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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

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Last modified: September 08, 2004