chp 8

Department of Veterans Affairs (DVA) roll, size, services and patients

largest integrated Healthcare System in the US. provides Health Care inactive members of the military and Armed Forces. approximately 6.1 million people.

LTC

long-term care must be 90 days or more

Continuum of Care

philosophy that the Healthcare System should facilitate and individuals care from Independence to dependence

Activities of daily living (ADL)

basic activities such as Mobility, eating, toileting and dressing

instrumental activities of daily living (IADL)

activities like managing money, telephoning, grocery shopping and personal shopping

Adult Day Care

allows clients to receive LTC services in a senior or other Center for part of the day

Respite Care

allowing caregivers to have a break or vacation from impaired person

Assisted Living.

home or apartment like living that allows for Independent activities like cooking and bathing and also provide care like medication

unpaid long-term care providers? who are they

family members & friends

power of attorney / guardianship

the appointed family member or friend makes all the health decisions for elderly person.

spending down

redistributing assets so that the individual will be Medicaid eligible

LTC funding sources

the government / Medicare only pays for it if they spend down for the first 20 days. also private funding

Home Health Care

when a nurse to attend to you at your house. The Man became to increase in 1980 because of Technology, shortest stay at hospital. Funding comes from both Federal and personal dollars

Define long-term care

providing Healthcare Services to a person for more than 90 days

what are the main characteristics of people in LTC

people that need help performing activity of daily living.

which group is the largest group of caregivers

the unpaid caregivers

what do the activities of daily living measure?

whether or not a person needs long-term care and to what degree

what are the instrumental activities of daily living

managing money, telephoning, grocery shopping, transporting, housekeeping, and managing medications.

what are the most common types of LTC organizations

community, Hospital, nursing homes and assisted living

what is the most common source of nursing home revenue

Medicare / Medicaid reimbursement

through what process do people in nursing homes become qualified for Medicare

financing and spending down

Aging in place

allows the Aging couple to stay in their living situation while growing older with increasing levels of personal and medical assistance