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57 Cards in this Set
- Front
- Back
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Medicare
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about equal money in any state
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Medicaid
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governed by the state
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Workers compensation
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varies state to state: compensate for on the job injuries; covers inpatient and outpatient
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Disability
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having limitation in life activities due to chronic health condition
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Disability if under 5
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children unable to participate in play activities or is limited in any way
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Disability ages 5-17
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one who attends or needs to attend special school, or is limited in school or activities other than school
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Disability in adults
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one who cannot work or do housework or is limited in the amount or kind of work or housework due to health condition
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Rehabilitation Act 1973
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concerned with access to businesses, organizations, and instritutions that received federal financial assistance (not private sector)
*Protects the rights of individuals living with a disability that receive federal funds from the US department of education: includes education, employment, and other activities |
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Amendment to Rehabiliation Act 1973
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1978- provided for independent living services to more severely disabled persons who may not be able to work
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Purpose of Rehabilitation Act 1973
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empower individuals with disabilities to maximize employment, economic self sufficiency, independence, and inclusion and integration into society
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Ways the Rehabilitation Act integrates individuals into society
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statewide workforce investment systems
independent living centers and services research training demonstration projects guarantee of equal opportunity |
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The second purpose of the Rehabilitation Act
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ensure that the federal government plays a leadership role in making sure the act is enacted
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Does everyone have to abide by ADA?
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no, must have certain # of employees
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What does the Americans with Disabilities Act provide?
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disabled individuals physical and vocational access to the private sector of business, industry, and education
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What are the 3 categories of disability?
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* physical or mental impairment that substantially limits one or more of the major life activities of an individual
*a record of such an impairment *being regarded as having such an impairment |
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What is the ADA address?
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access to employment, public services, public accommodations and services offered by private entities and telecommunication relay services
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What are reasonable accommodations?
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make existing facilities used by employees readily accessible to and usable by individuals with disabilities
*job restructuring: work schedule, reassignment, acquisition or modifications of examinations |
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What type of protection is there if theres a problem with the ADA
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Civil Rights protection
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Nursing can legally discriminate against?
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hearing impaired
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What are some parts of the ADA that relate to employment
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employers CANNOT discriminate against a qualified disabled job applicant or employee in any manner related to employment and benefits. Employers must make their existing facilities accessible and usable by persons with disabilities. Accommodations of all aspects of job attainment and performance are required in order to place persons on an equal plane with the nondisabled
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What are some parts of the ADA in relation to public services?
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qualified persons must have access to all services and programs provided by state or local governments. Public rail transportation must be made accessible to disabled persons and supplmented with a transit system
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What are parts of the ADA in relation to public accommodations and services operated by private entities?
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every entity open to the public must be made accessible to the disabled
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What are parts of the ADA in relation to telecommunication relay services?
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telephone companies are required to furnish telecommunication devices to enable hearing and speech impaired persons to communication by wire or radio
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What is the Family and Medical Leave Act (FMLA)?
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an approved absencee available to eligible employees for up to twlve weeks of unpaid leave during any twelve month period under particular circumstances that are critical to the life of a family
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What employees are eligible for the FMLA?
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worked for a covered employer for at least one year, for 1250 hours over the previous 12 months and if at least 50 employees are employed by the employer within 75 miles
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What is an exception to the FMLA?
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salaried and among the highest paid 10% of employees within a 75 mile radius and keeping the job open for the employee would result in substantial economic injury to the company, then reinstatement or leave can be denied
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What does the FMLA require covered employers to do?
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provide up to 12 weeks of unpaid, job-protected leave to eligible employees for specific reasons
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What are the reasons someone qualifies for the FMLA?
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*incapacity due to pregnancy prenatal medical care or childbirth
* to care for the employees child after birth or placement for adoption or foster care *to care for the employees spouse, son or daughter, or parent, who has a serious health condition *for a serious health condition that makes the employee unable to perform the employee's job |
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How does the FMLA relate to the military?
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eligible employees with a family member on active duty or call to active duty status may use their 12 week leave to address certain qualifying exigencies
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What are military qualifying exigencies for the FMLA?
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military events, arranging for alternative childcare, addressing certain financial and legal arrangements, attending counseling, attend post deployment reintegration briefings
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What is a special leave entitlement for the military FMLA?
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make take up to 26 weeks in a 12 month period to care for a covered service member which is a member of the military who has a serious injury or illness incurred in the line of duty on active duty that may render the service member medically unfit to perform his or her duties for which the service member is undergoing medical treatment
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What is the Older Americans Act
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TItle VII Vulnerable Elder Rights Proection
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What are types of elder abuse
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physical, sexual, emotional, psychological, neglect, abandonment, financial or material exploitation, self-neglect
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Some facts of elder abuse
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a crime punishable by law in IN, escalating, and victims often do not report it
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What is the most common elder abuse
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neglect
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What are the most common types of elder abuse after neglect?
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physical, financial, sexual, emotional
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What are some examples of self-neglect
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hoarding, failure to take meds or seek healthcare, leaving a burning stove unattended, poor hygiene, not wearing suitable clothing, confusion, inability to attend to housekeeping or eating, dehydration, unexplained loss of weight or health, blocked visits
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What are classic neglect cases in elders?
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deprivation of medical attention or food, lack of hygiene, ventilation, heat or light, over medicated or under medicated
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What does the classic neglected victim assessment look like?
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malnourished
semi-comatose dehydrated coated with fecal matter/urine stained inadequately clothed untrimmed toenails, matted hair pressure ulcers |
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Profile of the common physical abuser
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son in late 30s to 40s living at home with mom, divorced/single and unmotivated or just out of jail, unemployed, drugs, alcohol or gambling, feeds habit off of mom, sometimes history of mental illness
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What are ways to prevent elder abuse
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take care of health, seek professional help, support group, plan advance directives, stay active, know rights
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What are grandchildren visitation rights?
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petition the courts in all 50 states for visitation rights or right to ask (not automatic right to visit)
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What is a problem with advance directives?
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snow birds: must make sure advance directives work in both states
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What occurs if you have advance directives in more than one state?
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many states expressly recognized out of state directives if the directives meet the requirements of either the state it was written or the state where treatment will take places: if in doubt, usually the rules of the state where treatment takes place is enacted
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What must be done about legal directives in healthcare?
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you MUST ask, it is a legal requirement
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What do you do if you refuse to honor the advance directive?
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only if on good conscience; must notify patient at the time of admission and assist in transferring to a provider who will honor the advance directive
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What are EMTs required to do?
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resuscitate and bring the person to the hospital
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What is the law on age discrimination?
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bans statements or specification in job notices or advertisements of age preferences or limitations, cannot discriminate in an apprentice program, cannot deny benefits to older adults
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When can an employer reduce benefits based on age?
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if the cost of providing reduced benefits to older workers is the same as teh cost of providing benefits to younger workers
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What is the older workers benefit protection act of 1990
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cannot deny benefits to older employees
applies to employers with 20 or more employees, including government |
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Can an employer ask an employee to waive their rights?
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yes, in writing and there are other regulations
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What is a living will?
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used in the latent stage of terminal illness to provide comfort measures
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What is the help american vote act?
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requires polling places and equipment that can be used by physically challenged voters; machines are to have a computer chip that audibly tells voters how to use the machine and identifies candidates on the ballot
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What are parts of an advance directive
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living will, directives, power of attorney
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What is the living will for?
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terminal illness only
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What is the healthcare power of attorney?
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doesn't have to be financial persons; it is just the person who makes healthcare decisions
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What is the healthcare directives
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what you want done in certain situations
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