Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Geriatrics > Overview of Long term care > Flashcards

Overview of Long term care Flashcards

1
Q

What percent of nursing home patients have an impairment in decision making?

A

81%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What percent of nursing home patients need assistance with 3+ ADLs?

A

80%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What percent of nursing home patients need assistance with 1-2 ADLs?

A

22%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What percent of nursing home patients have dementia?

A

50-70%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What percent of nursing home patients have orientation and/or memory problems?

A

66%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What percent of nursing home patients have communication problems?

A

60%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What percent of nursing home patients have bowel or bladder incontinence?

A

40-60%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What percent of nursing home patients have visual impairment?

A

39%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What percent of nursing home patients have hearing impairment?

A

36%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What percent of nursing home patients have behavioral problems?

A

33%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What percent of nursing home patients have depression?

A

20-25%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the point where families move pts to nursing homes?

A

Toileting issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What fraction of patients in nursing homes are over 85 yo?

A

almost half

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What percent of nursing home pts are >65 yo?

A

91

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What percent of nursing home pts are female?

A

72%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

True or false: black americans 65-74 years old are more likely than white american to be admitted to a nursing home?

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What percent of nursing home pts are black?

A

12%

18
Q

Most nursing homes are for profit, non-profit, or government?

A

For profits

Government the least amount

19
Q

What is post acute care in nursing homes?

A 
Dialysis
Orthopedic care
Ventilators
Post-op care
Rehab
Wound care
20
Q

What percent of nursing home stays are less than 90 days? Greater than 90 days? Greater than 3 years?

A

20%
80%
26%

21
Q

Where does most of the money come from for nursing homes?

A

medicaid

22
Q

What is the turnover rate of nursing homes?

A

> 50% per year for RNs, and directors, >70% for LPN

23
Q

High turnover rates in nursing homes are associated with what?

A

Increased rates of hospitalizations

24
Q

What are the two factors that correlate with quality of care in nursing homes?

A

RN hours and ratio

25
Q

Why is it beneficial for drs to work in nursing homes?

A

Enhanced communication with nurses

26
Q

Where are most nursing home pts referred from?

A

Admitted from an acute-care hospital

27
Q

What is the most common cause of hospitalization in nursing homes?

A

Infx

28
Q

What are the issues with transferring pts to hospitals from nursing homes?

A

Lack of documentation

no Advanced directives

29
Q

The omnibus budget reconciliation act (OBRA) had what three major impacts on nursing homes?

A
  1. Limited use of restraints
  2. Limited use of psychoactive meds
  3. Document for all meds
30
Q

How do you define unnecessary drugs? (5)

A
  1. in excessive doses
  2. For excessive periods of time
  3. W/o monitoring
  4. w/o indications for use
  5. in the presence of adverse consequences
31
Q

What is the minimum data set, set forth by the OBRA?

A

Periodic comprehensive clinical assessment of all residents

32
Q

Who are the non-vaccinated people in nursing homes?

A

Staff

33
Q

True or false: there is intense regulatory oversight in nursing homes?

A

True

34
Q

True or false: you need to hold discussions with pharmacists more often in nursing homes

A

True

35
Q

What are the responsibilities of a RN home Dr (non obvious ones)?

A
  1. Periodic monitoring of chronic health problems
  2. Prompt and thorough assessment of pts
  3. periodic review of all meds
  4. Determining each residents decision making capacity
36
Q

What are the three strategies for improving quality of care in nursing homes?

A
  1. Specific consultation services
  2. Interactive edu programs
    3 Discussion with residents
37
Q

What characteristic about the patients in nursing homes makes it difficult to work there?

A

Heterogeneity

38
Q

Why is it more difficult to diagnose pts from histories in nursing homes? (2)

A

atypical presentations

Cognitive impairment

39
Q

True or false: most nursing homes have adequate access to biotechnology

A

False

40
Q

Who is relied upon most in nursing homes for overseeing care?

A

non-drs

41
Q

Why is it a hassle to work with dependent elderly pts?

A

Have to work with families

42
Q

What is the major ethical issue present at nursing homes that you have to deal with that you would not have to deal with elsewhere? (at least as much)

A

End of life care

Geriatrics (30 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions