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Unit 36

Unit 36. Subacute Care . Objectives. Spell and define terms. Describe the purpose of subacute care. List the differences between acute care, subacute care, and long-term care. Objectives.

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Unit 36

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  1. Unit 36 Subacute Care

  2. Objectives • Spell and define terms. • Describe the purpose of subacute care. • List the differences between acute care, subacute care, and long-term care.

  3. Objectives • Describe the responsibilities of the nursing assistant when caring for patients receiving the special treatments in subacute care.

  4. Description of Subacute Care • Subacute care • Comprehensive, goal-oriented care for individuals with acute illnesses, injuries, or exacerbations of chronic medical conditions.

  5. Special Procedures Provided in the Subacute Care Unit • You will be assigned to care for patients who are receiving special treatments because of their health problems. • These treatments may require the use of equipment that is unfamiliar to you.

  6. Special Procedures Provided in the Subacute Care Unit • As a nursing assistant: • You will not be expected to be responsible for these procedures • However, you will be expected to provide the same personal care and procedures that you would provide for any other patients.

  7. Pain Management Procedures • Pain management may be the major reason why some patients are in subacute care units. • Other patients may be undergoing pain management related to conditions such as recent surgery or cancer.

  8. Pain Management Procedures • Both drug and nondrug treatments can be successful in helping prevent and control pain. • Various types of relaxation techniques are also used for pain management.

  9. Caring for Subacute Patients with Respiratory Conditions • Many patients are admitted to the subacute care unit with problems related to the respiratory system. • Some conditions are caused by diseases within the lungs.

  10. Caring for Subacute Patients with Respiratory Conditions • Some patients experience respiratory problems as a result of complications of other conditions. • Paying attention to each patient’s oxygenation is a very important responsibility.

  11. Caring for the Patient Receiving Dialysis Treatments • Dialysis • Process by which the blood is artificially cleansed of liquid wastes when the kidneys are unable to remove wastes. • Procedure is needed when a person has kidney failure.

  12. Caring for the Patient Receiving Dialysis Treatments • Dialysis • Without dialysis, the person would die as the waste products accumulate in the bloodstream.

  13. Caring for the Patient Receiving Dialysis Treatments • Dialysis is usually considered a temporary treatment • Used until a suitable organ is found for kidney transplant • Two types of dialysis • Hemodialysis • Peritoneal dialysis

  14. Oncology Treatments • Oncology • Care and treatment of persons with cancer • Cancer may be treated with surgery, radiation, chemotherapy, or a combination of any of these

  15. Wound Management • Some patients require wound management • For severe pressure sores, burns, or surgical wounds • Nurse or physical therapist • Will perform frequent dressing changes on these areas using sterile technique

  16. Wound Management • You may be required to assist with dressing changes • Basic knowledge of sterile technique is necessary

  17. Documentation of Care in the Subacute Unit • Reimbursement for care in subacute units • Often provided by insurance companies and managed care organizations

  18. Documentation of Care in the Subacute Unit • In some situations or facilities: • Reimbursement is based on documentation • Main purpose of documentation is to provide a record of patient care

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