Lecture 2 Flashcards
1
Q
What are the 6 psychosocial factors that affect an older person’s access to healthcare?
A
- Socioeconomic characteristics
- Environmental/social resources and constraints
- Psychological influences
- Health behaviors
- Biological pathways
- Quality of life health
2
Q
What are some negative impact psychosocial factors?
A
- Depression
- Dissatisfaction with life
- Lack of support
3
Q
What are some positive psychosocial factors?
A
- Social engagement
- Social environments promoting aging in place
- Aging services
- Hospice
4
Q
What physiological factors contribute to psychosocial aging?
A
- Inflammation and hormonal abnormalities can lead to depression.
- Decreased melatonin secretion => sleep disturbances
- Declining organ status => limiting activities and socializing
- Reduced vision/hearing
- Gross atrophy of brain => dementia
5
Q
What is CBLTSS?
A
Community based long term services and support
6
Q
Who funds CBLTSS?
A
Center for medicare and medicaid INNOVATION
CMMI
7
Q
How do most people end up qualifying for LTSS?
A
Burning through their retirement savings until they qualify for medicaid/medicare.
8
Q
What are the 3 primary forms of CBLTSS?
A
- CCRCs (Continuing care retirement communities)
- Fully independent older adult in SFH or apartment
- Life care at home model
9
Q
What is the most common form of home health care?
A
Formal caregivers
10
Q
What is the requirement for HHAs to be reimbursed?
A
- OASIS (Outcome and assessment information set)
- 60 day periods
Certification only lasts 60 days.
11
Q
What are the two forms of formal home-based healthcare models?
A
- Home-based primary care model.
- Hospital-at-home model
