Chapter 1

Question 0

Describe a long term care facility.

Answer 0

Care given for a long time on a daily or ongoing basis.

Question 1

Define what makes life worth living?

Answer 1

Answer varies from person to person. Always respect how a resident feels about life.

Question 3

Give two reasons why people are admitted to long term care.

Answer 3

1. To live fairly independently and receive support or staff when they need it.
2. May have a health condition that requires medical and nursing support.

Question 4

List the types of care given in a long term care facility.

Answer 4

Rehabilitation, skilled nursing care, continuous supportive care, respite care (family members who normally provide care need break or are away from home), and hospice care.

Question 5

Define the role of the members of the interdisciplinary health care team. (14)

Answer 5

1. Resident- most important person on the team. Every effort must be made to meet their needs and maintain quality of life.
2. Resident’s family-provide valuable information to staff. If a resident can no longer make decisions, family usually takes this role.
3. Charge nurse- reports to director of nursing. Day-to-day supervising care.
4. Nursing staff- largest department. RN, LPN, CNA. Help with daily living, medical treat,nets, medications, and health promotion.
5. Medical director- treats medical conditions and directs general medical care.
6. Physical therapist- maintain or improve physical abilities.
7. Occupational therapist- fine motor skills, maintain or improve the use of their hands and arms.
8. Speech therapist- help with residents who have difficulty speaking.
9. Admissions coordinator- helps residents through the admission process.
10. Social worker- counsel residents and families. Help apply for Medicaid. Arrange home care services after discharge.
11. Activities coordinator- plans and directs activities that improve quality of life.
12. Dietician- plans and prepares meals.
13. Spiritual counselor- gives guidance, coordinates religious services, and counsels families.
14. Administrator- manages the facility and directs all staff.

Question 6

Explain how care is paid for.

Answer 6

State and federal aid (Medicare/Medicaid), private insurance, and personal funds.

Question 7

Describe the agency that oversees long term care.

Answer 7

The Centers for Medicare and Medicaid Services (CMS) oversees the surveying and certification of long term care facilities. Requires that facilities follow government rules and regulations to receive reimbursement.

Question 8

Define chronic.

Answer 8

An ongoing illness or condition that does not have a cure, usually has a gradual onset, and lasts for a long time.

Question 9

Define rehabilitation.

Answer 9

Restoring to former health.

Question 10

Define restorative care.

Answer 10

Designed to help one return to health and be as independent and functional as possible.

Question 12

List 4 basic services provided in long term care. Describe all 4.

Answer 12

Medical Care: Resident has care plan written by a physician. Nursing and Rehabilitative Care: Resident needs rehabilitative services after hospitalization. Personal Care: Residents need help with daily activities. Residential Care: Services include supervising residents in secure environment. (Alzheimer’s, pediatrics, HIV-AIDS, etc)