Podcast
Questions and Answers
Which of the following statements most accurately captures an aspect of long-term care in the United States?
Which of the following statements most accurately captures an aspect of long-term care in the United States?
- Most older adults of the current generation will require some form of long-term care at some point in their lives. (correct)
- The acuity of long-term-care facilities is decreasing as the acuity of older hospital patients increases.
- Interventions that were formerly available in long-term-care facilities are now often restricted to hospital settings.
- Both the number of long-term-care facilities and the number of residents they house are rapidly increasing.
Which aspect of the facility can be considered a throwback to the pre-20th century history of long-term care?
Which aspect of the facility can be considered a throwback to the pre-20th century history of long-term care?
- The facility has copious rules and rigidly enforced schedules. (correct)
- Volunteers provide the majority of direct patient care.
- The facility is entirely dependent on government money for its operation.
- The facility emphasizes psychiatric care over physical care.
Which historical fact may underlie a colleague's choice of words in referring to a long-term-care facility as a 'nursing home'?
Which historical fact may underlie a colleague's choice of words in referring to a long-term-care facility as a 'nursing home'?
- Long-term-care facilities were differentiated from hospitals by the absence of physician-led care.
- Early care facilities did not provide care for the long term, but rather provided temporary respite by nurses.
- Government funding for care facilities was tied to their designation as a home staffed by credentialed nurses.
- Residential care providers early in the 20th century began to call themselves nurses. (correct)
Which historical phenomena may explain a man's negative experience in long-term care?
Which historical phenomena may explain a man's negative experience in long-term care?
Which factor provided the most significant impetus for the improvement in the quality of nursing homes that occurred in the 1980s?
Which factor provided the most significant impetus for the improvement in the quality of nursing homes that occurred in the 1980s?
How can nurses best respond to a colleague's criticism about opening a long-term-care facility?
How can nurses best respond to a colleague's criticism about opening a long-term-care facility?
Which source should the nurse use to determine the scope of improvements after an inspection revealed serious lapses in care?
Which source should the nurse use to determine the scope of improvements after an inspection revealed serious lapses in care?
Which of the following actions by the nurses at the facility is likely to ease the anxiety of a family about admitting their loved one?
Which of the following actions by the nurses at the facility is likely to ease the anxiety of a family about admitting their loved one?
Which pressing responsibility should the nurse prioritize in a small long-term-care facility?
Which pressing responsibility should the nurse prioritize in a small long-term-care facility?
Which goal represents the highest level in the hierarchy of residents' needs?
Which goal represents the highest level in the hierarchy of residents' needs?
In a typical group of older men and women, what is the likelihood of their needing long-term care at some time?
In a typical group of older men and women, what is the likelihood of their needing long-term care at some time?
What was one of the important characteristics of early long-term-care facilities in the 19th century?
What was one of the important characteristics of early long-term-care facilities in the 19th century?
What was most responsible for the rapid growth of nursing homes in the mid-20th century?
What was most responsible for the rapid growth of nursing homes in the mid-20th century?
What may have caused the revocation of the Haven Nursing Home's license under the Omnibus Budget Reconciliation Act (OBRA) of 1987?
What may have caused the revocation of the Haven Nursing Home's license under the Omnibus Budget Reconciliation Act (OBRA) of 1987?
How can the Omnibus Budget Reconciliation Act of 1987 rules be enforced against Haven Nursing Home after deficiencies are found?
How can the Omnibus Budget Reconciliation Act of 1987 rules be enforced against Haven Nursing Home after deficiencies are found?
How did geriatric nurses respond to the poor conditions in early nursing homes?
How did geriatric nurses respond to the poor conditions in early nursing homes?
If a family's loved one is placed in a nursing home, what is a common reason for their decision?
If a family's loved one is placed in a nursing home, what is a common reason for their decision?
Which underlying themes of the new model of long-term care address its limitations?
Which underlying themes of the new model of long-term care address its limitations?
Which question is the most important for families to ask administrators at a long-term-care facility?
Which question is the most important for families to ask administrators at a long-term-care facility?
What is the most likely reason that some residents are unhappy at Oakside Care Center?
What is the most likely reason that some residents are unhappy at Oakside Care Center?
How can the dietitian at Haven Care Center help diabetic residents?
How can the dietitian at Haven Care Center help diabetic residents?
Which statement is true about long-term-care facility admissions between 1940 and 2002?
Which statement is true about long-term-care facility admissions between 1940 and 2002?
How were disadvantaged groups usually categorized in 19th century Europe?
How were disadvantaged groups usually categorized in 19th century Europe?
Which deficiency in Haven Nursing Home's conditions may still remain untouched by OBRA 1987?
Which deficiency in Haven Nursing Home's conditions may still remain untouched by OBRA 1987?
Study Notes
Long-term Care Overview
- A significant portion of older adults requires some form of long-term care in their lives.
- Long-term care facilities are often criticized for their rigid rules and enforcement reminiscent of pre-20th-century models.
Historical Context
- Early 20th-century care providers labeled themselves as nurses, reflecting a shift in terminology and professional standards.
- Concerns about the quality of care in the 20th century arose from inadequate training of caregivers in nursing homes, leading to poor experiences for residents.
- Medicare and Medicaid greatly contributed to the rapid growth of nursing homes in the mid-20th century.
Regulations and Standards
- The Omnibus Budget Reconciliation Act (OBRA) of 1987 aimed to improve conditions in nursing homes, which can lose funding for non-compliance.
- Nursing homes can face legal consequences, including loss of Medicare reimbursement, if found deficient in care.
Residents' Experience and Family Involvement
- Families often feel guilt about placing loved ones in care facilities, usually due to crises that necessitate such decisions.
- Active family participation in residents' care can alleviate guilt and improve satisfaction with care.
Quality of Care and Needs Assessment
- Registered nurses in long-term care facilities have a critical role in ensuring timely and appropriate care, including administering assessments like the Minimum Data Set (MDS).
- Assessing residents' needs includes recognizing their rights, promoting self-care, and fostering purpose in life as higher-level goals.
Challenges and Trends
- Despite regulatory improvements, challenges like high staff turnover and the reliance on unqualified personnel still exist in long-term care settings.
- Facilities may often provide environments that appear visually satisfactory, yet residents may lack engagement and physical activity.
Demographics and Care Expectations
- Nearly half of women and a third of men will require long-term care over their lifespan due to increasing life expectancy.
- Nutrition and dietary management are crucial for residents with specific health conditions like diabetes.
Future Perspectives
- The movement towards a holistic model of long-term care underscores the importance of healing, social growth, and allowing residents to live meaningful lives despite health challenges.
Studying That Suits You
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Description
Test your knowledge of long-term care concepts as presented in Chapter 34 of Eliopoulous. This quiz covers essential aspects of the long-term care system in the United States, including facility acuity and demographic trends. Ideal for nursing students and healthcare professionals preparing for exams.
