9- Care home medicine and Carers Flashcards
care home population
Care home population
- Mostly older
- 4% of >65
- 15% of >85
- Some younger with LD or mental health problems
- 40% have a diagnosis of dementia
common problems in care homes
- Dementia
- Frailty
- Post-stroke
- HF
- COPD
- Cancer
- OA
- Osteoporosis
- Chronic pain
what are care homes
residential or nursing homes
(some will be duel registered)
residential homes
provide accommodation and personal care such as washing and dressing, taking medications and going to the toilet
some offer activities inside and outside of the the home
nursing homes
also provide personal care but will always be 1 or more qualified nurse.
a good place for people who need more care
- intellectual disability
- dementia
- parkinsons
- other conditions which require NG tube
who pays for care homes
- Mostly privately funded
- £700- residential
- £800- nursing
- NHS funds few places through NHS continuing healthcare (CHC) or NHS funded nursing care (FNC)
- Means tested
- Lifetime cap on fees- £86,000
Prognosis following admission
*
- Most remain in care till death
- Average life expectancy
- 24 months in residential care
- 12 months in nursing home
how do people enter care homes
- Following medical crisis
- Unforeseeable- unexpected
-
Foreseeable
- No opportunity to discuss increasing needs with a health needs
- Unwilling to consider earlier admission
- Waiting for social care assessment or for bed to be available
- Family carer burnout or crisis
- Planned admission
- Personal preference
- Respite care
- Short term admission for rehab
Services used by residents
- Registered to GP
- Secondary care services
- NHS community:
- Nursing
- OT/PT
- Dietetics
- SALT
- NHS: dental, optician, audiometry, podiatry
process of admission to a care home
The Process Consists Of
Referral by you, a local authority or family member
Visits to the homes you are interested in
Pre-admission assessment by suitably qualified staff from the home
The home confirms that they are able to meet the individuals needs
Funding agreement
Admission
Six week review
funding for care homes
NHS continuing healthcare is an ongoing package of health and social care that is arranged and funded solely by the NHS where an individual is found to have a primary health need. Such care is provided to an individual aged 18 or over to meet needs that have arisen as a result of disability, accident or illness.
NHS-funded nursing care is registered nursing care funded by the NHS for eligible nursing home residents.
Self-funding
supportive care in care homes
- washing and dressing
- helping take/give medication
- changing dressings
- preventing pressure sores
- etc
ceilings of care in nursing home
i.e. respect form and DNAR discussions need to be had
‘if you get seriously ill would you like to be taken to hospital’
Definition of a Carer
A person of any age, adult or child, who provides unpaid support to a partner, child, relative or friend who wouldn’t manage to live independently or whose health or wellbeing would deteriorate without this help.
why may someone need a carer
This could be due to frailty, disability or serious health condition, mental ill health or substance misuse.
carer job description
