HLED 355: Final Exam || with Precise Solutions.
Definition of long term care (LTC) correct answers -involves services designed to meet a
person's health/personal care needs during short/long periods of time
-help people live as independently and safely as possible
7 characteristics of long term care correct answers -variety of health care services
-services are individualized
-services are well coordinated
-goal is to promote maximum possible functional independence
-services are needed over an extended period of time
-patients' physical, mental, social, and spiritual needs must be met
-patients' quality of life must be maximized
Objectives of community-based LTC services correct answers -to deliver LTC in the most
economical and least-restrictive setting
-to supplement informal caregiving
-to provide respite to family members
-to delay or prevent institutionalization
Major payer for LTC and requirements correct answers -Medicare is largest single payer
-to qualify a patient must be homebound, have a treatment plan reviewed by a physician
-have intermittent or part-time skilled nursing and/or rehabilitation therapies
Continuing care retirement community (CCRC) correct answers -different living services offered
on one campus like retirement living, personal care, and nursing care
-concept of aging in place
-addresses the changing needs as people age
Retirement facilities correct answers -emphasis on privacy, security, independence, active
lifestyles
-when needed, nursing care and rehabilitation obtained thru a home health agency
-promotes independence in supportive environment
-organized programs
-offer some hotel services
Personal care facilities correct answers -non-medical custodial care: Basic assistance in a
protected environment
Assisted Living Facilities correct answers A residential setting that provides
-personal care
-24 hr supervision
-assistance with ADLs
-social activities
-help with medications
Border between personal care homes and nursing homes
, Skilled nursing facilities correct answers Provide a full range of clinical long-term care services
Skilled nursing care
-medically oriented care provided by a licensed nurse
-plan of treatment authorized by a physician
-direct ADL care is delivered by paraprofessionals
-rehabilitation, diets, supplements are a large component
-the patient's treatment plan is highly individualized based on a multi-disciplinary assessment
Vulnerability in a healthcare setting correct answers the likelihood of experiencing poor health or
illness
Predisposing characteristics correct answers racial and ethnic factors, gender and age, geographic
location
Enabling characteristics correct answers socioeconomic status, individual assets
Need characteristics correct answers self-perceived or professionally evaluated health status,
quality of life indicators
Vulnerable population: racial/ethnic minorities correct answers -significant differences exist
across the various racial/ethnic groups on health
-poorer access and quality
-greater deficits in health status
-The Office of Minority Health coordinates federal agencies and minority health initiatives
Vulnerable population: women correct answers -women enjoy a life expectancy almost 5 years
longer than that of men but have higher prevalence of health problems and develop more acute
and chronic illnesses resulting in more short/long term disabilities
-Office on Research on Women's Health under DHHS mission is to stimulate and implement a
comprehensive women's health agenda on research service delivery and education
Vulnerable population: children correct answers Unique aspects
-dependency
-developmental changes
Children are increasingly affected by new morbidities
-drug and alcohol abuse
-family and neighborhood violence
-emotional disorders (not increase)
-learning problems (not increase)
Vulnerable population: geographic distribution correct answers -poverty: consistent in rural areas
and affects access
-geographic maldistribution creates a shortage of health care professionals in rural settings
-rural populations face greater barriers in access to care
Efforts to improve access in rural America include
Definition of long term care (LTC) correct answers -involves services designed to meet a
person's health/personal care needs during short/long periods of time
-help people live as independently and safely as possible
7 characteristics of long term care correct answers -variety of health care services
-services are individualized
-services are well coordinated
-goal is to promote maximum possible functional independence
-services are needed over an extended period of time
-patients' physical, mental, social, and spiritual needs must be met
-patients' quality of life must be maximized
Objectives of community-based LTC services correct answers -to deliver LTC in the most
economical and least-restrictive setting
-to supplement informal caregiving
-to provide respite to family members
-to delay or prevent institutionalization
Major payer for LTC and requirements correct answers -Medicare is largest single payer
-to qualify a patient must be homebound, have a treatment plan reviewed by a physician
-have intermittent or part-time skilled nursing and/or rehabilitation therapies
Continuing care retirement community (CCRC) correct answers -different living services offered
on one campus like retirement living, personal care, and nursing care
-concept of aging in place
-addresses the changing needs as people age
Retirement facilities correct answers -emphasis on privacy, security, independence, active
lifestyles
-when needed, nursing care and rehabilitation obtained thru a home health agency
-promotes independence in supportive environment
-organized programs
-offer some hotel services
Personal care facilities correct answers -non-medical custodial care: Basic assistance in a
protected environment
Assisted Living Facilities correct answers A residential setting that provides
-personal care
-24 hr supervision
-assistance with ADLs
-social activities
-help with medications
Border between personal care homes and nursing homes
, Skilled nursing facilities correct answers Provide a full range of clinical long-term care services
Skilled nursing care
-medically oriented care provided by a licensed nurse
-plan of treatment authorized by a physician
-direct ADL care is delivered by paraprofessionals
-rehabilitation, diets, supplements are a large component
-the patient's treatment plan is highly individualized based on a multi-disciplinary assessment
Vulnerability in a healthcare setting correct answers the likelihood of experiencing poor health or
illness
Predisposing characteristics correct answers racial and ethnic factors, gender and age, geographic
location
Enabling characteristics correct answers socioeconomic status, individual assets
Need characteristics correct answers self-perceived or professionally evaluated health status,
quality of life indicators
Vulnerable population: racial/ethnic minorities correct answers -significant differences exist
across the various racial/ethnic groups on health
-poorer access and quality
-greater deficits in health status
-The Office of Minority Health coordinates federal agencies and minority health initiatives
Vulnerable population: women correct answers -women enjoy a life expectancy almost 5 years
longer than that of men but have higher prevalence of health problems and develop more acute
and chronic illnesses resulting in more short/long term disabilities
-Office on Research on Women's Health under DHHS mission is to stimulate and implement a
comprehensive women's health agenda on research service delivery and education
Vulnerable population: children correct answers Unique aspects
-dependency
-developmental changes
Children are increasingly affected by new morbidities
-drug and alcohol abuse
-family and neighborhood violence
-emotional disorders (not increase)
-learning problems (not increase)
Vulnerable population: geographic distribution correct answers -poverty: consistent in rural areas
and affects access
-geographic maldistribution creates a shortage of health care professionals in rural settings
-rural populations face greater barriers in access to care
Efforts to improve access in rural America include
