dynamics of health care 3 Flashcards
Chronic diseases
arising from both emotional and physical causes, will be the most important of the future disabilities.
Americans continue to live longer because:
more effective diagnosis and treatment for heart diseases and cancer, the two leading causes of death in those 65 years and older .
Another federal requirement is the Preadmisson Screening and resident review (PASRR) to ensure that:
individuals are not inappropriately placed in a nursing home for long-term care.
skilled nursing facility:
a nursing home that provides the level of care closest to hospital care.
Nursing facility services are provided by:
medicaid certified nursing homes, which primarily provide three types of services: Skilled nursing or medical care and related services; rehab needed due to injury, disability, or illness; and long-term health-related care and services (Above the level of room and board)
residential care communities/assisted living facilities are:
non-medical facilities that provide a room or apartment, meals, housekeeping, medication management, assistance with ADLs as needed and recreational activities.
Hospice
helps manage pain and other symptoms associated with dying when conventional treatment is no longer of value.
Other hospice services:
emotional, psychological, and spiritual support for the patient and family and bereavement counseling for surviving family and friends. Medical care may include necessary medications, medical supplies and equipment.
case management
necessary to coordinate the care of older adults with multiple health problems.
Medicare supplemental health insurance (often called medigap insurance)
from a private company to cover deductibles and copayments for parts A and B
Institutional services refer to specific benefits authorized under which act?
social security act
Many older adults purchase:
Part C (also called medicare advantage) and part D, (Prescription medication), from private insurance company
Native American aging programs were added to the:
1978 amendment to the OAA
Health literacy
the degree to which individuals have the capacity to obtain , process and understand basic health information and services needed to make approbate health decisions.
Medicare A
Hospital care
The Omnibus Budget Reconciliation Act of 1987 (OBRA 87)
enacted in response to the poor quality of care and inadequate regulation in U.S. nursing homes.
An evaluation of the ADLs, which is the most common?
Assistance with bathing is the most common, other forms of ADLs include dressing, toileting, and eating.
Hospices
operated on the principle that the dying have special needs that hospital personnel are too busy to handle.
PACE is:
available to individuals 55 years of age or older who are certified by their state to need nursing home care but who are Able to live safely in the community.
ICFs:
Available only for individuals in need of, and receiving, active treatment that consists of a program of specialized and generic training, treatment, and health services.
Nursing homes and first established
in the 19th century to care for the poor and provide food, shelter and clothing.
2 ways to improve health literacy:
- using speaker that is easy for the patient to understand
- creating a safe and respectful environment for the patient.
