Lecture 2

Question 1

What are the 6 psychosocial factors that affect an older person’s access to healthcare?

Answer 1

1. Socioeconomic characteristics
2. Environmental/social resources and constraints
3. Psychological influences
4. Health behaviors
5. Biological pathways
6. Quality of life health

Question 2

What are some negative impact psychosocial factors?

Answer 2

1. Depression
2. Dissatisfaction with life
3. Lack of support

Question 3

What are some positive psychosocial factors?

Answer 3

1. Social engagement
2. Social environments promoting aging in place
3. Aging services
4. Hospice

Question 4

What physiological factors contribute to psychosocial aging?

Answer 4

1. Inflammation and hormonal abnormalities can lead to depression.
2. Decreased melatonin secretion => sleep disturbances
3. Declining organ status => limiting activities and socializing
4. Reduced vision/hearing
5. Gross atrophy of brain => dementia

Question 5

What is CBLTSS?

Answer 5

Community based long term services and support

Question 6

Who funds CBLTSS?

Answer 6

Center for medicare and medicaid INNOVATION

CMMI

Question 7

How do most people end up qualifying for LTSS?

Answer 7

Burning through their retirement savings until they qualify for medicaid/medicare.

Question 8

What are the 3 primary forms of CBLTSS?

Answer 8

• CCRCs (Continuing care retirement communities)
• Fully independent older adult in SFH or apartment
• Life care at home model

Question 9

What is the most common form of home health care?

Answer 9

Formal caregivers

Question 10

What is the requirement for HHAs to be reimbursed?

Answer 10

• OASIS (Outcome and assessment information set)
• 60 day periods

Certification only lasts 60 days.

Question 11

What are the two forms of formal home-based healthcare models?

Answer 11

• Home-based primary care model.
• Hospital-at-home model