Long-Term Care Overview

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What percentage of older adults will likely require Long-Term Care (LTC) at some point in their lives?

85%

95%

70% (correct)

50%

Which government program is responsible for covering 42% of Long-Term Care expenses?

Medicare

Veterans Affairs

Medicaid (correct)

Social Security

What is the primary cognitive condition that affects 66% of nursing home residents?

Cognitive impairment, such as Alzheimer's Disease (correct)

Schizophrenia

Parkinson's Disease

Chronic pain syndrome

What does the Plan of Care in a nursing home represent?

An individualized treatment plan based on assessment Signup and view all the answers

Which type of hospital integration involves hospitals affiliating to improve efficiency and services?

Horizontal integration Signup and view all the answers

Which significant act provided federal funding for hospital expansion in 1946?

Hill-Burton Act Signup and view all the answers

What is a common risk factor for medication-related issues among nursing home residents?

Complexity of multiple medications Signup and view all the answers

What type of review is conducted monthly to examine a resident's medications in a nursing home?

Medication Regimen Review (MRR) Signup and view all the answers

Which federal agency is responsible for licensing and regulating nursing homes?

The Department of Health Signup and view all the answers

What is the primary goal of a nursing home?

To maximize quality of life for chronically ill and dependent residents Signup and view all the answers

What does vertical integration in healthcare facilitate?

A seamless transition between acute, rehabilitative, and long-term care Signup and view all the answers

Why are residents in long-term care facilities particularly susceptible to medication-related issues?

They experience complex regimens and potential for drug-drug interactions Signup and view all the answers

What does a formulary in a healthcare setting refer to?

A list of approved drugs for use in a healthcare facility Signup and view all the answers

What implications does the term 'closed-door pharmacy' have?

It serves institutional clients without a retail storefront Signup and view all the answers

What is the Hill-Burton Act known for in the context of healthcare?

Expanding healthcare access by funding hospital construction Signup and view all the answers

What are the primary criteria used to classify hospitals?

Length of stay, type of service, and ownership Signup and view all the answers

What is the average length of stay in an acute hospital?

4.8 days Signup and view all the answers

What distinguishes a specialty hospital from a general hospital?

General hospitals offer varied services while specialty hospitals focus on specific conditions Signup and view all the answers

Who is primarily responsible for the governance of a hospital?

The Board of Trustees Signup and view all the answers

What is a central feature of a closed formulary system?

Only medications on the formulary can be prescribed, with documentation for exceptions Signup and view all the answers

What is the primary role of a clinical pharmacist in patient care?

To participate in patient rounds and provide medication counseling Signup and view all the answers

What is characteristic of a decentralized drug distribution system?

Pharmacy services are provided from satellite locations near patient care areas Signup and view all the answers

What is the purpose of using a 5-micron filter needle with ampules?

To prevent glass particles from entering the solution Signup and view all the answers

What best defines large volume IV bags?

Bags that are used for continuous infusions over extended periods Signup and view all the answers

What does the role of an IV infusion set entail?

To deliver fluids or medications from an IV bag to the patient Signup and view all the answers

What is a key consideration when reconstituting powdered drugs for IV use?

Ensuring the correct solvent and volume are used. Signup and view all the answers

What is the primary purpose of the CDC’s Hospital Survey and Construction Act?

To expand hospital infrastructure post-World War II. Signup and view all the answers

What is a defining characteristic of closed-door pharmacies?

They serve specific institutions like nursing homes without retail services. Signup and view all the answers

What is the primary role of the pharmacist in pain management within LTC?

To assess and manage pain through appropriate medication. Signup and view all the answers

How does medication management in LTC differ from outpatient settings?

LTC pharmacists oversee medication regimens and compliance within regulatory guidelines. Signup and view all the answers

What percentage of nursing home residents are women?

66%. Signup and view all the answers

What is a significant responsibility of a nursing home regarding controlled substances?

To follow strict storage, documentation, and dispensing guidelines. Signup and view all the answers

What is the goal of ADL assistance in LTC?

To support daily functioning and independence. Signup and view all the answers

What is horizontal integration in hospital systems aimed at?

Improving efficiency and resource sharing with affiliated hospitals. Signup and view all the answers

How often should a Medication Regimen Review be conducted in LTC?

At least monthly. Signup and view all the answers

What is the primary role of the Director of Pharmacy in a hospital?

Managing pharmacy operations, budget, and personnel. Signup and view all the answers

How does competition affect hospital operations?

Hospitals adapt by creating targeted services and advertising. Signup and view all the answers

What is the significance of reconstituting powdered drugs in IV therapy?

Some medications are unstable in liquid form and need reconstitution before use. Signup and view all the answers

What is a primary disadvantage of adopting centralized pharmacy services?

Potential delays in drug distribution. Signup and view all the answers

What defines a teaching hospital?

A hospital that primarily trains medical professionals and conducts research. Signup and view all the answers

What is a potential challenge of medication transitions in long-term care?

Adding, discontinuing, or adjusting drugs during transfers. Signup and view all the answers

What is a significant requirement for nursing home pharmacies?

Controlled substance oversight. Signup and view all the answers

Why is IV admixture training crucial?

To ensure sterile and accurate preparation of IV medications. Signup and view all the answers

What does the use of a 5-micron filter with ampules accomplish?

It filters out any glass particles. Signup and view all the answers

How does Medicare primarily support long-term care services?

By covering short-term skilled care costs. Signup and view all the answers

Study Notes

Long-Term Care (LTC)

LTC is a broad term encompassing care for individuals who need ongoing support, including sub-acute care, skilled nursing care, and assisted living.
70% of older adults will require LTC at some point in their lives.
Medicaid is a key funder for LTC, covering 42% of expenses.
Nursing homes are licensed and regulated by the Department of Health.
85% of nursing home residents are over the age of 65, and 66% experience cognitive impairment.
Nursing home care aims to provide a safe environment and maintain functional independence, while focusing on stabilizing and delaying progression of chronic conditions.
Nursing homes utilize individualized treatment plans based on comprehensive assessments known as Plans of Care.
Closed-door pharmacies exclusively serve institutions like nursing homes, providing medication in unit doses typically for a 30-day supply.
Monthly medication reviews and observations are conducted by pharmacists to ensure safe practices and identify potential issues.
The complexity of medication regimens is a key risk factor for medication-related problems in LTC.
LTC facilities have specific requirements for storage, documentation, and dispensing of controlled substances.

Acute Care

Hospitals provide acute care for patients with sudden, severe, or life-threatening illnesses or injuries.
Hospital integration, both horizontal and vertical, aims to improve efficiency and increase service offerings.
Horizontal integration involves hospitals affiliating for shared resources and services.
Vertical integration expands services beyond acute care to include outpatient and rehabilitation services.
Hospitals are classified based on length of stay, type of service, and ownership.
General hospitals offer a wide array of services, while specialty hospitals focus on specific conditions.
The Hill-Burton Act provided funding for hospital expansion following World War II, significantly boosting the healthcare infrastructure.
Disease-Related Groups (DRG) payment system shifted healthcare financing to a prospective model.
The Director of Pharmacy in a hospital is responsible for managing pharmacy operations, including budget, staffing, and drug use control.
Pharmacy technicians play a crucial role in hospital operations, assisting with drug distribution and technical aspects of pharmacy services.
Hospitals use formulary systems to manage drug costs, ensure appropriate drug use, and create a list of approved medications.
Pharmacy residency programs provide advanced training and specialized competencies in pharmacy practice within a hospital setting.

IV Admixture

IV sterile compounding involves preparing medications for intravenous administration using needles, syringes, vials, and other equipment.
Ampules are used for drugs incompatible with rubber stoppers and require a 5-micron filter needle to prevent glass particles from entering the solution.
IV Smartpumps are devices that control the rate of IV medication administration, ensuring precise dosing.
IV infusion sets connect the IV bag to the patient’s catheter for medication delivery.
Reconstitution of powdered drugs is essential for safe and effective IV therapy, ensuring the correct solvent and volume are used.
Large volume IV bags are used for continuous infusions over prolonged periods.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Explore the essential components of Long-Term Care (LTC), including its various types, funding sources, and the demographics of nursing home residents. This quiz highlights the importance of individualized treatment plans and the role of pharmacists in ensuring medication safety within LTC facilities.