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Exam 3 Prep > Healthcare Delivery Systems > Flashcards

Healthcare Delivery Systems Flashcards

1
Q

Extended care facilities usually care for someone for how long?

A

Over a month

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2
Q

Hospital lengths of stay have increased in recent years.

True or false?

A

False

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3
Q

What provides custodial care for people who can’t live on their own but aren’t sick enough for hospitalization?

A

Nursing Homes

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4
Q

What specifically does a nursing home provide?

A

Provides a room, custodial care, and recreation

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5
Q

What does a rehabilitation center provide?

A

Extended care for people with physical and mental illness

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6
Q

Rehabilitation Center services can be inpatient, outpatient, or a combination of both.

True or false?

A

True

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7
Q

Custodial Care =

A

Help with ADLs

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8
Q

Skilled Care =

A

Wound care, infusions, ongoing monitoring of care, etc.

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9
Q

What are the 2 main types of care that Skilled Nursing Facilities provide?

A

Skilled Care
Custodial Care

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10
Q

The goal of Assisted Living is to-

A

Bridge the gap between institutionalization and independence

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11
Q

At what kind of facility does a nurse have a limited presence?

A

Assisted Living Facillities

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12
Q

At Assisted Living Facilities,
Residents are able to =
But require assistance with =

A

residents are able to = Perform self-care

But require assistance with = Meals, housekeeping, education

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13
Q

Ambulatory Care Centers =

A

Private health and medical offices, clinics, and outpatient therapy centers. Low-cost retail clinics in shopping centers, pharmacies, etc.

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14
Q

Typically, Ambulatory Care Centers only treat-

A

Common ailments and refer serious illnesses to specialists.

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15
Q

Chemotherapy and outpatient surgery are both examples of-

A

Ambulatory Care

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16
Q

Home Health Agencies provide-

A

Continuing care to patients after hospitalization

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17
Q

Home care is provided when patients are-

A

Homebound/ unable to get to ambulatory care centers.
The client prefers to receive care in the home (particularly in terminal illness).
When a client still needs skilled care but is discharged from the hospital because reimbursable length of stay has expired.

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18
Q

Community/ Public Health Centers provide-

A

Services to the community at large, at-risk populations

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19
Q

Where may Community/ Public Health Centers be available?

A

Churches, schools, shelters, workplaces, public clinics, etc.

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20
Q

Independent Living Facilities are designed for seniors 55 or older who are-

A

Independent in all aspects + want to live in a community with other senior citizens.

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21
Q

The benefits of Independent Living Facilities include-

A

No responsibility of home ownership (lawn work, home repairs,etc.)

Access to structured activities, transportation arrangements, fitness centers, pools, and quiet environments.

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22
Q

What may nurses provide at Independent Nursing Facilities?

A

Periodic health screenings & health information

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23
Q

On a basic level, care is categorized by degree of complexity into-

A

Primary, secondary, and tertiary care

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24
Q

Health promotion, preventative services, health education, and screening for the early detection of health problems are all examples of -

A

Primary care

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25
Q

Diagnosing and treating illnesses, disease, and injury are all examples of-

A

Secondary Care

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26
Q

Long-term rehab services and care of the dying are both examples of -

A

Tertiary care

27
Q

End of life care promotes-

A

Comfort, the maintaining of quality of life, the promotion of dignity, and the ease of the emotional burden of death.

28
Q

If you’re terminally ill, you have a disease that-

A

Can’t be cured, and it will eventually lead to your death

29
Q

MDs and DOs are both-

A

Physicians

30
Q

What’s the role of a physician?

A

To treat disease and illness through medical + surgical services.

31
Q

Physicians that only provide care in hospitals are referred to as-

A

Hospitalists

32
Q

Why are more physicians choosing to be hospitalists?

A

Because of the guaranteed salary and limited practice hours

33
Q

A Physician’s Assistant (PA) =

A

Diagnose + treat certain diseases and injuries. Must practice under a physician

34
Q

PAs function like nurse practitioners, but they are not-

A

Independently licensed

35
Q

Nursing Assistive Personnel (NAP) =

A

Describes nursing assistants, aides, and technicians in a variety of settings.

36
Q

What does a NAP provide?

A

Custodial care under the direction of doctors and nurses

37
Q

PT=

A

Physical Therapist

38
Q

OT =

A

Occupational Therapist

39
Q

RT =

A

Respiratory Therapist

40
Q

SLT =

A

Speech & Language Therapist

41
Q

What do Lab Techs examine and why?

A

Blood, urine, tissue, and other bodily fluids to aid in diagnosis and treatment of patients

42
Q

EMT =

A

Emergency Medical Technologist

43
Q

What does an EMT do?

A

Work for ambulance and transport services to stabilize + transport injured and ill clients

44
Q

RD =

A

Registered Dietician

45
Q

Who prepares and dispenses meds in various healthcare settings?

A

Pharmacists

46
Q

Pharmacists provide-

A

Education about meds. Contraindications, side effects, adverse reactions, etc.

47
Q

Social Workers provide-

A

Psychosocial support + patient services throughout the healthcare field to coordinate continuity of care.

48
Q

Social Workers can council clients on-

A

Financial, housing, marital, and family issues affecting healthcare

49
Q

Social Workers identify-

A

Patient needs for community based support and help arrange for services after discharge

50
Q

Chiropractors, Naturopaths, and Herbalists are all examples of-

A

Alternative Care Providers

51
Q

Spiritual Care Providers may work at-

A

Healthcare facilities or may be available on-call

52
Q

Medicare, Medicaid, CHIP, and Specialty & Categorical Programs are all examples of-

A

Government (Public) Financing

53
Q

Government healthcare coverage that provides for children who may not meet Medicaid’s requirements but need healthcare coverage =

A

CHIP (Children’s Insurance Program)

54
Q

Government healthcare coverage for a client who meets eligibility requirements based on the client’s income in relation to the poverty level =

A

Medicaid

55
Q

Government healthcare coverage for a client who’s 65 or over, under 65 with disabilities, or any age with End Stage Renal Disease (ESRD) =

A

Medicare

56
Q

Specialty Programs =

A

Healthcare to veterans

57
Q

The most prominent accrediting body to ensure that entry-level programs prepare personnel to deliver safe care =

A

The Joint Commission (TJC)

58
Q

DRGs =

A

Diagnoses Related Groups

59
Q

The introduction of DRGs forced hospitals to-

A

Consider new ways of delivering care + Created a number of changes in patient care

60
Q

The introduction of DRGs caused what changes to occur?

A

The length of stays in hospitals to decrease, the costs of managing large facilities to increase, a reduced staffing and a more stressful environment for nurses, service availability decrease, etc.

61
Q

Managed Care is designed to-

A

Control healthcare costs

62
Q

How do providers & facilities ensure quality care?

A

Continuous quality improvement programs, audit programs, peer reviews

63
Q

Form of negotiating that allows nurses to seek better wages and working conditions as a group rather than individually =

A

Collective Bargaining

64
Q

Divergence between high-tech and high touch care is a-

A

Challenge in healthcare

Exam 3 Prep (11 decks)

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