Final for Gero Flashcards
Being unable to leave one’s home unassited
Homebound status
In order to receive in-home services, one must meet criteria for what?
Homebound status
Team that is discipline oriented with each team member responsible for his/her own unique scope of practice, team’s outcome is the sum of the team members’ efforts
Multidisciplinary
Team members involved in problem solving beyond scope of own practice, whole team identifies goals for client, each team member works toward the goal in their own discipline
Interdisciplinary
One team member is chosen as the to be the primary leader/therapist and is responsible for care delivery regardless of discipline and other team members contribute information and recommendations, requires cross training and flexibility of professionals
Transdisciplinary
Facilitate communication between healthcare providers and ensure that services are not duplicated, while required services are provided
Case managers
Distinct units housed within community hospitals, free-standing rehabilitation hospitals, or LTC facilities, staffed by multidisciplinary teams specializing in the management of the medical, social, physical, psychological, and economic well-being of older adults
Geriatric rehabilitation units
The active total care of patients whose disease is no responsive to curative treatment, control of pain, goal is achievement of best possible quality of life
Palliative care
The extent to which a client follows a HC professional’s advice or recommendations
Adherence
Events or tasks designed to provide incentive and opportunity to engage in continuing life experiences, satisfy interests, and meet general activity needs
General activities programs
Supportive care for ADLs and rehabilitation, OT does a lot of positioning and compensatory strategies to promote occupational performance
LTC
SS number plus A on MC card
Own SS number and has paid into it
SS number plus B on MC card
Not owner of SS number and receiving MC services b/c someone else paid into it - usually spouse
SS number plus D on MC card
Spouse’s SS number and is now deceased
If the MC card says hospital insurance in the middle of the card, what does that mean?
They have MC part A
If the MC card says medical insurance on it, what does that mean?
Person has Medicare part B
Purpose is to cover inpatient care in hospitals, SNFs, Hospice, and home health
MC part A
Purpose is to cover HC services and outpatient care, helps cover some preventative services, includes coverage for screenings, blood, same day surgery, some chiropractic services, ER, eye, shots, diabetes supplies and services, nutrition therapy, OT, PT, SLP, smoking
MC part B
HC choice run by private companies approved by MC, includes part A, B, and usually prescription drugs
MC part C
Covers prescription drugs, may lower costs of drugs and protect against higher costs in the future, must join a plan run by an insurance company approved by MC
MC part D
100% of hospital bill covered
MC part A
To have MC part A, person must have a ______ hospital stay?
3 day
After 100 days patient pays 100% of LTC, but OT, PT and SLP may be covered under med B
MC part A
Covers 80% of bill for OT, PT, SLP
MC part B
Must have medical necessity for skilled services within 30 days of admission
MC part A
If 100 day benefit period used up, patient needs to go 60 days without any skilled service and have a new onset in order to get another 100 day benefit period
MC part A
Do not require hospital stay but needs recent onset of something such as pneumonia, CVA, malnutrition, dehydration, fracture), medical necessity for skilled service
MC part B
Needs to enroll in a plan
MC part D
Assessment periods with MC part A
5 days, 14 days, 30 days, 60 days
OT, PT, SLP billed by unit using cpt codes
MC part B
3 things caregivers need
Training, compassion, respite
For every 1 case reported of elder abuse, ____ go unreported
5
The willful infliction of injury, unreasonable confinement, intimidation, or punishment that results in physical harm, pain, or mental anguish
Abuse
Intentionally withholding meds, cares, or treatment
Active neglect
Neglect when something wasn’t done because it was not known
Passive neglect
Bruise 0-2 days
swollen, tender
Bruise 0-5 days
red or blue
Bruise 5-7 days
green
Bruise 7-10 days
yellow
Bruise 10-14 days
brown
HC facility providing medical and support services such as counseling to terminally ill patients, provides info for terminal illness, end of life issues, care giving, greif
Hospice
