ch 32 - long term care

Question 1

a variety of services, including medical and
nonmedical care, provided on an ongoing basis to people of all ages who have a chronic illness of physical, cognitive, or developmental disability

Answer 1

long term care

Question 2

primary payer for LTC services

Answer 2

medicaid

Question 3

when would medicare pay for LTC

Answer 3

skilled service needed (urinary catheter, IV, PT)

Question 4

focuses of acute care

Answer 4

• illness
• high technology use
• short term
• episodic
• professional
• medical mode
• cure

Question 5

focuses of LTC

Answer 5

• function
• high touch
• extended
• interdisciplinary model
• ongoing
• multidimensional
• paraprofessional and family
• care

Question 6

examples LTC facilities

Answer 6

• independent
• home care
• assisted living facility
• skilled nursing facility
• programs of all inclusive care (PACE)
• inpatient rehab
• long term acute care
• hospice

Question 7

community care: Provides community services to people 55 or older who would otherwise need a nursing home
level of care

Answer 7

programs of all inclusive care (PACE)

Question 8

who is eligible for PACE

Answer 8

• must meed criteria for nursing home admin

- be eligible for medicaid and medicare

Question 9

community care: Community-based group programs
designed to provide social and some health services to adults who need supervised care in a safe setting
during the day

Answer 9

adult day services (ADS)

Question 10

what does ADS provide

Answer 10

• caregiver respite
• educational programs
• support groups
• caregiver counseling

Question 11

LTC: provides full range of residential options in one location; allows community members to make transition between levels without disrupting moves

Answer 11

continuing care retirement communities (CCRCs)

Question 12

LTC: provides housing and services to older adults

Answer 12

community care RC/AL

Question 13

LTC: Delivery of around-the-clock care for
those needing specialized care; complex health
care setting that is a mix of hospital, rehabilitation facility, hospice, and dementia-specific units and they are
a final home for many older adults.

Answer 13

skilled nursing facility

Question 14

avg length of stay subacute/short term stay at SNF/nursing home

Answer 14

1-3 months

Question 15

predominant members of chronic care at SNF/nursing home

Answer 15

• women
• 80 yo+
• widowed
• dependent in ADLs

Question 16

bill of right for LTC pts

Answer 16

• right to voice grievances and have them remedied
• right to info about health conditions and Txs
• right to choose hcp and speak privately with them
• right to refuse or consent to all parts of Tx
• right to manage one’s finances
• right to be transferred/discharged for appropriate reasons
• right to be free from all abuse
• right to be free from all restraints (to extent compatible with safety)
• right to privacy and confidentiality
• right to be treated with dignity, consideration and respect
• right to immediate visitation and access to family, hcps and legal providers