6 ch38 long-term care PP

Question 1

long term care monitoring pts is how often?

Answer 1

*every 2 hours, seeing resident, changing position, assess for incontinence, provide skin care and offer fluids

Question 1

LVN in home health care supervises who?

Answer 1

• unlicensed staff CNA home health aids

Question 2

NCP (plan of care) is revised how often in LTC?

Answer 2

*on a monthly basis w the exception of a condition change, acute illness, or incident reporting

Question 3

adult day care

Answer 3

*community based program for functionally or cognitively impaired adults through supervised health care, social + recreational activities. typical is disabled 75yrs requires assistance w 1-3 ADL

Question 4

hospice

Answer 4

palliative care* maintain comfort

as end of life approaches, terminal care

Question 5

sub acute unit

Answer 5

*bridge between acute and long term care
skilled nursing facility
mostly for physical rehabilitation, stroke rehab, wound care and recovery from hip fractures

Question 6

LTC facility

Answer 6

*nursing home/extended care facility
24hour care
avg age 81, 50% >85.  
cardiovascular, mental, and endocrine disorders. 
short term and long term

Question 7

interdisciplinary care team

Answer 7

90 days reviews residents care plan
care plan meetings mandated by OBRA
team meets on a regular basis to review residents care plan.
goal is to accurately reflect residents needs and goals, retain life as it was at home

Question 8

OBRA prescribed

Answer 8

RAI residential assessment instrument
MDS minimum date set >400 items
RAP resident assessment protocols
and utilization guidelines

Question 9

OBRA

omnibus budget reconciliation act of 1987

Answer 9

aka nursing home reform legislationlandmark
defines requirements for the quality of care given to residents and covers many aspects of institutional life including: nutrition, staffing, qualifications required of personnel.

Question 10

HCFA

health care financing administration

Answer 10

conducts annual institutional surveys
administers and monitors the OBRA guidelines through institutional surveys and visiting unannounced on an annual basis to assess quality of life for residents

Question 11

OSHA

occupational safety and health administration

Answer 11

Regulates the setting to ensure pt safety

significantly raises the cost of long term care but insures a safe environment