N212 GERO: EXAM 1 REVIEW - HIGHLIGHTED MOMENTS.LATEST 2020/2021.

EXAM 1 – LEGAL ETHICAL & GERO ASSESSMENT + COGNITIVE & NEURO FUNCTION Chapter 3, 4, 27 The Joint Commission ( TJC )  Standards established and used by TJC to review healthcare facilities  considered the industry standard  JOINT COMMISSION** – COVERS HOSPITALS Centers for Medicare and Medicaid Services ( CMS ) • Medicare pays only skilled care : • nursing, physical therapy, occupational therapy, and speech therapy—for Medicareinsured persons in long-term care facilities • Medicaid pays for both intermediate and skilled care for indigent persons Older Americans Act ( OAA ) increase states’ responsibilities for maintaining an effective long-term care ombudsman program Categories of Elder Abuse • Domestic elder abuse - maltreatment by someone who has a special relationship with the older adult, such as a family member or caregiver • Institutional elder abuse - in residential institutions such as nursing facilities, paid caregiver • Self-neglect or self-abuse 7 Types of Elder Abuse***** 1. Physical abuse 2. Sexual abuse 3. Emotional abuse 4. Financial / material exploitation 5. Self-neglect 6. Neglect 7. Abandonment  Must report to the State. s/s abuse - bruises, weight loss, unkept appearance, malnutrition OBRA - Nursing Facility Reform nursing facility reform is to protect and promote the rights of residents to enhance quality of life OBRA’s 3 Major Parts • Provision of service requirements • Quality of care**** • Resident rights**** • Unnecessary drug use and chemical or physical restraints • Urinary incontinence • Facility survey and certification • Standard annual survey to review the quality of care • If care is substandard, facility may be given extended survey • Enforcement **** mechanisms and sanctions Page 1 of 15