LTC test

  1. groups of people who use long term care
    • consumers
    • providers
    • families
    • government
  2. 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.
  3. ADLs
    activities of daily living- a persons ability to function independently

    • eating
    • bathing
    • dressing
    • toileting
    • maintaing cotinence
    • getting out of a bed or chair
  4. horizontal intergration
    integration of organizations offering services at the same level of care

    ex: chain of nursing facilities owned by a national firm
  5. Virtual intergration
    intregation of services between similiar services between different levels in such a way as all share responsibility for the care given.

  6. vertical intergration
    intergration of organizations offering services at different levels of care

    combinations of hosptials, nursing facilites.
  7. changes that have effected LTC
    • bad advertising
    • competing for consumers
    • improvement of medicine
  8. payment system that has contributed to "sicker and quicker" discharges
    diagnostic related groups (DRGs)
  9. 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.
  10. What CON stands for and what it is
    certificate of need

    programs were designed to reduce the amount of expansion of healthcare facilites.
  11. Caregiver burden
    strain or load borne by a person who cares for an elderly, chronically ill, or disabled family member or other person.
  12. 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.
  13. Subjective caregiver burden
    how caregivers feel about their roles
  14. objective burden
    caregiver's tasks or activities
  15. 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
  16. symptoms of caregiver burden or burnout
    • changes in appetite
    • fatigue
    • weight loss
    • isolation
    • irriability
    • increased alcohol and drugs
    • increased stress
  17. Who utilizes the most LTC services
  18. What is utilized more-community LTC services versus nursing home services
  19. LTC strengths
    • right to choice, anti-gov control, and individual responsibility
    • customer service
  20. LTC weakness
    • reimbursement driven system
    • inequitable distribution of services
    • mix health and social services
Card Set
LTC test
LTC test