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groups of people who use long term care
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.
activities of daily living- a persons ability to function independently
- maintaing cotinence
- getting out of a bed or chair
integration of organizations offering services at the same level of care
ex: chain of nursing facilities owned by a national firm
intregation of services between similiar services between different levels in such a way as all share responsibility for the care given.
intergration of organizations offering services at different levels of care
combinations of hosptials, nursing facilites.
changes that have effected LTC
- bad advertising
- competing for consumers
- improvement of medicine
payment system that has contributed to "sicker and quicker" discharges
diagnostic related groups (DRGs)
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.
What CON stands for and what it is
certificate of need
programs were designed to reduce the amount of expansion of healthcare facilites.
strain or load borne by a person who cares for an elderly, chronically ill, or disabled family member or other person.
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.
Subjective caregiver burden
how caregivers feel about their roles
caregiver's tasks or activities
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
symptoms of caregiver burden or burnout
- changes in appetite
- weight loss
- increased alcohol and drugs
- increased stress
Who utilizes the most LTC services
What is utilized more-community LTC services versus nursing home services
- right to choice, anti-gov control, and individual responsibility
- customer service
- reimbursement driven system
- inequitable distribution of services
- mix health and social services