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Chapter 21 > Chapter 21 > Flashcards

Chapter 21 Flashcards

1
Q

Diagnosis-related groups (DRGs)

A

System that categorizes into payment groups patients who are medically related with respect to diagnosis and treatment and statistically similar with regard to length of stay

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2
Q

LTC ( Long term care )

A
  • sniff
  • skilled care 24 hours
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3
Q

who is long term care ran by?

A

department of public health

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4
Q

assisted living

A
  • no skilled nursing
  • no 24 hour nursing
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5
Q

What is it called when you run a nursing home out of your home?

A

RCEF

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6
Q

Hospice

A

-6 months to live or less
- end of life care

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7
Q

who determines if someone goes on and off of hospice?

A

physician

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7
Q

what care do you provide for a patient who is on hospice?

A

comfort base care

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8
Q

What care is comfort based and you can stay on it for however long you’d like?

A

palliative care

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9
Q

what is not allowed in skilled nursing?

A

independence practice

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9
Q

home health

A

provide care in a patient’s home

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10
Q

services that can be included in home health are?

A

skilled nursing, physical therapy, occupation therapy, social services, intravenous therapy, nutritional support, home health aid, respiration therapy, companion care.

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10
Q

service goals of skilled nursing is what?

A

restorative, maintain or improve function

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10
Q

skilled nursing

A

care provided by licensed nurses

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11
Q

who is assisted living ran by

A

department of social services

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12
Q

How can a patient get medicare reimbursement with physical therapy?

A

have their goals be restorative

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12
Q

physical therapy

A

treatment to prevent disability or to restore functioning through the use of exercise

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13
Q

what is the goal for speech language therapy?

A

-minimize communication disorders & their physical, emotional, and social impact

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14
Q

medical social services

A

Focus is on the emotional and social aspects of illness

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14
Q

speech language therapy

A

Speech services must be provided by a master’s-prepared clinician who has been certified by the American Speech and Hearing Association.

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14
Q

donut hole ( coverage gap )

A

temporary limit on what Medicare plan D will cover for drugs

-begins after you and your drug plan have spent $3700 on covered drugs (combined amount + deductible)

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15
Q

what services are provided within occupational therapy?

A

techniques to increase independence, design, fabrication, and fitting of orthotic or self-help devices

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15
Q

centenarians

A

people 100 years old or older

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15
Q

occupational therapy

A

assist patient to perform activities of daily living

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16
Q

old-old

A

85-99

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17
Q

what are the three categories of homemaker/ home-health aid?

A
  • personal care
  • physical assistance
  • household chores
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17
Q

admission home health process

A

initial evaluation and admission made by an RN within 24-48 hours of the referral

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18
Q

homemaker/home-health aid

A

assists persons in home settings

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18
Q

middle-old

A

75-84

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19
Q

young adult

A

20-40

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19
Q

home health process referral

A

entry point into the home health care system.
- can come from patient, or family

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20
Q

Adult daycare

A

care given to adults at a facility during daytime work hours

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20
Q

what is the long term care defined by?

A
21
Q

elite-old

A

100+

21
Q

frail elderly

A

individuals older than 75 with health concerns

22
Q

healthy people 2020

A

set forth the goals of the U.S department of health and human services to obtain an optimal level of health

22
Q

secondary prevention

A

Efforts to limit the effects of an injury or illness that you cannot completely prevent.

23
Q

wellness

A

an overall state of well-being or total health

23
Q

loss, grief and depression can cause changes in

A

psychosocial and physical changes

23
Q

if you stop smoking what can it lower risks of?

A

heart disease

23
Q

how many caregivers are there?

A

44 million

24
Q

social security act of 1935

A

Provided old-age pension (retirement), and a program of unemployment insurance (temporary aid to help people who lose jobs to find a new job), and federal welfare program (aid for very poor). Most famous and important legacy of New Deal. Has resulted (along with Medicare) with drastic reduction in poverty among elderly in the US

24
Q

examples of primary prevention

A
  • exercise to prevent cardiovascular disease, falls, and depression
  • stopping smoking
  • balanced diet
  • get recommended vaccines
24
Q

is wellness still obtainable during chronic illness and dying?

A

yes

24
Q

1965 Older Americans Act (OAA)

A

preserve the right and dignity of the nations older citizens

24
Q

how many care givers are employed?

A

75% of 44 million

24
Q

signs of depression

A

fatigue, sadness, insomnia, anorexia, helplessness, crying, agitation & hypochondria

25
Q

primary prevention

A

Efforts to prevent an injury or illness from ever occurring.

25
Q

patient protection & affordable care act

A

health care reform law passed in 2010 that includes incentives and penalties for employers providing health insurance as a benefit

26
Q

sandwich generation

A

caring for parent + own kids

26
Q

Why wouldn’t an older adult NOT be sexually active?

A

Lack of partners

26
Q

senile lentigo

A

tan or brown age spots

26
Q

respite care

A

caring for non family member
- provides primary care givers a break

26
Q

1991 Patient Self-Determination Act

A

requires all health care providers to inform patients about their rights under the law to prepare an advance directive (“living will”)

26
Q

what age group is depression most known in

A

older adults

26
Q

What are some cognitive changes?

A
  • aging has little influence on cognition
  • experience cognitive deficits as result of physiological factors
  • retain intelligence, capable of learning throughout lives
26
Q

integumentary system in aging adult

A
  • skin dries and loses elasticity
  • skin is thinner
  • nails yellow and thicker but more brittle
  • thing, gray hair
  • senile lentigo
  • senile purpura
26
Q

How would you reduce cardiovascular risks?

A
  • decrease intake of saturated fats
  • low fat sodium diet
  • 30 min exercise
  • staying socially, physically, mentally active
  • refrain from tobacco use
  • monitoring blood glucose levels
27
Q

senile purpura

A

purple bruises; sites where fragile blood vessels have ruptured

27
Q

What increases in the urinary system as you grow old?

A
  • urine concentration
  • prostate size
27
Q

Respiratory system in aging adults

A
  • decreased ability to humidified air
  • decreased gas exchange
  • increased pooling of secretions
  • decreased ability of chest wall to expand
27
Q

gastrointestinal system in aging adults

A
  • decreased salivation
  • diminished gag reflex
  • decreased gastric mobility
  • decreased muscle sphincter tone
  • decreased caloric requirements
27
Q

What does osteoporosis affect?

A
  • height loss
  • development of kyphosis
  • affects older adults, women at younger age
27
Q

what decreases in the urinary system as you grow old?

A
  • nephrons
  • ability to remove wastes
  • bladder capacity
  • ability to fully empty bladder
27
Q

Endocrine system in aging adults

A
  • decreases TSH, causes decrease in BMR
  • decreases PTH, decreased bone density, and increased serum calcium
27
Q

Cardiovascular system in aging adults

A
  • decreased cardiac output
  • decreased elasticity of blood vessels
  • atherosclerosis (increased blood pressure)
    -vertigo or syncope
  • Claudication (cramping pain in calf)
27
Q

Musculoskeletal system in aging adults

A
  • decreased bone calcium
  • decreased fluid in intervertebral disks
  • decreased muscle strength
  • decreased joint mobility
  • increased risk of falls
27
Q

Sensory perception in aging adults

A
  • increased refraction errors
  • decreased night vision
  • increased clouding of lens (cataracts)
  • increased glare sensitivity
  • decreased ability to hear high-pitched sounds
  • decreased taste
  • decreased smell
27
Q

Reproductive system in aging adults

A
  • decreased testosterone
  • decreased estrogen and progesterone
  • older adults remain sexually active
27
Q

The following are developmental tasks of middle adulthood expect?

A

Mother worried about son after discharge and bedwetting during hospitalization, what is your response?

27
Q

Nervous system in aging adults

A
  • decreased reflexes
  • decreased coordination
  • decreased perception of stimuli
  • decreased motor responses
28
Q

Mother worried about son after discharge and bedwetting during hospitalization, what is your response?

A

usually children regress during hospitalization, skill will return when child feels better.

28
Q

what stage of development where there is acceptance of death?

A

integrity vs. despair

29
Q

what is the leading cause of death in early adulthood?

A

accidents

29
Q

the following developmental tasks of middle adulthood expect

A

developing independent living skills

29
Q

Challenge of late adulthood is

A

to be satisfied in life and feel like you’ve lived a fulfilling/meaningful life

29
Q

Sata: what are developmental tasks of early adulthood?

A
  • achieve financial and social independence
  • assumes responsibilities and independent decision making
  • develop meaningful and satisfying social relationships
  • marriage and career
30
Q
A
31
Q
A
31
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32
Q
A
33
Q
A

Chapter 21 (1 decks)

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