Community based services Services provided to high-risk groups and vulnerable populations
1. Consumer demand 2. Medicare reimbursement 3. Aging population 4. Health care costs Why has the need for community based services grown?
Home health Multiple health and social services delivered to recover...
NUR 235 Exam 3 (3) Practice Questions
and Answers
Community based services ✅Services provided to high-risk groups and vulnerable
populations
1. Consumer demand
2. Medicare reimbursement
3. Aging population
4. Health care costs ✅Why has the need for community based services grown?
Home health ✅Multiple health and social services delivered to recovering, chronically
ill, or disabled individuals of all ages in their home
1. Chronic medical conditions --> CHF, unstable diabetes, COPD, kidney and liver
disease, stroke
2. Chronic mental illness
3. Assistance needed to prevent readmission and after discharge from hospital
4. Short-term assistance at home after surgery or hospice ✅What are the 4 benefits of
home health?
1. Have a skill care need
2. Be homebound
3. Unable to perform skill alone and have no one to do it
4. Require only intermittent care
5. Caregiver unwilling or unable to provide the care ✅What are the requirements for
Medicare to cover home health?
Home health nurse ✅Coordinates care with all disciplines involved, reports findings,
changes and recommendations to the primary physician
Stairs, bathing, toileting, meds, advance directives, nutrition and cooking, falls, smoke
detectors, emergency numbers, temp of home and water, financial situation ✅What
kind of factors should the home health nurse assess in the home?
Hospice ✅Compassionate care of the dying individual and their families --> comfort
care, not cure
Palliative Care ✅relieving or reducing the intensity of uncomfortable symptoms related
to both acute life threatening and progressive chronic illness
Urgent care, emergency room, hospital ✅What are some examples of acute care?
, delirium
dehydration
Malnutrition
HAIs
Urinary incontinence
Adverse drug reactions --> polypharmacy
Falls
Hazards of immobility --> pressure ulcers ✅What are the risks of hospitalization for the
older adult?
Case manager/management ✅A process that is provided by individual service
providers, health-care institutions, or long-term community based programs
1. Advise nursing staff on specific care issues
2. Coordinate referrals
3. Ensure education is provided
4. Monitors client progress
Discharge planning ✅What begins the moment a client is admitted to a health care
facility and ensures that the client has a plan of continuing care after leaving the health
care agency?
1. Client
2. Compliance
3. actual, potential
4. Hospitalizations
5. promotion, prevention ✅Planning for continuity of care
1. _____________ drives the decision making
2. Improve ________________
3. Look at ________________ and _______________ problems
4. Avoid unnecessary _____________________
5. Encourage health _______________ and disease ________________ for at-risk
older adults
Rehabilitation ✅Restores a person to the fullest potential possible --> interprofessional
collaboration with OT, PT, SLP
1. Skin care --> assessments, care, prevention
2. Incontinence --> assessment, care, prevention, limit catheter use
3. Nutrition
4. Medications
5. Rehabilitation --> strength, ambulation, ADLs, swallowing, cognition, mobility
6. Infection control --> immunizations, EBP
7. Mental health
8. End-of-life care ✅What are the 8 main roles of the nurse in long-term care?
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