Long-term care (LTC)
- a range of health, personal care, social, and housing services provided to people of all ages with chronic health conditions that limit their ability to carry out normal activities without assistance.
informal caregiving
-care provided by family or friends (without any payments)
SNF
-the most medically and therapeutically intensive nursing facilities
-state and federally regulated
patient is hospitalized for 3 or more consecutive days, admitted to SNF within 30 days of discharge, must require rehabilitation or SNF on daily basis for hospital-treated condition
Medicare reimburses for skilled care if:
DRR, reduce unnecessary drug use, DUR
Pharmacists role in LTC:
DUE (Drug Utilization Evaluation)
-often prospective-evaluation criteria is determined first, and then medication for review is evaluated
-the focus of DUE may be a particular medication, an entire class, or treatment therapy
DUR (Drug Utilization Review)
-retrospective; subset of DUE
-patterns of medication misuse evaluated using large databases
Medication reconciliation
-process by which medications are accurately and completely accounted for throughout the care process
medical needs
Home health =
personal care and social needs
Home care=
selection of therapy, compounding, drug therapy monitoring
Pharmacist's Role in HH
Palliative Care
-the active total care of patients whose disease is not responsive to curative treatment
-can be applied to anyone with serious, complex illness; not necessarily terminal
Medicare Hospice Benefit
-beneficiaries elect to receive non-curative treatment and services for their terminal illness by waiving the standard Medicare benefits for treatment of a terminal illness.
may continue to access; treatment
In a MHB, the beneficiary ___________ standard Medicare benefits for _________ unrelated to terminal illnesses.
6 months or less
In order to be eligible for MHB, the patient must have a life expectancy of
Activities of daily living (ADLs)
-routine tasks we perform in our daily lives
-these tasks include bathing, getting into and out of bed, toileting, dressing, eating
Instrumental activities of daily living (IADLs)
-additional activities that are essential for independence.
-these include laundry, cooking, shopping for groceries, and managing medications