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chapter 10

Terms in this set (43)

Long term care includes:
home health brought to a persons home, home delivered meals, minimal assistance in residential settings
LTC associated with chronic conditions:
the leading cause of illness, disability and death age, chronic aliments , comorbidity lead to disability, dependency, and the need for LTC
LTC intro:
aging leads to chronic, degernative conditions that resist cure, compared to young people health care utilization is higher among the elderly, elderly comprise of 13% of the us population, account for 1/3 the national health care spending
essential characteristics:
variety of services, individualized services, well- coordinated services maximum possible independence, extended period of time, holistic approach, quality of life
services must be well coordinated:
the mere availability of a variety of services is not sufficient, the healthcare delivery system can be difficult to navigate, difficulties compound in the case of the elderly and disabled
maximum possible functional independence:
remarkiable decline indicates need for LTC, functional ADL scale & IADL scale , adaptive equipment and environmental modification promote independent living, motivate and asset the patient to do as much as possible
extended period of time:
compared to acute care LTC is sustain over a longer period of time, weeks, months, years
holistic approach:
physical, mental, social, spiritual
quality of life:
the total experience that results in overall satisfacation with ones life
quality of life 4 factors:
lifestyle pursuits, living environment, clinical palliation, human factors
eldery services offered through and administrative network that includes:
the federal administration on aging, state units on aging, and area agencies on aging
LTC sources of funding:
medicare, medicaid, title 111 of the older americans act, title XX social services block grants, state and local government funds, private savings, private donations
home health care:
medicare is the largest single payer, patients much be home bound, planned treatment that is periodically reviewed by physician, intermittent or part time skilled nursing or rehabilitation therapies
Medicaid 3 main categories:
federally mandated traditional home health benefit, personal care option, home and community based waivers
Adult day care:
a daytime, community based, group program designed for peropl who live with their families it enable families to work partial respite
adult day care 3 programs
social,medical/health, specialized
adult foster care:
small family-run homes, to care for non related adults, room, board, oversight, and personal care, to maintain the family environment, most state fewer than 10 beds per unit
senior centers:
local community centers for older adults, to congregate, socialize, many serve a noon meal , may sponsor health screening and wellness programs
elderly nutrition program:
operated under the us administration on aging, one hot noon meal, five days a week, to qualify people must be 60 years of age, congregate meals served in senior centers, meals on wheels delivered by volunteers
homemaker services:
simple tasks nesscary for independent living, grocery shopping, household chores, and handyman services, light cleaning, general errands and minor home repairs staffed by volunteers
personal emergency response system:
person wears or carries a transmitter that enables the individual to send a medical alert to a local 24 monitoring and response center, reasonable fee
case management:
a method of linking, managing, and coordinating services to meet the varied and chaining health care needs of elderly clients, to prepare a care plan to address those needs, to identitfy services that are most appropriate, to determine legibility for services, to make referrals and coordinate delivery of care, to arrange for financing and to ensure that clients are receiving care
insutiional options meet the varying needs of the elderly in
retirement centers, residential or personal care facilities, assisted living facilities,
continuing care retirement community:
concept of aging in place,different levels of living services, retirement living, personal care, nursing care, changing needs as people age
retirement facilities:
emphasis on privacy, security , independence, active lifestyles, nursing care services not provided, socializing, physical fitness, recreatio, shopping and entertainment
retirement hotel services:
one meal a day, and periodic housekeeping
personal care facilities:
non medical custodial care, basic assistance in a protected entertainment, providing routine assistance with ADLS
assisted living retirements:
personal care services, 24-hour supervision, scheduled and unscheduled assistance with ADLS, social activities, some nursing care services, help with medications
skilled nursing facilities
full range of clinical long term care, medically oriented care provided by licensed nurse, plan of treatment provided by a physician, direct ADL care is delivered by paraprofessionals, rehabilitation, therapeutic diets, nutrionalt supplements are important
subacute care facilities
a blend of intensive medical, nursing, and other services that are technically complext
three main service delivery in subacute:
long term care hospitals, special units in skilled nursing facilities, home health may provide certain services
specialized care facilities:
ventilator care, wound care, alzheimers, intensive rehabliation, closed head trauma, AIDS
Licensing in a nursing home:
a license to pert a facility is issued by the state, standards for licensure vary state to state and a facility can only have a license but will not receive medicare or medicaid remibursement
the Life safety code:
is a national standard, compliance with standards is verified yearly through inspections, a states department of health has the oversight responsibility
certification:
allows a nursing home to admit patients who are on public assistance, but nursing homes have to be licensed by state first, must be certified by the centers for medicare and medicaid
SNF certification:
medicare
NF certification:
medicaid
ICF/ MR certification:
MR/ DD clients- mostly medicaid
respite
temporary services to help address family caregivers feeling of stress and burden, virtually any kind of service adult day care , home healthcare, and temporary insuitulization
restorative care:
patients as participates in reaching their maximum potential functions, services go beyond rehabilitation therapies
EX: range of motion exercises,bowel and bladder training
hospice: end of care
services for the terminally ill 6 months or less. emphasize dignity and comfort, a cluster of comprehensive services
Nursing home industry:
the number of nursing home beds and people in nursing homes have declined slightly, home health and assisted living have been remarkable growth, elderly people will still need nursing home care
Nursing home payment:
medicaid: main source of financing for nursing home care
medicare: pays for eligible beneficiaries under part A, but the coverage is for short duration
LTC policies: expensive, few people have them
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