Potpourri Flashcards

1
Q

Population trends

A
  • > 85 most rapidly growing segment of population
  • > 65 = 20% population by 2030
  • Decreased M&M = increased oldies
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2
Q

Young old

A

65-74

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3
Q

Middle old

A

75-84

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4
Q

Old, old

A

85+

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5
Q

Oregon elders demographics

A
  • 67% live with relatives
  • 28% live alone
  • 4% in group homes
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6
Q

Adult day care

A
  • Supervised congregate activities

- May have medical, social and rehab aspects

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7
Q

Assisted living

A
  • Apartment style living

- Unskilled & skilled staff on site

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8
Q

Skilled nursing facility

A
  • Covered by medicare part A
  • Short & long term care
  • Rehab, nursing, wound tx, IV tx included
  • Post hospital care or medically complex
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9
Q

Rehab facility

A
  • Offer broad range of services, including OT, PT, ST

- Focus on getting patient better to take over self care

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10
Q

Terminal pt care

A
  • Home based care most common, family & skilled care
  • Hospital care- not routine, for acute illness
  • Inpatient- SNF high level medical care with skilled staff
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11
Q

Predictors of nursing home admit

A
  • Decline in function
  • ADL impairment
  • CVA, DM, parkinsons
  • Cognitive dysfunction
  • Inadequate ability of caregivers
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12
Q

Goals of nursing homes

A
  • Safe envt
  • Restore, maintain fxn
  • Maximize autonomy & QoL
  • Facilitate transitions
  • Provide comfort
  • Stabilize and delay progression of chronic conditions
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13
Q

Caregivers- Role

A
  • 29% US adults serve as unpaid caretakers
  • Parents, spouse, children
  • Mostly women, > 10 hrs/ wk of care
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14
Q

Cargivers- Resources

A
  • Aging & disability resource connection (ADRC)
  • DHS
  • ADA
  • Oregon Lifespan Respite Care
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15
Q

Caregiver fatigue

A
  • Higher rates of chronic disease, increased morbidity
  • Validate their role, listen to their needs
  • Recognize/ address signs of distress
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16
Q

Medicare coverage

A
  • > 65 YO or designated disability > 2 yrs
  • Part A: Hospital insurance, labs, surg
  • Part B: Outpt, DME, Home health, preventative
17
Q

Medicaid coverage

A
  • Based on income and need
  • Benefits controlled at state level
  • Cover inpt, otpt, screening tests, home health, nursing, labs, transportation
18
Q

Medicare doesn’t cover:

A
  • Long term care
  • Dental
  • Eye exam for glasses
  • Dentures
  • Cosmetics
  • Acupuncture
  • Hearing aids
  • Routine foot care
19
Q

Medicaid doesn’t cover

A
  • Dental
  • Podiatry
  • Optometry
  • Hospice
  • OT, PT
20
Q

Advance directive

A
  • Legal document
  • Appoints healthcare power of attorney
  • Wishes for end of life tx and care
21
Q

DNR

A
  • Medical order written and signed by physician
  • No CPR
  • Meds, nutrition allowed
22
Q

DNI

A
  • No breathing machine/ tubes

- Chest compressions allowed

23
Q

Conservatorship

A
  • Court appointed guardian to manage financial, life affairs

- Mental capacity diminished, by physician

24
Q

Death with dignity

A
  • Dispense schedule II drugs to hasten impending death
  • Narrow definition
  • Pt must be able to complete drug intake
  • Physican ordered
25
Q

POLST

A
  • Medical order for end of life emergency care
  • CPR
  • Medical interventions
  • Nutrition
  • Not for healthy patients- use advance directive
26
Q

Elderly food insecurity

A
  • Higher risk of chronic disease, cognitive changes
  • 10-15% adults
  • Southern, hispanic & blacks most at risk
  • SNAP available > 60
  • Meals on wheels