NURSING 212 GERONTOLOGY EXAM 1 REVIEW_N212 GERO EXAM 1– LEGAL ETHICAL & GERO ASSESSMENT + COGNITIVE & NEURO FUNCTION

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 facilites  considered the industry standard  JOINT COMMISSION** – COVERS HOSPITALS Centers for Medicare and Medicaid Services (CMS) • Medicare pays only skilled care: • nursing, physical therapy, occupatonal therapy, and speech therapy—for Medicareinsured persons in long-term care facilites • Medicaid pays for both intermediate and skilled care for indigent persons Older Americans Act (OAA) increase states’ responsibilites for maintaining an effectve long-term care ombudsman program Categories of Elder Abuse • Domestc elder abuse - maltreatment by someone who has a special relatonship with the older adult, such as a family member or caregiver • Insttutonal elder abuse - in residental insttutons such as nursing facilites, paid caregiver • Self-neglect or self-abuse 7 Types of Elder Abuse***** 1. Physical abuse 2. Sexual abuse 3. Emotonal abuse 4. Financial / material exploitaton 5. Self-neglect 6. Neglect 7. Abandonment  Must report to the State. s/s abuse - bruises, weight loss, unkept appearance, malnutriton