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48 Cards in this Set
- Front
- Back
T/F The proportion of older people increase with age. |
True |
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T/F Black females are the majority resident in board and care homes. |
False - white females are the majority. |
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T/F Assisted living offers skilled nursing as a service to residents. |
False - Assisted living does not offer skilled nursing. |
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In what stage of epidemiologic transition is there a decline in deaths from epidemics and famine and a shift to infectious disease? |
Second Stage (T/F question on test) |
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What is health behavior? |
To promote good health and concentrate on prevention |
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What exercise has the best effect? (From study in Ch.11) |
Walking |
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T/F The running club group (from study in Ch.11) had a 1.5% effect on mortality. |
True |
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In 2002 what % of females and males were overweight btwn the ages of 65-74? |
F - 40% M - 30% |
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T/F HMO's are for reducing and controling cost. |
True.
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T/F People treated in HMO's showed a greater increase in physical health than those treated in a fee-for-service arrangement. |
False - decrease in overall physical health |
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What % of elders have Medigap? |
1/2 of elderly overall purchase White - 75% or 3/4 Black - 50% or 1/2 Hispanic - 37% |
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What is it called when a person is getting rid of their $$ to qualify for a Medicaid nursing home? |
Spending downward |
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What was the first country to legalize euthanasia? |
Holland |
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T/F The problem of widowhood for men is compounded by________. |
Independence |
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What % of people die at home? |
30% 45% die in hospital 25% die in nursing home |
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What is the best age to prepare a living will? |
As a young adult |
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What helps to weaken the urban political machine?? |
Large corporations |
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Cumulative Disadvantage |
People who begin life with greater resources keep getting more opportunities to increase them whereas those with fewer resources fall behind. Things whether good or bad build up. |
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Convergence Theory |
Old age is a great leveler, reducing inequality that was evident at earlier stages in life. Says the gap btwn rich and poor gets smaller at end of life. |
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Changes in smoking for high school kids from 1967 - 2003 |
1997 - 50% of HS smoked 2003 - 30% of HS smoked |
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T/F Improvements in health care and prevention will compress years and improve quality of life for an individual. |
True - related to compression of morbidity |
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What % of people live in long-term facility? |
at 65+ only 5% at 85+ 19% |
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T/F The vast majority of people are aging in place. |
True |
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What is the movement of older people to the sunbelt called? |
Migratory Stream |
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The % of people 65+ & 85+ that live in the traditional community. |
65+ - 93% 85+ - 74% |
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T/F Very few of intergenerational households are due to children moving in with older parents. |
False - it is due to children moving in with older parents. |
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Who or what race is more likely to live with family? |
Asian women |
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Epidemiologic Transition |
A change in the leading causes of death from infectious diseases to chronic diseases. 3 steps |
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1st Step of Epidemiologic Transition |
Pestilence, plagues and famines |
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3rd Stage of Epidemiologic Transition |
Chronic Diseases |
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Chronic Diseases |
Diseases with no cure - (Alzheimer's, Cancer, etc) |
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Health Lifestyle |
A pattern of behavior based on choices and options that are available to people according to their life situations. |
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Fee-for-service |
Physicians set the fees and people pay when they go to the doctor |
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Diagnostic Related Groupings or DRGs |
When various medical diagnosis are grouped into DRGs. Also sets reimbursement rates in advance.
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PPS - Prospective Payment System |
Instituted to pay hospital bills of Medicare patients. Estimates cost and how long that patient will need to be in the hospital. |
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Capitation |
A method of payment where reimbursements to health care providers are set in advance. (helps with cost containment) |
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T/F Healthy lifestyles patterns throughout life are good & help extend life. |
True |
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Long-term Care |
Help people w/ chronic conditions compensate for limitations in ability to function independently |
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Medigap |
Pays for out-of-pocket expenses not covered by Medicare. |
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Obamacare's reductions in social inequalities |
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How does Obamacare increase personal responsibility? |
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Obamacare reduce Intergenerational inequality |
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What is the best measure of SES? |
Education |
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ADLs - Activities of Daily Living |
List of activities (questionnaire) designed to measure elderly living on their own. Including - dress yourself, feed yourself, toilet activities by self, walk outdoors with a cane, stand up from chair, wash self, etc. |
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IADLs - Instrumental Activities of Daily Living |
Keeping track of $$, doing light housework, taking meds, running errands |
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Long-term Care |
Range of svcs designed to help people with chronic conditions compensate for limitations |
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Caregiver Burden |
Management of tasks |
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Caregiver Stress |
Strain felt by caregiver |