Health Policy And Management Chapter 10

Front 1

Leading cause of illness, disability, and death in the US

Back 1

Chronic conditions

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Chronic Conditions

Back 2

characterized by persistent and recurring health consequences lasting over a long period; generally irreversible

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Long term care

Back 3

refers to a range of health care, mental health, social support, and residential services provided to temporarily or chronically impaired persons over an extended period, to enable them to maintain the highest possible level of independent function

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Respite Care

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most frequent suggested intervention to address family caregivers' feeling of stress and burden; ex. adult day care, home health care, and temporary institutionalization

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Paraprofessionals

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personnel who provide basic ADL services and/or assist licensed and professional staff; ex. nursing assistants and therapy aides

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Quality of Life

Back 6

integration of social, environmental, and personal factors-including safety, comfort, and pain management-into the delivery of care

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Personal Care

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assistance with basic ADLs; provision of these services are largely the domain of paraprofessionals, such as home health aides, transportation aides, certified nursing assistants and therapy aids

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Custodial Care

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basic care provided to support and generally maintain the patient's condition and the essentials of daily living; services provided are designed to maintain rather than restore functioning

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restorative care or rehabilitation

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based on the philosophy of caregiving in which patients are viewed as participants who can reach their maximum potential in physical and mental functioning

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skilled nursing care

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medically oriented care provided mainly by a licensed nurse under the overall direction of a physician

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Subacute care

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often required during the postacute phase of an acute episode; includes technically complex services that are beyond traditional skilled nursing care; appropriate for patients who remain

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developmental disability

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a physical incapacity that generally accompanies mental retardation and often arises at birth or in early childhood

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Adult day care (ADC) also referred to as adult day service

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a daytime program of nursing care, rehabilitation therapies, supervision and socialization that enables frail (usually elderly) people to remain in the community

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adult foster care (AFC)

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service characterized by small, family-run homes providing room, board, and varying levels of supervision, oversight, and personal care to nonrelated adults who are unable to care for themselves

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senior centers

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local community centers for older adults where senior can congregate and socialize

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PERS (personal emergency response systems), also referred to as medical emergency response systems

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providers a cost-effective mechanism that enables at-risk elderly persons to summon help in an emergency

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Case management

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refers to a method of linking, managing, and coordinating services to meet the varied and changing heatlh care needs of elderly clients

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preadmission screening

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refers to the assessment of an individual's functional status prior to institutional placement

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brokered model

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model where once needs have been independently assessed, case managers arrange services through other providers

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Consolidated model

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multidisciplinary team of health professionals assesses individual needs; the team plans, organizes, and delivers most of the care; this fits into the delivery of health care services under managed care