Final Exam Flashcards
Primary prevention
Prevention of disease before it occurs
Vaccines
Secondary prevention
Early detection of disease
Mammogram
Tertiary prevention
Rehabilitation and restoration of health
Checking Hgb a1c every 3 months
Medicare
Over 65 or pt with end stage renal failure
Federally financed
Medicare part A
Hospital - free
Skilled nursing care in a facility after 3 days hospitalization
Medicare part B
Doctors office/home equipment
Has a premium
Medicare part C
Medigap
Monthly premium
Medicare part D
Drug coverage
Monthly premium
When can you apply for medicare
3 months before birthday, birthday month, 3 months after birthday
Donut hole (medicare)
Coverage for part D begins Jan 1st and only pays until a certain amount is reached. Then you are in the donut hole (coverage gap) and have to pay out of pocket until a certain amount is reached. Then catastrophic coverage kicks in and everything is covered again
Medicaid
Poor people, pregnant women and children, permanently disabled, persons over 65
Half state, half federal
Covers medicare premiums for low income OA
Social security
Fixed income when retired
If you work, SS decreases
Main source of income for most older adults
SSDI
Recieve SS if disabled under 65 and can’t work
Polypharmacy
Syndrome that can involve one or multiple medications that in combination cause harm, are unnecessary, or used inappropriately
Prescribing cascade
Drug 1 leads to ADR which is interpreted as a new medical condition so drug 2 is prescribed which then causes it’s own ADRs