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groups of people who use long term care
- consumers
- providers
- families
- government
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IALDs
Instrumental Activities of Daily Living- activities that are instrumental for living independently in the community
preparing meals, shopping for routine items, managing money, and disease prevention.
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ADLs
activities of daily living- a persons ability to function independently
- eating
- bathing
- dressing
- toileting
- maintaing cotinence
- getting out of a bed or chair
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horizontal intergration
integration of organizations offering services at the same level of care
ex: chain of nursing facilities owned by a national firm
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Virtual intergration
intregation of services between similiar services between different levels in such a way as all share responsibility for the care given.
ex:
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vertical intergration
intergration of organizations offering services at different levels of care
combinations of hosptials, nursing facilites.
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changes that have effected LTC
- bad advertising
- competing for consumers
- improvement of medicine
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payment system that has contributed to "sicker and quicker" discharges
diagnostic related groups (DRGs)
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Hill Burton Act
built hosptials in underserved areas from the late 1940s until well into the 1960s. The act provided increases availability of hosptials in rural areas for non-profit. Made some nonprofit long-term care facilities eligible for construction funding.
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What CON stands for and what it is
certificate of need
programs were designed to reduce the amount of expansion of healthcare facilites.
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Caregiver burden
strain or load borne by a person who cares for an elderly, chronically ill, or disabled family member or other person.
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caregiver burnout
progression of caregiver burden to the point where the experience is no longer a viable or healthy option for either the caregiver or the person receiving care.
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Subjective caregiver burden
how caregivers feel about their roles
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objective burden
caregiver's tasks or activities
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cultural differences in socitiies that effect the amount of strain the informal caregiver feels
- look to women as caregivers
- may frown on outside help or even help from other family members
- expect children to take care of the parents
- some women dont work
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symptoms of caregiver burden or burnout
- changes in appetite
- fatigue
- weight loss
- isolation
- irriability
- increased alcohol and drugs
- increased stress
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Who utilizes the most LTC services
Medicaid
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What is utilized more-community LTC services versus nursing home services
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LTC strengths
- right to choice, anti-gov control, and individual responsibility
- customer service
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LTC weakness
- reimbursement driven system
- inequitable distribution of services
- mix health and social services
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