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ALH Midterm

Rehabilitative and Long Term Care Systems

35%-40% of PAs practice in Primary Care
Primary Care includes Family, General and Internal Medicine
PA specialty areas are surgery, pediatrics, and obgyn
Home Care provide care in patient's home and satisfy the desire some individuals have to remain at home as long as possible
The Aging of America aka The Silvering of America
Aging of America due to increased life span, disease prevention, vaccines
Home care settings Individual domicile, congregate housing, Assisted Living, Inpatient hospice, and Skilled Nursing Facility
Type of care needed by the elderly Medical, psychological, social and functional
Common health conditions in elderly chronicity, disability, neurocognitive, functional, hearing loss, loss of sight, weakness.
Most health care is supported by Medicare
Largest source of long-term care is unpaid family caregivers
Most family care givers are female
Emotional price of caregivers depression, stress, high blood pressure, cardiovascular disease, immune system dysfunction
Support services for caregivers are available
Home Care Organizations include home health agencies, home care aide organizations, hospices
Most Home care Organizations are ______ certified medicare
Most patients who have home care have chronic illnesses such as diabetes, heart disease, cancer, lung disease and cerebrovascular disease
Most recipients of home care are 85 years or older, female and in poor health condition
Remote care uses telephone lines and internet to link medical providers with patients. Can read ECG, glucose and insulin pumps
In hospice a physician MUST certify that the patient's life expectancy is < 6 months
Function of hospice make patients with terminal illnesses most comfortable. Health conditions and symptoms are continually being monitored
Focus of hospice patient dignity.
In hospice, clinicians must address BOTH medical, social and psychological needs of the patient
Black Bag symbol of medical provider. used to carry medical equipment and prescribed treatment in 1900's when doctors came to homes
Offices over delivered care physicians can help more patients, increased survivability, greater access to technology,and clean medical environments
Pros of Medical House Calls excellent option for patients with functional challenges individual assessment of environment deeper relationship with patient better understanding of patient needs
Medical Homes are typically billed to Medicare
Cons of Medical House Calls limited access to emergency medical equipment/labs tendency for patients with poor outcomes to initiate lawsuits dangerous neighborhoods time lost to travel
In House call support Skype visits. internet monitoring
True or False: MDs and PAs can not both work out of office and in house False
Assisted Living Facilities source of care for elderly/disabled adults personal care, meals and medication Some financing through Medicaid
Nursing Homes skilled nursing services provided
2 Types of Nursing Home Patients Long stays>6 months. Chronic medical conditions. Alzheimer Short term. Rehabilitation. Hip and knee surgery. After acute hospital care
An MD, PA or Np MUST ______ patients qualify for nursing home care certify
Palliative care Hospice. Focused on relief of suffering and dignity
Created by: Gianna B