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CHAPTER 20: PATIENTS EXPERIENCING HOMELESSNESS

Which of the following most appropriately describes the features of medical respite care?

A. Medical respite care programs are located in various settings, including nursing homes

B. Medical respite care provides short-term medical and recuperative services for people experiencing homelessness who are not sick enough to be in a hospital but are too sick to be on the streets/shelters

C. Medical respite care prevents unnecessary hospitalizations and reduces hospital readmissions

D. All of the above

Correct answer: D

Rationale: Medical respite care programs are offered in a variety of settings including freestanding facilities, homeless shelters, nursing homes, and transitional housing.1 Medical respite care is an acute and post-acute care for people experiencing homelessness who are too sick or frail to recover from a physical illness or injury on the streets/shelters but are not sick enough to be in a hospital.1 Medical respite care prevents unnecessary, costly hospitalizations and reduces hospital readmissions.1 A study by Buchanan et al. found that patients who received respite care averaged 5 fewer inpatient days and a 36% reduction in emergency room visits during the year following their respite stay as opposed to patients who were denied respite care.2

Which of the following factors may contribute to homelessness?

A. Domestic violence

B. Mental illness

C. Poor health

D. All of the above

Correct answer: D

Rationale: According to National Health Care for the Homeless Council, poor health can cause homelessness if the patient is unable to afford housing due to the cost of medical bills or the inability to sustain a job due to medical illness.3 As a result, patients may be displaced and without a home. Additionally, the National Coalition for the Homeless reports that approximately 16% of patients experiencing homelessness suffer from mental illness. Lastly, individuals who experience domestic violence (women > men) are often forced to choose between abusive relationships and homelessness.4 The National Coalition for the Homeless reports that domestic violence as a primary cause of homelessness in 50% of cities that was surveyed by the US Conference of Mayors.4

If SS was discharged to the street after hospitalization instead of being admitted to the medical respite, what medication-related problem(s) might occur with his antibiotic therapy?

A. SS completed the minimum duration of antibiotic therapy needed to treat pneumonia while in ...

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