Gero 605 Study Guide Questions with Verified Solutions

Gero 605 Study Guide Questions with Verified Solutions Characteristics and Impact of Baby boomer generation on LTC? born post WWII btw 1946- 1964; first baby boomers started to retire in 2011 and all will be retired by 2025. They will be better educated and demand more from the system. Will cause increase in: chronic ill/disabled in LTC Characteristics of LTC as part of continuum? Client Oriented Comprehensive Integrated Component of LTC system: Consumers? Elderly (65 & older) Handicapped children/adults TBI Younger Alzheimer's AIDS Mental d/o Component of LTC system: Providers? Nursing Facilities Subacute Care Facilities Assisted living/ Residential Care Elder Housing Options: retirement communities, senior apts, co-housing, CCRCs, etc... Community-based services: Home Healthcare, Hospice, Adult day care Consumers of community-based services? -Home health care: may be trying to delay or avoid full-time care or need temp assistance post hospital d/c. -Hospice: accepted fact that they will die soon -Adult day care: fall btwn needing a nursing facility and being able to function on their own. Current socio-policital context of LTC? Currently, many formal organizations that have and can influence legislation (e.g. AARP, Council of Senior Citizens, Gray Panthers). Define Informal caregiving (notes). unpaid assistance provided by family, friends, and neighbors in the areas of ADLs & IADLs to help older persons remain in the community and avoid institutionalization. Define OBRA Omnibus Budget Reconciliation Act: long-term quality has been measured largely according to process and structure. OBRA is a example of process measure. It requires governing the frequency of meals and bedtime snacks in nursing facilities. Describe CCRC (notes). Expensive! -Life Care contract: unlimited medical/nursing/assisted living services -Modified contract: services for set period then rates go up -Fee for service contract: lower entry fee, all other services paid at market rate Describe Naturally Occurring Retirement Communities-NORC (notes). -fills gaps of Medicare, Medicaid, Older Americans Act. -Organizes and locates services, medical & social -Case management and social work services Describe the Village (notes). Consumer driven, person-centered "aging in place." -Stay in their home. -NOT a provider model, no license requirements. -Volunteers are critical. -Referral lower cost services, transport, medical, household tasks, etc Development of assisted living? 2 different tracks: 1. Boarding homes/care facilities, provided nonmedical care