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Module 13: Long Term Care Patient/Resident Module 13: Long Term Care Resident Module 13: Long Term Care Patient/Resident Minimum Number of Theory Hours: 5 SNF/ICF (or 3 non-SNF/ICF plus 2 additional training hours) Recommended Theory Hours: 13 Required Clinical Hours: 4 Statement of Purpose: The purpose of this unit is to introduce the student to the basic structure of the body and to review the effect of aging on body structure and function. Common physical and psychological conditions found in elderly patients are presented along with approaches to care. Community resources commonly available to assist elderly patients with their psychological, recreational, and social needs are presented. Terminology: 21. Epithelial tissue 42. Aphasia Long Term Care Resident: 22. Health 43. Autonomic dysreflexia 1. Acute 23. Inferior 44. Bipolar disorder 2. Assisted living 24. Joints 45. Brain 3. Chronic 25. Lateral 46. Cataract 4. Debilitating 26. Membranes 47. Catastrophic reaction 5. Dementia 27. Muscle tissue 48. Cerebral palsy 6. Long-term care 28. Nerve tissue 49. Cerebral Vascular Accident 7. Reality orientation 29. Organ (CVA) 8. Reminiscing 30. Peritoneum 50. Concussion 9. Patients/residents 31. Physiology 51. Confusion 10. Skilled nursing facility 32. Posterior 52. Delirium 11. Subacute care 33. Prefix 53. Delusion 12. Validation therapy 34. Proximal 54. Dementia Medical and Anatomical Terms: 35. Suffix 55. Developmentally disabled 13. Anatomic position 36. Superior 56. Disruptive behavior 14. Anatomy 37. System 57. Elopement 15. Anterior 38. Traction 58. Epilepsy 16. Cells Nervous System: 59. Generalized anxiety 17. Connective tissue 39. Age-related Macular 60. Glaucoma 18. Contractures Degeneration (AMD) 61. Hallucination 19. Disease 40. Agitated 62. Hemianopsia 20. Distal 41. Alzheimer’s disease 63. Hemiplegia California Community Colleges Chancellor’s Office Nurse Assistant Model Curriculum - Revised December 2018 Page 1 of 82 Module 13: Long Term Care Resident 64. Multiple sclerosis 91. T-cell 119. Vein 65. Nerve 92. White blood cell 120. Vessel 66. Neuron Cardiovascular System: Integumentary System: 67. Otosclerosis 93. Anemia 121. Abrasion 68. Panic disorder 94. Angina 122. Allergies 69. Paralysis 95. Anti-embolic stockings: 123. Bony prominences 70. Paranoia 96. Artery 124. Cyanotic 71. Paranoid schizophrenia 97. Atherosclerosis 125. Debride 72. Paraplegia 98. Blood 126. Decubitus ulcer 73. Parkinson’s disease 99. Capillary 127. Dermis 74. Peripheral nervous system 100. Congestive Heart Failure 128. Epidermis 75. Post-traumatic stress (CHF) 129. Excoriation syndrome 101. Coronary artery disease 130. Friction 76. Quadriplegia 102. Dyspnea 131. Gangrene 77. Reality orientation 103. Edema 132. Hematoma 78. Seizure 104. Embolism 133. Lesion 79. Stroke 105. Heart 134. Necrosis 80. Sundowner syndrome 106. Hypertension 135. Pallor 81. Transient Ischemic Attack 107. Hypoxia 136. Pediculosis (TIA) 108. Ischemia 137. Pressure ulcer 82. Tremor 109. Myocardial infarction 138. Pruritus 83. Vertigo 110. Orthopnea 139. Psoriasis Immune System: 111. Pacemaker 140. Scabies 84. Antibody 112. Peripheral vascular disease 141. Shearing 85. Antigen (PVD) 142. Skin 86. Auto Immunodeficiency 113. Phlebitis 143. Skin tears Syndrome (AIDS) 114. Pulmonary edema Gastrointestinal System: 87. Carrier 115. Sequential compression device 144. Absorption 88. Human Immunodeficiency (SCD) 145. Bile Virus 116. Systole 146. Bowel movement 89. Immunity 117. Thrombus 147. Colon 90. Lymph node 118. Varicose vein 148. Colostomy California Community Colleges Chancellor’s Office Nurse Assistant Model Curriculum - Revised December 2018 Page 2 of 82 Module 13: Long Term Care Resident 149. Constipation 179. Chronic Heart Failure (CHF) 208. Full weight-bearing (FWB) 150. Defecation 180. Chronic Obstructive Pulmonary 209. Gout 151. Diarrhea Disease (COPD) 210. Muscle 152. Digestion 181. Dyspnea 211. Muscular dystrophy 153. Diverticulitis 182. Emphysema 212. Osteoarthritis 154. Elimination 183. Expiration 213. Osteoporosis 155. Enema 184. Inspiration 214. Phantom pain 156. Fecal impaction 185. Larynx 215. Pronation 157. Feces 186. Lungs 216. Prosthesis 158. Flatus 187. Mucous 217. Range of Motion (ROM) 159. Gastrectomy 188. Nasal cannula 218. Rheumatoid arthritis 160. Gastric tube 189. Nebulizer 219. Rotation 161. Hernia 190. Orthopnea 220. Skeleton 162. Ileostomy 191. Oxygen mask 221. Supination 163. Nasogastric tube (NG) 192. Pharynx 222. Total hip arthroplasty 164. Obstruction 193. Pneumonia 223. Trapeze 165. Occult blood 194. Sputum 224. Vertebrae 166. Ostomy 195. Tracheostomy Urinary System 167. Percutaneous Endoscopic 196. Tuberculosis (TB) 225. Catheter Gastrostomy (PEG) 197. Upper respiratory infection 226. Calculi 168. Peristalsis (URI) 227. Chronic renal failure 169. Stoma Musculoskeletal System: 228. Clean catch 170. Stool 198. Abduction 229. Condom catheter 171. Suppository 199. Adduction 230. Cystitis 172. Ulcer 200. Amputation 231. Dialysis 173. Urgency 201. Arthritis 232. Diuresis 174. Urostomy 202. Atrophy 233. Dysuria Respiratory System: 203. Bursitis 234. End-Stage Renal Disease 175. Alveoli 204. Contracture (ESRD) 176. Asthma 205. Extension 235. Hematuria 177. Bronchi 206. Flexion 236. Indwelling catheter 178. Carbon dioxide 207. Fracture 237. Kidney California Community Colleges Chancellor’s Office Nurse Assistant Model Curriculum - Revised December 2018 Page 3 of 82 Module 13: Long Term Care Resident 238. Micturition 257. Human Papilloma Virus(HPV) 275. Venereal 239. Nephritis 258. Gonorrhea 276. Vulvovaginitis 240. Renal calculi 259. Hemorrhoid Endocrine System: 241. Retention 260. Herpes simplex 2 277. Diabetes mellitus 242. Specimens 261. Hormones 278. Fasting Blood Sugar (FBS) 243. Ureter 262. Hysterectomy 279. Glucose 244. Urethra 263. Mammogram 280. Glycosuria 245. Urinalysis 264. Mastectomy 281. Goiter 246. Urinary bladder 265. Pelvis Inflammatory disease 282. Hormones 247. Urinary drainage bag (PID) 283. Hyperglycemia 248. Urinary incontinence 266. Penis 284. Hypoglycemia 249. Urinary Tract Infection (UTI) 267. Prostate gland 285. Insulin 250. Void 268. Rectocele 286. Insulin-Dependent Diabetes Reproductive System: 269. Sexually transmitted disease Mellitus (IDDM) 251. Benign prostatic hypertrophy (STD) 287. Metabolism 252. Chlamydia 270. Syphilis 288. Non-Insulin-Dependent 253. Cystocele 271. Testes Diabetes Mellitus (NIDDM) 254. Douche 272. Trichomoniasis 289. Pituitary gland 255. Genitalia 273. Uterus 290. Thyroxine 256. Genital herpes 274. Vagina Patient, resident, and client are synonymous terms referring to the person receiving care California Community Colleges Chancellor’s Office Nurse Assistant Model Curriculum - Revised December 2018 Page 4 of 82 Module 13: Long Term Care Resident Performance Standards (Objectives): Upon completion of five (5) hours SNF/ICF* or three (3) non-SNF/ICF** of class plus homework assignments and four (4) hours of clinical experience, the learner will be able to: 1. Define key terminology 2. Describe common basic human needs and interventions for the elderly patient/resident; environmental, psychological, social, recreational and spiritual 3. Describe common community resources to meet the needs of the elderly 4. Describe the special needs of persons with developmental and mental disorders including intellectual disability, cerebral palsy, epilepsy, Parkinson’s disease, and mental illness 5. Describe the special needs of persons with Alzheimer’s Disease and other related dementias 6. Describe the body’s basic organization and composition 7. List the body systems, including basic anatomy and physiology, common diseases of the elderly with signs and symptoms, Nurse Assistant duties and observations, aging changes and complications of immobility 8. Describe changes in body systems associated with aging Refer to CDPH 276C form: *SNF/ICF providers need to complete A1 Special needs of persons with developmental and mental disorders including intellectual disability, cerebral palsy, epilepsy, Parkinson’s disease, and mental illness (2 hours); A2 Special needs of persons with Alzheimer’s disease and related dementias (2 hours); and B Introduction to anatomy and physiology (B-F minimum 1 hour). **Non-SNF/ICF providers may complete A2 Special needs of persons with Alzheimer’s disease and related dementias (2 hours), or two (2) hours of training from another module in order to meet the sixty (60) hours minimum theory training requirement and B Introduction to anatomy and physiology (B-F minimum 1 hour). California Community Colleges Chancellor’s Office Nurse Assistant Model Curriculum - Revised December 2018 Page 5 of 82 Module 13: Long Term Care Resident References: 1. Acello, B. & Hegner, B. (2016). Nursing Assistant: A Nursing Process Approach. (11th ed). Boston, MA. Cengage Learning. 2. Acello, B. (2016). Workbook to accompany: Nursing Assistant: A Nursing Process Approach. (11th ed). Boston, MA. Cengage Learning 3. Carter, P. J. (2017). Lippincott Essentials for Nursing Assistants: a Humanistic Approach to Caregiving. (4th ed.) Philadelphia, PA. Lippincott Williams & Wilkins 4. Deck, M. L. (2004). Instant Teaching Tools for the New Millennium. St Louis, MO. Mosby 5. Hedman, S. A., Fuzy, J., & Rymer, S. (2018). Hartman's Nursing Assistant Care: Long-Term Care (4th ed.). Albuquerque, NM. Hartman Publishing, Inc. 6. Hartman Publishing. (2018). Workbook for Hartman's Nursing Assistant Care: Long-Term Care (4th ed.). Albuquerque, NM. Hartman Publishing, Inc. 7. Haroun, L. & Royce, S. (2004). Teaching Ideas and Activities for Health Care. Albany, NY.
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