Care homes:
- Difference between residential care home and nursing care home
- Who funds care
- Common medical problems in care homes
- Why do people enter care homes
a care home is 700 wk where provides personal care/meds/toilet/eating/activities. nursing is 890 which provides actual nursing care. can have dementia, frail, post stroke, hf, copd, cancer
- via medical crisis, gp, personal, respite care, rehab
Carer:
- Definition
- What is a crisis
- Name some care acts supporting carers (3)
- Impact on carers
a person who provides support to someone who wouldn’t manage without.
can help via respite care, support groups, help with equipment, crisis care planning, carers allowance
Community hospitals:
- Definition
- What is NHS continuing healthcare
- What is discharge to assess
- What is a home first form
- What is an interim care plan
- What does rehab do
- has nurses, physio, OT, doctors
- is for subacute care, complex rehab, end of life care
- What is NHS continuing healthcare: free package of care
- What is discharge to assess: dont require acute hospital bed and service can be provided at home/community
- What is a home first form: referred to social services to assess funding
- What is an interim care plan: plan if risk of readmission, extra care at home
Health inequalities:
- Definition of inequality vs inequity
- What is the inverse care law
- What is the difference between explicit and implicit bias
explicit: attitudes aware + expressed openly
implicit: outside of awareness
Consent + capacity:
- What is the difference between implied and expressed consent
- Why is mental capacity time and decision specific
- What is the mental capacity act 2005
2005: someone has capacity until proven otherwise, support decisions, even if unwise, if no capacity then best interests, and least restrictive options
- understand, retain, weigh up, communicate
- DOL: for 1 week if in hospital, care home, own home
What does discharge involve (7)
- meds to take home
- transport
- therapy assessment
- restarting package of care
- outpatients appointment
- district nurse referral
- transfer back letter
Reasons for re admission (5)
- one of elements of discharge has not been met
- patient complications
- breakdown communication between healthcare professionals and social services
- family decisions
- funding issues
