physical restraints in elderly, elderly abuse, and end of life

Question 1

T or F: the resident has the right to be free from any physical or chemical restraints

Answer 1

T

Question 2

physical restraints

Answer 2

any manual method or device that the individual cannot remove easily that restricts freedom of movement

Question 3

chemical restraint

Answer 3

any drug used for discipline or convenience and not required to treat medical symptoms (ex. haldol, deatives)

Question 4

T or F: side rails are considered a restraint if a pt cannot move them

Answer 4

T

Question 5

what do you need in order to use restraints

Answer 5

a written physician order specifying the duration and circumstances for which restraints may be used

Question 6

T or F: planned care is needed for using restraints

Answer 6

T

Question 7

the broda chair is usually used for,,,

Answer 7

transport

Question 8

what is the issue with putting a chair or bed so close to the wall

Answer 8

if the pt cannot move it, it is considered a restraint

Question 9

T or F: helmets and hipsters may be considered a restraint

Answer 9

T: if they cannot get it off

Question 10

omnibus bedget reconciliation act (OBRA)

Answer 10

• defined the use of restraints within nursing home facilities
• residents have the right to be from any physical or chemical restraints

Question 11

what can you use instead of restraints to help keep your pts safe

Answer 11

chair or bed alarm

Question 12

physical elder abuse

Answer 12

the non-accidental use of force against an elderly person that results in physical pain, injury, or impairment

Question 13

emotional elder abuse

Answer 13

treatment of an older adult in ways that cause emotional or psychological pain or distress

Question 14

T or F: emotional abuse can be verbal or nonverbal

Answer 14

T

Question 15

sexual elder abuse

Answer 15

contact with an elderly person without their consent

Question 16

elder neglect

Answer 16

failure to fulfill a caretaking obligation

Question 17

this constitutes more than half or all reported cases or elder abuse

Answer 17

neglect

Question 18

T or F: elder neglect is always intentional

Answer 18

F: it may be unintentional (ignorance, denial)

Question 19

financial exploitation

Answer 19

invovles the unauthorized use of an elderly person’s funds or property, either by caregiver or scam artist

Question 20

abandonment

Answer 20

leaving a senior alone without planning for their care

Question 21

healthcare fraud and abuse is carried out by

Answer 21

unethical healthcare providers
ex. charging for unprovided healthcare

Question 22

elder justice act

Answer 22

a comprehensive elder abuse prevention law

Question 23

the hospice approach is the construct of a _______

Answer 23

good death

Question 24

T or F: hospice and palliate care is the same

Answer 24

F: hospice is end of life care but palliative is specialized care for those with seious illness (still looking for a cure)

Question 25

T or F: if you are in hospice you can receive palliative care

Answer 25

F

Question 26

T or F: hospice care demand is increasing

Answer 26

T

Question 27

most hospice pts have a diagnosis of…

Answer 27

cancer (followed by dementia, heart disease and then lung disease)

Question 28

to get hospice you must have a life expectancy of less than __ mths

Answer 28

6

Question 29

average length of stay in hospice is…

Answer 29

71-72 days

Question 30

T or F: there has been an increase in hospice agencies

Answer 30

T

Question 31

what are the 2 states with the most medicare certified hospices

Answer 31

texas and california

Question 32

medicare part _____ covers hospice care but part ____ covers palliative care

Answer 32

A
B

Question 33

T or F: you may have life prolonging care during palliative care

Answer 33

T: but not hospice

Question 34

who is the caregiver in hospice? what about palliative care

Answer 34

hospice = family caregiver or hospice nurse
palliative = doctors, nurses

Question 35

T or F: there is a time restriction with palliative care

Answer 35

F: but there is with hospice

Question 36

what kind of care do the majority of hospice pts receive? (routine, inpatient, continous)

Answer 36

routine home care

Question 37

how often do you ahve to receritfy hospice

Answer 37

• two 90 day periods
• then unlimited 60 day periods

Question 38

T or F: you can stop hospice care at any time

Answer 38

T

Question 39

T or F: if illness goes into remission or improves, hospice care stops

Answer 39

T

Question 40

T or F: most hospice patients are covered by private insurace

Answer 40

F: most are covered by medicare pt A

Question 41

T or F: PT is a required core service of the interdisciplinary hospice care team

Answer 41

F: not required but it must be available to any pt on as : as needed” basis

Question 42

T or F: most hospice teams hold weekly meetings

Answer 42

T

Question 43

T or F: physical therapy in hospice care should be light

Answer 43

T

Question 44

in hospice care, PT is often performed in ______

Answer 44

reverse
*lots of pt ed and safety awareness

Question 45

Cheyne-stokes respiration

Answer 45

• periods of shallow breathing alternate with periods or deeper rapid breathing
• the deep rapid breathing may be followed by a pause before breathing begins again