Care Home Medicine Flashcards
What are the differences between a nursing home and a residential home?
Residential home; provide accommodation and personal care such as help with washing and
dressing, taking medications and going to the toilet. Some offer activities within and outside
of the care home.
Nursing home;provide personal care but there will always be 1 or more qualified nurses on duty to provide nursing care . Some nursing homes offer services for people that need more care and support for example some people with severe learning disability ,dementia or another mental health diagnosis or a complex medical condition that needs
qualified nursing support such as a NG tube .
What is the average cost of a residential home?
£600 per week
What is the average cost of a nursing home?
£800 per week
Different care homes have different admission criteria.
Suggest 3 examples of admission criteria some care homes may have?
**1. Health and Care Requirements: **The home assesses whether it can meet the individual’s specific health and care needs. This includes evaluating whether the facility is equipped to handle particular medical conditions or required care levels.
2.Financial Eligibility: Some care homes, especially those funded by public sources like Medicare or Medicaid, have financial criteria. This might involve an assessment of the individual’s income and assets.
**3.Behavioral and Psychological Factors: **The care home may assess any behavioral or psychological issues to ensure they can provide appropriate care and support.
What is an MCA?
The Mental Capacity Act is the law in England and Wales that protects and supports people who lack capacity to make a decision. It also outlines who can and should make decisions for them.
The Mental Capacity Act covers important decision-making about a person’s property, financial affairs, and health and social care. It also covers everyday decision-making, such as decisions about what a person wears, what they eat and their personal care.
What 4 things must a patient being able to do to be deemed as having capacity?
1-Understand the information that is relevant to the decision they want to make
2- Keep and retain the information in their mind long enough to make the decision
3-Weigh up the information that is available to make the decision e.g risks vs benefits
4-Communicate their decision in any way – including talking, using sign language, or through simple muscle movements such as blinking their eyes or squeezing someone’s hand.
Capacity is decision and time specific.
What is meant by this?
A person can only have capacity or lack capacity to make a specific decision at a specific time.
A individuals capacity can fluctuate.
They may have the capacity to make a decision about one thing e.g. having a wash but they may not have the capacity to make a decision about another thing e.g. going for surgery.
Capacity therefore needs to be assessed at each new decision.
What is a DOLS?
The Deprivation of Liberty Safeguards (DoLS) is the procedure prescribed in law when it is necessary to deprive of their liberty a resident or patient who lacks capacity to consent to their care and treatment in order to keep them safe from harm.
Suggest 4 challenges care homes face in delivering care and treatment to patients.
1- Legal frameworks e.g. DOLS/MCA
2-Infection prevention and control
3-Medication management
4-Behavioral and psychological symptoms of dementia (BPSD)
True or false.
The Deprivation of Liberty Safeguards (DoLS) can only apply to people who are in a care home or hospital.
True
How long can a DOLS last for?
Should be for as short a time as possible but can last for up to 12 months.
What medical problems are common in care homes?
1-Dementia
2-Frailty
3-Post-stroke
4-Heart failure
5-COPD
Multimorbidty is very common is care homes.
What is meant by this term?
Multimorbidity is defined as the presence of two or more long-term health conditions,
