LTC Care Settings and Terminology (FL)

Skilled care: licensed medical personnel (doctors, licensed nurses, physical therapists) under a doctor's orders — the nursing-home standard of 24-hour nursing service with a nurse on duty or on call and clinical records. Intermediate care: the growing middle ground between skilled and home care, aimed at prolonging independent living and delaying nursing-home placement. Custodial care: nonmedical help with ADLs (eating, bathing, continence, toileting, transferring, dressing) plus medications and meal prep. Home HEALTH care (skilled professionals) vs. home care (nonskilled professional caregivers) — the F.A.C. defines home health services as medical and nonmedical services to ill, disabled, or infirm persons in their residences, including homemaker, ADL assistance, and respite care. CCRC: one community offering independent living → assisted living → skilled care so residents age in place. Alternate care: smaller residential settings or adult day care giving family caregivers respite. Case management: assessment, education, advocacy, planning, and communication. Adult daycare: a daytime community-group program of social and health services for six (6) or more frail or impaired adults. Hospice: comfort-focused care for the dying and support for the family, in a facility or at home. Plan of care: the assessment-and-sequencing method for maximizing caregiving. Medically necessary = meets accepted medical standards to diagnose/treat; medically appropriate = timely, professional, effective, efficient versus alternatives.

A vocabulary ladder from hospital-grade nursing down to a helping hand with lunch — the exam mostly asks which rung a scenario sits on.