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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_2939_Библиотеки_им_академика_М_И_Перельмана
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402
Index
F
Fall prevention
bed and chair alarms, 187
cardiovascular assessment, 186
fall teams, 187
functional assessment, 186
history of, 185
multifactorial fall risk assessment, 185
neurologic assessment, 186
recommendations, 186
restraints, 187
side rails, 187
Fatigue/weakness/lack of energy, 209, 210
F-Tags, 83–85
F-Tag 329, 353
F-Tag 501, 86
G
Gastroesophageal reux disease (GERD), 355
General power of attorney, 302
Gerontological Advanced Practice Nurses
Association, 98
Goals of care
age friendly care, 185
end-of-life care, 184
exercise, 193
fall prevention, 185–187
immunizations (see Immunizations)
nutrition and vitamin and mineral
supplementation, 189–191
periodic follow-up meetings, 184
POLST, 184
screening test
cervical cancer, 192
colon cancer, 192
lung cancer, 193
osteoporosis, 191, 192
prostate cancer, 193
tuberculosis, 192
Good Samaritan laws, 294
Gradual Dose Reduction (GDR), 352,
353, 364–365
H
Heart failure (HF)
causes, 113
evaluation, 113–115
factors, 115, 116
management
nonpharmacologic therapy, 117
patient outcomes, 116
pharmacological approach, 117–120
overview, 112
refractory HF, 121
rehospitalization, 121
Herpes zoster (HZ)
laboratory diagnosis, 154
medical staff, 154
nursing leadership, 154
prevalence, 153
treatment, 155
vaccination, 154, 155, 189
Hip and knee replacements, 6
HIPAA, see Health Insurance Portability and
Accountability Act
Home-based primary care (HBPC), 25, 72, 73
Home care, 32
Agency Home Health Care
home care aid, 29
members, 27
occupational therapist, 29
physical therapists, 28
requirements, 29–31
skilled nursing, 28
social worker, 29
speech therapist, 28
denition, 24
physician house call
billing for services, 26, 27
preparation, 25, 26
requirements, 24, 25
physician reimbursement
certication/recertication codes, 31
CPO, 31, 32
Home health aide (HHA), 64
Hyperkalemia, 114
Hypertension (HTN), 358, 359
benets, 103, 104
denition, 102
evaluation, 104
implications, 107
physiologic changes, 102
treatment goals, 104–106
treatment risks, 103, 104
Hyperthyroidism
causes, 145, 146
diagnosis, 146
management, 146, 147
signs and symptoms, 146
Hypodermoclysis, 235
Hypoglycemia
care transitions, 139
denition, 137
glycemic control, 138
ingestion, 137
insulin-induced hypoglycemia, 137
Index
Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/
403
interprofessional communication, 138, 139
recognition, 137
risk factors, 137
Hypomagnesemia, 114
Hyponatremia, 114
Hypothyroidism
causes, 143
clinical evaluation, 143, 144
denition, 142
subclinical hypothyroidism, 144, 145
treatment, 144
I
Immunizations
COVID-19 vaccination, 189
inuenza, 187, 188
pneumococcus, 188, 189
shingles, 189
tetanus, 189
Improving Medicare Post-Acute Care
Transformation of 2014
(IMPACT) Act, 10
Independent living facility (ILF), 24
Infection control program (ICP), 387, 388
Inuenza, 187, 188
Initial Nursing Facility Care code, 333
Inpatient rehabilitation facility (IRF), 4, 6, 375
Institute of Medicine and National Council of
State Boards of Nursing, 94
Insulin
analog insulin therapy, 135
medication management, 136
overview, 133
SSI, 133
standard human insulin therapy, 135
treatment goals, 135
Ischemic wounds, 249
J
Joint Commission on Accreditation of
Hospital Organizations
(JCAHO), 353
L
Lewy Body Disease (LBD), 266
Licensed practice nurse (LPN), 28
Living Will, 305
Long-Term Acute Care Hospital
(LTACH), 4, 7
Long-term residents, 77
Lower extremity joint replacements (LEJRs), 6
Lung cancer, 193
M
MacArthur Capacity Assessment Test, 305
Magnesium deciency, 191
Medical director
characteristics, 82
nursing facility, role in
case reviews, 89
clinical policies and protocols, 89
regulatory expectations for, 89
relationship with the nursing
facility, 88, 89
role, denition, 82
role origin, 82, 83
roles and responsibilities
clinical leadership, 87
current standards of practice, 84
F-Tag 841, 84–85
professional foundation, 85, 86
regulatory foundation, 83, 84
relationship with practitioners, 86, 87
Medical Orders for Life-Sustaining Treatment
(MOLST), 184
Medicare Advantage (MA) plan, 2
Medicare Payment Advisory Commission
(MedPAC), 2
Medication management
analgesics, 358
anticholinergic burden, 351, 352
anticoagulation, 360
beta-blocker, 360
care transition, 353
causes of death, 341
Choosing Wisely®, 361
deprescribing and GDR, 352,
353, 364–365
diabetic medication, 355
hypertension, 358, 359
medication errors, 353
over-prescribing of
antibiotics, 354
PPIs, 355
pharmacogenomics, 361, 362
physiologic changes
absorption, 342
distribution, 343
metabolism, 343, 344
pharmacodynamics, 345
renal elimination and clearance, 345
preventing adverse drug effects
Beers’ List, 346
START criteria, 350–351
STOPP criteria, 346–349
psychoactive medication, 353, 354
special considerations, beta-blockers, 360
subclinical hypothyroidism, 360, 361
404
Index
Medium chain triglycerides (MCT), 238
Mental illness, 304
Mini Mental Status Examination
(MMSE), 304
Modication of Diet in Renal Disease
(MDRD) equation, 345
MOLST, see Medical Orders for Life-
Sustaining Treatment
Morphine milligram equivalents (MME), 219
N
National Healthcare Safety Network
(NHSN), 388
National Pressure Injury Advisory Panel
(NPIAP) Staging System, 248
Nausea and vomiting, 204, 206, 207
Non-physician practitioners (NPP), 337, 338
Non-valvular atrial brillation, 360
Nurse practitioners (NP), 93
collaborative practice, 97, 98
in long-term care, 95
prescribing privileges, 96, 97
quality and accessibility, 95
reduced practice, 94
restricted practice, 94
Nursing facility (NF), 166, 188
federal regulations, 83
hospital admissions and readmissions
ACO, 170
acute change in condition (see Acute
change in condition)
effective communication, 168, 169
POLST, 178, 179
transitions of care, 167, 168
and medical director, 88
Nutrition
appetite stimulants, 236, 237
assessment, 232, 233
disease, 232
ethical and legal issues, 238
feeding tubes, 237, 238
uids, 234
indications, 237, 238
medication, 231
recommendations, 230
regulations, 238, 239
residential care, 229
risk factors, 231
supplements, 235, 236
O
Omnibus Budget Reconciliation Act (OBRA),
83, 87, 88
Omnibus Reconciliation Act of 1987, 78
Opioid analgesics, 216–220
Osteomyelitis, 255
Osteoporosis, 191, 192
Overweight, 189
P
P450 cytochrome system, 343, 344
Pain management, 212–216
Palliative care, 121
anorexia/cachexia, 204, 205
behavioral and psychologic symptoms, 198
CAPC, 197
constipation, 207, 208
delirium, 208, 209
depression/anxiety, 211, 212
dyspnea, 205, 206, 219
end of life care, 223–225
fatigue/weakness/lack of energy,209, 210
hospice care, 220–223
illness trajectories and prognostication,
199, 200
indication and clinical parameters,
200, 201
nausea and vomiting, 204, 206, 207
opioid analgesics, 216–220
pain management, 212–216
principles of, 198, 199
symptom assessment and management,
202, 203
Parkinson’s disease, 193
Patient-centered medical plan, 81
Patient’s Bill of Rights, 295
Peptic ulcer disease (PUD), 355
Person-Centered Care (PCC)
attitudes, 312, 313
care plan meetings, 319, 320
denition, 311
empowering, 320–323
family communication, 316, 317
family meeting, 317–319
family spokesperson, 315
knowledge, 313, 314
patient/resident assessment and
planning, 312
skills, 314, 315
Pharmacodynamics, 345
Pharmacogenomics, 361, 362
Physician assistant (PA)
collaborative practice, 97, 98
prescribing privileges, 96, 97
quality and accessibility, 95
state legislatures, 96
training programs, 96
Index
Данная книга находится в списке для перевода на русский язык сайта https://meduniver.com/
405
Physician-assisted suicide, 306
Physician Orders for Life Sustaining
Treatment (POLST), 178, 179, 184
Pneumococcal vaccine, 188, 189
Pneumococcus, 188
POLST, see Physician Orders for Life-
Sustaining Treatment
Post-herpetic neuralgia (PHN), 154
Practitioner
clinical reasoning, 81
diagnostic quality, 82
responsibilities, 87, 88
role of, 78–81
Present on Admission (POA), 246
Pressure injury, 244, 247–249, 251, 252
Pressure ulcer, 255, 256, 259
Primary care provider (PCP), 9
Program of All-inclusive Care of the
Elderly (PACE)
challenges, 68
Day Health Center (DHC), 64, 65
nancing, 63
history, 62
Medical Director role, 66, 67
Model Practices, 66
in nursing home, 68
outcomes, 63
program, 3
Prostate cancer, 193
Proton pump inhibitors (PPIs), 355
Q
Quality Assurance/Performance Improvement
(QAPI), 56
R
Rapid Assessment+Initial Treatment
(RAbbIT), 9
Registered nurse (RN), 28
Rehabilitation
amputation, 376
care transitions, 378
deconditioning, 377
depression, 378
fracture care
hip fracture, 374, 375
lumbar fractures, 375
pelvic fracture, 375
thoracic fractures, 375
goals, 370
joint replacement, 375
maximizing function, 377
multi-morbidities and frailty, 372
occupational therapy, 371
orthotics, 376
outcomes, 379
pain management, 377, 378
payment for, 371
physical therapy, 371
pressure ulcer/injury prevention, 372
prognosis, 370
site of rehab care, 370
speech and language therapy, 371
for stroke
aerobic exercise, 374
bowel and bladder dysfunction, 373
compensation, 374
medical stabilization, 373
neurophysiologic training, 374
respiratory complications, 374
spasticity, 373
strengthening exercises, 374
task-oriented retraining, 374
therapy interventions, 374
VTE, 372
Resident rights, 296
Resistant hypertension, 106
Responsible Party, 301
Restorative care, 377, 379
S
Saint Louis University Mental Status Exam
(SLUMS), 304
Sarcopenia, 235
Scabies
outbreak controlling, 152, 153
severity, 151
transmission and diagnosis, 152
treatment, 153
Screening Tool of Older Person’s Prescriptions
(STOPP) tool, 346–349
Screening Tool to Alert Doctors to Right
Treatment (START), 350–351
Serious Illness Conversation Guide
(SICG), 179
Shingles, 189
Short-stay patients, 77
Short-term subacute care (SNF-ST), 7, 8
Skilled nursing facilities (SNF), 3, 166
ACO, 170
acute change in condition (see Acute
change in condition)
effective communication, 168, 169
POLST, 178, 179
transitions of care, 167, 168
406
Index
Sliding-scale insulin (SSI), 133
SNF Patient-Driven Payment Model
(PDPM), 10
Society for Post-Acute and Long-Term Care
Medicine, 78, 82, 98
SOM, see State Operations Manual
Special Needs Plans (SNP), 14, 15
Springing and Durable Powers of
Attorney, 305
Springing power of Attorney, 302
Standards of care, 308
State Operations Manual (SOM), 89
Subclinical hypothyroidism, 144, 145
Supervising the care, 78
Surrogate decision-making, 301
T
Telehealth, 73
Telehealth Services, 337
Testamentary capacity, 301
Tetanus, 189
Thyroid cancer, 148, 149
Thyroid disorders
epidemiology, 140
pathophysiology, 140
screening, 140, 141
thyroid function tests, 141, 142
Thyroid nodules, 148
Toolkit for Long-term Care Employers, 188
Tuberculin skin test (TST), 192
Tuberculosis (TB), 192
U
Urinary tract infection (UTI), 174–176
V
Vacuum-assisted closure (VAC), 255
Value-based care (VBC)
COVID-19, 15–20
direct subacute admissions, 8–10
DRGs, 1
nancing, 1, 2
MedPAC, 2
post-acute facility based care
acuity push-down, 4
home health services, 4–6
IRFs, 4, 6
LTACH, 4, 7
SNF-ST, 7, 8
Preferred SNF Network, 13, 14
SNF, 3
SNP, 14, 15
subacute/SNF-ST reimbursement, 10–12
Venous thromboembolism (VTE), 372
Venous wounds, 250, 251
Vitamin B12 deciency
causes, 150
diagnosis, 150, 151
overview, 149
risk factors, 149
signs and symptoms, 150
treatment, 151
Vitamin D deciency, 191
W
Warfarin, 360
Weight loss, 229
Weight management, 233, 234
Wound assessment and management
Braden and Norton scales, 247
challenges, 253
CMS, 244, 258, 259
complications, 255–257
debridement, 254
diabetic wounds, 249
dressings, 254, 255
IDT member roles/responsibilities,
257, 258
ischemic wounds, 249
Kennedy terminal ulcers, 247
NPIAP, 248
pressure injury, 243, 244, 247–249,
251, 252
pressure ofoading, 244
principles, 253, 254
risk assessment, 245, 246
venous wounds, 250, 251
Z
Zinc deciency, 191
Zostavax, 189
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