Long Term Solutions Quiz

Formal

Informal

1. RN's are professional licensed clinicians

• 2. Personal Care assistants PCA's
• Home health aides HHA's

• 1. family members, friends, neighbors
• 2. community organizations like church

• 1. Home care
• 2. Home health care

• 3. Independent living facility - ILF
• 4. Continuing care retirement community - CCRC

• 5. Assisted living facility - ALF
• 6. Nursing facilities - can be skilled or unskilled

• 1. Dressing
• 2. Bathing
• 3. Transferring
• 4. Incontinence care
• 5. Toileting
• 6. Ambulating
• 7. Eating

• 1. grocery shopping
• 2. meal prep
• 3. laundry
• 4. house keeping
• 5. medication managemt
• 6. driving or transportation
• 7. answering telephone

• 1. You are independent
• 2. You are independent but need equipment
• 3. You need cuing or reminders
• 4. You need stand-by assistance
• 5. You need hands-on assistance
• 6. You need complete dependence (on someone else)

• 1. A reminder, A set-up, Administered into your mouth
• 2. Indication for the medication
• 3. Oxygen is a medication (CPAP)
• 4. Nebulizers

• 1. Independent: no one helps
• 2. Equipment: uses a equipment, list the equipmt they use to do the task
• 3. Supervision or Hands-on: list anyone who assists them

• 1. If there is a facility: write CNA
• 2. If there at home: write HHA
• 3. If there privately paid: write PCG (personal caregiver)

• * Also: list informal support: informal support means anybody who helps
• the insured in any way and is not being paid (friend, family, etc...)

• 1. Safely getting into and out of tub/shower, washing and drying off.
• 2. Does not include washing hair.
• 3. The bathing mode can be addressed separately depending on the
• insurer's requirements.

• 1. Safely getting, taking off, or putting on clothing
• 2. Shoes, socks, fastening under garments, buttons, zippers
• 3. Ted hose, prosthetics, braces

* Ask the client how do you normally dress

• 1. Safely putting food into mouth and swallowing (once it is in front
• of the person)

• 2. Does not include cutting the meat, pouring liquids, or meal
• preparation.

3. (Consider: tube feedings and parenteral nutrition)

1. Ability to safely maintain control of elimination functions

2. Includes stress incontinence, timing issues

3. Safe managemt of ostomies and catheters

1. Safely get to a bathroom or commode and all related hygiene.

• 2. (If having trouble removing clothing and undergarments afterwards,
• think about the activity of dressing....)

1. Safely get in and out of bed, chair or wheelchair.

2. (Consider all transfers: from lying to sitting, and sitting to standing).

1. Safely get from one area to another (indoor or outdoor).

2. If using furniture and walls: this reflects the need for equipmt.

3. Consider surfaces, even and uneven, stairs, ramps

4. Probe! How do they get to appointments, etc.

• 1. Any equipment or Durable Medical Equipment a person uses:
• 2. Ex's are: wheelchair, walker, cane, grab bars, hand held showers,
• raised toilet seats, shower chairs, chair lifts, scooters,
• ramps, stair lifts, grabbers/reachers

• 1. Assess pt's cognitive function using a standardized instrument as well
• as observational skills.
• 2. Mini mental state exam (Folstein Exam)
• 1. orientation
• 2. registration
• 3. attention and calculation
• 4. recall
• 5. language

1. They can get 10 points for answering questions about date & location.

2. Examples: What is the day of the week, what town are we in?

• 1. This will test immediate recall:
• 3 points can be scored for repeating words correctly.
• table, chair, floor

• 1. This tests their ability to concentrate.
• 2. It is one test scoring a maximum of 5 points.

• 3. Math: subtract 7 from 100 and continue 5x's.
• 4. Alternate test: spell "world" backwards.

• 1. This will test longer term recall: you get 3 points for
• remembering three items.

• 2. Recalling the words you originally asked you to repeat
• Ex. table, chair, floor.

1. Final 9 points test spoken and written language, the ability to write.