Long term Car Ch 38

Question 0

Long term care is defined by who as The provision of series to help people attain, maintain, and regain their optimum level of functioning In The following areas :

Answer 0

The american nurses association (ANA)

• physical
• psychological
• spiritual
• social
• economic

Question 1

Long term care

Answer 1

• various services provides to individuals having ongoing need for health care
• provides services to those not acutely ill, but cannot function independently at home
• may be licensed for intermediate or skilled nursing

Question 2

Setting for long term care

Least restrictive to most restrictive

Answer 2

• Home
• Community services (adult day care, hospice)
• assisted living
• continuing care retirement community
• institutional setting

Question 3

ADLs

Answer 3

Activity of daily livings

Question 4

Hospice

Answer 4

• provides services to patients and families as the end of like approaches
• maintaining comfort as death approaches
• provide ADLs, pain and symptom management; and spiritual and psychosocial support for the patient, family, and sig other
• care poi ideas include CNAs, HHAs, ect

Question 5

Adult day care

Answer 5

• protective setting for adults unable to stay home alone, but doesn’t exceed 24 hours
• services include:
  Socialization
  Rehab
  Nursing care
• designed to meet the needs of functionally or cognitively impaired adults through an individualized plan of care

Question 6

Continuing care retirement communities

Answer 6

• provide continuous care as individual’s health care needs change
• includes:
  Independent living
  Assisted living
  Short term or permanent health care

Question 7

Residential care setting

Answer 7

• primarily an older adult population offering a variety of services
• most popular are assisted living facilities and retirement communities

Question 8

Assisted living

Answer 8

• the adult patient rents a small one- bedroom or studio- type apartment and can receive several personal care services
• combination of housing and services for people who require help with ADLs
• nursing care NOT provides

Question 9

Instrumental activities of daily living (IADLs)

Answer 9

More compleat ADLs such as shopping and using telephone

Question 10

Palliative care

Answer 10

Extends the principles of hospice care to a broader population that has the possibility to benefit from comfort care earlier in their illness or disease process

Question 11

Subacute care

Answer 11

• Provides services for clients out of acute stage of illness but still requiring skilled nursing, monitoring, and ongoing treatments
• intended to fill gap between acute care hospital and traditional long term care facility

Question 12

Skilled nursing facilities

Answer 12

Most subacute units are located in freestanding skilled nursing facilities

Question 13

Long term care facility

Answer 13

• most dominant setting for long term care services
• commonly known as nursing home or extended care facility
• provides services to primarily older adults
• 24 hour care to individuals who don’t require inpatient hospital services but who don’t have options for care at home by other community agencies/ services
• becomes home for the older adult
• patients are referred to as residents
• most residents have more then one health disorder when admitted and more than half have three of more

Question 14

Two categories of long term care facility

Answer 14

1. Short term:
   Transferred from an acute care facility primarily for rehab and expected to be discharged within 6 moths
2. Long term:
   Usually stay in facility until he or she dies or is transferred to an acute care facility

Question 15

Different types of nursing in long term care facility

Answer 15

Team nursing
Functional nursing
Total resident care
Combination of above

Question 16

Role of LP/ VNs

Answer 16

• long term facilities offer many career opportunities
• may supervise evening or night shifts
• coordinate and supervise nursing assistants
• need good assessment skilled and nursing judgement based on assessment finding

Question 17

Respite care

Answer 17

-May be offered by long term facilities, adult day care centers or in private homes
- provides break to caregivers for a few hours each week, occasional weekends, or longer
- includes:
Supervision
Meals
Planned activities

Question 18

Foster care

Answer 18

• for individuals u able to live independently, but no not require care in health care facility
• similar to foster home concept or children

Question 19

Functional assessment

Answer 19

Cornerstone of clinical practice in the setting

Question 20

Resident assessment instrument (RAI)

Answer 20

OBRA prescribed the method of resident assessment and care plan development In and instrument called resident assessment instrument

Question 21

Minimum date set (MDS)

Answer 21

Provides a system for assessment of each resident’s functional, medical, mental, and psychological status on admission to a facility and at regular intervals thereafter

Question 22

OBRA

Answer 22

Omnibus budge reconciliation act
Of 1987
Also known as the nursing home reform legislation
Landmark law affecting long term care facilities

Question 23

Quality of life

Answer 23

Measure of the optimum energy or force that endows a person with the power to cope successfully with the full range of challenges he or she encounters in the real world