CH 10: Continuum of Care Flashcards
Essential to manage the complex and changing needs of older adults
continuum of care for older adults
what does continuum of care in older adults look like?
Consist of supportive and preventative services, partial and intermittent care services, and complete and continuous care services
components of continuum of care in older adults
-supportive and preventative services
-partial and intermittent care services
-complete and continuous care services
supportive and preventative services for continuum of care
-financial services
-employment
-nutrition
-housing
-health care
-social support and activities
-volunteer work
-education
-counseling
financial services
Social Security
VA
Senior discounts with merchants
employment services
State Employment services, Over 60 Counseling & Employment
nutrition services
SNAP benefits, religious/community orgs with lunch programs
housing services
HUD
Services to help with housing repairs, tax discounts, continuing care retirement communities
health care services
Engage in preventative services
Health services with health departments, HMOs, private practitioners, and hospital outpatient services
social support and activities.
Churches, synagogues, and mosques
Faith based communities
AARP for recreation and sponsor clubs
volunteer work
Provides an opportunity to provide wisdom and give back
Should serve their interests
Ex. American Red Cross, Service Corps of Retired Executives, and Retired and Senior Volunteer Programs
education services
Public schools offer services to older adults to complete education
Some colleges have free tuition for older adults
counseling services
Local services, religious orgs, and private therapists
partial and intermittent care services
-assistance with chores
-home-delivered meals
-home monitoring
-telephone reassurance
-home health care
-foster care and group homes
-adults day services
-day treatment and hospital programs
-assisted living
-respite care
-health minister and parish nursing programs
-program for all-inclusive care for the elderly (PACE)
-Hospice
differences and similarities between case management and care management
Care Management
–Long-term relationship in multiple episodes of care
–Can connect services unrelated to health care
Case Management
–Focuses on needs during a specific point in care
–Controls healthcare costs
Both
–Social workers or nurses
–Assess individual needs
–Identify appropriate services
–Help person obtain and coordinate services
complete and continuous services
hospice care
nursing home
characteristics of hospice
Measures to enhance quality of hospital care for older adults
Older adults require longer recovery time and may not have adequate assistance
Assess for capacity to care for themselves prior to discharge and arrange assistance as necessary
characteristics of nursing homes
24/7 supervision for those who can’t be cared for in the community
complementary and alternative services
Holistic health
Examples
Advocate for older adults to make informed choices on its use
Help find reputable providers
components of matching services to needs
services must:
-Address physical, emotional, social, and spiritual factors
-Consider unique and changing needs
be flexible
tailored to needs
functions of the gerontological nurse in continuation of care
Guide persons of all ages towards a healthy aging process
Eliminate ageism
Respect the rights of older adults and ensure others do the same
Oversee and promote the quality of service delivery
Notice and reduce risks to health and well-being
Teach and support caregivers
Open channels for continued growth
Listen and Support
Offer optimism, encouragement, and hope
Generate, support, use, disseminate, and participate in research
Implement restorative and rehabilitative measures
Coordinate and manage care
Assess, plan, implement, and evaluate care in an individualized, holistic manner
Link services with needs
Nurture future gerontological nurses for advancement of the specialty
Understand the unique physical, emotional, social, and spiritual aspects of each older adult
Recognize and encourage the appropriate management of ethical concerns
Support and comfort through the dying process
Educate to promote self-care and optimal independence
