SPEA-H 411 Lecture 1: H411 CHAPTER 1 NOTES (1)

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The need for ltc: three main circumstances, need for assistance with daily living tasks, because of physical/mental disability, severe illness or cognitive impairment, measures to assess the level of dependency, adl scale. Acute care: ltc is needed for extended period of time, acute care is needed for short time, fractures, pneumonia, etc, ltc facilities today provide both acute care and ltc. Variety of services: two: ltc is an amalgam (blend) of 5 distinct services, medical care, nursing, and rehab, mental health services and dementia care, social support, supportive housing, hospice services. Variety of services: three: medical care, nursing, and rehab, post-acute skilled nursing care, clinical management of chronic conditions and comorbidity, to include tertiary prevention, restoration or maintenance of physical function, mental health services and dementia care. Variety of services: four: mental health care is generally delivered by specialized outpatient and inpatient providers, moderate to severe dementia generally requires institutional care.

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