LTC lecture part 1 Flashcards
Demographics of those who use LTC
37% under the age of 65
Numbers of those who need LTC
An estimate 9 million (22%) of elderly Americans
Likely to rise to 12 million (21%) by 2020
Who is likely to have a greater need for LTC services?
Growing nonwhite elderly pop in poorer health
What percentage of the pop is using LTC in nursing homes?
15.4%
What percentage of older Americans will eventually need LTC? In what setting will they get it?
70%, most in their own homes
What are preferred by most older people and more rapidly grown than institutional svcs?
Community-based svcs
What functional deficits is LTC associated with?
Multiple chronic conditions
Serious illness or injury
Cognitive impairments
Limitations in ____ indicate a more severe decline than those in ______
ADLs, IADLs
From where as opposed to what other setting is there a greater decline in ADLs?
Among people in nursing homes than in home or community housing
Financing in LTC
Generally not covered by regular health insurance
Private LTC insurance has made limited headway
2/3 of total LTC spending paid by Medicaid
Nature of LTC
Variety of svcs
Individualized svcs
Well-coordinated total care
Maintenance is residual function
Extended period of care
Holistic care
Quality of life
Use of current tech
Use of evidence-based practices
What are the LTC svcs?
Medical care, nursing, and rehab
Mental health svcs and dementia care
Social support
Preventive and therapeutic LTC
Informal and formal care
Respite care
Community based and institutional svcs
Housing
End of life care
Purpose of medical care, nursing, and rehab in LTC
Post-acute continuity of care
Management of chronic illness and comorbidity
Restoration or maintenance of physical function
Trends of mental health svcs and dementia care in LTC
Mental illness among 25% of the elderly pop
Severe mental cognitive disorder among 5% of the elderly
Comorbid with other chronic illnesses
Role of social support in LTC
Help with emotional imbalances, adaptation, and conflicts
Coordination of total care