Flashcards in Nursing Home Deck (5)
What are the two MC kinds of institutional long-term care facilities?
Nursing homes/skilled nursing facility
Assisted Living Facilities
Who pays for nursing homes? Assisted living?
Nursing home: after midcare runs out 47% medicaid, 45% private pay
Assisted Living: private pay
Common problems in long-term care settings?
Infection: pneumonia, urosepsis
Musculoskeletal Dz: immobility; arthritis
Falls and pressure sores
constipation from polypharmacy; antacids, anticholinergics, TCAs, Ca Channel blockers, NSAIDS, benzo, neuroleptics
Nutrition, hydration, and maintenance of weight
What is the TB booster phenomenon?
TB booster phenomenon is when elderly patients receive their first TB test and have a negative result, a week later they have another test done (to give the "old- immunocompromised" body a chance to react to the test). If this second test is negative we know they have never been exposed to TB. if second test is positive, this means means they have had previous TB infection and the immune system is activated... we do this so years later when we test and get a positive result we know its not new/recent exposure to TB.