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TR for Elderly > Final > Flashcards

Final Flashcards

0
Q

Purpose was to provide federal old age assistance to the elderly who lived at home or with others.

What year?

A

Social Security Act

1935

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1
Q

imposed the first legal responsibility on society to care for the aged and sickly.

What year?

A

Elizabethan poor laws

1601

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2
Q

Withheld aid to older ppl who lived in public institutions.

What year?

A

Social Security Act

1935

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3
Q

a health insurance program administered by the Social Security Administration

A

Medicare

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4
Q

What is the difference between part A and part B of Medicare?

A

A - Hospital Insurance

B- Supplemental medical Insurance

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5
Q

This part of Medicare is financed through payroll deductions and employer contributions to a health insurance trust fund

A

A

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6
Q

This part of Medicare is a voluntary program.

What does it require?

A

B

The older person must pay a monthly premium

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7
Q

What does the federal government do regarding part B of Medicare?

A

they match the premium out of general tax revenues

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8
Q

what is the coverage like for long term care under part B of Medicare?

A

limited

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9
Q

These were implemented by Medicare to help control healthcare costs

When?

A

Diagnostic Related Groups (DRGs)

1983

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10
Q

How do DRGs work?

A

they link Medicare hospital reimbursement with average length of stay, principle diagnosis, and types of procedure performed

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11
Q

what is the main problem with DRGs?

what does this problem cause?

A

They don’t take into account individual differences in terms of severity of illness, available recourses, n number of hospital stays

hospitals decrease length of stay so ppl are released quicker and sicker

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12
Q

What does OBRA stand for?

When was it developed?

A

Omnibus Budget Reconciliation Act

1987

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13
Q

What was OBRAs goal for nursing homes?

A

to provide an environment with the highest level of physical, mental and psychosocial well-being for residents

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14
Q

a when did every state have to follow OBRAs regulations?

A

Oct. 1990

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15
Q

The focus of this program is to evaluate resident care outcomes and to de-emphasize review of structural measures of quality of care (policies and procedures)

A

OBRA

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16
Q

What do OBRA regulations specifically address?

A

QOL

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17
Q 
What was the life expectancy in:
1900
1992
1996
2004
A
  1. 3
  2. 7
  3. 1
  4. 9
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18
Q

whats the difference bw men n women’s life expectancy in the mid 80s?

A

women had a longer life expectancy at 78.4/71.5

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19
Q

How much longer do whites live compared to blacks?

A

6yrs

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20
Q

genotypic aging

A

primary aging

21
Q

phenotypic aging

A

secondary aging

22
Q

factors such as stress and poor nutrition speed up the aging process

A

secondary aging

23
Q

natural degenerative process by all species

A

primary aging

24
Q

what is the most highly regarded theories on biological aging?
explain it.

A

cellular aging theory

decline in cells ability to replicate

25
Q

pressure sores

A

decubitus ulcers

26
Q

what is the most common ailment i older ppl?

A

arthritis

27
Q

this affects 48% of ppl over 65yrs old

A

arthritis

28
Q

disease of the connective tissue, joint inflammation, redness, swelling, and tenderness

A

rheumatoid arthritis

29
Q

thickening and loss of elasticity in the arteries

A

arteriosclerosis

30
Q

deposit of fatty material in the arteries

A

atherosclerosis

31
Q

MI

A

heart attack

32
Q

CVA

A

cerebrovascular accident (stroke)

33
Q

the closing or blocking of the vessel by a free-floating clot formed somewhere else in the body

A

embolism

34
Q

a weak artery wall breaks, allowing blood to flow freely to other tissues and increasing pressure on them

A

hemmorages

35
Q

numbness or weakness in face, sudden confusion, aphasia, trouble seeing, trouble walking, dizziness, severe headache

A

CVA

36
Q

clouding effect of the eye lens

A

cataracts

37
Q

pressure on the eyes due to fluid build up

A

glaucoma

38
Q

domiciliary care home

A

group home for the elderly, licensed to meet certain program needs

39
Q

state all four benefits of Evidence-based practice

A
  1. improve QoC
  2. improve SOP and result in fewer variations in practice
  3. Provide cost savings because interventions are supported by evidence
  4. Improve outcomes in general
40
Q

why was the N.E.S.T. approach developed?

A

to decrease dependence of psychopharmaceutical means of behavior control among ppl with dementia

41
Q

What does N.E.S.T. mean?

A

N - “needs” of the individual with memory loss
E - “environment” of the person in distress
S - “stimulation,” for appropriate levels of stim and rest
T - “technique” and approaches used by caregivers

42
Q

what are 4 cognitive problems for ppl w dementia?

A

memory impairment
difficulty w problem solving and decision making
language problems
confusion

43
Q

6 behavioral problems for ppl w dementia

A 
apathetic
psychiatric
physical nonaggressive 
physical aggressive
verbal nonaggressive 
verbal aggressive
44
Q

the most common type of dementia

A

Alzheimer’s

45
Q

how many ppl in the US have Alzheimer’s

how many new dxs each yr?

A

over 4M

over 250K

46
Q

what does Alzheimer’s affect?

A 
intellectual functioning
memory
judgment
personality
performance of ADLs
47
Q

What r the three stages of Alzheimer’s?

A

Early
intermediate
later

48
Q

which stage of Alzheimer’s?
severe deterioration of physical/intellectual functions, loss of language, loss of bowel/bladder control, inability to walk or complete ADLs

A

later stage

49
Q

which stage of Alzheimer’s?

loss of recent memory, language and mood problems

A

early stage

50
Q

which stage of Alzheimer’s?

more memory loss, additional language problems, may be physically aggressive

A

intermediate stage

TR for Elderly (3 decks)

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