Question 1

The U.S. funeral industry generates an estimated $ _______ in revenue annually.

Accepted Answer

The U.S. funeral industry generates an estimated $20 billion in revenue annually.

Question 2

What is the purpose of virtual villages?

Accepted Answer

Virtual villages are nonprofit, dues-paying, membership communities to help older residents stay in their own homes for as long as possible. These communities are often not self-sufficient from dues and depend on local donors to subsidize the services they provide for low-income residents within their virtual village boundaries. The virtual village idea began with the Beacon Hill Village in Boston in 2001. Several friends and neighbors developed a plan to help each other stay in their homes. They used a nonprofit organization to screen and organize programs and services to help accomplish the goal of aging in place.

Question 3

Examine alternative explanations for the Buchwald phenomenon and its impact on hospice use.
_____________________________________________________
_____________________________________________________
_____________________________________________________

Accepted Answer

Many people are scared off by hospice because they feel it is a death sentence. To be eligible, patients must be certified by two doctors as having 6 months or less to live, assuming their illness runs a normal course. Yet there are two mitigating factors that make hospice less of a death sentence. First, hospice patients in one study lived an average of 29 days longer than comparable nonhospice patients. This may be due less to the social/emotional support provided by hospice care and more to the lethal nature of aggressive treatment for the terminally ill. Second, there are many terminally ill diagnoses that are not very predictable, certainly much less so than the gold standard of predictability-late-stage cancer. In fact, 17% of the 1.3 million hospice patients in 2006 were discharged. One of those hospice patients was Art Buchwald, the Pulitzer Prize-winning newspaper humor columnist who in his prime was published in more than 550 newspapers. After 5 months in hospice, Buchwald left hospice care in 2006 and eventually died the following year, at the age of 81. After kidney and vascular problems forced physicians to amputate one of his legs, Buchwald decided to refuse dialysis and entered hospice. Expecting to die in a few weeks, Buchwald, to the amazement of himself, his physicians, family, and friends, experienced his kidneys starting to work again. After leaving hospice he wrote about his 5-month experience in a book titled Too Soon to Say Goodbye (2006).

Question 4

How can a smart home equipped with technology enhance older residents' safety and independence?

Accepted Answer

Smart homes are residences equipped with technology designed to enhance older residents' safety and independence, and to monitor their health status in their homes. If a person with dementia wanders from the home, a global positioning system device placed on a shoe can detect their location. If a person falls, sensors in the floor alert emergency medical staff. If a person remains in bed and does not perform a daily activity like opening a refrigerator, someone is also electronically alerted.

Question 5

Which of the following is the basic premise of the Eden Alternative?

Accepted Answer

The basic premise of the Eden Alternative is that nursing homes should treat residents as people who need attentive care in a home-like setting. To accomplish this goal, nursing homes need to consider the involvement of pets, plants, and children, and other amenities that make life worth living. Regarding dogs, cats, and other pets, they live permanently (rather than just visiting) with residents in long-term care facilities through some Eden Alternative programs. This enhances the bonding potential.

Question 6

What does PACE stand for?

Accepted Answer

"PACE" stands for "Programs of All-Inclusive Care." PACE started off as a demonstration project in the early 1970s in a small community in the Chinatown and North Beach neighborhoods of San Francisco, California. Developers of the program conceived of a model of care based on keeping an older adult at home with the aid of an adult day-care center and an interdisciplinary team consisting of physicians, nurse practitioners, nurses, social workers, physical and occupational therapists, dietitians, and recreational therapists, among others.

Question 7

What is a Certified-Aging-in-Place program?

Accepted Answer

The American Association of Retired People developed a Certified-Aging-in-Place program whereby a trained specialist can design a granny flat, or other housing structures to help an older adult stay safe in her or his own home as independently as possible. This program trains individuals to identify and implement home modifications to circumvent barriers that impede independence. After completing the $330 training program, Certified-Aging-in-Place specialists need to successfully complete 12 continuing education units every 3 years.

Question 8

How does guided care keep frail older adults in their home and delay or avoid hospital or nursing home care?

Accepted Answer

Guided care keeps frail older adults in their home and reduces costs by delaying or avoiding hospital or nursing home care. It is based on a specially trained registered nurse in a primary care practice working in partnership with two to five physicians in order to provide high-quality care for 50 to 60 chronically ill patients with particularly heavy health care use based on prior insurance claims. The model includes assessing the patient and primary caregiver at home, providing an action plan, promoting patient self-management, monitoring conditions monthly, coordinating the effort of all health care providers, smoothing transitions between sites of care (particularly in and out of hospitals), educating and supporting family caregivers, and facilitating access to community resources.

Question 9

Why was the Patient Self-Determination Act of 1990 enacted?

Accepted Answer

The Patient Self-Determination Act of 1990 was enacted to reduce the chance that a life would be shortened or prolonged against the wishes of the individual. Part of this act is to inform individuals upon admission to a hospital that a Living Will, a document that states one's wishes regarding end-of-life care, can be completed to make sure that one's preferences are respected. There is also a durable power of attorney for health care, a document that designates an alternative decision maker, family member or not, who becomes one's advocate in the event that the person becomes incapacitated.

Question 10

Hospice care's distinguishing characteristic is its emphasis on ______________ over aggressive medical procedures.

Accepted Answer

Hospice's distinguishing characteristic is an emphasis on psychosocial and spiritual support over aggressive medical procedures. By focusing on psychosocial and spiritual support, hospice attempts to improve the mental health and quality of life of clients, even as their physical bodies deteriorate.

Question 11

Describe the role of a death doula.
_____________________________________________________
_____________________________________________________
_____________________________________________________

Accepted Answer

The answer of Describe the role of a death doula.
_____________________________________________________
_____________________________________________________
_____________________________________________________...

Question 12

Which of the following is an overlooked benefit of hospice care?

Accepted Answer

An overlooked benefit of hospice care is bereavement support. Spouses of patients who receive hospice care for three or more days reported reduced depression symptoms compared to surviving spouses of patients who did not receive hospice care. The differences were even more pronounced a year after a spouse's death.

Question 13

What is the purpose of palliative care?

Accepted Answer

Palliative care is designed for the purpose of alleviating pain from serious illness. Unlike hospice, palliative care is targeted toward all patients, not just those in terminal care situations. Palliative care programs are rapidly increasing in number.

Question 14

Which of the following is NOT an alternative to nursing home care in the United States?

Accepted Answer

Alternatives to nursing home care in the United States have proliferated since 1971 and include, but are not limited to: Green Houses, assisted living facilities, adult foster homes, virtual villages, elder cohousing, granny flats, continuing care retirement communities, memory care facilities, dementia cafes, and a dementia village.

Quiz 10: Long-Term Care and End-Of-Life Care

The U.S. funeral industry generates an estimated $ _______ in revenue annually.

What is the purpose of virtual villages?

Examine alternative explanations for the Buchwald phenomenon and its impact on hospice use. ___________________________ _ ___________________________

How can a smart home equipped with technology enhance older residents' safety and independence?

Which of the following is the basic premise of the Eden Alternative?

What does PACE stand for?

What is a Certified-Aging-in-Place program?

How does guided care keep frail older adults in their home and delay or avoid hospital or nursing home care?

Why was the Patient Self-Determination Act of 1990 enacted?

Hospice care's distinguishing characteristic is its emphasis on ______________ over aggressive medical procedures.

Describe the role of a death doula. ___________________________ _ ___________________________

Which of the following is an overlooked benefit of hospice care?

What is the purpose of palliative care?

Which of the following is NOT an alternative to nursing home care in the United States?

Quiz 10: Long-Term Care and End-Of-Life Care

The U.S. funeral industry generates an estimated $ _______ in revenue annually.

What is the purpose of virtual villages?

Examine alternative explanations for the Buchwald phenomenon and its impact on hospice use. _____________________________________________________ _____________________________________________________ _____________________________________________________

How can a smart home equipped with technology enhance older residents' safety and independence?

Which of the following is the basic premise of the Eden Alternative?

What does PACE stand for?

What is a Certified-Aging-in-Place program?

How does guided care keep frail older adults in their home and delay or avoid hospital or nursing home care?

Why was the Patient Self-Determination Act of 1990 enacted?

Hospice care's distinguishing characteristic is its emphasis on ______________ over aggressive medical procedures.

Describe the role of a death doula. _____________________________________________________ _____________________________________________________ _____________________________________________________

Which of the following is an overlooked benefit of hospice care?

What is the purpose of palliative care?

Which of the following is NOT an alternative to nursing home care in the United States?

Examine alternative explanations for the Buchwald phenomenon and its impact on hospice use. ___________________________ _ ___________________________

Describe the role of a death doula. ___________________________ _ ___________________________