Final

Question 0

Purpose was to provide federal old age assistance to the elderly who lived at home or with others.

What year?

Answer 0

Social Security Act

1935

Question 1

imposed the first legal responsibility on society to care for the aged and sickly.

What year?

Answer 1

Elizabethan poor laws

1601

Question 2

Withheld aid to older ppl who lived in public institutions.

What year?

Answer 2

Social Security Act

1935

Question 3

a health insurance program administered by the Social Security Administration

Answer 3

Medicare

Question 4

What is the difference between part A and part B of Medicare?

Answer 4

A - Hospital Insurance

B- Supplemental medical Insurance

Question 5

This part of Medicare is financed through payroll deductions and employer contributions to a health insurance trust fund

Answer 5

A

Question 6

This part of Medicare is a voluntary program.

What does it require?

Answer 6

B

The older person must pay a monthly premium

Question 7

What does the federal government do regarding part B of Medicare?

Answer 7

they match the premium out of general tax revenues

Question 8

what is the coverage like for long term care under part B of Medicare?

Answer 8

limited

Question 9

These were implemented by Medicare to help control healthcare costs

When?

Answer 9

Diagnostic Related Groups (DRGs)

1983

Question 10

How do DRGs work?

Answer 10

they link Medicare hospital reimbursement with average length of stay, principle diagnosis, and types of procedure performed

Question 11

what is the main problem with DRGs?

what does this problem cause?

Answer 11

They don’t take into account individual differences in terms of severity of illness, available recourses, n number of hospital stays

hospitals decrease length of stay so ppl are released quicker and sicker

Question 12

What does OBRA stand for?

When was it developed?

Answer 12

Omnibus Budget Reconciliation Act

1987

Question 13

What was OBRAs goal for nursing homes?

Answer 13

to provide an environment with the highest level of physical, mental and psychosocial well-being for residents

Question 14

a when did every state have to follow OBRAs regulations?

Answer 14

Oct. 1990

Question 15

The focus of this program is to evaluate resident care outcomes and to de-emphasize review of structural measures of quality of care (policies and procedures)

Answer 15

OBRA

Question 16

What do OBRA regulations specifically address?

Answer 16

QOL

Question 17

What was the life expectancy in:
1900
1992
1996
2004

Answer 17

47. 3
48. 7
49. 1
50. 9

Question 18

whats the difference bw men n women’s life expectancy in the mid 80s?

Answer 18

women had a longer life expectancy at 78.4/71.5

Question 19

How much longer do whites live compared to blacks?

Answer 19

6yrs

Question 20

genotypic aging

Answer 20

primary aging

Question 21

phenotypic aging

Answer 21

secondary aging

Question 22

factors such as stress and poor nutrition speed up the aging process

Answer 22

secondary aging

Question 23

natural degenerative process by all species

Answer 23

primary aging

Question 24

what is the most highly regarded theories on biological aging? explain it.

Answer 24

cellular aging theory | decline in cells ability to replicate

Question 25

pressure sores

Answer 25

decubitus ulcers

Question 26

what is the most common ailment i older ppl?

Answer 26

arthritis

Question 27

this affects 48% of ppl over 65yrs old

Answer 27

arthritis

Question 28

disease of the connective tissue, joint inflammation, redness, swelling, and tenderness

Answer 28

rheumatoid arthritis

Question 29

thickening and loss of elasticity in the arteries

Answer 29

arteriosclerosis

Question 30

deposit of fatty material in the arteries

Answer 30

atherosclerosis

Question 31

MI

Answer 31

heart attack

Question 32

CVA

Answer 32

cerebrovascular accident (stroke)

Question 33

the closing or blocking of the vessel by a free-floating clot formed somewhere else in the body

Answer 33

embolism

Question 34

a weak artery wall breaks, allowing blood to flow freely to other tissues and increasing pressure on them

Answer 34

hemmorages

Question 35

numbness or weakness in face, sudden confusion, aphasia, trouble seeing, trouble walking, dizziness, severe headache

Answer 35

CVA

Question 36

clouding effect of the eye lens

Answer 36

cataracts

Question 37

pressure on the eyes due to fluid build up

Answer 37

glaucoma

Question 38

domiciliary care home

Answer 38

group home for the elderly, licensed to meet certain program needs

Question 39

state all four benefits of Evidence-based practice

Answer 39

1. improve QoC 2. improve SOP and result in fewer variations in practice 3. Provide cost savings because interventions are supported by evidence 4. Improve outcomes in general

Question 40

why was the N.E.S.T. approach developed?

Answer 40

to decrease dependence of psychopharmaceutical means of behavior control among ppl with dementia

Question 41

What does N.E.S.T. mean?

Answer 41

N - "needs" of the individual with memory loss E - "environment" of the person in distress S - "stimulation," for appropriate levels of stim and rest T - "technique" and approaches used by caregivers

Question 42

what are 4 cognitive problems for ppl w dementia?

Answer 42

memory impairment difficulty w problem solving and decision making language problems confusion

Question 43

6 behavioral problems for ppl w dementia

Answer 43

``` apathetic psychiatric physical nonaggressive physical aggressive verbal nonaggressive verbal aggressive ```

Question 44

the most common type of dementia

Answer 44

Alzheimer's

Question 45

how many ppl in the US have Alzheimer's | how many new dxs each yr?

Answer 45

over 4M | over 250K

Question 46

what does Alzheimer's affect?

Answer 46

``` intellectual functioning memory judgment personality performance of ADLs ```

Question 47

What r the three stages of Alzheimer's?

Answer 47

Early intermediate later

Question 48

which stage of Alzheimer's? severe deterioration of physical/intellectual functions, loss of language, loss of bowel/bladder control, inability to walk or complete ADLs

Answer 48

later stage

Question 49

which stage of Alzheimer's? | loss of recent memory, language and mood problems

Answer 49

early stage

Question 50

which stage of Alzheimer's? | more memory loss, additional language problems, may be physically aggressive

Answer 50

intermediate stage