
REFERENCE MANUAL
II. Clinical Issues / Care Delivery Systems

Introduction
The purpose of this Section is to provide information about clinical
issues and care delivery systems related to the long-term care continuum.
"Contents" lists topics covered in this Section. This is followed by a list of
major questions that will be addressed by the topics in this Section.
The content of this Section will be expanded gradually over time. Highlighted
items are most likely to be linked to more detailed content. Refer back periodically for
issues of interest. The monthly "Tips and Information" columns will address
various items prior to being transferred into this Reference Manual.
Contents
1. Basic principles of providing care
a. Principles underlying clinical decision
making
b. Principles of managing illness and injury
c. Defining goals and objectives for care
delivery and outcomes
d. Relationship of medical care to other
care and services
2. The processes of care
a. The concept of a care process
b. Steps in the process
3. Levels of care and proper placement for service
a. Determining "levels of
care"
b. Relating levels of care and care sites
c. Identifying needs and matching them to
levels of care and service sites
d. Clinical and financial considerations in
determining proper placement
4. Clinical care issues
a. Common syndromes, conditions, and
problems in the long-term care population
b. Essential concepts and tips for
managing common syndromes, conditions, and problems
5. General clinical concerns and problems
a. Medication use in the long-term
care population
b. Prevention and screening
c. Palliative and terminal care
d. Infection control principles
6. Management of specific conditions, illnesses, and disorders

Issues Addressed in This Section
What are underlying principles of
managing illness and injury?
How do we define goals and objectives for care
delivery and outcomes?
How does medical care relate to other care and
services that may be provided?
What are the actual processes of care? What
should occur during each of them, and by whom?
What are "levels of care" and how can
they be determined?
What is the relationship between levels of care
and care sites?
How can a person's needs be identified and
matched to a level of care and service site?
What are the steps in determining proper
placement?
What syndromes, conditions, and problems are
commonly found in the long-term care population?
What are essential concepts and tips for
managing them?
What are essential principles related to
medication use in the long-term care population?
What are essential principles related to
prevention and screening?
What are essential principles related to
palliative and terminal care in the long-term care population?
What are the important infection control
principles?
How do we manage various illnesses and
conditions?

For More Information Contact:
Long-Term Care Information
7801 Ruxwood Road / Baltimore,
MD 21204-3540
Tel: 410-825-4728
FAX: 410-825-4728
Internet:
information@ltcinfo.net

