HCAD 222 FINAL EXAM NEWEST 2025 WITH
QUESTIONS and DETAILED ANSWERS
GRADED A+|ASSURED SUCCESS
Precedents for HC rationing - CORRECT ANSWER--Denial of Kidney Dialysis in Britain
-Waiting lists in Canada
-Life -and-Death Decisions in Seattle
-Rationing Plan in Oregon
,"Fairness" of various rationing approaches? - CORRECT ANSWER-
Rationale for/against age-based rationing - CORRECT ANSWER-FOR:
-younger, increased life expectancy/continued contributions
-older people already lived a good life
-save > 1 younger, for every older
-easy
-fairness
AGAINST:
-younger could mean extended healthcare
-lifestyle choices into account (variation in chronological age)
-gender/ethnicity
-right to live
-balancing acute care with LTC
Longevity challenges - CORRECT ANSWER-1. Coping with and aging body
2. Maintaining a valued place
3. Individuals grow older in the wider contest of an entire society that is undergoing a transition to
population aging
Questions about modern societies values toward old age
Are the old less valued than the young?
Where will we get resources to help the elderly?
Could medical breakthroughs have unforeseen consequences for society, either for good or ill?
Challenges people face as they grow older - CORRECT ANSWER-Questions about modern
societies values toward old age
Are the old less valued than the young?
Where will we get resources to help the elderly?
Could medical breakthroughs have unforeseen consequences for society, either for good or ill?
,"Reimbursement Driven" - CORRECT ANSWER-Term meaning that the amount and type of
care received by a long-term care consumer is dependent on that individuals reimbursement coverage
Post Acute Care - CORRECT ANSWER-Include long-term care hospitals, inpatient rehab
facilities, skilled nursing facilities and home health agencies
DRG's/"Quicker & sicker discharges" - CORRECT ANSWER-DRG-Statistical System of classifying
any inpatient stay into groups for the purposes of payment.
ADL's - CORRECT ANSWER-Activities of daily living
Goals of LTC (vs. acute) - CORRECT ANSWER--Improve/ slow deterioration
-Meet needs for care and assistance
-Enhance social and psychological well-being
-Maximize independence
-Integrated setting
-Promote a meaningful life
LTC Continuum - CORRECT ANSWER-Long term care is encompasses a continuum of services
Nursing Homes - CORRECT ANSWER-Touchstone for LTC
-Misnomer
Dula constituencies
-PAC
-LTC
Average age: 79
Activity levels are higher than ever before assisted living
, Assisted Living - CORRECT ANSWER--Typical demographic: 87 year old white female
-Residential environment that enhances functioning and is homelike
1. residential environment: private space and public space
2. Philosophy of consumer control over space, care and lifestyle
3. Service capability
-Routine services
-Specialized services
-Term has many meanings
-Housing with (separate)
services
-Congregate care with single staff
-Need for uniform classification system to allow consumers to make informed comparisons
Home and Community Based Services (HCBS) - CORRECT ANSWER-Rehabilitation/Skilled Care
Home health
Homemaking, personal care, & attendant services
Emergency systems
Home delivered meals
Home Modification
Transportation
Day programs
Respite care
Independent senior housing
Case management
Family support services
Equipment
Hospice
*Skilled Nursing Facilities/Nursing Homes
QUESTIONS and DETAILED ANSWERS
GRADED A+|ASSURED SUCCESS
Precedents for HC rationing - CORRECT ANSWER--Denial of Kidney Dialysis in Britain
-Waiting lists in Canada
-Life -and-Death Decisions in Seattle
-Rationing Plan in Oregon
,"Fairness" of various rationing approaches? - CORRECT ANSWER-
Rationale for/against age-based rationing - CORRECT ANSWER-FOR:
-younger, increased life expectancy/continued contributions
-older people already lived a good life
-save > 1 younger, for every older
-easy
-fairness
AGAINST:
-younger could mean extended healthcare
-lifestyle choices into account (variation in chronological age)
-gender/ethnicity
-right to live
-balancing acute care with LTC
Longevity challenges - CORRECT ANSWER-1. Coping with and aging body
2. Maintaining a valued place
3. Individuals grow older in the wider contest of an entire society that is undergoing a transition to
population aging
Questions about modern societies values toward old age
Are the old less valued than the young?
Where will we get resources to help the elderly?
Could medical breakthroughs have unforeseen consequences for society, either for good or ill?
Challenges people face as they grow older - CORRECT ANSWER-Questions about modern
societies values toward old age
Are the old less valued than the young?
Where will we get resources to help the elderly?
Could medical breakthroughs have unforeseen consequences for society, either for good or ill?
,"Reimbursement Driven" - CORRECT ANSWER-Term meaning that the amount and type of
care received by a long-term care consumer is dependent on that individuals reimbursement coverage
Post Acute Care - CORRECT ANSWER-Include long-term care hospitals, inpatient rehab
facilities, skilled nursing facilities and home health agencies
DRG's/"Quicker & sicker discharges" - CORRECT ANSWER-DRG-Statistical System of classifying
any inpatient stay into groups for the purposes of payment.
ADL's - CORRECT ANSWER-Activities of daily living
Goals of LTC (vs. acute) - CORRECT ANSWER--Improve/ slow deterioration
-Meet needs for care and assistance
-Enhance social and psychological well-being
-Maximize independence
-Integrated setting
-Promote a meaningful life
LTC Continuum - CORRECT ANSWER-Long term care is encompasses a continuum of services
Nursing Homes - CORRECT ANSWER-Touchstone for LTC
-Misnomer
Dula constituencies
-PAC
-LTC
Average age: 79
Activity levels are higher than ever before assisted living
, Assisted Living - CORRECT ANSWER--Typical demographic: 87 year old white female
-Residential environment that enhances functioning and is homelike
1. residential environment: private space and public space
2. Philosophy of consumer control over space, care and lifestyle
3. Service capability
-Routine services
-Specialized services
-Term has many meanings
-Housing with (separate)
services
-Congregate care with single staff
-Need for uniform classification system to allow consumers to make informed comparisons
Home and Community Based Services (HCBS) - CORRECT ANSWER-Rehabilitation/Skilled Care
Home health
Homemaking, personal care, & attendant services
Emergency systems
Home delivered meals
Home Modification
Transportation
Day programs
Respite care
Independent senior housing
Case management
Family support services
Equipment
Hospice
*Skilled Nursing Facilities/Nursing Homes
