Chapter 1

Question 1

Providers

Answer 1

People or organizations that provide health care, including doctors, nurses, clinics, and agencies

Question 2

Facilities

Answer 2

In medicine, places where health care is delivered or administered, including hospitals, long-term care facilities, and treatment centers.

Question 3

Payers

Answer 3

People or organizations paying for healthcare services.

Question 4

Long-term care (LTC)

Answer 4

Care given in long-term care facilities (LTCF) for people who need 24-hour skilled care.

Question 5

Skilled care

Answer 5

Medically necessary care given by a skilled nurse or therapist; is available 24 hours a day

Question 6

Length of stay

Answer 6

The number of days a person stays in a healthcare facility

Question 7

Terminal illness

Answer 7

A disease or condition that will eventually cause death

Question 8

Chronic illness

Answer 8

A disease or condition that is long-term or long-lasting and requires management of symptoms

Question 9

Home health care

Answer 9

Care that takes place in a person’s home

Question 10

Diagnoses

Answer 10

Physicians’ determinations of an illness

Question 11

Assisted living

Answer 11

Residences for people who do not need skilled, 24-hour care, but do require some help with daily care.

Question 12

Dementia

Answer 12

The series loss of mental abilities, such as thinking, remembering, reasoning, and communicating

Question 13

Adult day services

Answer 13

Care for people who need some assistance or supervision during certain hours, but who do not live in the facility where care is given.

Question 14

Acute care

Answer 14

24-hour skilled care for short-term illnesses or injuries; generally given in hospitals and ambulatory surgical centers.

Question 15

Subacute care

Answer 15

Care given in a hospital or in a long-term care facility for people who need less care than for an acute illness, but more care than for a chronic illness.

Question 16

Outpatient care

Answer 16

Care given for less than 24 hours for people who have had treatments or surgery and need short-term skilled care

Question 17

Rehabilitation

Answer 17

Care given in facilities or homes by a specialist to restore or improve function after an illness or injury

Question 18

Hospice care

Answer 18

Holistic, compassionate care given to dying people and their families.

Question 19

Health maintenance organizations (HMOs)

Answer 19

A method of health insurance in which a person has to use a particular doctor or group of doctors except in case of emergency

Question 20

Preferred provider organizations (PPOs)

Answer 20

A network of providers that contact to provide health services to a group of people.

Question 21

Managed care

Answer 21

A system or strategy of managing health care in a way that controls costs.

Question 22

Activities of daily living (ADLs)

Answer 22

Daily personal care tasks, such as bathing; caring for skin, nails, hair, and teeth; dressing; toileting; eating and drinking; walking; and transferring.

Question 23

Catheters

Answer 23

Thin tubes inserted into the body to drain or inject fluids

Question 24

Policy

Answer 24

A course of action that should be taken every time a certain situation occurs

Question 25

Procedure

Answer 25

A method, or way, of doing something

Question 26

Cite

Answer 26

In a long-term care facility, to find a problem through a survey

Question 27

Joint Commission

Answer 27

An independent, not-for-profit organization that evaluates and accredits healthcare organizations

Question 28

Centers for Medicare & Medicaid Services (CMS)

Answer 28

A federal agency within the U.S. Department of Health and Human Services that is responsible for Medicare and Medicaid, among many other responsibilities.

Question 29

Medicare

Answer 29

A federal health insurance program for people who are 65 or older, are disabled, or are ill and cannot work.

Question 30

Medicaid

Answer 30

A medical assistance program for low-income people.

Question 31

Culture change

Answer 31

A term given to the process of transforming services for elders so that they are based on the values and practices of the person receiving care; core values include choice; dignity, respect, self-determination, and purposeful living.

Question 32

Person-directed care

Answer 32

A type of care the places the emphasis on the person needing care and hood or her individuality and capabilities.