Chapter 20 Flashcards
provides for minimum level of economic support to persons regardless of earning power in early life or when capable of working
-either provides total support or supplements low social security benefit
supplemental security income
set up as an age entitlement program
-amount of benefit calculated on persons average salary during 35 of his/her working years
social security
other late life income
- private retirement or pension plans
- invested in private sector financial instruments or in government treasury notes
federal government insurance plans
- medicare
- railroad medicare
- medicaid
- tricare
- veterans administration
- person automatically receives this when they turn 65 and have paid medicare taxes for at least 10 years
- includes blind, totally disabled, and individuals with end stage renal disease
- includes acute care, acute and short term rehab, some hospice, and some home health care
medicare part a
- eligible to apply for within 7 months of 65th bday
- covers costs associated with services provided by physicians, NPs, output services, qualified physical, speech, and occupational therapists, and some home health care providers
medicare part b
- medicare advantage plans
- use prospective payment plan including HMO’s and managed care plans
- includes medicare a&b with other services
- premium varies depending on local and range of services
- plan receives set amount for each enrollee regardless of services used
medicare part c
-elective prescription drug plan with associated out of pocket premiums and co payments
medicare part d
what does medicare not cover
custodial care
are families under legal responsibility to care for elders
no
- people often purchase these because of potentially high co payments associated with medicare
- covers only deductibles and part of coinsurance amounts based on medicare approved amounts contracted with providers
supplemental or medigap insurance policies
problem with tricare
most veteran hospitals will only cover and treat problems deemed service connected
health care for low income kids, pregnant women, permanently disabled, and people over 65
-provides long term care
medicaid
main primary prayer for long term care
medicaid and primary pay
legal term indicating that individual still has decision making capacity
competence
indicating ability to understand at level needed for decision at hand
capacity
implied consent
- taking meds
- cooperates with various treatments
- legal document
- client must be competent
- must understand problem, options, decision, consequences of decision, risk and benefits
informed consent
another person designated to act on behalf of person in matters of business and otherwise indicated
POA
another person designated to make health care related decisions for individual unable to make decisions for themselves
health care poa
individuals, agencies, or corporations appointed by the court to have care, custody, and control of a disabled person and manage personal, health care and financial affairs
guardians and conservators
controls finances of ward
conservator
responsible for the person
guardian
complex phenomenon including elder abuse, exploitation and neglect
-can be intentional, accidental, episodic, or recurrent
elder mistreatment
laws that protect elders against abuse
- family violence prevention and services act
- vulnerable elder rights actt
who is mandatory to report abuse in IL
everyone involved in pts care
where does most abuse occur
home setting
any use of physical force that results in bodily injury, pain, or impairment
physical abuse
possible sign of physical abuse
- unexpected injury
- bruise
- change in behavior
examples of physical abuse
- inappropriate use of chemical and physical restraints
- force feeding
- physical punishment
verbal assaults, threats, intimidation, humiliation, and harassment
-infliction on anguish, pain, or distress through verbal or non verbal acts
psychological/emotional abuse
examples of psychological emotional abuse
- treating older person like child
- social isolation
- isolating from family or friends
- improper use of another’s funds, property, identity or assets
- can be by force or by deciet, misrepresentation, or fraud
- difficult to detect
- abuser takes advantage of someone for monetary or personal benefit
financial or material exploitation
personal uses their role or power to exploit trust, dependancy, or fear of another
undue influence
examples of physical neglect
- failure to thrive
- malnutrition
- dehydration
- neglected grooming
- untreated medical condions
most common form of neglect
not attending needs
act of omission or withholding of needed goods and services such as food, medication, medical treatment, and personal care necessary for the well being of elder
-behavior that ignores obvious needs even when caregiver is present
caregiver neglect
usually a function of diminished physical or mental capacity that threatens persons safety
-at times, a mentally competent person makes a conscious and voluntary decision to engage in acts that threaten health or safety as matter of personal choice
self neglect
ways to prevent abuse
- caregiver support services to lessen caregiver stress and provide respite care
- insure that vulnerable elders know how to get help if needed
- provide encouragement and support to leave a potentially abusive situation
