long-term care (LTC)
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Epidemiology
- nearly all long-term care entrants are without severe disability* 4 years before & 2 years after entry
* dependence on >= activities of daily living
Management
- home modification based on interprofessional evaluation (nurse, occupational therapist, person knowledgeble about home modification)
- CAPABLE program provides home visits over the course of 5 months by interprofessional team[1]
Notes
- primarily finded by out-of-pocket payment & Medicaid
- Medicare part A covers $144/day (2016) for days 21-100 of nursing home
- patient is responsible for $185.50 per day for days 21-100 in 2021 but coverage ends at day 100
- Medicaid kicks in when patient spends down assets to a minimum level of worth (varies state by state)[1]
Additional terms
References
- ↑ 1.0 1.1 1.2 Geriatric Review Syllabus, 7th edition Parada JT et al (eds) American Geriatrics Society, 2010
Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013 - ↑ Kaye HS, Harrington C, LaPlante MP. Long-term care: who gets it, who provides it, who pays, and how much? Health Aff (Millwood). 2010 Jan-Feb;29(1):11-21 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20048355
- ↑ Terzakis K, MacKenzie MA. Preparing Family Members for the Death of a Loved One in Long-Term Care. Annals of Long-Term Care. February 2019. https://www.hmpgloballearningnetwork.com/site/altc/articles/preparing-family-members-death-loved-one-long-term-care
- ↑ Lam K et al. The natural history of disability and caregiving before and after long-term care entry. JAMA Intern Med. 2023;183(12):1295-1303 PMID: https://www.ncbi.nlm.nih.gov/pubmed/37930717 PMCID: PMC10628843 (available on 2024-11-06) https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2811180