Section A: Long-Term Care Definitions Flashcards
What is extended care?
Assistance that a person needs because he or she has a long-term care impairment
True or false: The term long-term care carries many misconceptions
True: Many people have negative assumptions including to only think of nursing homes
What are the two types of impairments to consider in health care and extended care planning?
Acute and chronic
Chronic impairments are further broken down as:
Physical and cognitive
What is an acute impairment?
A sudden event that requires immediate medical attention under a plan of care created by a physician and executed by a skilled medical and nursing staff
What are examples of an acute impairment?
Heart attack, aneurysm, broken hip, stroke, and serious injury
Can people recover from an acute impairment?
If the condition is treated in time, the individual could make a full recovery
True or false: care for an acute impairment presupposes that some degree of recovery is possible
True
True or false: Recovery is an expectation of the overall acute care plan
True
True or false: Acute impairments never lead to chronic extended care
False
Which impairment is the primary realm of health insurance including Medicare?
Acute
What is a chronic impairment?
A condition that cannot be cured but can be managed
Most extended care events are driven by a _______ impairment
Chronic
True or false: A chronic impairment is disabling
False. Chronic care isn’t necessarily disabling
What are examples of chronic conditions that do not require extended care and are covered by health insurance?
Diabetes, hypertension- high blood pressure, arthritis, atrial fibrillation, and emphysema - chronic obstructive pulmonary disease
What is a physical impairment?
It is caused by a chronic illness or injury - one that can be managed with therapy, medication, and/or personal care, but normally cannot be cured
True or false: Physical impairments compromise a persons ability to get through the most basic of daily routines as it progresses
True
What are ADLs?
Activities of Daily Living. They include transferring, toileting, bathing, dressing, eating and continence
How many ADLs does a person need to require assistance with to be considered chronically ill?
Minimum of 2
What is a cognitive impairment?
The deterioration or loss of intellectual capacity, as certified by a licensed health care professional and measured by clinical evidence and standardized tests
What is a licensed health care practitioner?
Doctor, nurse or licensed social worker
Specialized testing can determine a deficit in
- short or long term memory
- orientation as to person, place and time
- deductive or abstract reasoning
- judgment as it relates to safety awareness
True or false: As a cognitive impairment progresses it compromises the client’s ability to interact safely with others and with his environment
True
What are the levels of care?
Skilled care and custodial care
What is skilled care?
Services that are so inherently complex that they can only be provided by a physician or under a plan of care created by a physician and executed by skilled nursing staff or other licensed professionals
True or false: Many cases of extended care require skilled care
False. Skilled care is rarely required
What is intermediate care?
Skilled care like rehabilitative services performed on a less-than-daily basis
What is custodial care?
Non-skilled services: physical assistance with ADLs or supervision of a cognitively impaired person
Who can provide custodial care?
Paid professionals, friends and family
True or false: Custodial care is covered by health insurance
False
What is informal care?
Non-paid care typically provided by family members or friends and volunteers
What is the cost of informal care?
The personal, emotional, and physical strain on those we love when they try to take care of us
What is professional care?
Also known as formal care or skilled care. Includes care given by anyone who is paid to provide long term custodial services
What is home care?
Custodial care received in the individuals own home
Who may provide home care?
Social workers and case managers, homemakers, home care aides, skilled medical care providers, community-based programs, senior centers, transportation services, meals-on-wheels programs
