2022-10-26T04:15:36+03:00[Europe/Moscow] en true <p>Long-term care (LTC)</p>, <p>informal caregiving</p>, <p>SNF</p>, <p>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</p>, <p>DRR, reduce unnecessary drug use, DUR</p>, <p>DUE (Drug Utilization Evaluation)</p>, <p>DUR (Drug Utilization Review)</p>, <p>Medication reconciliation</p>, <p>medical needs</p>, <p>personal care and social needs</p>, <p>selection of therapy, compounding, drug therapy monitoring</p>, <p>Palliative Care</p>, <p>Medicare Hospice Benefit</p>, <p>may continue to access; treatment </p>, <p>6 months or less</p>, <p>Activities of daily living (ADLs)</p>, <p>Instrumental activities of daily living (IADLs)</p> flashcards
Long term Care

Long term Care

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  • 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