Long Term Care

1638 Words Mar 10th, 2012 7 Pages
Continuum of Care- Long-term Care
Long-term care has and is continuing to become an important part of the continuum of care. Years ago Long-term care (LTC) was considered only to be for the elderly, but as time passes it is for anybody and everybody who needs it. Barton (2006) stated, “Regardless of the length of time (i.e., from weeks to years), long-term care is an array of services provided in a range of settings to individuals who have lost some capacity for independence due to injury, chronic illness, or condition” (p. 367). According to Barton (2006), it states that the services long-term care provides help the consumer with basic needs and shows the individuals how to do daily living activities, along with therapy and being able to
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Veterans are also entitled to long-term care and have their own nursing homes that provide them with the care they need. With the rising number of mentally frail individuals they can receive long-term care services in a setting more accommodating to them. There are still services that focus primarily on the each individual group separately.
For these individuals to be put in long-term care facilities or receive treatments they have to be diagnosed by a doctor first. This can raise some issues, The Raphael (2003) website states transitions from one setting to another are not smooth and because of the competition between providers. This has to a lot to do with how they get paid and what is covered, and that has to do with Medicare and the long-term care system. Raphael (2003), "the Medicare budget cuts started with the Balanced Budget Act of 1997 forced providers to focus on financial survival and discouraged experimentation with new models of care. Second, Medicare’s new prospective payment systems (PPS) for long-term and post acute care organizations reinforced existing isolation among care settings.” They are not building the necessary collaboration needed to provide proper long-term care. Due to the prospective payment system the health care system focuses on single sites rather than the entire care process. This causes more separation in long-term care and becomes more

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