contact w/ client is measured in minutes versus hours

• ex. office visits, er visits, and therapy sessions

In-and-Out Care

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

Short stay

traditionally occurs in hospitals where clients stay more than 24 hours but fewer than 30 days

Acute care

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

Long-term care

refers to the gravity and degree to which a person's condition changes

Acuity

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

Acute care

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

Long term acute care

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

Subacute care/step-down unit

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

Skilled nursing care

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

Intermediate Care Facilities

provide physical and occupational therapy to clients and families to help individuals regain as much independence w/ ADLs as possible

• multidisciplinary team

Rehabilitation Care

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

Hospice Care

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

Palliative Care

referred to as outpatient care

• ex. diagnostic centers (gastroenterology centers, day surgery centers, and medical treatment centers, such as dialysis), clinics, primary care centers

Ambulatory Center

REVIEW BOX 2-1: FUNCTIONS OF THE HOME HEALTH CARE NURSE

REVIEW BOX 2-1: FUNCTIONS OF THE HOME HEALTH CARE NURSE

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

Congregate homes

usually are small homes w/ individuals rooms where residents pay for room and board and minimal nursing services

Boarding homes

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

Assisted living facilities

• task-oriented method
• distinct duties are assigned to specific personnel

Functional nursing

consists of teams made up of:

• rn team leader
• other rns that direct care
• lpns
• nursing assistants that work w/ lpns in various capacities

Team nursing

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

Total client care

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

Home health care

responsible for overseeing the client's care

Case management