CHAPTER 12 LONG TERM CARE

Question 1

Is there a precise definition for long term care?

Answer 1

No, different provinces define it is vastly different ways

Question 2

T or F: long term care is only for older adults

Answer 2

No, people under 65 can be found in long term care due to injuries

Question 3

What is the general sequence of care for individuals?

Answer 3

living alone/group -> possible home care ->acute health = hospital -> acute rehab _> go back home/group setting

if worse hospice(death) or nursing home of neurocognitive impariment

Question 4

How pevenlant is long term care for older people

Answer 4

1/3 of 85+ live in nursing homes and senior residents

Question 5

What is the implication of fertility declining and baby boomers aging?

Answer 5

more pressure on family care, usually women.

Question 6

Are nursing homes covered?

Answer 6

No, residents have to pay out of pocket for them

Question 7

Number of support services that allow older adults to live independently in their own homes

Answer 7

Community-based services

Question 8

4 dimensions of residential environment for OA.

Answer 8

1. Aesthetics and safety of the local area
2. Convenience and access to services
3. positive regard and mutual help among neighbours
4. attractiveness and ease of accommodation within the home

Question 9

the principle that with appropriate services, OA can remain In their own homes and communities

Answer 9

aging in place

Question 10

what can help the aging in place movement flourish?

Answer 10

advancements in technology

Question 11

bringing services intot he home

Answer 11

home care services

Question 12

what advantages does home care.

Answer 12

health care professional can come to the OA house

Homecare can help OA maximize their mobility through fall prevention etc

Question 13

Disadvantages of home care

Answer 13

• CANNOT PROVIDE SKILLED NURSING
• no heavy maintenance
• no assistance in areas like paying bills

Question 14

How is home care vital to healthcare

Answer 14

1. ppl prefer it
2. cost effective
   3.

Question 15

How can home care be cost-effective

Answer 15

Integrate with other aspects of the health sector

Question 16

What does lack of home care lead to

Answer 16

Medically stable ppl waiting for long-term care beds residing in a hospital.

poor use of medical expense

Question 17

Advantages and Disadvantages of Funding Home Care through Regional Health Authorities

Answer 17

A: better able to integrate home care into a spectrum of long-term care services

D: vulnerable to political changes and cyclical funding

Question 18

What type of care does home care focus on now?

Answer 18

short term care

Question 19

The pitfalls of personal suppport workers

Answer 19

underpaid
overworked
not enough training for specialized needs
few paths for career advancement

Question 20

What groups make up most of home care

Answer 20

family caregivers

Question 21

why is family care going to cause problems.

Answer 21

• taking ppl away from the work force
• causing caregivers depression and anger

Question 22

OA who need assistance or supervision during the day receive different services.

Answer 22

Adult Day programs

Question 23

for those who not require skill nurses

Answer 23

Assisted living facilities

Question 24

for those who have a illness/disabilities and require comphrensive care in a single setting

Answer 24

nursing home

Question 25

what is one lacking aspect of nursing homes

Answer 25

psychological needs

Question 26

what should nursing homes centre?

Answer 26

person-centred and family-centred

Question 27

cons of sub-contracting

Answer 27

contracts given to those with the lowest costs staff gets lower wages and cycle through residences

Question 28

what type of nursing hoem has quality problems

Answer 28

for-profit

Question 29

What is the problem with lack of indigenous nursing homes in community.

Answer 29

indigenous elderly have to move from their communities and culture younger generation now doesn't have elderly to pass on traditions

Question 30

what is behaviours are preveleant in nursing homes

Answer 30

dementia, behavioural issues

Question 31

T or F major depressive disorder are under reported in nursing homes.

Answer 31

T often undiagnosed and untreated.

Question 32

T or F there is not an over medication of elderly in nursing homes and these drugs are the only ways to help their mental health.

Answer 32

F elderly are over prescribed, take antipsychotic drugs for their not attended use. could use psychological treatment but not available to residents

Question 33

What happens to elderly wgho are on psychotropic drugs

Answer 33

more suspectible to falls

Question 34

What are some ways to placate agitation and aggression

Answer 34

musical interventions, animal-assisted therapy, aromatherapy, dance therapy, pain treatment, person-centre bathing, and family-presence therapy

Question 35

Which feelings may family members feel while in the relocation process

Answer 35

regret, grief, depression, relief

Question 36

long-term care is accessed through 1 agency, with goals of finding appropriate placement however elderly may not get much choice in where to live

Answer 36

single point of entry model

Question 37

5 guiding reccomandations for relocation process

Answer 37

1. prep and education abt transition process 2. communication across settings as indiv move from care settings 3. look into indivs preferences around treatment 4. strong collab among team members 5. the use of exisiting-based models of care

Question 38

How can trying to meet the needs of the average resident result for problems for nursing home

Answer 38

cannot be tailored to individuals needs

Question 39

John is bulding a nursing home and it is cost effect to have one heating system. What problems may the resident face.

Answer 39

No individualized thermostat in room leading to trouble adjusting.

Question 40

Martha has been extra sad as she now has to be told when to eat and bathe. What could be the reason behind this.

Answer 40

Lack of control.

Question 41

Who is more likely to want to have more control of their routine Ella. who is very sick and went to uni John who is not really chronically ill and did not go to uni

Answer 41

Ella

Question 41

optimal level of adjustment that insistutionalized person will experience when their level of adjustment match demands

Answer 41

competence-press model

Question 42

Marty can walk around and has low dementia however his nursing home is low in stimulation what is this in regards to the competence-press model

Answer 42

marty = high competence nursing home = low in press

Question 43

What is the importance of competence-press model

Answer 43

individuals should be in an environment that fits. environments can adopt to individuals competence especially when low competence

Question 44

what lacks in the licensing requirements for nursing homes

Answer 44

psychosocial aspect of care

Question 45

what is the leading problem for nursing home staff shortages.

Answer 45

violence and high workload

Question 46

what is a way nomes have been cutting budgets with staffing

Answer 46

switching nurses with personal support workers

Question 47

what are staffing lacking in one area of training

Answer 47

mental health knowledge

Question 48

Benefits of the Green House model

Answer 48

open-plan layout medical supplies stored away feels like a home/community

Question 49

green house model found uptick in social interaction and uptick in _________

Answer 49

depressive symptoms

Question 50

promotes person-centre care, feeling at home while being in insitution

Answer 50

culture change movement

Question 51

what is culture change movement lacking

Answer 51

rigorous testing

Question 52

What are ideal ways to make nursing homes feel like home for OA?

Answer 52

1. Voice in placement decision 2. Defining home through relationships 3. Develop continuity between home and nursing homes through activities

Question 53

Lisa is given the option to pick between 2 nursing homes 1. for profit 2. Non-profit Which home should Lisa choose?

Answer 53

Not for profit

Question 54

physical, sexual, and psychological abuse, financial exploitation, neglect and violation of rights for OA

Answer 54

elder abuse