Week 8 - Special Topics Impacting Older Adults

Question 1

Health promotion in older adults should include…

Answer 1

• Wellness visits
• Medication reconciliation
• Immunizations
• Screenings

Question 2

Elder Abuse

Answer 2

A single, or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress to an older person

Question 3

Types of Elder Abuse

Answer 3

1. Physical
2. Psychological
3. Sexual
4. Financial
5. Neglect (doesn’t include self-neglect)

Question 4

Elder self-neglect

Answer 4

Most common form of elder mistreatment. Includes:
1. Hoarding
2. Hygiene
3. House in need of repair
4. Unsanitary conditions
5. Inadequate utility

Question 5

Risk factors for elder abuse

Answer 5

1. Poor health
2. Functional dependence
3. Cognitive impairment
4. Substance abuse
5. Mental illness
6. Financial dependency

Question 6

Medicare Part A covers…

Answer 6

• Hospitalization (pt pays $1300 deductible) – physician visits billed under part B
• Post-acute rehab (SNF – 3 hours rehab per day - up to 100 days total w/copay)
• Home Healthcare (nurse visits, PT, OT, Speech, social work, health aide) – for 60 days
• Hospice – certified by 2 physicians and patient foregoes curative treatment
• Durable medical equipment

Question 7

Medicare Part B covers…

Answer 7

Professional fees (clinician visits)
Outpatient services
- Surgery (20% copay)
- Lab tests
- Diagnostic tests

Question 8

Medicare Part C covers…

Answer 8

Medicare advantage plans – medicare pays a sum per person per month to cover all services for enrolled members

Question 9

Medicare Part D covers…

Answer 9

• Covers prescription drugs
• Donut coverage

Question 10

Medicaid

Answer 10

Covers long term care for Medicare patients once they have exhausted their own resources

Question 11

Secondary payers

Answer 11

Medicap – covers what medicare does not, usually has annual cost at least $2000