Gero 8

Question 1

Home-delivered meals

Answer 1

Hot and shelf-stable meals delivered to home bound persons who are unable to prepare their own meals and have no outside assistance

Question 2

Home equity programs

Answer 2

For homeowners who are cash-poor and house-rich, this draws monthly payments against the future sale of their home

Question 3

Home Health Skilled Services (and in-home care)

Answer 3

Home health care is a higher level of care that is deemed medically necessary by a physician Home health - prescribed by physician, may involve skilled nursing, covered by Medicare/Medicaid In home care - assistance with ADLs, light housekeeping, transportation, not prescribed, usually private pay

Question 4

Homemaker services

Answer 4

Instruction in or the provision of activities to maintain a household and may include personal care, home management, household maintenance, nutrition, and consumer and health care education.

Question 5

Home modificaiton

Answer 5

Adaption and /or renovation to the living environment intended to increase ease of use, safety, security, and independence

Question 6

Hospice

Answer 6

Seeks to accomplish the goals of allowing the terminally ill to die with dignity, eliminating pain, and being in a home-like setting or at home. Treats the person rather than the disease and offers supportive services to the family of the dying individual as well.

Question 7

Hygiology

Answer 7

The study of sanitations

Question 8

Hypertension

Answer 8

Defined as systolic blood pressure greater than 140mm or diastoclic bp greater than 90 mm HG on two separate occasions

Question 9

IAOL - Instrumental Activities of Daily Living

Answer 9

Core life activities of independent living including using the telephone, managing money, preparing meals, doing housework, and remembering to take medications.

Question 10

Immune system

Answer 10

Lymph nodes:small nodules, destroy invading cells Lymphocytes: white blood cells Tonsils: remove pathogens entering the body Thymus: important in early life, then atrophies; produces hormones and mature t-cells; kill bacteria and assist other cell types

Question 11

Immunology theory of aging (Immunity theory)

Answer 11

the theory holds that the rate of aging, a highly complex series of processes, is largely controlled by the immune system. As we age, the number of critical cells in the immune system decrease and become less functional. The body has a series of responses to protect against foreign materials, virus and bacteria. With age the immune system decreases in functioning (immunosensescence) and may also no longer recognize itself and attach it own tissues (autoimmune response)

Question 12

Immunosenescence

Answer 12

The age related decline in the normal functioning of the immune system; contributes to the greater incidence of infectious disease, cancer and poorer vaccine responses seen in the elderly.

Question 13

Implicit ageism

Answer 13

Includes thoughts, feelings, and actions towards older adults that exist and operate without conscious awareness, intention or control Part of subconscious framework of society

Question 14

Inappropriate prescribing

Answer 14

Prescribing of a medication that may be appropriate for the condition, but the negative side effects are greater than the benefits, or the medication is known to have adverse effects when mixed with other prescribed medications.

Question 15

Independent Living Residences

Answer 15

Residential facilities where group meals and some light housekeeping are provided in a congregate setting (private pay) Pro - luxurious living, no maintenance, peace of mind, community con- expensive, stigmatization, mismatched services

Question 16

DRG - Diagnostic related groups

Answer 16

A Diagnosis-Related Group (DRG) is a statistical system of classifying any inpatient stay into groups for the purposes of payment. The DRG classification system divides possible diagnoses into more than 20 major body systems and subdivides them into almost 500 groups for the purpose of Medicare reimbursement.