Section A: Long-Term Care Definitions

Question 1

What is extended care?

Answer 1

Assistance that a person needs because he or she has a long-term care impairment

Question 2

True or false: The term long-term care carries many misconceptions

Answer 2

True: Many people have negative assumptions including to only think of nursing homes

Question 3

What are the two types of impairments to consider in health care and extended care planning?

Answer 3

Acute and chronic

Question 4

Chronic impairments are further broken down as:

Answer 4

Physical and cognitive

Question 5

What is an acute impairment?

Answer 5

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

Question 6

What are examples of an acute impairment?

Answer 6

Heart attack, aneurysm, broken hip, stroke, and serious injury

Question 7

Can people recover from an acute impairment?

Answer 7

If the condition is treated in time, the individual could make a full recovery

Question 8

True or false: care for an acute impairment presupposes that some degree of recovery is possible

Answer 8

True

Question 9

True or false: Recovery is an expectation of the overall acute care plan

Answer 9

True

Question 10

True or false: Acute impairments never lead to chronic extended care

Answer 10

False

Question 11

Which impairment is the primary realm of health insurance including Medicare?

Answer 11

Acute

Question 12

What is a chronic impairment?

Answer 12

A condition that cannot be cured but can be managed

Question 13

Most extended care events are driven by a _______ impairment

Answer 13

Chronic

Question 14

True or false: A chronic impairment is disabling

Answer 14

False. Chronic care isn’t necessarily disabling

Question 15

What are examples of chronic conditions that do not require extended care and are covered by health insurance?

Answer 15

Diabetes, hypertension- high blood pressure, arthritis, atrial fibrillation, and emphysema - chronic obstructive pulmonary disease

Question 16

What is a physical impairment?

Answer 16

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

Question 17

True or false: Physical impairments compromise a persons ability to get through the most basic of daily routines as it progresses

Answer 17

True

Question 18

What are ADLs?

Answer 18

Activities of Daily Living. They include transferring, toileting, bathing, dressing, eating and continence

Question 19

How many ADLs does a person need to require assistance with to be considered chronically ill?

Answer 19

Minimum of 2

Question 20

What is a cognitive impairment?

Answer 20

The deterioration or loss of intellectual capacity, as certified by a licensed health care professional and measured by clinical evidence and standardized tests

Question 21

What is a licensed health care practitioner?

Answer 21

Doctor, nurse or licensed social worker

Question 22

Specialized testing can determine a deficit in

Answer 22

• short or long term memory
• orientation as to person, place and time
• deductive or abstract reasoning
• judgment as it relates to safety awareness

Question 23

True or false: As a cognitive impairment progresses it compromises the client’s ability to interact safely with others and with his environment

Answer 23

True

Question 24

What are the levels of care?

Answer 24

Skilled care and custodial care

Question 25

What is skilled care?

Answer 25

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

Question 26

True or false: Many cases of extended care require skilled care

Answer 26

False. Skilled care is rarely required

Question 27

What is intermediate care?

Answer 27

Skilled care like rehabilitative services performed on a less-than-daily basis

Question 28

What is custodial care?

Answer 28

Non-skilled services: physical assistance with ADLs or supervision of a cognitively impaired person

Question 29

Who can provide custodial care?

Answer 29

Paid professionals, friends and family

Question 30

True or false: Custodial care is covered by health insurance

Answer 30

False

Question 31

What is informal care?

Answer 31

Non-paid care typically provided by family members or friends and volunteers

Question 32

What is the cost of informal care?

Answer 32

The personal, emotional, and physical strain on those we love when they try to take care of us

Question 33

What is professional care?

Answer 33

Also known as formal care or skilled care. Includes care given by anyone who is paid to provide long term custodial services

Question 34

What is home care?

Answer 34

Custodial care received in the individuals own home

Question 35

Who may provide home care?

Answer 35

Social workers and case managers, homemakers, home care aides, skilled medical care providers, community-based programs, senior centers, transportation services, meals-on-wheels programs