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ALH Midterm
Rehabilitative and Long Term Care Systems
| Term | Definition |
|---|---|
| 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 |