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Chapters 38


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[Front]


Long Term care?
[Back]


Is defined by the US Centers for Medicare and Medicaid Services as an array of services an individual may find necessary to help in meeting various personal care needs.

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Long Term care?
Is defined by the US Centers for Medicare and Medicaid Services as an array of services an individual may find necessary to help in meeting various personal care needs.
The goal of Long term care?
As Independent as possible
When do people need long term care?
The need for long term care is when an individual is not capable of meeting, daily needs independently, they have physical or phycological impairments.
What services does long term care provide?
Health maintenance and care, rehabilitation =, treatment of disease process, and assistance with Activities of Daily Living(ADLs).
What condition may have need for long term care?
The need for these services may follow an acute illness such as traumatic injury or may be for the effects of a chronic illness such as diabetes or schizophrenia.
Quality of Life?
Is an individualized concept, but it generally refers to an individuals overall well-being and feeling of physical, social, and spiritual happiness.
HRQoL?
Addresses the need for physical, mental, emotional, and social well-being and the impact a person’s health status has on quality of life.
What is Culture?
A system of values, beliefs, and practices that guides a persons behavior.
What is Ethnicity?
Ethnicity is a person’s identification with a certain ethic group based on shared traditions, national origin, physical characteristics, and other marker such as language, religion, food, and dress.
Religion in long term care facilities?
-One goal for the interdisciplinary team is for patients to have participate in worship services that support there religious beliefs - Dietary services take into consideration any food preferences or foods to avoid based on culture and religion -The long-term care facility constantly provides opportunities to practice ones religious faith.
Where do most older adults live?
Most older adults live in a home setting, with only a small percentage of those 65 and older residing in an institutional setting.
Least restrictive to Most restrictive settings in long term care facilities?
Home, Community Services(adult daycare, hospice), Assisted living facility and Continuing care retirement community, and institutional setting.
Services to support home care providers for older adults?
Respite care, Day care, Home health care, Nutritional programs, senior centers, transportation services
Respite care?
Scheduled stays for the older adult that needs care at a long term care facility to give the caregiver a break from the responsibility of providing care.
Daycare?
A setting that provides structured age-appropriate activities during the day; frequently used by family members and caregivers who works during the day.
Home health care?
Includes homemakers, shoppers, respite care workers, personal care attendants, home health aides, and nursing care staff.
Nutritional Programs?
Community programs, such as senior centers, or home delivery of one hot meal per day, some programs are funded by the community and others charge a small fee for services.
Senior Centers?
Governmental or community-funded centers that provide recreational activities, lunch, health screening, excise classes, educational classes, and transportation to and from site if needed.
Transportation Services?
Community or government funded service to grocery shopping or medical appointments. Some of these services may charge a fee.
What are cause of the continued progression of health care?
The increased rate of growth of over-65 population and the increased cost of institional long term care continued to be driving forces in the continued progression of home health care
ADLs stands for?
Activities of daily living
ADLs includes?
Hygiene, dressing, grooming, toileting, eating, and ambulating each person carries out independently throughout life.
PACE?
Program of All-Inclusive Care for the Elderly.
Qualification for PACE?
-must be at least 55 -live in a service area that has a PACE organization -qualify for nursing home level care -be deemed safe to live at home with the help of PACE services
Some services of PACE include:
Dentistry, hone care, meals, adult daycare, physical therapy, and medications.
LVN/LPNs role and responsibilities in home care setting?
Private duty, shift work, responsibilities sometimes include home visits to gather data to evaluate care provided by the personal care attendants, CNAs, and HHAs. LVN/LPNs also provides, a valuable human resource as staffing coordinator, intake coordinator, or medical chart auditor or reviewer.
Staffing Coordinator?
Receives information from intake coordinator describing the requested home care for the patient.
Staffing coordinator?
On the basis of established protocols, schedules the appropriate care provider to meet the needs of the patient and verifies financial coverage for the care.
Medical chart auditor or reviewer?
Uses knowledge of health care to fulfill the quality assurance documentation guidelines.
Hospice?
Agencies provide services to patients and families as the end of life approaches.
What does Hospice care for?
Hospice care for terminally ill cancer patients and growing number of patient with other chronic life threatening illnesses such as end stage cancer lung disease and amyotrophic lateral sclerosis(ALS).
Palliative care?
Extends the principles of hospice care to a broader population that has the possibility to benefit from comfort care earlier in an illness or disease process.
Palliative care provides nursing interventions to?
Meet basic needs ADLs, pain and symptom management, and spiritual and psychological support for the patient and family and significant others.
Where can hospice care be provided?
Hospice or terminal care is possible to provide in the home setting in an inpatient hospice unit located in an institutional setting, such as long-term care facility, and in a stand-along hospice facilities.
What are the four reasons that patient enter the inpatient hospice care?
Patients enter an inpatient hospice unit generally for one or more of the following reasons; pain or symptom management, respite for the family, or terminal care.
Adult Daycare?
Services are community-based programs designed to meet the needs of functionally or cognitively impaired adults through supervised health care and social and recreational activities.
What are adult daycares for?
Adult daycare centers are designed to serve adults who need supervision, social opportunities, or assistance because of physical or cognitive imparement.
Typical Services offered by adult daycare?
Transportation Social services Meals Limited nursing care Personal care Counseling Therapeutic activities Rehabilitation process Crafts Recreational activities
Respite care?
Is care provided to give family members or caregiver a break from the responsibility of care to patients who are unable to acre for themselves.
Residential care?
Settings serve the older adult population and the mentally or physically disabled person and offer a wide variety of services.
Assisted living?
Is a type of residential care setting in which the adult patient rents a small one-bedroom or studio type apartment and has the option of receiving several services such as bathing , dressing, and administration of medications.
NCAL?
National Center for Assisted Livibg
ADLs
Instrumental activities of daily living
Key features of assisted living?
Services and supervision available 24 hrs per day Services to meet scheduled and unscheduled needs Care and services provided or arranged to promote independence Emphasis on residents dignity, autonomy, and choice Emphasis on privacy and a homemade environment
CPR?
Cardiopulmonary resuscitation