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Dynamics of Health Care in Society > Ch. 1 - Health Care Facilities > Flashcards

Ch. 1 - Health Care Facilities Flashcards

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1
Q

What kind patients typically need full hospital services?

A

Only patients who require complex surgery or who are seriously injured

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2
Q

Most health care services are provided in settings other than a ________.

A

hospital

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3
Q

What are subacute and extended care facilities?

A

Facilities that offer care for patients who no longer require hospitalization, but still need 24-hour care and supervision.

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4
Q

What are home health care agencies?

A

Agencies that deliver medical care directly to patients who are either unable to unwilling to leave their homes.

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5
Q

What are some examples of specialized care?

A

Rehabilitation
Mental health evaluation and treatment
Hospice

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6
Q

Patients in health care facilities are typically classified as:

A

Inpatients or Outpatients

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7
Q

What is an example of an acute care facility?

A

Hospital

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8
Q

When is a patient considered inpatient?

A

When they remain at an acute care facilities for more than 24 hours.

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9
Q

What is the purpose of outpatient care?

A

Care for patients who require health care but do not need to stay in a facility.

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10
Q

What is an outpatient?

A

One who is discharged within 23 hours, but may require ongoing treatment, care, and education

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11
Q

What is the purpose of hospitals?

A

Provide care for patients who have extremely, serious, severe, or painful conditions that require immediate medical attention.

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12
Q

What kind of care do hospitals offer?

A

Acute care

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13
Q

What kind of patients are found in hospitals?

A

People who are too ill to care for themselves at home, severely injured, or those who require surgery or complicated treatments.
Also include women giving birth.

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14
Q

Why has the policy that people who are admitted to a hospital aren’t discharged until they’re recovered fully changed?

A

The rise of nontraditional care facilities
Changing health care reimbursement practices
Federal regulations

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15
Q

What is the average length of stay?

A

Only 4.8 days

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16
Q

Because patients are now discharged earlier, most hospitals focus on the most ______ _______ of the patient.

A

critical needs

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17
Q

What are hospitals classified as?

A

Either public or private, and as for-profit or nonprofit

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18
Q

What are public hospitals?

A

Nonprofit institutions

Financed and operated by local, state, or national agencies

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19
Q

What are nonprofit institutions?

A

Institutions that receive tax exemptions and are required to provide community benefit (ex. uncompensated care for disadvantaged)

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20
Q

What are for-profit institutions?

A

Institutions that do not receive tax exemptions and are not required to provide community benefit.

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21
Q

What are private hospitals?

A

Hospitals operated by churches, corporations, and charitable organizations that may be for-profit or nonprofit.

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22
Q

What is a relatively new and rapidly growing service in the U.S.?

A

Subacute care facility

23
Q

What are subacute care facilities?

A

Facilities that care for a variety of patients with complex medical and rehabilitative needs
Facilities that fill the gap between hospitalization and rehabilitation (ex. therapy)

24
Q

What are subacute care patients?

A

Patients stable enough that they don’t need acute care, yet they need more complex treatment than can be found in a nursing or rehabilitation facility.

25
Q

What is intravenous therapy?

A

The act of giving fluids or medication through a needle or tube into a vein
Often is required in subacute care facilities

26
Q

What is provided around-the-clock in subacute care facilities?

A

Supervision

27
Q

What are subacute centers?

A
  • Centers based in or near a nursing center or hospital that have technologically advanced equipment and specialized therapeutic treatments for patients.
  • Typically 20-50% less expensive than similar care provided in a hospital.
28
Q

What are extended care facilities?

A

Facilities that provide health care and help with the activities of daily living to people of any age (typically those who are physically or mentally unable to care for themselves).

29
Q

How long does care from extended care facilities last?

A

Days to years

30
Q

What kinds of institutions offer extended care?

A

Nursing homes, residential institutions, independent-living and assisted-living facilities

31
Q

Why has the number of extended care facilities increased in recent years?

A
  • Many patients are discharged from the hospital earlier in their recovery period and require care that is beyond the scope of home care
  • Many older adults cannot carry out the activities of daily living by themselves
32
Q

What is the concept of “aging in place?”

A

New concept in extended care that allows patients to remain in their own homes as long as they’re able to care for themselves

33
Q

What services support “aging in place?”

A

Home remodeling, communication and monitoring systems, and in-home care

34
Q

What is an independent-living facility?

A

A group of apartments or houses for residents who can take care of themselves and are mobile, yet need some help with daily activities

35
Q

What kinds of onset amenities are offered at independent-living facilities?

A

Fitness club
Banking center
Health care services
Local transportation

36
Q

What is an assisted-living facility?

A

A facility that offers housing, group meals, personal care, support services, and social activities in a community setting.

37
Q

What is the cost of an assisted-living facility?

A

$1,000-$3,000 a month or more

Some states pay for personal care services for those with limited resources

38
Q

What is one of the most rapidly growing areas of the health care system?

A

Home health care

39
Q

What is home health care?

A

Care provided in a patient’s home

40
Q

What is home health care provided through?

A

Community health departments
Visiting nurses’ associations
Hospital-based case managers
Home health agencies

41
Q

What kinds of health-related services do home health care agencies provide?

A

Assessment by nurses
Teaching and support of patient and family members
Direct care for patients

42
Q

What factors have contributed to the recent growth of home health care?

A
  • Health care reimbursement practices often encourage early discharge from the hospital, so patients may need skilled care at home.
  • Increasing number of older people are living longer with chronic illnesses
  • Sophisticated technology allows people to live and be relatively comfortable in their own homes
43
Q

What are rehabilitation centers?

A

Centers that specialize in services for patients needing physical or emotional rehabilitation or treatment of chemical dependency (alcohol/drug addiction)

44
Q

What is the goal of rehabilitation centers?

A

Return patients to the community as independent members of society who are in optimal health

45
Q

What are mental health facilities?

A

Facilities that may be either independent or associated with a hospital, who provide services for people in crisis or those needing long-term counseling

46
Q

What kind of outpatient care services do mental health facilities offer?

A

Individual and group counseling
Medications
Assistance with independent living

47
Q

What are crisis intervention centers?

A

Mental health facility that provides 24-hour services and hotlines for people who are suicidal, abusing drugs or alcohol, or in abusive situations
Also provide info and services for victims of rape and abuse

48
Q

What is hospice?

A

Care program focused on reducing pain, symptoms, and stress during the last stage of terminal illnesses

49
Q

What are some services provided for dying individuals and their family in hospice?

A

Physical, psychological, social, and spiritual care services

50
Q

What are community agencies?

A

Nonprofit voluntary agencies

Financed by private donations, grants, or fundraisers

51
Q

What are some examples of volunteer agencies?

A

American Heart Association

American Lung Association

52
Q

What is the role of physicians and nurses in volunteer agencies?

A

Provide health screenings and educational programs

53
Q

What is Meals on Wheels?

A
  • Nonprofit voluntary community agency
  • Mission is to provide meals and other nutritional services to older adults and homebound and disabled people who may go hungry otherwise, which is made possible through fundraising and community involvement

Dynamics of Health Care in Society (4 decks)

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