Potpourri Flashcards
1
Q
Population trends
A
- > 85 most rapidly growing segment of population
- > 65 = 20% population by 2030
- Decreased M&M = increased oldies
2
Q
Young old
A
65-74
3
Q
Middle old
A
75-84
4
Q
Old, old
A
85+
5
Q
Oregon elders demographics
A
- 67% live with relatives
- 28% live alone
- 4% in group homes
6
Q
Adult day care
A
- Supervised congregate activities
- May have medical, social and rehab aspects
7
Q
Assisted living
A
- Apartment style living
- Unskilled & skilled staff on site
8
Q
Skilled nursing facility
A
- Covered by medicare part A
- Short & long term care
- Rehab, nursing, wound tx, IV tx included
- Post hospital care or medically complex
9
Q
Rehab facility
A
- Offer broad range of services, including OT, PT, ST
- Focus on getting patient better to take over self care
10
Q
Terminal pt care
A
- Home based care most common, family & skilled care
- Hospital care- not routine, for acute illness
- Inpatient- SNF high level medical care with skilled staff
11
Q
Predictors of nursing home admit
A
- Decline in function
- ADL impairment
- CVA, DM, parkinsons
- Cognitive dysfunction
- Inadequate ability of caregivers
12
Q
Goals of nursing homes
A
- Safe envt
- Restore, maintain fxn
- Maximize autonomy & QoL
- Facilitate transitions
- Provide comfort
- Stabilize and delay progression of chronic conditions
13
Q
Caregivers- Role
A
- 29% US adults serve as unpaid caretakers
- Parents, spouse, children
- Mostly women, > 10 hrs/ wk of care
14
Q
Cargivers- Resources
A
- Aging & disability resource connection (ADRC)
- DHS
- ADA
- Oregon Lifespan Respite Care
15
Q
Caregiver fatigue
A
- Higher rates of chronic disease, increased morbidity
- Validate their role, listen to their needs
- Recognize/ address signs of distress
16
Q
Medicare coverage
A
- > 65 YO or designated disability > 2 yrs
- Part A: Hospital insurance, labs, surg
- Part B: Outpt, DME, Home health, preventative
17
Q
Medicaid coverage
A
- Based on income and need
- Benefits controlled at state level
- Cover inpt, otpt, screening tests, home health, nursing, labs, transportation
18
Q
Medicare doesn’t cover:
A
- Long term care
- Dental
- Eye exam for glasses
- Dentures
- Cosmetics
- Acupuncture
- Hearing aids
- Routine foot care
19
Q
Medicaid doesn’t cover
A
- Dental
- Podiatry
- Optometry
- Hospice
- OT, PT
20
Q
Advance directive
A
- Legal document
- Appoints healthcare power of attorney
- Wishes for end of life tx and care
21
Q
DNR
A
- Medical order written and signed by physician
- No CPR
- Meds, nutrition allowed
22
Q
DNI
A
- No breathing machine/ tubes
- Chest compressions allowed
23
Q
Conservatorship
A
- Court appointed guardian to manage financial, life affairs
- Mental capacity diminished, by physician
24
Q
Death with dignity
A
- Dispense schedule II drugs to hasten impending death
- Narrow definition
- Pt must be able to complete drug intake
- Physican ordered
25
POLST
- Medical order for end of life emergency care
- CPR
- Medical interventions
- Nutrition
- Not for healthy patients- use advance directive
26
Elderly food insecurity
- Higher risk of chronic disease, cognitive changes
- 10-15% adults
- Southern, hispanic & blacks most at risk
- SNAP available > 60
- Meals on wheels
