Community Flashcards
(37 cards)
What are Community Hospitals?
Local Hospitals staffed mainly by nurses/PT/OT
Medical cover by ANPs and consultants visiting twice weekly
Often focuses on rehabilitation, subacute, and EOL care
What is Rehabilitation?
Set of interventions designed to optimise functioning and reduce disability in individuals with health conditions in interaction with their environment
Name four examples of different rehabilitation
Exercise to improve speech
Fitting and Education on a Prosthesis
Reducing Stiffness for a child with CP
Psychological support for depression
Name four benefits of Rehabilitation
- Reduces impact on a broad range of conditions
- Complements other interventions to ensure the best possible outcomes
- Slows down effects of Chronic Health Conditions
- Helps avoid rehospitalisation and reduces stay
Define Integrated Care
Range of services to promote faster recovery from illness and prevent rehospitalisation
Define ‘Home from Hospital’
Short term post discharge care at a more intensive level than district nursing
Define Rapid Responsive Scheme
Aims to support user in own home to prevent readmission
e.g PEG tubing, IV therapies, Catheter replacement
Define Step Up/Step Down
Usually a residential or nursing home
Aims to prevent hospital admission or speed up discharge from hospital
Define Stroke Schemes
Delivered by MDT often in patients own home
Schemes are often longer than traditional rehab schemes
What is NHS Continuing Care?
Some people with long term complex health needs qualify for free social care arranged and funded solely by the NHS
NHS Continuing Care requires an MDT assessment of needs with review every 3 months. What are they assessing?
Breathing Nutrition Continence Skin Mobility Cognition Consciousness
How is NHS Continuing Care Eligibility sorted?
Each marked: Priority/Severe/High/Moderate/Low/No Needs
To be eligible there needs to be a priority or severe in at least two different areas
If not eligible - may be eligible for NH funded nursing
What is Discharge to Assess?
When patients are clinically optimised and don’t require an acute hospital bed but may require services to be discharged
Assessment for longer term care is done at right time/right place for patient
What are Residential Care Homes?
Care provided 24 hours a day by trained care assistants
Residents are normally elderly and need for care is associated with degenerative changes
What are Nursing Homes?
Care provided 24h a day by Registered Nurses who are supported by care assistants
All require some form of nurse care
Typically more expensive
What is Interim Care?
Care arranged for children on short term temporary basis in situations where safety and well being are at risk
Name three types of carer support
Carers Assessment
Carers Allowance
Underlying Entitlement
What is Carers Assessment?
Assessment of the career by adult social services to see how they can make their life easier (eg free gym membership, taxi refund)
What is a Carers Allowance? Who qualifies?
£64.50 a week allowance
> 16
Caring >35 hours a week
Not in full time education
Earning less than £128 a week
What is Underlying Entitlement?
For carers who don’t qualify for Carers Allowance, but still may be entitled to some means tested benefits (eg council tax reduction)
What is Disability Living Allowance?
Income for families who care for a disabled child
Up to £145 a week
In terms of carers, what is a Home Assessment?
From adult social services, looks at any adjustments to the home that might need to be made
If under £1000 the government has to pay
How can carers under 16y be helped?
School monitoring (checking in at breaks etc)
Child line
Kids + (organisation allowing young carers to meet)
What is important to ensure you have as a carer?
A contingency plan incase the carer is admitted
May carry an emergency carer card
