Chapter 10 Healthcare Delivery System
What are the objectives of community-based LTC services?
1. to supplement informal caregiving where more advanced skills are needed to address the patient's needs. 2. to provide respite to family members from caregiving stress 3. to delay or prevent institutionalization.
False
A license to operate a long-term care facility is issued by the Department of Health and Human Services.
False
All elderly require services that are very similar.
True
Almost half of the nursing home residents have Alzheimer's disease and other dementias.
What are services for the terminally ill called?
Hospice care, or end-of-life care
True
In LTC delivery, caregivers should fill the gaps between what patients can do for themselves and what they are unable to do or refuse to do.
True
Long-term care hospitals (LTCHs) must be certified as skilled nursing facilities (SNFs) to render subacute care.
What is the largest single source of payment for home health services?
Medicare
True
Most LTC services are provided informally by family and friends.
True
Most of the nursing homes in the U.S. are operated by state and local governments.
Do most elderly people reside in nursing homes or other types of long-term care facilities?
No
False
Over time, the need for LTC services is progressive, changing from lighter to more intensive levels of care.
What is the main goal of LTC as it relates to a patient's function?
Promote independence
What is palliative care?
Provides similar services as Hospice to patients with likely incurable chronic conditions but who have more than 6 months to live and who are still receiving curative treatments.
When living in a LTC facility, a patient's personal dignity is part of:
Quality of life
Institutionalization
Severe ADL limitations often indicate the need for what service
Long-term care uses ADL and IADL scales to measure physical function. What are these two measures and what purpose do they serve in LTC?
The ADL(Active Daily Living) scale is used to assess a person's ability to perform certain common everyday tasks. The IADL(Instrumental activities of daily living) scale incorporates activities that are necessary for living independently in the community. It helps measure one's eligibility for long-term care services.
True
The IADL scale incorporates activities that are necessary for living independently in the community.
False
The LTC delivery system is a self-contained system of comprehensive health care services.
True
The Life Safety Code encompasses state standards for building construction and fire safety.
What type of services does LTC services often interface with?
Various non-long-term care services
True
With the aim of preventing institutionalization, Medicare is the largest source of payments for home health care and adult day care.
Can certain subacute care services be provided in a patient's own home?
Yes
Do standards for licensing nursing homes to vary from state to state?
Yes
Does Medicare pay for full-time SNF care for home health services?
Yes
Is a license necessary to operate a LTC facility?
Yes
Respite
_____________ care provides temporary services to help address family caregivers' feelings of stress and burden.
What are ADLs and give examples
activities of daily living dressing, transferring, feeding, bathing, walking, toileting, bladder/bowel control, climbing stairs, and grooming
To qualify for home health care under Medicare, skilled nursing services must
be part-time or intermittent.
With what is long-term care mainly associated?
care provided in nursing homes
What is the main goal of long-term care as it relates to a patient's function?
help people live as independently and safely as possible when they can no longer perform everyday activities on their own
Long-term care services are characterized as
individualized
What are IADLs and give examples
instrumental activities of daily living shopping, telephone use, laundering
What is the main purpose of Meals on Wheels?
provide healthy meals to seniors, keeping them well nourished and providing them with the comfort of knowing when they will receive their next meal
What is a holistic approach to healthcare in LTC?
the patient's physical, mental, social, and spiritual needs and preference are incorporated into medical delivery and living environment
If a family chooses to continue medical treatments for a patient
they will not be referred for hospice.
What are the three types of adult daycare centers and what care do they provide?
those that focus primarily on social interaction, those that provide medical care, and those dedicated to Alzheimer's care.
What is the purpose of SNF certification?
to ensure that all functions at the facility are working in proper form
Assisted facility living is often a
transitional step to admission in a SNF.
Multidisciplinary assessment is
unique to SNF.
Who will have the greater number of ADL/IADL limitations?
women