C475 (Care of the Older Adult) answers well ellabolated 2023/2024

BOOST (The Better Outcomes for Older Adults through Safe Transitions) - answers Intervention that includes pre-discharge and post-discharge interventions (5 goals) BOOST (The Better Outcomes for Older Adults through Safe Transitions) - answers Model that aims to reduce 30 day hospital readmission rates for older adults BOOST (The Better Outcomes for Older Adults through Safe Transitions) - answers Model that aims improves patient satisfaction BOOST (The Better Outcomes for Older Adults through Safe Transitions) - answers Model that aims to identify high-risk patients to prevent adverse events BOOST (The Better Outcomes for Older Adults through Safe Transitions) - answers Model that aims to improve communication between providers and patients (4/5) BOOST (The Better Outcomes for Older Adults through Safe Transitions) - answers Model that aims to better prepare the patient and family for discharge CTI (Care Transitions Intervention) - answers Model developed by Eric Coleman CTI (Care Transitions Intervention) - answers Patient-centered 4 week intervention program CTI (Care Transitions Intervention) - answers Program designed to improve quality of care and contain costs for patient with complex care needs as they transition across care settings TCM (Transitional Care Model) - answers Model where the nurse acts as the main care manager who consults with the patient in the hospital, at home within 24 hrs of discharge, follow up visits, weekly home visits, telephone support for 2 months TCM (Transitional Care Model) - answers Emphasis of this model is care coordination and continuity of care Better care Better health outcomes Lower costs - answers 3 Triple Aim goals functional incontinence - answers Type of incontinence where the pt is unable to get to the restroom b/c of physical or mental conditions Functional decline - answers New loss of independence typically associated with decreased mobility and performance of ADLs Frailty - answers Dependency because of 3 or more ADL deficiencies Aerobic exercise 10-15 minutes a day Moderate strength training - answers Exercise recommendations for an older adult Autonomy - answers Each person has a right to make independent choices and decisions Non-malfeasance - answers Means to "do no harm" Hispanic Americans - answers Group of people who emphasize family interdependence over independence Falls - answers leading cause of unintentional injury death in older adults in this country Wear and Tear Theory - answers Idea that cells wear out and cannot function with aging Medicare - answers Provides insurance for people over 65 and some patients with disabilities Medicaid - answers Provides insurance for low income persons Isometric exercise (example of...) - answers Pushing on a wall Isotonic exercise (example of...) - answers Using resistance bands Prevent external hip rotation - answers While caring for a client with immobility the RN applies a trochanter roll after placing the client in supine position. What is the rationale behind this nursing intervention? 3 item recall Clock drawing test - answers What is on the mini-cog test? Sleep Problems with eating Incontinence Confusion Evidence of fall Skin breakdown - answers What are the components of the SPICES tool? People over 65 People with ESRD Diabetics People retired from the rail road industry - answers Who qualifies for Medicare? Patient Protection and Affordable Care Act - answers Eliminates lifetime insurance gaps, provides free preventive care, provides insurance plans for patients with pre-existing conditions, and allows children to stay on parents' plan until age 26 To reduce avoidable re-admissions - answers What is the major goal of Care Transition Systems? nociceptive pain - answers Pain that usually responds well to opioid treatment (also NSAIDS) - reduced hepatic and renal blood flow - lower total body water - higher % of body fat - answers Physiologic changes in the elderly that affects medication dosing MMSE (Mini Mental Status Exam) - answers The most extensively used cognitive assessment tool Katz Index Barthel Index - answers Two tools commonly used to assess ADLs Functional Assessment - answers Type of assessment that focuses on the patient's abilities Custodial care - answers Non-medical assistance with ADLs Medicaid - answers Assistance program that is jointly financed by states and federal government for low income individuals Medicare Part B and D - answers Participation in these programs are not mandatory and premiums must be paid and covered by the individual Social Security - answers 75% of the poor are elderly women who rely on this as their major source of income The "Donut Hole" - answers Medicare coverage gap for prescription drugs that is scheduled to close by 2020 HRQOL (Health Related Quality of Life) -