Kevin Vu
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Exam 2 PPT slides - Long Term Care

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Exam 2 PPT slides - Long Term Care

Question 1 of 19

1

LTC is the health care services provided to the senior citizens of our society (aged, elderly, senior, older adults, chronic disease, rehabilitation, terminal illness).

Select one of the following:

  • True
  • False

Explanation

Question 2 of 19

1

The Long-Term Care Continuum as a part of the CCRC [Continuing Care Retirement Community] (check all that applies) - (slide 7)

Select one or more of the following:

  • Independent Living

  • Assisted Living

  • Skilled Nursing

  • Home Care/Nursing Care

  • Hospice

Explanation

Question 3 of 19

1

Long term care determinants of type of care received are: (check all that applies)

Select one or more of the following:

  • Level of disability

  • Availability of informal caregivers (family, friends)

  • Financial circumstances

  • Availability of public programs (Medicare, Medicaid)

  • Personal circumstances (cultural)

Explanation

Question 4 of 19

1

Long term care main risk factors for institutionalization includes: advanced age, medical condition (physical and mental), and living alone.

Select one of the following:

  • True
  • False

Explanation

Question 5 of 19

1

Which of the three type of nursing homes ownership is the largest?

Select one of the following:

  • Government and others

  • Voluntary nonprofit

  • Proprietary

Explanation

Question 6 of 19

1

Long term care ADLs (Activities of Daily Living) include the following except for:

Select one of the following:

  • Eating

  • Toileting

  • Continence

  • Bathing, personal hygiene, and grooming

  • Dressing

  • Walking & transfering

  • Writing and signing checks to pay bills

Explanation

Question 7 of 19

1

Long term care IADLs (Instrumental Activities of Daily Living) include the following except for:

Select one of the following:

  • Daily contact with relatives/close friends

  • Usually attends church, temple, synagogue

  • Finds strength in faith

  • Daily animal companion/presence

  • Involved in group activities

  • All of the following are a part of IADLs

Explanation

Question 8 of 19

1

CCRC (Continuing Care Retirement Community) are locations providing multiple residential and care types catering to caring for residents as their needs change

Select one of the following:

  • True
  • False

Explanation

Question 9 of 19

1

The following is true about ILF (Independent Living) except for:

Select one of the following:

  • May be as simple as senior apartments

  • Can be community oriented with some shared or centralized amenities potentially including meals

  • Minimal staff

  • Drugs & Pharmacy Services included

Explanation

Question 10 of 19

1

The following is true about "ALF" (Assisted Living) except for:

Select one of the following:

  • Combination of housing, personalized supportive services and health care designed to meet both scheduled & unscheduled needs of those needing help with activities of daily living

  • Residential facilities targeting individuals with a small number of ADL deficiencies

  • 24 hour staff

  • Meals included

  • Drugs & Pharmacy Services are included

  • Average 1.6 ADLs deficiencies/resident
    Average $3,293/unit/month (≈ $108/day)

Explanation

Question 11 of 19

1

The following is true about Nursing Homes except for:

Select one of the following:

  • Residential care facility serving patients with high number of ADL deficiencies

  • Highly regulated and typical location following acute inpatient stay

  • Minimum Data Set (MDS) and 24/7 care with skilled staff

  • Meals included

  • Drugs & pharmacy services included

  • All of these are true

Explanation

Question 12 of 19

1

Adult Day Services include, facility based, More supervision than care oriented, minimal ADL deficiency allow, little regulation and wide variance, average of $67/day

Select one of the following:

  • True
  • False

Explanation

Question 13 of 19

1

Hospice include: Care for terminally ill patients, care focused on comfort (“palliative”), services include focus on patient’s family, Drugs & Pharmacy Services included (facility based), and Hospice services can also be provided in a patient’s home

Select one of the following:

  • True
  • False

Explanation

Question 14 of 19

1

Hospice services can also be provided in a patient’s home

Select one of the following:

  • True
  • False

Explanation

Question 15 of 19

1

Medicare covers for only nursing facility and hospice. Covers up to 100 days (only if hospitalized for 3 or more days, enter LTC within 30 days of discharge, rehabilitation needed, and physician authorization). (age 65 or older, disabled, or end-stage renal disease)

Select one of the following:

  • True
  • False

Explanation

Question 16 of 19

1

Medicaid paid for covers only skilled nursing facility and home healthcare. (Elgibility differs by state and based on income and assets, "needs-based".

Select one of the following:

  • True
  • False

Explanation

Question 17 of 19

1

Private insurance covers the following except for:

Select one of the following:

  • Skilled nursing facilities

  • Assisted living facilities

  • Home health services

  • Adult days centers

  • All the above can covered by private insurances

Explanation

Question 18 of 19

1

It is a federal law enforced by Medicare for Drug Regimen Review (DRR) to be done monthly.

Select one of the following:

  • True
  • False

Explanation

Question 19 of 19

1

Counsulting in pharmacy in LTC includes the following except for:

Select one or more of the following:

  • Drug Utilization Evaluation (DUE)

  • Drug Utilization Review (DUR)

  • Drug Regimen Review (DRR)

  • Medication Reconciliation

  • All are part of consulting

Explanation