Author Question: A nurse is discharging an older patient after a hospitalization for a hip fracture. The patient is a ... (Read 113 times)

anjilletteb · **on:** Jul 11, 2018

A nurse is discharging an older patient after a hospitalization for a hip fracture. The patient is a participant in a Program for All Inclusive Care for the Elderly (PACE). The nurse understands that a PACE program: (Select all that apply.)

a. provides services to older people who would otherwise need a nursing home lev-el of care.
b. does not provide services to participants who reside in a nursing home.
c. is only available to individuals who have both Medicare and Medicaid.
d. provides medications, eyeglasses, and transportation to care.
e. provides urgent and preventive care.

Question 2

Differences between subacute care and long term care include which of the following? (Select all that apply.)

a. Subacute care is more costly than long term care.
b. Patients who receive subacute care have a usual length of stay of 1 month; long term care patients have an indefinite length of stay.
c. Medicare covers the costs of both sub-acute and long term care.
d. Subacute patients tend to be younger and more cognitively intact.
e. Subacute care is usually delivered in a hospital setting and long term care in a nursing home setting.

Christopher · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A, D, E
This program is a Medicaid and Medicare program that provides community services to people age 55 or older who would otherwise need a nursing home level of care. Participants must meet the criteria for nursing home admission, prefer to remain in the community, and be eligible for Medicare and Medicaid. The majority of PACE participants reside in the community; however, the program will pay for nursing home care. If the individual has Medicaid, he or she will not have to pay a monthly premium for the long-term care portion of the PACE benefit. If the indi-vidual does not qualify for Medicaid but has Medicare, there will be a monthly premium to cover the long-term care portion of the PACE benefit and a premium for Part D Medicare drugs. PACE provides a comprehensive continuum of primary care, acute care, home care, adult day health care, nursing home care, and specialty care by an interdisciplinary team. PACE is a capi-tated system in which the team is provided with a monthly sum to provide all care to the enrol-lees, including medications, eyeglasses, and transportation to care as well as urgent and preven-tive care.

Answer to Question 2

ANS: A, B, D
Subacute care is more intensive than traditional nursing home care and several times more costly. For subacute patients, the expectation is that the patient will be discharged home or to a less in-tensive setting, and the length of stay is usually 1 month or less. Subacute care is largely reim-bursed by Medicare. Patients in subacute units are usually younger and less likely to be cogni-tively impaired than those in traditional nursing home care. Both subacute and long term care are delivered in a nursing home setting.