Ch 6 Nur 114

Front 1

When was Medicare established?

Back 1

1965

Front 2

_____________ refers to a variety of services and supports provided by formal and informal providers that help people function as well as possible and maintain their lifestyles despite the presence of long term disability or chro9nic illness.

Back 2

Long term care

Front 3

______________ refers to a range of services that allow older adults to remain in one setting and receive different levels of care as their needs change.

Back 3

Aging in place

Front 4

The concept of ___________ is a similar concept that refers to programs that holistically address the comprehensive needs of older adults designed to provide care for people at different stages of care retirement communities.

Back 4

Continuum of care

Front 5

______________ care units or _____________ care units provide skilled nursing care under medicare and other insurance programs so reimbursement is lower than that for acute care. Examples are; chemotherapy, IV therapy, complex wound care, eternal and parenteral nutrition speech, physical, and occupational therapies, and management of complex respiratory care.

Back 5

sub acute; transitional

Front 6

___________ or (???) units are staffed by special trained multidisciplinary team.

Back 6

Acute care for elders (ACE)

Front 7

The key elements of ACE units are:

Back 7

1. Specially adapted environment

2. Functional assessment

3. Assessment and intervention for common geriatric for common geriatric syndromes.

4. Interdisciplinary team care with a strong role for the clinical nurse specialist.

5. Patient centered care including care plans that address needs of the patient and family with in the community.

6. Intensive review of care to identify and address risks for iatrogenic complications.

7. Discharge planning with the goal returning the patient to his or her home.

Front 8

___________ or _________ refers to residential institutional setting for people who need assistance with several ADL's.

Back 8

Nursing home or nursing facility

Front 9

___________ usually provide care for 6 months or less.

Back 9

Skilled nursing home care

Front 10

______________ refers to nursing services provided for chronically ill people who need assistance with daily activities. The average length of stay for long term residents is 2.5yrs

Back 10

Intermediate nursing home care

Front 11

___________ provide some of the basic nursing home services at a lower cost and additional services can often be purchased as the need arises.

Back 11

Assisted living facilities.

Front 12

What are key characteristics of assisted living facilities?

Back 12

1. Provision of lifestyle and service choices similar to what one could have in his or her own home

2. Explicit focus on privacy autonomy and independence

3. Emphasis on apartment settings in which residents can choose to share their living space.

4. Opportunity for resident to assume responsibility for possible untoward consequences of individual actions and decisions.

Front 13

____________ these unites are designed to address the needs of specific groups of residents who meet explicit admission criteria. Examples: dementia, and Alzheimer units

Back 13

Special care units

Front 14

The Eden Alternative is a model developed in the mid 1990 by _______________ with the intent of creating a human habitat to combat boredom loneliness and lack of meaning in nursing home. It is a comprehensive program of transforming the organizational culture as well as the physical spiritual psychosocial and interpersonal environments of a facility.

Back 14

William Thomas MD

Front 15

This program provide free information about state or local resources in any part of the US according to the sip code of the location where services are desired. This is a collaborative project of the US administration on aging the national association of area agencies on aging and the national association of the state units on aging.

Back 15

National Elder care Locator

Front 16

This service is often listed in the front of telephone directories under the heading "community services" and is sometimes referred to as infoline. callers are given the name of agencies that might address their needs.

Back 16

Senior Information and referral Service

Front 17

Funded through state county and local resources these agencies provide a range of services. Some area agencies on aging employ social workers and registered nurses to make assessments and provide supportive services. Eligibility for these services is based on economic andd need and the ability to address the safety and quality of life needs of older people living in their home environment.

Back 17

Area Agency on Aging

Front 18

Sometimes the sites for hot meals these community centers provide social educational and recreational programs for older adults.

Back 18

Senior centers

Front 19

This program provides daily home delivery of hot meals to home bound people.

Back 19

Home delivered Meals

Front 20

Volunteers visit home bound older adults in their home. Some also do errands or provide escort service to community activities.

Back 20

Companions and friendly visitors

Front 21

Volunteers make scheduled usually daily telephone calls to older people to provide support and reality orientation.

Back 21

Telephone reassurance

Front 22

State and local programs offer financial assistance for utility bills for qualifying people. Older adults should check with local utilities companies or the local office on aging.

Back 22

Energy assistance programs.

Front 23

Home repairs and maintenance are provided for low income people by contractors paid government agencies.

Back 23

Home weatherization and home repair services

Front 24

A ___________ serves as the primary coordinator who is responsible for implementing a long term care plan in the absence of family members who have the ability to do so.

Back 24

Geriatric care manager