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Year 1 Geriatrics > Nursing home care > Flashcards

Nursing home care Flashcards

1
Q

what % of nursing home residents have impairment in decision making?

A

81%

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2
Q

what % of nursing home residents need assistance with 3+ ADLs?

A

80%

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3
Q

what % of nursing home residents need assistance with 1-2 ADLs?

A

22%

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4
Q

what % of nursing home residents have dementia?

A

50-70%

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5
Q

what % of nursing home residents have orientation and/or memory problems?

A

66%

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6
Q

what % of nursing home residents have communication problems?

A

60%

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7
Q

what % of nursing home residents have bowel or bladder problems?

A

40-60%

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8
Q

what % of nursing home residents have visual impairment?

A

39%

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9
Q

what % of nursing home residents have hearing impairment?

A

36%

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10
Q

what % of nursing home residents have behavioral problems?

A

33%

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11
Q

what % of nursing home residents have depression?

A

20-25%

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12
Q

what is the breakdown of men / women in nursing home care?

A

72% women, 28% men

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13
Q

what % of nursing home residents are over age 65?

A

91%

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14
Q

what % of nursing homes are part of a chain?

A

56%

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15
Q

what % of nursing home stays are less than 90 days? over 90 days? over 3 years?

A
  1. less than 90 days - 20%
  2. over 90 days - 80%
  3. over 3 years - 26%
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16
Q

how are most nursing home residents admitted?

A

from an acute care hospital

17
Q

when is the most dangerous time for patients when going between the hospital and nursing home?

A

during ‘handoffs’

18
Q

what is the purpose of the omnibus budget reconciliation act?

A
  1. set training guidelines and minimum staffing requirements for nursing homes
  2. initiated the minimum data set
  3. requires documentation of the need for all medications, especially psychoactive
19
Q

what are the bolstered patient rights under the OBRA?

A
  1. limited use of restraints

2. limited use of psychoactive medications

20
Q

how many nursing homes are there in the US? how many residents? how many discharges per year?

A
  1. 15,700 homes
  2. 1.4 million residents
  3. 2.5 million discharges per year

Year 1 Geriatrics (9 decks)

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