Long Term Care Flashcards
Where does the majority of LTC take place?
Home
What is the OAA and what do they do?
Older American Act
- Passed in 1965
- Postpone or avoid institutionalization for the elderly
- Meals on Wheels is one of the biggest parts the OAA
Define LTC
Long Term Care
A licensed facility which provides general nursing care to those who are chronically ill or unable to take care of Activities of Daily Living
What are ADL
Activities of Daily Living Activities you do to someone: 1. Getting Dressed 2. Going to the Bathroom 3. Taking a Bath 4. Eating 5. Transportation Assistance
IADL
Instrumental Activities of Daily Living
Activities you do for someone (balancing their checkbook or cleaning their house)
Levels of Institutionalized LTC
- Home Care
- Assisted Living
- Nursing Home
- Skilled Nursing Facility
These can also have behavioral units
SNF
Skilled Nursing Facility (Rest Home)
It is a place of residence for people who require constant nursing care and have significant deficiencies with ADL
ALC
Assisted Living Facility
A housing alternative for elderly who may need help with ADL, but do not require the intensive care provided by nursing homes
SNU
Skilled Nursing Unit
EEOC
Equal Employment Opportunity Committee
Home Care Payers
- Private Individual
- Family
- CMS
- Commercial Insurance
- Veterans
- County Gov.
Adult Day Care Payers
- Private Individual
- Medicaid
- Veterans
Assisted Living Payers
- Medicaid
- Commercial Insurance
- LTC Plan
- HUD
Skilled Nursing Payers
- Private Individual
- Family
- CMS
- LTC Health Plan
Hospice Payers
- Families
- LTC Health Plan
- Veterans
Case Management Payers
- Commercial Insurance
- OAA
- Title XX
- County Gov.
Chronic Diseases
Arthritis Diabetes High Blood Pressure Dementia Alzheimers
Behavioral Unit
Closed areas to prevent patients from leaving or going into certain places
Respite Care
Care is provided for not only the person that needs it but the care giver
Hospice and Palliative Care
You can get hospice when a physician declares that you have 6 months or less to live
Palliative: Give care and comfort when close to death
Post Acute or Rehab Facilities
Can be transferred there 3-5 days after being in acute care to recover from a procedure or illness that occurred in acute care facility
Types of Therapy
Physical Therapy
1. Focuses on mobility and range of motion
Respiratory Therapy
1. Ventilator care (Mostly happens in the acute care setting)
2. Incentive spirometry: A respiratory therapists that comes and helps you to get breathing again after having surgery on your sternum
Occupational Therapy
1. Focused on fine motor movement
2. Getting you back to where you can function on a daily basis
3. The broadest in what it covers
Speech Therapy
Post Acute or Rehab Payers
- Out of Pocket
- CMS
- Commercial Insurance
Geriatric
Giving care to an elderly person
HEW
Health Education Welfare
OBRA
The Omnibus Reconciliation Act
- Requires nursing home facilities to meet certain standards to qualify for CMS reimbursement
Six Different Classifications of Capital Projects
- Mandatory replacement
- Expansion of existing services
- New services
- Discretionary replacement
- Other
- Environmental Projects
Operational Challenges of LTC
- Human Resources
- Financing
- Providing Health Insurance Benefits to Employees
Nursing Home Definition
A place for the care of the aged and infirm where no care of outpatients or surgery is undertaken
