Community Medicine Flashcards
Describe the role of community hospitals in the management of older people
Care being delivered near to dispersed populations, especially for elderly patients
Name some services available in a community hospital setting.
Health promotion, diagnostics, treatments, rehabilitation and end of life care. The community hospital plays a particular role in intermediate care, and is a focus for integration for many staff and services in both health and social care.
Define rehabilitation.
The action of restoring someone to health or normal life through training and therapy after imprisonment, addiction, or illness.
What is the role of MDTs in community hospitals.
Through accessing a range of health, social care and other community services, MDTs focus on keeping people well and independent, delivering the right care at home or in the community to prevent unnecessary hospital care.
Name some alternatives to the acute hospital setting.
- Home from hospital
- Rapid response schemes
- Step up/down schemes
- Rehabilitation schemes
- Stroke schemes
- Community hospital schemes
Explain the concept of NHS ‘Continuing Healthcare’.
Some people with long-term complex health needs qualify for free social care arranged and funded solely by the NHS. This is known as NHS continuing healthcare.
Describe the discharge to Assess (DtA) process.
Where people who are clinically optimised 1 and
do not require an acute hospital bed, but may still require care services are provided with short term, funded support to be discharged to their own home (where appropriate) or another community setting. Assessment for longer-term care and support needs is then undertaken in the most appropriate setting and at the right time for the person.
Define continuing care.
The level of care in the health care system that consists of ongoing care of the physically handicapped, mentally retarded, emotionally retarded, and those suffering from chronic incapacitating illness.
Define nursing home care.
Both types of home provide accommodation, supervision from staff 24 hours a day, meals and help with personal care needs, but nursing homes also have registered nurses on duty at all times. This means that they can provide care for people with more complex needs and those who need regular nursing interventions.
Define residential care.
Care homes provide accommodation and personal care for people who need extra support in their daily lives.
Define intermediate care.
Care provided to acute care patients who are medically stable but too unstable to be treated in alternative healthcare settings such as home, ambulatory, or traditional skilled long term care.
Define interim care.
Intermediate care is a free short-term service. You will receive intensive support from a range of professionals. You’ll work with staff to agree your goals (for example making a meal, dressing and putting on make-up) and how to achieve them. Care staff will help you to practise doing things on your own.
