Buy Intermediate Care And Long Term Care

Buy Intermediate Care And Long Term Care
Buy Intermediate Care And Long Term Care
Question 189
A 92-year-old woman has decided to
move into a care home due to increased
physical care needs. She does not have
cognitive impairment and is concerned
that all the other residents will be cognitively impaired, reducing her prospects
of having meaningful interactions with
them. What is the closest current estimate to the proportion of people in care
homes in the UK who are known to have
cognitive impairment?
9
Intermediate Care and Long-Term Care
LEARNING OBJECTIVE:
To have the knowledge and skills required to assess a patient’s suitability for
and deliver care to older people within intermediate care and long-term care
settings, working with multidisciplinary teams, primary care and local authority colleagues to achieve this.
120 Geriatric Medicine
A. 20%
B. 40%
C. 60%
D. 80%
E. 100%
Question 190
High-quality care in care homes would
be best characterised by which one of the
following metrics?
A. annual medication review
B. fewer hospital admissions
C. greater rate of antipsychotic drug use
D. low rates of advance care planning
E. reactive approach to problems
Question 191
The wife of a 79-year-old man with
dementia reports increasing stress relating to providing care for her husband at
home. They are both keen to avoid a permanent care home placement if possible.
The concept of respite care has been
discussed. Which of the following statements is most likely to be true regarding
respite care for people with dementia?
A. carer sleep quality is improved during
a period of residential care for the person with dementia
B. day care delays the time to care home
admission
C. respite care within the person’s own
home is usually unhelpful
D. temporary residential care reduces
carer stress immediately after the
placement period
E. the recipient’s sleep quality is likely to
improve during a period of temporary
residential care
Question 192
Which of the following is typically
true for high-quality intermediate care
services for older people with frailty?
A. a three-month duration is typical
B. it should start within two days of a
referral being made to the service
C. risk avoidance should underpin decisions
D. service provision is entirely provided
within a care home or community
hospital setting
E. unsuitable for people with moderate
to severe dementia
Question 193
Approximately what proportion of
emergency hospital bed days are occupied by residents of care homes in the
UK?
A. 4%
B. 8%
C. 12%
D. 16%
E. 20%
Question 194
Which of the following statements is
correct regarding medication use in care
homes in the UK?
A. care home staff should contact the
relevant GP for advice if a resident
should decline to take a dose of a prescribed medication
B. decisions about medicines optimisation should be made by the resident’s
doctor and next of kin
C. residents should be supported to selfadminister medications
Intermediate Care and Long-Term Care 121
D. suspected drug adverse reactions
should be discussed at six-monthly
medication reviews
E. there is no requirement to record
medication-related safety events that
do not result in injury
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