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Semelhante a Ch 1 ppp, v7 with groups
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Ch 1 ppp, v7 with groups
- 1. Chapter 1 Introduction to Health Care Agencies
Notas do Editor
- Health care agencies offer services to persons needing health care. Types of health care agencies include hospitals, long-term care centers, home care agencies, adult day-care centers, assisted living residences, board and care, homes, rehabilitation and subacute care facilities, hospices, doctor’s offices, clinics, centers for persons with mental illnesses, centers for persons with developmental disabilities, drug and alcohol treatment centers, and crisis centers for rape, abuse, suicide, and other emergencies.
- Health promotion includes physical and mental health. People receive teaching and counseling about healthy living. Risk factors and early warning signs of disease are identified. Measures are taken to reduce risk factors and prevent disease. Detection and treatment of disease involve diagnostic tests, physical exams, surgery, emergency care, and drugs. The goal of rehabilitation and restorative care is to return persons to their highest possible level of physical and mental functioning and to independence.
- People need hospital care to have babies; for physical and mental health problems; for surgery, to heal broken bones, or to die; and for acute, chronic, or terminal illnesses. A person needing rehabilitation or subacute care does not need hospital care but is too sick to go home. Long- term care centers are for persons who cannot care for themselves at home but do not need hospital care. An assisted living residence provides housing, personal care, support services, health care, and social activities in a home-like setting. Mental health centers are for persons with mental illnesses. Home care agencies provide a wide range of services to people where they live. A hospice is a health care agency or program for persons who are dying. In a health care system, agencies join together as one provider of care
- Local, state, and federal rules are followed. The administrator reports directly to the board. Review Table 1-1 on pp. 5-6 in the textbook. Many health care workers are involved in the care of each person.
- Director of nursing services, vice president of nursing, and vice president of patient services are some other titles used for DON. Nurse managers manage and carry out nursing department functions. Nurse managers are usually registered nurses (RNs). Nursing education staff: Plan and present educational programs (in-service programs) Provide the nursing team with new and changing information Teach the nursing team how to use new equipment and supplies Review key policies and procedures on a regular basis Educate and train nursing assistants Conduct new employee orientation Provide programs that meet federal and state educational requirements
- All focus on the physical, social, emotional, and spiritual needs of the person and family. RNs assess, make nursing diagnoses, plan, implement, and evaluate nursing care. RNs can study to become clinical nurse specialists or nurse practitioners. These RNs have limited diagnosing and prescribing functions. Licensed practical nurses (LPNs)/license vocational nurses (LVNs) are supervised by RNs, licensed doctors, and licensed dentists. They have fewer responsibilities and functions than RNs do. Nursing assistants perform delegated nursing tasks under the supervision of a licensed nurse
- Nursing care is given in many ways.
- Health care is a major focus in society. The goals are to provide health care to everyone and to reduce the high cost of care. Health care bills cause worry, fear, and emotional upset.
- Medicare Part A pays for some hospital, skilled nursing facility (SNF), hospice, and home care costs. Medicare Part B helps pay for doctors’ services, outpatient hospital care, physical and occupational therapists, some home care, and many other services. It is voluntary. The person pays a monthly premium. People who qualify for Medicaid usually include those with low incomes and some older, blind, and disabled persons. There is no insurance premium.
- Length of stay and treatment costs are determined for each group.
- Many states require managed care for Medicaid and Medicare coverage. Many insurers must approve the need for health care services. If the need is approved, the insurer pays for the services. If the need is not approved, the person pays the costs.
- A license is issued by the state. An agency must have a license to operate and provide care. Certification is required to receive Medicare and Medicaid funds. Accreditation is voluntary. It signals quality and excellence.
- Your role in the survey process involves: Providing quality care Protecting the person’s rights Providing for the person’s and your own safety Helping keep the agency clean and safe Conducting yourself in a professional manner Having good work ethics Following agency policies and procedures Answering questions honestly and completely