chapters 5-9 review

Question 1

three major types of long-term care settings are

Answer 1

nursing homes
assisted-living facilities
CCRCs

Question 2

nursing homes provide

Answer 2

residents with around-the-clock nursing care and supervision

Question 3

assisted-living facilities provide

Answer 3

residents with limited assistance with certain tasks, such as meals and housekeeping.

Question 4

CCRCs provide

Answer 4

residents with multiple levels of services, ranging from independent living –> nursing home care, all of which are on same campus

Question 5

long term care facility can be in terms of profit

Answer 5

for profit (operating w intent of making money)

or

non profit (operating w intent of meeting a need in the community)

Question 6

long term care facilities can be

Answer 6

> free-standing (independently owned and operated)

> part of a chain (owned and operated by a corporation that owns and operates other similar facilities as well).

Question 7

legislations such as _____ has greatly improved the quality of care provided in nursing homes.

Answer 7

OBRA of 1987

Question 8

if a facility is free-standing that means

Answer 8

it’s independently owned and operated

Question 9

if a facility is part of a chain that means

Answer 9

it’s owned and operated by a corporation that owns and operates other similar facilities as well.

Question 10

The Omnibus Budget Reconciliation Act (OBRA) was enacted in what year

Answer 10

1987

Question 11

nursing homes (in the U.S.) must follow ____ regulations

Answer 11

federal and state regulations + local regulations

Question 12

are there any federal laws that govern assisted-living facilities?

Answer 12

no, currently there are NO federal laws that govern assisted-living facilities.

Question 13

each ___ has its own regulations for long-term care

Answer 13

each state

Question 14

which kind of org. set standards for hc organizations + grant accreditation to organizations that meet the standards ?

Answer 14

independent nonprofit organizations, such as the Joint Commission, and the CCAC

Question 15

participation in these programs is voluntary (what programs)

Answer 15

the joint commission and the CCAC

> set standards for hc organizations & grant accreditation to org. that meet the standards

Question 16

medicare coverage in the context of LTC ?

Answer 16

> very minimal
those qualifying must meet very STRICT criteria for skilled hc, and even then coverage is limited.
medicare provides NO payment for assisted-living care.

Question 17

medicaid coverage in context of LTC ?

Answer 17

> it pays for most nursing home care in the U.S.

this causes financial strain for both the facilities + gov’t
- because the cost of care continues to rise.

Question 18

medicaid usually doesn’t pay for what kind of LTC care ?

Answer 18

assisted-living care

Question 19

LTC insurance is

Answer 19

> private insurance that can help pay for long-term care.

Question 20

premiums are

Answer 20

expensive, benefits (may be limited)
> there is a possibility that the policy-holder may never actually benefit from the policy.

Question 21

what is the name of the law that called for the biggest cut in medicare budget in hx ?

Answer 21

balanced budget act of 1997

Question 22

what is the name for an insurance policy for LTC that can be purchased by an individual ?

Answer 22

LTC insurance

Question 23

how is most assisted-living care paid for ?

Answer 23

private pay

Question 24

what is a benefit period ?

Answer 24

the period of time when a person is eligible for Medicare benefits

Question 25

dementia is caused by ?

Answer 25

changes in the brain tissue

Question 26

dementia affects ?

Answer 26

person’s ability to think, remember, and communicate

Question 27

dementia is not to be confused w delirium, which is

Answer 27

confusion in a person who is normally alert & oriented

Question 28

common causes of dementia ?

Answer 28

Alzheimer’s disease

vascular dementia

lewy body dementia

frontotemporal dementia

Question 29

people w dementia experiences changes in brain which lead to the 4 A’s of dementia, what are they?

Answer 29

Amnesia (difficulty remembering)
Aphasia (difficulty using lang.)
Agnosia (difficulty recognizing info from 5 senses)
Apraxia (difficulty coordinating the steps needed to complete the task)

Question 30

a change in a person’s _____ is often a sign of

Answer 30

a change in their BEHAVIOR, is a sign that the person has a PHYSICAL or EMOTIONAL need that isn’t being met.

Question 31

what kinds of therapies are used to help w meeting the emotional needs of the person w dementia?

Answer 31

> Reminiscence therapy
activity therapy
music therapy
pet therapy