LTC EXAM 1 STUDY GUIDE
Three Subsystems in LTC - Answers :-informal system
-community-based system
-institutional system
Informal System - Answers :-largest system
-most LTC services are provided informally by family, friends, etc.. on an unpaid basis
-most of the care is of a basis nature
-largest source of financing, although unpaid
-extend fo support network determines ability to receive informal care: men minorities,
married people, and less educated
-A shrinking pool of informal caregivers
Community-Based System - Answers :-formal services
-fourfold objective
1. deliver LTC in the most economical and least restrictive settings
2. supplement informal caregiving when needed
3. provide temporary respite to family members
4. delay or prevent institutionalization
-intramural/extramural services
Institutional System - Answers :-appropriate when needs cannot be met through
community-baed services
-inability to live alone or lack of social support may also trigger institutionalization
-an institutional continuum offers services according to the patients level of dependency
for care
-high need of dependency, can't live alone, lack of social support
What is the Largest Subsystem - Answers :-informal system
People's Preference to Receive LTC - Answers :Need for assistance with daily living
tasks
-because of physical/mental disability, sever illness, or cognitive impairment
-measure to assess the level of dependency
1. ADL scale
2. IADL scale
Need for continuity of care after hospitalization
-sub acute care
-clinically complex care
-rehab while recovering from accidents or surgery
Need for care in specialized environments
-specialized pediatric environments because of intellectual/developmental disabilities
(IDD)
-dementia and Alzheimers disease
, ADL - Answers :-activities of daily living
-whether individual needs assistance in performing 6 basic activities
1. eating
2. bathing
3. dressing
4. toilet
5. maintenance
6. transferring in/out of bed
What is hospice, where is it provided, and who pays for it - Answers :-end-of-life care for
the terminally ill )life expectancy is less than 6 months
-a cluster of services: medical, spiritual, legal, financial, and support for family
-emphasis shifts from medical treatment to comfort, palliative care, and social support
-community-base service providers
-Medicare rules
---physician certification that patients life expectancy is 6 months or less
---the patient must waive the right to medical treatment for the terminal illness
-the average length of stay is about 72 days
-majority of care is provided in private homes and various LTC services in hospice
inpatient facilities
-that majority re independent freestanding agencies, others are part of a hospital, home
health agency, or nursing home
-medicare is the largest source of payment
Care Plans - Answers :Individualized plan of care
-customized interventions to address needs
Well-Coordinated care
-total care: any health care need is recognized, evaluated, and addressed
-care is coordinated with no-LTC health care providers when needed
Goal of LTC: to enable the patient to maintain function independence at the maximum
level of practice
Assessment, purpose - Answers :To identify needs
-current physical, mental, and emotional condition
-past medical and psychosocial history
-social history: family, former occupation, leisure activities, cultural factors
Intramural Services - Answers :-in home services
-home health care
-meals on wheels
-homemaker, chores, and errands
Extramural Services - Answers :-adult day care
-senior citizens
-respite care
Three Subsystems in LTC - Answers :-informal system
-community-based system
-institutional system
Informal System - Answers :-largest system
-most LTC services are provided informally by family, friends, etc.. on an unpaid basis
-most of the care is of a basis nature
-largest source of financing, although unpaid
-extend fo support network determines ability to receive informal care: men minorities,
married people, and less educated
-A shrinking pool of informal caregivers
Community-Based System - Answers :-formal services
-fourfold objective
1. deliver LTC in the most economical and least restrictive settings
2. supplement informal caregiving when needed
3. provide temporary respite to family members
4. delay or prevent institutionalization
-intramural/extramural services
Institutional System - Answers :-appropriate when needs cannot be met through
community-baed services
-inability to live alone or lack of social support may also trigger institutionalization
-an institutional continuum offers services according to the patients level of dependency
for care
-high need of dependency, can't live alone, lack of social support
What is the Largest Subsystem - Answers :-informal system
People's Preference to Receive LTC - Answers :Need for assistance with daily living
tasks
-because of physical/mental disability, sever illness, or cognitive impairment
-measure to assess the level of dependency
1. ADL scale
2. IADL scale
Need for continuity of care after hospitalization
-sub acute care
-clinically complex care
-rehab while recovering from accidents or surgery
Need for care in specialized environments
-specialized pediatric environments because of intellectual/developmental disabilities
(IDD)
-dementia and Alzheimers disease
, ADL - Answers :-activities of daily living
-whether individual needs assistance in performing 6 basic activities
1. eating
2. bathing
3. dressing
4. toilet
5. maintenance
6. transferring in/out of bed
What is hospice, where is it provided, and who pays for it - Answers :-end-of-life care for
the terminally ill )life expectancy is less than 6 months
-a cluster of services: medical, spiritual, legal, financial, and support for family
-emphasis shifts from medical treatment to comfort, palliative care, and social support
-community-base service providers
-Medicare rules
---physician certification that patients life expectancy is 6 months or less
---the patient must waive the right to medical treatment for the terminal illness
-the average length of stay is about 72 days
-majority of care is provided in private homes and various LTC services in hospice
inpatient facilities
-that majority re independent freestanding agencies, others are part of a hospital, home
health agency, or nursing home
-medicare is the largest source of payment
Care Plans - Answers :Individualized plan of care
-customized interventions to address needs
Well-Coordinated care
-total care: any health care need is recognized, evaluated, and addressed
-care is coordinated with no-LTC health care providers when needed
Goal of LTC: to enable the patient to maintain function independence at the maximum
level of practice
Assessment, purpose - Answers :To identify needs
-current physical, mental, and emotional condition
-past medical and psychosocial history
-social history: family, former occupation, leisure activities, cultural factors
Intramural Services - Answers :-in home services
-home health care
-meals on wheels
-homemaker, chores, and errands
Extramural Services - Answers :-adult day care
-senior citizens
-respite care
