Long Term Care Administration: HCM 413 Exam latest update with 100% accurate solutions(verified by experts)

Long Term Care Involves a variety of services designed to meet a person's health or personal care needs during a short or long period of time. These services help people live as independent as possible when they can no longer perform everyday activities on their own. How are Skilled Care and Custodial Care different? Skilled Care - Administered when direct medical attention is needed and provided by licensed professional in a certified facility - Patient's often receive skilled care as the result of a short-term medical condition that they are expected to recover from Custodial Care -Can be performed by someone without medical skills either at home or in a facility - Provides assistance with activities for daily live (ADLs), such as eating/bathing, and not direct medical treatment -Patients receiving custodial care most often have a chronic condition where their recovery is not expected Medicare , as well as private insurance, may cover short-term skilled care needs when certain conditions are met. If custodial care is the only type of care needed, Medicare will not cover these expenses. How do the three levels of managers within the nursing home interact to ensure quality care is provided? Upper Level Management (Administrator) is responsible for the overall functioning of the facility, formulating policies, interacting directly with the board of directors, owners and inspectors Middle Level Managers report to upper level mangers and at the same time interact significantly with lower level managers/director of nursing reports to the administrator and manages nurse supervisors and charge nurses Lower Level Managers have direct supervisory responsibilities for the staff who do the actual work/nurse supervisor or a charge nurse (i.e. nurse's aide) who physically take care of the residents Who is responsible for defining LTC The Centers for Medicare and Medicaid Services Whats is MDs? Minimum Data Set (MDs) is a standardized, primary screening and assessment tool of health status which forms the foundation of the comprehensive assessment for all residents of long-term care facilities certified to participate in Medicare or Medicaid What is the difference between Gerontology and Geriatrics? The difference is Gerontology is multidisciplinary and is concerned with physical, mental, and social implications of aging while Geriatrics is a medical specialty focused on care and treatment of older persons. What is a population pyramid and how does it appear to be changing? Population Pyramid - describe aging of populations (shows the distribution of various age groups in a population) America and other countries pyramids have drastically shifted 85+ is the fastest growing segment of the older population Growth in median range What are some of the common living arrangements for older adults? Over 1/4 non-institutionalized elders live with someone else or family members Women are more likely to live alone Only about 4% of elders live in nursing homes 3/4 of nursing home residents are women More than half of nursing home residents are 85+ Of a geographic distribution most elders live where? CA, FL, NY, TX, PA, OH, IL, MI, NC, NJ, GA California has the greatest number Florida has the greatest percentage 79% of elders 65+ live in metropolitan areas What is the major source of income for elders? Social Security (87%) Income from assets (53%) Private Pensions (28%) Government Employee Pensions (14%) Earnings (26%) What type of housing is most common for non-institutionalized seniors? Most seniors live in adequate or affordable housing 80% own a home, and about 20% rent How has the health status of seniors changed? It has improved over the years (living longer/more functional health) Chronically disabled has been decreasing How do most elders pay for health care services? Medicare How does the Older Americans Act (OAA) help seniors? Increase services and protect rights of elders What type of staff turnover occurs in a nursing home? High Rates RNs, LVNs, CNAs ranging between 55%-75% Often exceeding 100% for CNAs What is LBWA? Leadership By Walking Around What are some newer approaches and areas for nursing homes to specialize? To specialize and be better equipped to care for patients with memory care, such as Alzheimer's, or other specialty areas. What are Centers for Medicare and Medicaid Services (CMS) inspection process looking for withing nursing facilities? Focus on resident's daily experience,k not on nursing summaries and plans of care Keep the focus on improving the care giving process, not on the quality of nurses' notes or doctor's orders, but rather on achieving an improved level of care What is a major challenge for nursing home Human Resources (HR) -Staffing shortages -Staffing Levels -High Turnover -Educating Diversity How can Manpower Inventory that is conducted at a nursing home influence present and future organizational decisions? Manpower Inventory involves projecting the present and future availability of qualified personnel in sufficient number. Factors to consider when taking a manpower inventory include employment trends, competition for HR, job security, in-migration and out-migration patterns in the labor supply, wage scale movements in the area, and expected impacts of educational insinuations Do Federal regulations for nursing homes focus only on technical details of medical treatments? No