Brainscape's Knowledge GenomeTM

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


See full index

Healthcare Navigation > Test 3 Review > Flashcards

Test 3 Review Flashcards

1
Q

what organization regulates nursing homes?

A

the office of long term care (OLTC)

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

what % of those over 65 live in a nursing home?

A

5%

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

does medicare pay for short term rehab?

A

yes, but a lifetime max of 30 days

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

inpatient rehab facilities are also called?

A

acute care

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

what is an inpatient rehab facility

A

provides comprehensive rehab and medical management for conditions such as joint surgery, stroke, TBI

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

what requirement does someone need to meet to stay in an inpatient rehab facility?

A

they have to meet certain established progressive goals

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

physiatrist

A

rehab physician, leads an inpatient rehab facility

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

residential housing

A

either independent or assisted living facility

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

independent living facilities are usually?

A

upscale retirement homes

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

assisted living facilities

A

adults that need supervision but not a skilled nursing facility or around-the-clock care (RTC)
-the care is contracted by the individual, and must meet certain requirements (ex-in AR you must be able to independently use the toilet)

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

MD vs DO

A

MD-medical doctor, uses allopathic medicine, focused on diagnosis and treatment of disease
DO-doctor of osteopathic medicine, uses holistic approach, has a more preventive emphasis

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

urgent care clinics

A

designed for non life threatening situations (minor injuries/illness, routine care, simple testing and imaging)
-sometimes called “doc in a box” b/c they are usually doctors that want to get away from a hospital or a normal clinic

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

minute clinics

A

type of urgent care clinic, gaining traction for convenience (CVS, Walgreens, Walmart)

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

free/charitable clinics

A

usually locally funded and serve the underserved and low income populations
ex-Jonesboro Church Health Clinic

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

county health unit

A

run independently by each county with state oversight from the Department of Health
-serve the underserved with immunizations, WIC, TB surveillance, control diseases

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

federally qualified health centers are also called?

A

community health centers

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

federally qualified health centers do what?

A

provide low cost care to underserved and low income populations
-provide primary care, lab testing, OB/GYN services, and dental services

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

durable medical equipment

A

DME

must be pre-approved for purchase by a physician to get it, ranges from wheelchairs, beds, diabetic shoes, etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

outpatient services

A

care delivered outside a hospital that shortens hospital stays and after care

  • most diagnostic services and treatments are outpatient
  • increases profit margin because they see more people quicker and use less resources
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

managed care

A

the way insurance companies manage their enrollees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

outside laboratories

A

walk-in labs where testing is done (ex-drug screening for jobs)

  • decreases length of stay, add convenience, decrease cost
  • blood donation, HIV screens, at home test kits (pregnancy, etc)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

outpatient surgery

A

simple procedures and tests with lower risks of complications performed outside the hospital, no 24-hr care provided and can be specialized

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

audiologist

A

deals with hearing loss and hearing related problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

speech pathology

A

work with patients that have reduced ability to speak
-can come from congenital defects, developmental defects, defects acquired through injury, and defects acquired through chronic disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

pain management clinics

A

handle acute or chronic pain, and palliative care physicians handle EOL care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

primary care medical home

A

PCMH
team based approach that offers comprehensive and coordinated outpatient care
-improves access to care, quality, and safety
-physicians are paid capitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what is the biggest problem in elder care?

A

failure to plan

-they don’t plan out what they want at the end of life, and no one knows what they want

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

covered service

A

a service that Medicare covers only if it is deemed reasonable and necessary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

home health requirements for medicare

A
  1. must have a doctor
  2. must be under a plan of care and reviewed regularly
  3. must be homebound
  4. must have a skilled need
  5. the agency must be approved
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

homebound

A

leaving isn’t recommended, conditions prevent them from leaving without help, or leaving takes taxing effort
-required to receive home healthcare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

episode of care

A

60-day covered service by medicare, goal is to reduce cost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

skilled need

A

intermittent care, PT, OT, speech pathology, etc that a patient must need one or more of in order to be considered for home healthcare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

skilled nursing care

A

intermittent care by an RN or LPN given to a medicare patient if they are homebound
-IV drugs, tube feedings, wound care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

aide services

A

services such as laundry, bathing, cleaning, etc that are only provided if skilled nursing care is present and it is needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

medical and social services

A

they take care of social and emotional concerns (such as counseling, reported abuse and neglect, etc)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

home health plan of care

A

must meet certain needs and be certified by a doctor, an assessment determines the number of weekly visits and the care plan

37
Q

what does medicare NOT cover?

A

24-hour care, meal delivery, homemaker services, and personal care

38
Q

homemaker services

A

“sitter” services such as shopping, cleaning, and laundry if unrelated to the diagnosis medicare does not cover it

39
Q

personal care

A

bathing, dressing, etc if unrelated to diagnosis medicare does not cover it

40
Q

home health advance beneficiary notice

A

HHABN

gives the patient the right to continue treatment knowing they will have to pay for it

41
Q

hospice

A

care and support for people that are terminally ill and their families, and the main focus is comfort

  • IDT meetings are required with all staff input
  • a nurse and doctor are on call 24/7
42
Q

respite care

A

short term inpatient care that gives the caregiver a break, can be up to 5 days at a time

43
Q

hospice benefit

A

care paid by Medicare on a per diem (day) basis, no deductible to patient
-when you switch to hospice benefit you revoke medicare, and you can choose to go back to medicare but must revoke hospice benefit

44
Q

benefit periods for hospice

A

two 90-day periods followed by unlimited 60-day periods, have to be re-certified by a doctor

45
Q

how many physicians must certify you for hospice before you are admitted?

A

2

46
Q

what is the fastest growing job industry?

A

in home elderly care

47
Q

basic research

A

pure quest for knowledge, can end up with no practical application

48
Q

applied research

A

science with a direct goal in mind

49
Q

translational research

A

type of applied research that focuses on applying science to illness

50
Q

clinical research

A

scientific research involving human subjects

51
Q

epidemiology

A

using statistics about a population to investigate relationship between exposure and disease

52
Q

biostatistics

A

design, data collection, and analysis of studies on living organisms

53
Q

health services research

A

focuses on effectiveness of health systems

54
Q

academic institutions and funding research

A

universities and medical colleges employ a large % of research scientists, and they will fund 20% of research

55
Q

IRB

A

institutional review board-peer review and approve protocols and consent forms to protect human subjects

56
Q

4 Phases of Drug Trials

A
  1. small group of healthy volunteers to test safety
  2. small group of people with the target disease to test if it works
  3. larger population of people with disease against people with a placebo to test effectiveness
  4. post approval monitoring of side effects
57
Q

intellectual property

A

protection given to new drugs such as patents and data exclusivity

58
Q

formulary

A

list of prescription drugs approved for use in healthcare institutions

59
Q

clinical guidelines

A

reference guide for what the best available evidence says the provider should do in a given situation

60
Q

advance care planning

A

discussing the options for end of life treatment, or treatment in case you are unable to speak for yourself

61
Q

advance directive

A

legal document noting what treatment you want that only goes into effect once you are unable to speak for yourself

62
Q

who is Kubla Ross?

A

they invented the 5 stages of death

63
Q

5 Stages of Death

A
  1. Denial
  2. Anger
  3. Bargaining
  4. Depression
  5. Acceptance
64
Q

Hill-Burton Act of 1946

A

established community hospitals and provided the first access to care

65
Q

why is the average person not prepared for high-level decision making?

A

low health literacy

66
Q

healthcare proxy/surrogate

A

person who speaks for you when you are unable to

67
Q

POLST

A

physician ordered life sustaining treatment
-document signed by the patient and doctor that gives patients more control over what life sustaining treatments they want, also helps prevent unwanted and ineffective treatments

68
Q

what is the definition of EOL care?

A

assisting and providing support to someone in end-stage disease process

69
Q

diseases other than cancer that are used to admit to hospice?

A

end stage cardiovascular disease, kidney or liver failure, COPD, failure to thrive, etc

70
Q

who does hospice extend to beyond the patient?

A

family system and primary caregiver

71
Q

family system

A

anyone that a client identifies as important or supportive

72
Q

primary caregiver

A

one person designated by the patient, usually a health professional (case manager) but can be someone else

73
Q

hospice settings

A

home, long term inpatient, acute care, hospital, standalone facility

74
Q

which setting is the principal setting in the U.S. for hospice care?

A

the home

75
Q

disciplines involved in hospice

A

nurses, social workers, doctors, chaplains, volunteers, PTs, etc

76
Q

common symptoms observed in hospice patients besides chronic pain

A

nausea and vomiting, decubitus ulcers, skin breakdown, respiratory problems

77
Q

ABCDE of Palliative Care

A 
A-Advance Prep
B-Build therapeutic environment
C-Communicate well
D-Deal with patient and family reactions
E-Encourage and validate their emotions
78
Q

what did the Dying in America Report find?

A

improving quality and availability of medical and social services for patients and families can enhance quality of life and improve the care system

79
Q

by 2020, how many people will be living with at least 1 chronic illness?

A

157 million

80
Q

how many people could benefit from palliative care?

A

6 million

81
Q

how many people die from chronic disease?

A

7/10

82
Q

what was the first insurance?

A

Western Clinic in Tacoma, WA during civil war (1910-1929) that offered coverage to mill owners and employees for 50 cents a month

83
Q

health maintenance organization

A

HMO

provides managed care and acts as liaison with providers on a capitation basis

84
Q

accountable care organization

A

ACO
groups of doctors, hospitals, etc that come together to give coordinated care to medicare patients, and they share the savings

85
Q

general principle of health insurance?

A

spread risks over a large population and the population pays enough to fund the group overall

86
Q

health savings account

A

HSA

separate account where employer and employee can contribute certain amount per year

87
Q

employer mandate of ACA

A

business with 100+ employees must offer care, and if the employee qualifies for a subsidy through the market, the employer must pay $2000 on each employee over 30 employees

88
Q

nursing homes are also called?

A

skilled nursing facility (SNF)

89
Q

how is care in a nursing home different than in a hospital?

A

a nursing home has a higher nurse to patient ratio and is able to provide more comprehensive RTC care

Healthcare Navigation (9 decks)

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