Chapters 7-9 Flashcards
Provide residents with around-the-clock care
Usually private or semi-private rooms along a common hallway
Often a communal bathing area
Common areas where residents gather to socialize
nursing homes
- intermediate care (long term)
- chronically ill
- ADL assistance
- increased focus on rehabilitation or restorative care
- skilled care (short term) or skilled rehabilitation care
- acute care for illness and injury
- some facilities provide both in separate areas of the facility
levels of nursing home care
Separate areas for special needs
- rehabilitation
- dementia care
- onocology
- ventilator-dependent
- pressure ulcers
- traumatic brain injury
special care units (SCUs)
Provide residents with limited assistance with
- personal care
- medication administration
- transportation
- meals
- housekeeping
- often live in small apartments with a kitchen, bathroom, living area, and a bedroom
- common area for socialization
assisted-living facilities
Provide a continuum of care by including facilities for: -independent living -assisted living -nursing home care on the same campus
continuing care retirement communities (CCRC)
As residents become less independent, they are able to stay within the ____ to obtain the care needed
-may also include restaurants, facilities for worship, and health centers
CCRC
Community supported facilities that provided shelter for those without means of supporting themselves
-early 1900s: homes for the aged, rest homes, convalescent homes
poorhouses
Retired or umemployed were entitled to receive a pension
Social Security Act of 1935
Nursing homes began as _____ that hired nurses
boarding homes
One that is owed by a company or organization that is operating the facility as a business with intentions on making a profit
for profit facility
Owned and operated by a service organization like a church or charitable group, its primary focus is to fulfill a community need
non-profit facility
Independently owned and operated
free standing facility
Owned and operated by a corporation that owns multiple facilities
chain facility
As a result of the Social Security Act, older people who were retired or unemployed were entitled to receive a ____, (regular cash payments) from the government
pension
1965: president Lyndon B. Johnson signed ____ and ___ programs into law
medicare and medicaid
Late ____ and ____, new for profit nursing homes were built
- smaller independent facilities were bought leading to chain facilities
- quality of care provided in many nursing homes were poor
- aides not required to receive formal training
1960s and 1970s
As a result of ___ and ___ programs, more people could afford long term care
medicare and medicaid
In the 1980s, ____ of ____ studied nursing home care
Institute of Medicine
- improved quality of life for residents in nursing homes
- care required to take into account residents physical, emotional, spiritual, and social needs
- sets standards for physical environment and training and evaluation of nursing assistants
Omnibus Budget Reconciliation Act 1987
____ standards increased cost to nursing homes
- hospitals discharged patients sooner and sicker
- less expensive to care for sicker people in nursing homes than in hospitals
- certification for skilled care sought by nursing homes
- sub-acute care facilities emerged
OBRA
In the ____s, president Clinton signed the Balanced Budget Act
- funding cut for Medicare program
- prospective payment system (PPS) for Medicare reimbursement
- assisted living facility as an alternative to nursing homes
- currently home care as an alternative
1990s
A $116.4 billion cut in funding for the Medicare program over 5 years time, largest cut in Medicare history
Balanced Budget Act
In 2000 developed several models for long term care, these models are known as _____
Pioneer Network
Pioneer Models for Culture Change
In this model, each residents personal history is used as the basis for an individualized plan of care
individualized care
This model fosters a sense of community within a facility among residents, staff, families, and volunteers
regenerative community
This model focuses on the idea of creating a neighborhood
resident directed care
This model also focuses on created a sense of community, the surroundings are designed in a way to support life and eliminate loneliness, helplessness, and boredom
The eden alternative
An ongoing process that focuses on changing attitudes, goals, and practices in order to improve the long term care environment and the way care is delivered
culture change
All types of _____ facilities must follow the requirements of:
- OSHA
- FDA
- Centers for Diseases and Control Prevention (CDC)
- OBRA
long term care
Federal OBRA laws apply only to _____
nursing homes
- make sure that facilities are following OBRA regulations and meeting government standards
- centers for medicare and medicaid services (CMS) responsible for monitoring nursing homes
- government payment for services depends on facilities meeting the standards
survey
Government agency responsible for monitoring nursing homes to make sure that they are following OBRA regulations and meeting the governments standards
Centers for Medicare and Medicaid Services (CMS)
- nursing homes must make their most recent survey results available
- CMS posts survey results on the internet
- nursing assistants role important to ensure positive survey results
federal OBRA laws
Grants accreditation to CCRCs, as well as to some other types of organizations that provide long term care services
Continuing Care Accreditation Commission (CCAC)
Assisted living facilities and nursing homes are regulated by the ____
state
Licensure for long term care, facilities must undergo an ____
inspection
Begins when the person is hospitalized and ends when the person has not received any skilled health care services, either in hospital or nursing home
benefit period
- needed for participation in the medicare and medicaid programs
- inspections
- federal and state regulations
certification
