Gerontologic Health Care Facilities Flashcards
An institution with the primary function of: to provide inpatient
diagnostic and therapeutic services for a variety of medical and
surgical conditions
HOSPITAL
General hospitals admit individuals requiring a variety of services
Examples include:
medical, surgical, obstetric and pediatric
A hospital that admits only certain types of patients or with
specified illnesses or conditions
Other hospitals offer only specialty services
Example: psychiatric, pediatric, lung, kidney, cardio, and
infectious diseases
SPECIALTY HOSPITAL
A hospital that admits only certain types of patients or with
specified illnesses or conditions
Other hospitals offer only specialty services
Example: psychiatric, pediatric, lung, kidney, cardio, and
infectious diseases
SPECIALTY HOSPITAL
Any facility or establishment that is engaged in direct patient care on site
Example: Hospice care, nursing home, extended facilities,
and etc.
HEALTH CARE FACILITIES
Short period of time, acute care, and episodic care
It resolving/treating a new and acute illness
Short-term hospital stays (days to week), shortened hospital
stay environment
Professional care, home treatment, diagnostics, emergency
medical services
Central in planning services for the older adult upon discharge: follow-up care, transportation, home health aide and homemaking services, adult day care.
ACUTE CARE
goals of acute care
Health protection, health promotion and wellbeing of the older adult
Health-promotion strategies (smoking-cessation,
stress-management, weight-loss, or exercise)
The ongoing provision of care provides medical, functional,
psychological, social, environmental and spiritual care services
For patients with serious and persistent health conditions
To help optimize older adults’ functional independence and
well-being
CHRONIC CARE
Institutional organized health setting
It provides outpatient basic health services (surgeries and
treatments)
No overnight stay in hospital is required to ambulatory patients
AMBULATORY CARE
Non residential facility that offers daily nursing care and social
opportunities
It enables family members to carry on daily activities while the
older person is at the day care center
For adult who cannot be left at home alone but do not need to
be in an institution
ADULT DAY CARE (DAY THERAPY/CARE CENTER)
Services of ADULT DAY CARE
○ Nursing care
○ Treatment/medication
○ Nutrition
○ Socialization
○ Exercise programs
○ Stimulation
○ Counseling
○ Physical therapy
It facilitates continuity between day care and home care
Provides transitional care
○ Health
○ Nutrition
○ Daily living needs
ADULT DAY CARE
Goal of COMMUNITY SUPPORT SERVICES
Community-based services helps the older person maintain
independence
Informal sources of help in COMMUNITY SUPPORT SERVICES
Family, friends, church members, neighbors
Senior centers have social support, health promotion activities,
and nutritious noontime meal services
Community Services of help in COMMUNITY SUPPORT SERVICES
It include telephone reassurance, friendly visitors, home health
aides, homemakers, home repair, home-delivered meals, chore
services, employment resource
Examples of COMMUNITY SUPPORT SERVICES
○ Respite Care
○ Adult Day Care Center
○ Home for the Aged / Senior Center
○ Housing
○ Veteran’s Home Care Programs
focuses on the promotion, improving or maintaining of quality of
life, palliative care, supportive services, compassionate care to
dying patients
HOSPICE CARE
Advanced, terminal, life-limiting illness, not going to survive
illness, last phase of incurable disease, serious illness, a dying
patient
HOSPICE CARE
Patient needs to live life fully, live as comfortable as possible,
relief of symptoms, not saving
These are a dignified alternative for patient with an end-stage
disease who is not expected to live long
Providing physical, psychological, social, and spiritual
dimensions of care
Facilitate early discussions about a patient’s wishes and goals
and for end-of-life care
HOSPICE CARE
Provide supportive residential housing and appealing housing
alternative, home-like environment
Older adults with minor to moderate functional impairment
24-hour coverage supervision, three meals a day w/ snacks
Services
■ range from personal, health care, and recreational services
Costly
■ monthly rate, additional costs
ASSISTED LIVING FACILITY
specializes in services for older persons who can no longer live
independently or can no longer live at home
Provide specialized care to seniors with severe illness, injuries
Sheltered environment providing long-term care by registered
nurses and nursing assistants.
NURSING HOME
Services of nursing home
○ Geriatric assessment, rehabilitation, medical care, and nursing services, therapy services, and residential
gerontological care
○ Provides accommodation, basic care services, domestic
services, helps in activities of daily living
It provides 24-hour nursing care to older adults who are
unable to care for themselves.
SKILLED NURSING FACILITY
Services in SKILLED NURSING FACILITY
Medication administration, nursing care, wound care, daily
assessment, meals, and assistance with ADLs.
Other skilled services
Physical therapy, respiratory therapy, speech-language
pathology services, and occupational therapy rehabilitative in the
hospital.
Also known as Retirement Village, Continuing Care Retirement
Communities
RETIREMENT CENTER
● Full service communities offering long term contracts
● Continuum of care
○ retirement, assisted living nursing services all on one
campus”.
● Purpose
To facilitate aging in place.
RETIREMENT CENTER
○Are permanent/long term care facilities
○ High dependency residential care facilities
○ People living here are referred to as “residents”
○ For those who are chronically ill, incapacitated, fraility,
physcial/intellectual disability, or are unable to care for
themselves
○ Provide custodial care for elderly people
○ Need specialist knowledge to meet the complex needs of these
individuals and their families
○ Personal care (assistance with ADL, mobilizing, hygiene, and
nutrition) professional bedside nursing care, medical
attention, rehabilitative services
Residential Aged Care Facilities
Short Term Care
○ To attain optimal wellness for individuals whose care needs
can no longer be met within their own home
○ To allow carers and older people time to regenerate so that
they may live at home for as long as possible
○ Is offered as high or low care provision of community care
RESPITE CARE
○ Home as a care delivery site
○ Provides home health services, private duty nursing, primary
care and professional services
○ ‘Ageing in place’ (from basic level to high-care level)
○ Offers temporary and intermittent delivery of health care while remaining in their own home/ patient’s home, stay in their home longer
○ Supervised by a license professional
○ Broadened services offered-showering, dressing and mobility or
help with house cleaning and basic home maintenance activities,
assist patient perform activities of daily living
○ Provide comprehensive care to acute, chronic and terminally ill
individuals
○ Early discharge of individuals from hospitals
○ Staff offer health education to individuals and families
○ Substitute to prevent hospitalization for fail, elderly outpatients
PRIVATE DUTY NURSING
