Author Question: Measurable goals in long-term care are measured a. Every 30 or 90 days b. Weekly c. Bimonthly ... (Read 32 times)

karateprodigy · **on:** Jul 11, 2018

Measurable goals in long-term care are measured

a. Every 30 or 90 days
b. Weekly
c. Bimonthly
d. Yearly

Question 2

Lila Jacobs is 80 years old and lives at home with her husband. She has Alzheimer's disease with increasing confusion and urinary incontinence. Mr. Jacobs has had a cerebrovascular accident and can no longer care for her in their home.

What referral would you make for Mrs. Jacobs?
a. Retirement center
b. Intermediate nursing facility
c. Skilled nursing facility
d. Hospitalization

kristenb95 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Omnibus Reconciliation Act (OBRA) guidelines mandate 30-day review after recent admission and quarterly (90-day) interdisciplinary team review. These time frames provide measurable time markers for goals. Responses B, C, and D are choices for measurable time frames but usually are not used because of the lack of framework for reviews at these intervals.

Answer to Question 2

C
Because of Mrs. Jacobs' increasing confusion and incontinence, a skilled nursing facility would be the most appropriate placement. Hospitalization (response D) is inappropriate because Mrs. Jacobs is not experiencing a life-threatening process that needs intensive medical evaluation and treatment. A retirement center (response A) and an intermediate care facility (response B) would not provide enough supervision for Mrs. Jacobs.