LTC Exam 1 – Study Guide, Key Concepts & Practice Questions Review
Three Subsystems in LTC - correct answer ✔✔-informal system
-community-based system
-institutional system
Informal System - correct answer ✔✔-largest system
-most LTC services are provided informally by family, friends, etc.. on an unpaid basis
-most of the care is of a basis nature
-largest source of financing, although unpaid
-extend fo support network determines ability to receive informal care: men minorities, married
people, and less educated
-A shrinking pool of informal caregivers
Community-Based System - correct answer ✔✔-formal services
-fourfold objective
1. deliver LTC in the most economical and least restrictive settings
2. supplement informal caregiving when needed
3. provide temporary respite to family members
4. delay or prevent institutionalization
-intramural/extramural services
Institutional System - correct answer ✔✔-appropriate when needs cannot be met through
community-baed services
-inability to live alone or lack of social support may also trigger institutionalization
-an institutional continuum offers services according to the patients level of dependency for
care
, -high need of dependency, can't live alone, lack of social support
What is the Largest Subsystem - correct answer ✔✔-informal system
People's Preference to Receive LTC - correct answer ✔✔Need for assistance with daily living
tasks
-because of physical/mental disability, sever illness, or cognitive impairment
-measure to assess the level of dependency
1. ADL scale
2. IADL scale
Need for continuity of care after hospitalization
-sub acute care
-clinically complex care
-rehab while recovering from accidents or surgery
Need for care in specialized environments
-specialized pediatric environments because of intellectual/developmental disabilities (IDD)
-dementia and Alzheimers disease
ADL - correct answer ✔✔-activities of daily living
-whether individual needs assistance in performing 6 basic activities
1. eating
2. bathing
3. dressing
4. toilet
5. maintenance
6. transferring in/out of bed
Three Subsystems in LTC - correct answer ✔✔-informal system
-community-based system
-institutional system
Informal System - correct answer ✔✔-largest system
-most LTC services are provided informally by family, friends, etc.. on an unpaid basis
-most of the care is of a basis nature
-largest source of financing, although unpaid
-extend fo support network determines ability to receive informal care: men minorities, married
people, and less educated
-A shrinking pool of informal caregivers
Community-Based System - correct answer ✔✔-formal services
-fourfold objective
1. deliver LTC in the most economical and least restrictive settings
2. supplement informal caregiving when needed
3. provide temporary respite to family members
4. delay or prevent institutionalization
-intramural/extramural services
Institutional System - correct answer ✔✔-appropriate when needs cannot be met through
community-baed services
-inability to live alone or lack of social support may also trigger institutionalization
-an institutional continuum offers services according to the patients level of dependency for
care
, -high need of dependency, can't live alone, lack of social support
What is the Largest Subsystem - correct answer ✔✔-informal system
People's Preference to Receive LTC - correct answer ✔✔Need for assistance with daily living
tasks
-because of physical/mental disability, sever illness, or cognitive impairment
-measure to assess the level of dependency
1. ADL scale
2. IADL scale
Need for continuity of care after hospitalization
-sub acute care
-clinically complex care
-rehab while recovering from accidents or surgery
Need for care in specialized environments
-specialized pediatric environments because of intellectual/developmental disabilities (IDD)
-dementia and Alzheimers disease
ADL - correct answer ✔✔-activities of daily living
-whether individual needs assistance in performing 6 basic activities
1. eating
2. bathing
3. dressing
4. toilet
5. maintenance
6. transferring in/out of bed
