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Flashcards in Long Term Care Deck (29):
1

Where does the majority of LTC take place?

Home

2

What is the OAA and what do they do?

Older American Act
- Passed in 1965
- Postpone or avoid institutionalization for the elderly
- Meals on Wheels is one of the biggest parts the OAA

3

Define LTC

Long Term Care
A licensed facility which provides general nursing care to those who are chronically ill or unable to take care of Activities of Daily Living

4

What are ADL

Activities of Daily Living
Activities you do to someone:
1. Getting Dressed
2. Going to the Bathroom
3. Taking a Bath
4. Eating
5. Transportation Assistance

5

IADL

Instrumental Activities of Daily Living
Activities you do for someone (balancing their checkbook or cleaning their house)

6

Levels of Institutionalized LTC

1. Home Care
2. Assisted Living
3. Nursing Home
4. Skilled Nursing Facility
These can also have behavioral units

7

SNF

Skilled Nursing Facility (Rest Home)
It is a place of residence for people who require constant nursing care and have significant deficiencies with ADL

8

ALC

Assisted Living Facility
A housing alternative for elderly who may need help with ADL, but do not require the intensive care provided by nursing homes

9

SNU

Skilled Nursing Unit

10

EEOC

Equal Employment Opportunity Committee

11

Home Care Payers

1. Private Individual
2. Family
3. CMS
4. Commercial Insurance
5. Veterans
6. County Gov.

12

Adult Day Care Payers

1. Private Individual
2. Medicaid
3. Veterans

13

Assisted Living Payers

1. Medicaid
2. Commercial Insurance
3. LTC Plan
4. HUD

14

Skilled Nursing Payers

1. Private Individual
2. Family
3. CMS
4. LTC Health Plan

15

Hospice Payers

1. Families
2. LTC Health Plan
3. Veterans

16

Case Management Payers

1. Commercial Insurance
2. OAA
3. Title XX
4. County Gov.

17

Chronic Diseases

Arthritis
Diabetes
High Blood Pressure
Dementia
Alzheimers

18

Behavioral Unit

Closed areas to prevent patients from leaving or going into certain places

19

Respite Care

Care is provided for not only the person that needs it but the care giver

20

Hospice and Palliative Care

You can get hospice when a physician declares that you have 6 months or less to live
Palliative: Give care and comfort when close to death

21

Post Acute or Rehab Facilities

Can be transferred there 3-5 days after being in acute care to recover from a procedure or illness that occurred in acute care facility

22

Types of Therapy

Physical Therapy
1. Focuses on mobility and range of motion
Respiratory Therapy
1. Ventilator care (Mostly happens in the acute care setting)
2. Incentive spirometry: A respiratory therapists that comes and helps you to get breathing again after having surgery on your sternum
Occupational Therapy
1. Focused on fine motor movement
2. Getting you back to where you can function on a daily basis
3. The broadest in what it covers
Speech Therapy

23

Post Acute or Rehab Payers

1. Out of Pocket
2. CMS
3. Commercial Insurance

24

Geriatric

Giving care to an elderly person

25

HEW

Health Education Welfare

26

OBRA

The Omnibus Reconciliation Act
- Requires nursing home facilities to meet certain standards to qualify for CMS reimbursement

27

Six Different Classifications of Capital Projects

1. Mandatory replacement
2. Expansion of existing services
3. New services
4. Discretionary replacement
5. Other
6. Environmental Projects

28

Operational Challenges of LTC

1. Human Resources
2. Financing
3. Providing Health Insurance Benefits to Employees

29

Nursing Home Definition

A place for the care of the aged and infirm where no care of outpatients or surgery is undertaken