Continuum of Living Arrangements in the Elderly Lecture Powerpoint Flashcards
Providers goals in fall prevention (3)***
- help adapt to fixed disabilities
- identify reversible causes
- treat modifiable impairments
Acute mental status change does not indicate dementia, but rather CNS changes and functional decline can be the first indicator of these 4 things
- UTI
- pneumonia
- hydration status
- constipation
OBRA ‘87 (Federal nursing home reform amendments of the omnibus budget reconciliation act) of 1987**
Designed to improve quality of life and care of residents in nursing homes due to extremely poor conditions and status of many institutions where there were many basic rights violations (pressure ulcers from neglect, restraint use, retaliation or use of psychotropic suppressive drugs), enforced by state visits (the ombudsman) periodically to ensure and clear the facility.
Established minimum set of standards of care and rights for patients as well as provisions for training for employees, revamped entire system
Periodic examination of nursing home patients by a provider***
At least once every 30 days for the first 90 days after admission, then once every 60 days thereafter, acute as needed
Leading cause of fatal and non fatal injuries in elderly
Falls
Assisted living units
Where residents remain independent while receiving assistance as needed with personal care, medications and medically based treatment can happen here***, transportation, housekeeping, meals, and other daily needs, a step down from nursing home (long term care facility) but a step up from an elderly residential community
Use of restraints in geriatric care
Does not just include physical restraints, bed rails and geri chairs can also be them - no good evidence that restraints decrease injuries, instead we use bed alarms and such
Bedbound patients are at a higher risk for…
….falls
