Geriatric Care Management Midterm Exam Questions With Correct Answers.
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Course
Geriatric
Institution
Geriatric
Geriatric Care Management Midterm Exam
Questions With Correct Answers.
Geriatric Care manager duties - answer-coordinating care and services
-gathering information and synthesizing interdisciplinary problem identification
-Acting as a resource- linking the patient with the most appropriate reso...
Geriatric Care Management Midterm Exam
Questions With Correct Answers.
Geriatric Care manager duties - answer✔-coordinating care and services
-gathering information and synthesizing interdisciplinary problem identification
-Acting as a resource- linking the patient with the most appropriate resource, person, or
institution, to solve problems in a timely manner.
-procuring services, making eligibility decisions and authorizing home care and hospitalization
needs.
-facilitate access to health care
-problem solver and decision maker between family members
-provide direct patient care as needed
-educate clients
-communication
-documenting client progress interactions and monitor and evaluate client program outcomes.
-Work primarily with private pay with middle-upper income older adults
-promote skills of the client in accessing and utilizing support services
-develop capacities of social networks and human service providers in promoting client
functioning and well being
-The steps of care management are:
--case finding
--assessment - assessing current issue and the needs of the patient and family
--care planning
--coordinating
--follow up
GCM definition - answer✔Problem solvers who provide personalized care management
services to assist older adults and family members to navigate the complex social and health care
systems, coordinate and monitor care, serve as a surrogate family member offering peach of
mind to caregivers or other family members.
Origin of case management - answer✔-foundation in social services
-flood of new immigrants and other poor people emerging in the late 1800s
-assist clients with most appropriate and least costly services
-coordinate care in low medical cost facilities
-
Systems theory - answer✔how moving one part effects another-
supportive care management - answer✔-general
-case manager assumes role of advocate and responsible for ensuring that client receives
necessary services
-services provided by a range of agencies.
Rehabilitation case management - answer✔-acute care
-client rehabilitation as opposed to support is the focus
-implemented under third-party benefit and service delivery programs
Medical case management - answer✔chronic care
-consolidates and mobiles resources to meet individual's medical needs
-patient screening is based on diagnostic as well as other clinical criteria
-monitors both the appropriateness and effectiveness of patina care, while keeping track of the
patient's benefit coverage
Social case management - answer✔provides basic social services to clients at risk (those with
no relatives or friends)
-monitors effectiveness of services, intervening when necessary to maintain client well-being and
to prevent additional problems
-usually located within country or state health and welfare agencies
How to conduct a comprehensive assessment - answer✔cognitive; psychological; financial; and
social assessment.
-starts as soon as a call has been made- GCM inquires about reason for the call at this particular
time
-Initial family meeting- demographics are retrieved
-cognitive assessment- assesses if dementia is present; asking the older adult to complete certain
tasks such as identifying people or familiar objects and through the MMSE assessment
-Psychological assessment- assess psychological issues- depression, anxiety etc. Depression is
most common late-onset problem in older adults. Symptoms can mimic dementia
---depression is a risk factor for dementia
-1st is cognitive assessment, then psychological, then depression and anxiety scales, then social
support assessment
cognitive screening tests - answer✔-simple, brief, easy to administer and score
-provide immediate general gauge of the person's cognitive functioning
-monitor changes at bedside
-unable to make formal diagnosis
-alert provider to make referrals for more in-depth exploration of issue
Short portable mental status questionnaire - answer✔-10 items; all verbal, left hemisphere
emphasis
Mini mental state examination - answer✔maximum of 30 pints
-adds some performance items that tap into right hemisphere
Zart burden inventory - answer✔assess caregiver burden; well validated 22 item scale
-Zarit Revised Memory and Behavior Problems Checklist- 24 item scale addresses behavior and
memory problems in the last week
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