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52 Cards in this Set

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LONG TERM CARE
A VARIETY OF INDIVIDUALIZED, WELL- COORDINATED SERVICES THAT PROMOTE THE MAXIMUM POSSIBLE INDEPENDENCE FOR PEOPLE WITH FUNCTIONAL LIMITATIONS AND ARE PROVIDED OVER AN EXTENDED PERIOD OF TIME IN ACCORDANCE WITH A HOLISTIC APPROACH, WHILE MAXIMIZING THEIR QUALITY OF LIFE
TOTAL CARE
REQUIRES THAT ANY HEALTH CARE NEED IS RECOGNIZED, EVALUATED, AND ADDRESSED BY APPROPRIATE CLINICAL PROFESSIONALS
CASE MANAGEMENT
KEY COORDINATING FUNCTION IN THE LONG TERM CARE SYSTE; REFERS TO THE PROCESS OF MATCHING CLIENT NEEDS WITH AVAILABLE SERVICES THAT ARE LIKELY TO BEST ADDRESS THOSE NEEDS REGARDLESS OF WHETHER THEY ARE OBTAINED IN LTC OR NON LTC SYSTEM
QUALITY OF LIFE
A MULTIFACETED CONCEPT THAT RECOGNIZES AT LEAST FIVE FACTORS: LIFESTYLE PURSUITS, LIVING ENVIRONMENT, CLINICAL, PALLIATION, HUMAN FACTORS, AND PERSONAL CHOICES
PALLIATION
RELIEF FROM UNPLEASANT SYMPTOMS
RESPITE CARE
THE MOST FREQUENTLY SUGGESTED INTERVENTION TO ADDRESS FAMILY CAREGIVERS' FEELINGS OF STRESS AND BURDEN; PROVIDES RELIEF OR ASSISTANCE TO CARE GIVERS
PARAPROFESSIONALS
PERSONNEL WHO PROVIDE BASIC ACTIVITIES OF DAILY LIVING AND / OR ASSIST LICENSED AND PROFESSIONAL STAFF
DEVELOPMENT DISABILITY
DESCRIBES THE GENERAL PHYSICAL INCAPACITY CHILDREN WITH DISABILITY FACE AT AN EARLY AGE
MENTAL RETARDATION
INTELLECTUAL DISABILITY, BELOW AVERAGE INTELLECTUAL FUNCTIONING; USUALLY LEADS TO MENTAL RETARDATION
PERSONAL CARE
REFERS TO LIGHT ASSISTANCE WITH BASIC ACTIVITIES OF DAILY LIVING
CUSTODIAL CARE
NON-MEDICAL CARE PROVIDED TO SUPPORT AND MAINTAIN THE PATIENT'S CONDITION AND THE ESSENTIALS OF DAILY LIVING
RESTORATIVE CARE
(REHABILITATION); GOAL IS TO HELP REGAIN OR IMPROVE FUNCTION
SKILLED NURSING CARE
MEDICALLY ORIENTED CARE PROVIDED MAINLY BY A LICENSED NURSE, UNDER THE OVERALL DIRECTION OF A PHYSICIAN; ASSESSMENT AND REASSESSMENT TO DETERMINE THE PATIENT'S CARE NEEDS, MONITORING OF ACUTE AND UNSTABLE CHRONIC CONDITIONS, AND A VARIETY OF TREATMENTS
SUB-ACUTE CARE
APPLIES TO POST ACUTE SERVICES FOR PEOPLE WHO REMAIN CRITICALLY ILL DURING THE POST ACUTE PHASE OR ILLNESS OR INJURY OR WHO HAVE COMPLEX CONDITIONS THAT REQUIRE MONITORING , TREATMENT, OR REHAB
ADULT DAY CARE
ADULT DAY SERVICE; DAYTIME GROUP PROGRAM DESIGNED TO MEET THE NEEDS OF FUNCTIONALLY AND / OR COGNITIVELY IMPAIRED ADULTS AND PROVIDE PARTIAL RESPITE FOR FAMILY CARE GIVERS
ADULT FOSTER CARE
A SERVICE CHARACTERIZED BY SMALL, FAMILY RUN HOMES PROVIDING BOARD, AND VARYING LEVELS OF SUPERVISION, OVERSIGHT, AND PERSONAL CARE TO NON-RELATED ADULTS WHO ARE UNABLE TO CARE FOR THEMSELVES
SENIOR CENTERS
LOCAL COMMUNITY CENTERS FOR OLDER ADULTS WHERE SENIORS CAN CONGREGATE AND SOCIALIZE
MEALS ON WHEELS
HOME DELIVERED MEALS FOR HOME-BOUND PERSONS
PERS
PERSONAL EMERGENCY RESPONSE SYSTEMS - PROVIDES A COST EFFECTIVE MECHANISM THAT ENABLES AT RISK ELDERLY PERSONS TO SUMMON HELP IN AN EMERGENCY
BROKERAGE MODEL
ONCE NEEDS HAVE BEEN INDEPENDENTLY ASSESSED, CASE MANAGERS ARRANGE SERVICES THROUGH OTHER PROVIDERS
PRE-ADMISSION SCREENING
SYSTEM OF RULES FOR NEED ASSESSMENT AND REFERRALS FOR COMMUNITY BASED OR INSTITUTIONAL SERVICES
S/HMO
SOCIAL HEALTH MAINTENANCE ORGANIZATION; COORDINATES ACURE, CHRONIC, LONG TERM HEALTHCARE, AND SOCIAL SERVICES TO ADDRESS A PATIENT'S COMPREHENSIVE NEEDS
ASSISTED LIVING FACILITIES
A RESIDENTIAL SETTING THAT PROVIDES PERSONAL CARE, 24 HOUR SUPERVISION, SOCIAL SERVICES, RECREATIONAL ACTIVITIES, AND SOME NURSING AND REHAB SERVICES
SKILLED NURSING FACILITIES
A NURSING HOME CERTIFIED TO ADMIT MEDICARE PATIENTS
DISTINCT PART
A SECTION OF A NURSING HOME THAT IS DISTINCTLY SEPARATE AND DISTINGUISHABLE FROM THE REST OF THE FACILITY
NURSING FACILITY
A NURSING HOME CERTIFIED FOR MEDICAID ONLY, NOT MEDICARE
DUAL CERTIFICATIONS
FACILITIES THAT CAN ADMIT MEDICARE AND OR MEDICAID PATIENTS TO ANY PART OF THE FACILITY
NON-CERTIFIED
FACILITIES THAT CAN ONLY ADMIT PATIENTS WHO HAVE PRIVATE SOURCES OF FUNDING
PRIVATE PAY PATIENTS
THOSE PATIENTS NOT COVERED BY MEDICARE / MEDICAID, AND ARE NOT RESTRICTED TO NON-CERTIFIED FACILITIES
ALZHEIMER'S DISEASE
A PROGRESSIVE DEGENERATIVE DISEASE OF THE BRAIN PRODUCING MEMORY LOSS, CONFUSION, IRRITABILITY, AND SEVERE FUNCTIONAL DECLINE
CONTINUOUS CARE RETIREMENT COMMUNITY
SPECIALIZED IN THE SENSE THAT IT INTEGRATES AND COORDINATES INDEPENDENT LIVING WITH SOME OF THE OTHER INSTITUTION BASED COMPONENTS OF LONG TERM CARE CONTINUUM, SUCH AS ASSISTED LIVING AND SKILLED NURSING CARE
SPEND-DOWN
EXHAUSTING ONE'S ASSETS AND ONE'S ANNUAL INCOME TO THE MEDICALLY NEEDY LEVELS TO QUALIFY FOR MEDICAID
LONG TERM CARE SERVICES MUST BE INDIVIDUALIZED, INTEGRATED, AND COORDINATED. ELABORATE ON THIS STATEMENT, POINTING OUT WHY THESE ELEMENTS ARE ARE ESSENTIAL IN THE DELIVERY OF LONG TERM CARE
INDIVIDUAL NEED IS DETERMINED BY HEALTH STATUS, FINANCES, AND OTHER FACTORS - ALL OF WHICH VARY GREATLY AMONG PEOPLE WHO REQUIRE LONG TERM CARE; LONG TERM CARE: INDIVIDUALIZED- TO FIT THE NEEDS OF INDIVIDUALS, INTEGRATED - IN COMPLIANCE WITH PRIMARY CARE TREATMENT PLANS; COORDINATED - CASE MANAGEMENT IS ESSENTIAL, REQUIRES THAT ALL HEALTH CARE NEEDS ARE RECOGNIZED, DIAGNOSED, AND TREATED
AGE IS NOT THE PRIMARY DETERMINANT FOR LONG TERM CARE. COMMENT ON THIS STATEMENT, EXPLAINING WHY THIS IS OR IS NOT TRUE
LONG TERM CARE IS NOT JUST FOR THE ELDERLY, ALSO A REQUIREMENT FOR ANYONE OF ANY AGE WHO HAS DIFFICULTIES WITH ACTIVITIES OF DAILY LIVING, TO INCLUDE THOSE WITH MENTAL HEALTH DISORDERS, CHILDREN WITH MENTAL RETARDATION, AND DEGENERATIVE DISEASES IN YOUNGER POPULATIONS
WHAT IS MEANT BY QUALITY OF LIFE? (5) MAIN FEATURES
LIFE STYLE PURSUITS - PERSONAL ENRICHMENT TO MAKE ONE'S LIFE MEANINGFUL THROUGH ACTIVITIES ONE ENJOYS

LIVING ENVIRONMENT - COMFORTABLE, SAFE, AND APPEALING TO THE SENSES

CLINICAL PALLIATION - RELIEF FROM UNPLEASANT SYMPTOMS

HUMAN FACTORS - CAREGIVER ATTITUDES, EMPHASIZE DIGNITY AND RESPECT

PERSONAL CHOICES- ABILITY TO MAKE INDIV CHOICES: FOOD, SCHEDULE
WHAT ARE SOME OF THE CHALLENGES IN THE DELIVERY OF MENTAL HEALTH SERVICES FOR THE ELDERLY
ASSESSING PSYCHIATRIC ILLNESS IN GERIATRIC PATIENTS CAN BE DIFFICULT, MEDICAL CO-MORBIDITY MAY OBSCURE THE
DISCUSS THE PREVENTIVE AND THERAPEUTIC ASPECTS OF LONG TERM CARE
GOAL IS TO PREVENT OR DELAY INSTITUTIONALIZATION; ENSURING THE ELDERLY RECEIVE GOOD NUTRITION, HAVE ACCESS TO ROUTINE CAR, AND VACCINATIONS

THERAPEUTIC: CURTAIL THE NEED FOR INSTITUTIONALIZATION, AND RETURN THE PATIENT TO THE COMMUNITY QUICKLY
HOW DO FORMAL AND INFORMAL LONG TERM CARE DIFFER? WHAT IS THE IMPORTANCE OF INFORMAL CARE IN LONG TERM CARE DELIVERY
INFORMAL SERVICES - NOT REIMBURSED; REDUCES THE USE OF FORMAL HOME HEALTH CARE AND DELAYS NURSING HOME ENTRY; INFORMAL CARE IS EXPECTED TO DECLINE IN THE FUTURE DUE TO THE INC NUMBER OF ELDERLY WHO ARE DIVORCES, OR WITHOUT CHILDREN
WHAT ARE THE MAIN GOALS OF COMMUNITY BASED AND INSTITUTIONAL BASED LONG TERM CARE SERVICES?
SERVICES BROUGHT TO PATIENT'S HOME OR DELIVERED TO A COMMUNITY LOCATION, MAIN GOAL- TO MANAGE CHRONIC FUNCTIONAL DISABILITY IN (3) AREAS : 1- PROFESSIONAL HELP FOR ADTL FUNCTIONS THE PATIENT CAN NOT PERFORM, 2- IMPLEMENT MEASURES TO PREVENT FURTHER DEGENERATION OF REMAINING FUNCTION, 3- COORDINATE SERVICES WITH NON LONG TERM CARE PROVIDERS TO ADDRESS TOTAL CARE NEEDS
WHAT IMPLICATIONS DOES AN AGING POPULATION HAVE FOR LONG TERM CARE SERVICES?
FINANCING AND DELIVERY OF NEEDED SERVICES WILL BECOME AN ISSUE
WHY IS IT SOME CHILDREN AND ADOLESCENTS MAY NEED LONG TERM CARE?
EQUALLY SUBJECT TO FUNCTIONAL IMPAIRMENTS, DISABILITIES, DEGENERATIVE CONDITIONS, SURGICAL COMPLICATIONS
WHY HAS LONG TERM CARE BECOME AN IMPORTANT SERVICE FOR PEOPLE WITH HIV/ AIDS?
AIDS HAS BECOME A CHRONIC CONDITION, AS OPPOSED TO AN END STAGE ILLNESS, PEOPLE WITH AIDS ARE SUBJECT TO DEBILITATING CONDITIONS, CREATING THE NEED FOR ASSISTANCE
DISCUSS THE THREE DIFFERENT MODELS OF ADULT DAY CARE. WHICH SERVICES ARE COMMON TO ALL THREE MODELS?
THE HEALTH REHABILITATIVE MODEL, THE HEALTH MAINTENANCE MODEL, AND THE SOCIAL PSYCHOLOGICAL MODEL; ALL PROVIDE PERSONAL CARE, MIDDAY MEALS, SOCIAL SERVICES, AND TRANSPORTATION
ENUMERATE THE MAIN FUNCTIONS OF LONG TERM CARE CASE MANAGEMENT
DESIGNED TO ASSESS THE SPECIAL NEEDS OF OLDER PATIENTS, PREPARE A CARE PLAN TO ADDRESS THOSE NEEDS, SPECIFY SERVICES THAT ARE MOST APPROPRIATE, DETERMINE ELIGIBILITY FOR SERVICES, AND MAKE REFERRALS / COORDINATE CARE
BRIEFLY DISCUSS THE CONTINUUM OF INSTITUTIONAL LONG TERM CARE SERVICES
BROKERAGE MODEL - ONCE NEEDS ARE ASSESSED, CASE MANAGERS ARRANGE SERVICES

MANAGED CARE MODEL - MANAGED THROUGH MCO, DELIVERY THROUGH SOCIAL HEALTH MAINTENANCE ORGANIZATION

INTEGRATED CARE MODEL - EXISTS WITHIN AN INTERDISCIPLINARY ORGANIZATIONAL STRUCTURE; SERVICES ARE DELIVERED THROUGH NON PROFIT
WHAT ARE THE SIMILARITIES AND DIFFERENCES BETWEEN S/HMO AND PACE MODELS?
SHMO - COORDINATES ACUTE, CHRONIC LONG TERM CARE AND SOCIAL SERVICES TO ADDRESS A PATIENT'S COMPREHENSIVE NEEDS; GOAL :TO PREVENT NURSING HOME PLACEMENT
PACE PROGRAM - FOCUSES ON FRAIL ELDERLY WHO HAVE ALREADY BEEN CERTIFIED FOR NURSING HOME PLACEMENT
BRIEFLY DISCUSS THE CONTINUUM OF INSTITUTIONAL LONG TERM CARE SERVICES (5) GROUPS
INDEPENDENT OR RETIREMENT LIVING CENTERS - DO NOT OFFER CLINICAL SERVICES, PHYSICAL AMMENTITIES ADAPTED FOR THE PHYSICALLY DISABLED

RESIDENTIAL / PERSONAL CARE FACILITIES - BOARD AND CARE HOMES, PROVIDE PHYSICALLLY SUPPORTIVE DWELLING UNITS, MONITORING AND ASSISTANCE WITH MEDS, PERSONAL /CUSTODIAL CARE

ASSISTED LIVING FACILITIES - RESIDENTIAL SETTING THAT PROVIDES PERSONAL CARE, 24 HR SUPERVISION, SOCIAL SERVICES, REC ACTIVITIES, AND SOME NURSING / REHAB SERVICES

SKILLED NURSING HOME - LICENSURE AND CERTIFICATION REQUIRED, FOR PATIENTS REQUIRING A HIGHER LEVEL OF CARE , REQUIRED TO HAVE AN RN 24/7 (CERTIFIED TO ADMIT MEDICARE PATIENTS
WHAT IS THE DIFFERENCE BETWEEN LICENSURE AND CERTIFICATION? WHAT ARE THE TWO TYPES OF CERTIFICATION? WHAT PURPOSE DOES EACH SERVE FROM (1) A CLINICAL STANDPOINT AND (2) A FINANCIAL STATEMENT
LICENSURE - REGULATED BY STATES, MOST EST MINIMUM QUALIFICATION REQUIRED FOR STAFF

CERTIFICATION: REGULATED BY FEDERAL AGENCY, ALLOWS NURSING FACILITIES TO ADMIT BASED ON MEDICARE / MEDICAID PAYMENT; 1 TYPES OF CERTS: SNT (MEDICARE), ICF (MEDICAID)
WHAT ARE THE MAIN INSTITUTIONAL SETTINGS FOR THE DELIVERY OF SUB-ACUTE CARE
EXTENSIVE CARE
SPECIAL CARE
CLINICALLY COMPLEX CARE
INTENSIVE REHAB
WHICH SERVICES DOES A CONTINUING CARE RETIREMENT COMMUNITY PROVIDE?
INTEGRATES AND COORDINATES INDEPENDENT LIVING WITH SOME OF THE OTHER INSTITUTION BASED COMPONENTS OF THE LONG TERM CARE CONTINUUM (ASSISTED LIVING, SKILLED NURSING); DIFFERENT LEVELS OF SERVICES IN SEPARATE BLDG, ACCOMMODATES THE CHANGING NEEDS FOR OLDER ADULTS
EVEN THOUGH THE ELDERLY ARE THE PRIMARY USERS OF NURSING HOMES AND GENERALLY SPEAKING, MEDICARE IS THE PRIMARY SOURCE OF PAYMENT FOR HEALTH CARE SERVICES PROVIDED TO THE ELDERLY, WHY DOES MEDICARE PAY ONLY A SMALL FRACTION OF THE COST OF NURSING HOME CARE?
MEDICARE PROVIDES LIMITED BENEFITS FOR NURSING HOME CARE ON A POST ACUTE BASIS, MOST ELDERLY ARE NOT POST ACUTE; MEDICARE DOES PAY FOR TERMINALLY ILL PATIENTS (HOSPICE), AND HOME HEALTH CARE WHEN A PERSON IS HOME BOUND AND REQUIRES SKILLED NURSING / REHAB CARE
WHY HAS PRIVATE LONG TERM CARE INSURANCE NOT GAINED POPULARITY WITH CONSUMERS
-WIDE RANGE OF POLICIES TO CHOOSE FROM
-PREMIUMS ARE UN-AFFORDABLE