 days RNs coordinate care, LPNs provide and oversee care provided by UAPs	back 8 Subacute care/step-down unit

front 9 provide skilled nursing and rehabilitative care to people who have the potential to regain function but need skilled observation and nursing care during an acute illness require invasive procedures and therapies (tube feedings, intravenous fluids, and sterile dressing changes) RNs are in charge of client charge, LPNs participate in client care	back 9 Skilled nursing care
front 10 nursing homes that provide custodial care for people who cannot care for themselves b/c of mental or physical disabilities client must meet specific criteria related to an inability to meet their own ADLs these facilities don't receive medicare b/c they are not considered medical facilities LPNs and nursing assistants provide care under RNs	back 10 Intermediate Care Facilities
front 11 provide physical and occupational therapy to clients and families to help individuals regain as much independence w/ ADLs as possible multidisciplinary team	back 11 Rehabilitation Care
front 12 provide care for clients dx'd w/ a terminal illness whose life expectancy is fewer than 6 months allows ill clients to live as fully as possible while managing pain, discomfort, and other symptoms trained to help families w/ grief process	back 12 Hospice Care

front 13 medical and related care provided to a client w/ a serious, life-threatening or terminal illness not intended to provide curative tx but rather to manage symptoms, relieve pain and discomfort, improve quality of life, and meet the emotional, social, and spiritual needs of the client	back 13 Palliative Care
front 14 referred to as outpatient care ex. diagnostic centers (gastroenterology centers, day surgery centers, and medical treatment centers, such as dialysis), clinics, primary care centers	back 14 Ambulatory Center
front 15 REVIEW BOX 2-1: FUNCTIONS OF THE HOME HEALTH CARE NURSE	back 15 REVIEW BOX 2-1: FUNCTIONS OF THE HOME HEALTH CARE NURSE
front 16 provides independent living for seniors or disabled adults who need minimal to no assistance freestanding apartments, private rooms or both clients must meet certain requirements	back 16 Congregate homes

front 17 usually are small homes w/ individuals rooms where residents pay for room and board and minimal nursing services	back 17 Boarding homes
front 18 provide care to residents who require assistance with up to 3 ADLs residents maximize their independence in a setting that maintains their privacy and dignity residents maintain a lifestyle more similar to that which they previously enjoyed and are more able to participate in decisions that affect their future care needs	back 18 Assisted living facilities
front 19 task-oriented method distinct duties are assigned to specific personnel	back 19 Functional nursing
front 20 consists of teams made up of: rn team leader other rns that direct care lpns nursing assistants that work w/ lpns in various capacities	back 20 Team nursing

front 21 refers to assignments in which a nurse assumes all the care for a small group of clients focuses more on the client as a whole rather than a collection of tasks that need to be accomplished	back 21 Total client care
front 22 an RN assumes 24-hour accountability for the client's care and has total responsibility for the nursing care of assigned clients during their shift client has a caregiver who sees to all of their needs and who provides holistic and comprehensive care home care still uses this method	back 22 Home health care
front 23 responsible for overseeing the client's care	back 23 Case management