HCAD 222 FINAL EXAM 2025 QUESTIONS AND ANSWERS

HCAD 222 FINAL EXAM 2025
QUESTIONS AND ANSWERS




Longevity challenges - ANS 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 - ANS 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" - ANS 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 - ANS Include long-term care hospitals, inpatient rehab facilities, skilled
nursing facilities and home health agencies
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, DRG's/"Quicker & sicker discharges" - ANS DRG-Statistical System of classifying any inpatient
stay into groups for the purposes of payment.


ADL's - ANS Activities of daily living


Goals of LTC (vs. acute) - ANS -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 - ANS Long term care is encompasses a continuum of services


Nursing Homes - ANS Touchstone for LTC
-Misnomer
Dula constituencies
-PAC
-LTC
Average age: 79
Activity levels are higher than ever before assisted living


Assisted Living - ANS -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
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-Routine services
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, -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) - ANS 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
*Residential Care/Assisted Living
*Home & community based services


NH: PAC vs. LT Care recipients - ANS Medicare (ACUTE,PAC)
Medicaid (acute,pac,LTC)
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Supplemental Insurance (acute,pac)
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, Long-term care insurance (pac,ltc)
Out-of-pocket/Private pat (acute,pac,LTC)
Unpaid care-Family & Friends (LTC)


Medicare-What/who for, benefits, eligibility - ANS -People 65+
-Some with disabilities under 65
-People with End-Stage Renal Disease
*COST HANDOUT*


-Having "insurance" does not mean 100% coverage
Technical Requirements
-Enrolled in Medicare A and have days available
-3 day "qualifying" hospital stay
-Resident must have days left in their benefit period or qualify for a new benefit period
-30 day transfer requirement


Medicaid-What/who for, benefits, eligibility - ANS A Program that is federally mandated, but
administered and partially funded by stated originally designed to provide healthcare to
disadvantaged, vulnerable members of society
Who?
-US citizen or eligible alien who meet financial eligibility requirements and are,
-65
-Blind or disabled
-Under 19
-Prego


Medicare parts A, B, C, D - ANS -Part A
-hospital insurance, hospital inpatient services, skilled nursing facility
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-financed by tax from Social Security


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