dynamics of health care 3

Question 1

Chronic diseases

Answer 1

arising from both emotional and physical causes, will be the most important of the future disabilities.

Question 2

Americans continue to live longer because:

Answer 2

more effective diagnosis and treatment for heart diseases and cancer, the two leading causes of death in those 65 years and older .

Question 3

Another federal requirement is the Preadmisson Screening and resident review (PASRR) to ensure that:

Answer 3

individuals are not inappropriately placed in a nursing home for long-term care.

Question 4

skilled nursing facility:

Answer 4

a nursing home that provides the level of care closest to hospital care.

Question 5

Nursing facility services are provided by:

Answer 5

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)

Question 6

residential care communities/assisted living facilities are:

Answer 6

non-medical facilities that provide a room or apartment, meals, housekeeping, medication management, assistance with ADLs as needed and recreational activities.

Question 7

Hospice

Answer 7

helps manage pain and other symptoms associated with dying when conventional treatment is no longer of value.

Question 8

Other hospice services:

Answer 8

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.

Question 9

case management

Answer 9

necessary to coordinate the care of older adults with multiple health problems.

Question 10

Medicare supplemental health insurance (often called medigap insurance)

Answer 10

from a private company to cover deductibles and copayments for parts A and B

Question 11

Institutional services refer to specific benefits authorized under which act?

Answer 11

social security act

Question 12

Many older adults purchase:

Answer 12

Part C (also called medicare advantage) and part D, (Prescription medication), from private insurance company

Question 13

Native American aging programs were added to the:

Answer 13

1978 amendment to the OAA

Question 14

Health literacy

Answer 14

the degree to which individuals have the capacity to obtain , process and understand basic health information and services needed to make approbate health decisions.

Question 15

Medicare A

Answer 15

Hospital care

Question 16

The Omnibus Budget Reconciliation Act of 1987 (OBRA 87)

Answer 16

enacted in response to the poor quality of care and inadequate regulation in U.S. nursing homes.

Question 17

An evaluation of the ADLs, which is the most common?

Answer 17

Assistance with bathing is the most common, other forms of ADLs include dressing, toileting, and eating.

Question 18

Hospices

Answer 18

operated on the principle that the dying have special needs that hospital personnel are too busy to handle.

Question 19

PACE is:

Answer 19

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.

Question 20

ICFs:

Answer 20

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.

Question 21

Nursing homes and first established

Answer 21

in the 19th century to care for the poor and provide food, shelter and clothing.

Question 22

2 ways to improve health literacy:

Answer 22

• using speaker that is easy for the patient to understand
• creating a safe and respectful environment for the patient.