Overview of Long Term Care
These are the 3 major types of long term care settings.
Nursing homes
Assisted-living facilities
Continuing care retirement communities (CCRCs)
These were community-supported facilities that provided shelter for those without the means of supporting themselves.
What were poor houses?
The cost of the average nursing home in the USA per month
What is $6000+?
A person with this problem has issues with memory, especially short-term memory, difficulty communicating, problems with judgment, and confusion
What is dementia?
The number of pillows of you will need for this skill
4
This care is provided for people who are chronically ill or disabled and need assistance with the daily activities of living (ADLs)
What is intermediate care?
These provided housing, meals, and possibly other services for a fee.
What were boarding houses?
10. True or False? Most of the residents of nursing homes are 65 years and older.
False. Most of the residents of nursing homes are 85 years and older.
This is a temporary state of confusion and often a sign of an underlying disorder such as an infection.
What is delirium?
The order in which you place pillows for this skill
Tell me :)
This type of care is provided for people who have recently required some type of acute care for an illness or injury
What is skilled care?
This law ensured that nursing homes had to account for the residents’ physical, emotional, spiritual, and social needs, there were set physical environment standards, and there were set standards for the training and evaluation of the nursing assistants who worked in nursing homes.
What is the Omnibus Budget Reconciliation Act of 1987?
This is when there is more than one medical condition at the same time in the same person.
What is a co-existant medical condition?
The most common form of dementia
What is Alzheimer's?
This is why we place pillows between the bony prominences.
To prevent skin breakdown
This type of care has separate areas designed to meet the needs of residents with specific types of disorders such as Alzheimer
These were the ways that the chronically ill, elderly or disabled people were cared for in the past.
By friends and family, poor houses, and boarding homes
This is a cognitive impairment.
Problems processing, learning, or remembering information
True or False?A person diagnosed with Alzheimer disease has damage to the blood vessels in his or her brain causing parts of the brain tissue to die.
False: Rationale: In people with vascular (multi-infarct) dementia, damage to the blood vessels in the brain blocks the flow of oxygen and nutrients, causing parts of the brain tissue to die.
This is how often a nursing assistant should ensure that every resident's position is changed.
What is every 2 hours?
This type of environment provides residents with limited assistance with tasks such as personal care, medication administration, transportation, meals, and housekeeping. Residents live in small apartments with kitchen, bathroom, living room and bedroom. Most facilities have a community dining room for meals and socialization.
What is an assisted living facility?
True or False? Local agencies such as public health departments ensure nursing homes are meeting OBRA Guidelines
Rationale: Routine inspection (surveys) by the Centers for Medicare & Medicaid Services (CMS) ensures nursing homes are meeting OBRA guidelines. Local health departments may also have a role in checking to make sure that the facility is providing care according to state or federal standards but don’t ensure OBRA guidelines are met.
14. True or False? Admission to a nursing home can be an easy transition for family members of the resident.
False: Rationale: Adjusting to admission to a nursing home can be difficult family members. It involves coping with many changes, accepting losses, and adapting to new roles and relationships.
List at least 5 behaviors commonly seen with dementia patients or residents.
Wandering
Pacing
"Sundowning”
Rummaging
Delusions
Hallucinations
Agitation
Catastrophic reactions
Repetition (perseveration)
Inappropriate sexual behavior
BONUS: Pick a question for tomorrow's quiz.
You pick!