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OA Test 2
Housing Options
| Question | Answer |
|---|---|
| Who do they live with? | Spouse – 54.5%; Alone – 30.4%; With another relative – 12.4%; With a non-relative – 2.6% |
| T/F Elders want intimacy at a distance. They want to be close to kids, but not with their kids. They want to come and go at their own terms. | True |
| Community Dwelling Elders – US Dept. of Health and Human Services, 2007….Where do older people live? | In Houses; Apartments; Nursing Homes; Assisted Living |
| What % live in Houses or Apartments? | Houses or Apartments: 90% - 20% get help from a support system |
| What % live in Nursing Homes? | Nursing Homes? 4.5%, numbers going up, but percentages going down. Due to improved health and functioning. Broader range of help with home care |
| What % live in Assisted Living? | Assisted Living? 5% |
| Where do they all WANT to live? | In their own home, but may not be safe anymore for them to live alone. |
| What Exactly is Long Term Care? | care that is long, doesn’t just begin in a nursing home, begins when cant do things anymore that you used to, need help from here on out. Family & friend support is also a type of long term care. |
| T/F Long term care health insurance now pays for in home care? | True |
| What do Geriatric Care Mangers do? | Geriatric Care Managers – new nursing specialty. Corrdinate long term care. Set up the services that people need to be able to stay in their homes. |
| Only 1 out of 5 who need them use community-based services! Why? | don’t know about them. Pride is another reason people don’t want them. Example….meals on wheels, how to get to grocery store delivery. |
| What are some barriers that may result in OAs not using community-based services? | Barriers: Cost...may be too expensive. Impersonal…don’t want someone helping that is not family. Many people except their family to take care of them. |
| Medicare may pay for some home health care. 3 day hospitalization required for people to get home health care to be covered. Have to have documented improvements in order to get home health….Give some documented ex? | wound getting smaller, activity getting better. |
| All other home health is ____? | self paid. Gets really expensive – 19 $/hr, more at night. 11,000 dollars a month. So may not be cheaper to stay at home rather than in a nursing home. |
| T/F Medicaid doesn’t pay for long term care. If very poor…then will pay for nursing home care. | True |
| What does aging in place mean? | Aging in Place – they want their house, their classes, their pets, their visitors. Basically they want to age were they have always resided. |
| When a person can no longer live alone – what happens then? | They get home health, Independent living; assisted living; skilled care; long term nursing home care; hospice; usually until they die |
| Life Care/Continuing Care Retirement Communities…Independent Living – Assisted Living – Skilled Care – Long Term Nursing Home Care…Get needs met until you die & involves ___ & is generally ___? | Involves moves, but only short distances – each move is traumatic. Generally very expensive, sometimes require large “buy-in” up front and additional monthly fees |
| With what type of living does services vary widely & Generally they must be able to get around on their own leg or wheel power? | Assisted Living |
| If an OA needs help with 3 or more services: Meals, transportation, laundry, grocery shopping, er support (lifeline) then they need? | Assisted Living |
| T/F With Asssisted living there is No consistent licensure or regulation required -- Varies from state to state; Missouri’s licensure is new – 2001 | True |
| Is assisted living covered by medicare? | Not covered by medicare |
| With what type of living do OA residents can get comprehensive care with all activities of daily living? | Nursing Homes |
| With what type of living do OA often must share a room? | Nursing Homes |
| With what type of living do OA generally residents have few choices? | Nursing Homes |
| With what type of living do OA over half of the residents have Alzheimers, sometimes dedicated wings? | Nursing Homes |
| What is the Eden Alternative? | a Nursing Home with regular interactions with kids, pets that live on site, and are involved in taking care of them. Gardening. Family atmosphere that make family like decisions such as naming a pet, planning party, or going to a party. |
| In order for an OA to live in a _____ the Elder must be getting better; High levels of interventions; IV meds, treatments; Physical therapy; Occupational therapy; Not just custodial nursing care? | Skilled Nursing Care |
| In order for an OA to live in a ____ they must be Doctor Ordered, strict state guidelines – are you getting better?? | Skilled Nursing Care |
| What living situation requires a 3 day hospitalization prior to admission for Medicare to cover? | Skilled Nursing Care |
| What are some other housing options for OAs? | Foster Care or Board and Care Homes; Shared Housing – Homesharing in KC; Homecare Suites – “Echo Housing”, Granny Suites, Granny Flats |
| Other Creative Options for OA living is Green Houses (not in text); what is it? | same as sorority or frat. Group of people that share house, and relish good food with good friends. Bake & cook. Can improve health and is cheaper than nursing home care. |
| T/F Rural Elders have fewer community services; fewer financial resources; strong bonds with family, church, & neighborhood; and lots of alternatives to nursing homes? | False Rural elders have fewer community services; fewer financial resources; strong bonds with family, church, & neighborhood; and FEW alternatives to nursing homes |
Created by:
cgwayland
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