Long Term Care Services Essay

In addition, Community Care Services provides much needed monitoring and support service to ensure the older person is able to live in their own home. They cover everything from community nursing, meals, domestic help, personal care, home modifications, transport and day therapies and support for people with cultural and identifiable needs, as well as for people with particular health conditions. For example, meals on wheels services provide a nutritional food, Vital Call service to help the aged people in an emergency case. Some of the ways may support the older people are get assistance with “home help”,

Long-term care can be defined as a broad set of paid and unpaid services for people who are mentally or physically disabled, or whose chronic illness places them in need of medical or personal assistance for long periods of time. “It is estimated that there are more than twelve million Americans of all ages whose mix of serious disability and chronic illness places them at the high risk for functional decline, hospitalization, or nursing home placement.” (Benjamin) Several different populations require long-term care services, and the needs of these populations vary. In addition to the elderly, many of the long-term care users are younger persons with physical disabilities; persons with developmental disabilities; and persons with chronic

Long-term care is a variety of services that includes medical and non-medical care to people who have a chronic illness or disability. Long-term care helps meet health or personal needs. Most long-term care is to assist people with support services such as activities of daily living like dressing, bathing, eating, and using the bathroom. Long-term care can be provided at home, in the community, in assisted living or in nursing homes. Long-term care can be given at any age depending on

The Long-Term Care Act was to benefit and work with seniors to improve their overall well-being. The Long-Term Care Homes Act guarantees to help residents living within the long-term care system to receive dependable, high-quality, and safe care for the residents. It is often common for seniors to adjust when placed in long-term care as this is a new and challenging transition for the senior and their families. The commonplace goal is to have a long-term care home environment where residents feel comfortable and at home, where residents are treated with the respect they deserve, and have the proper supports and services that cherish to their particular needs for their overall health and well-being. These services are physical and mental health related services- especially one that relates to the Community Worker Program such as Community and Social Workers that are crucial in a senior’s life often.

In 1965, President Johnson signed Title XIX of the Social Security Amendments, which enacted Medicare and Medicaid (CMS, n.d.). Now, Medicaid is the single largest publically funded health coverage in the United States. The Medicaid program is federally and state funded. Currently, Medicaid covers 70 million Americans. Over 33 million children, 19 million low-income adults, and 16 million elderly or disabled persons are insured through the program. Medicaid also provides assistance to select Medicare beneficiaries, which is currently about 10 million individuals. Long-term care assistance is also a role of Medicaid, with 1.5 million institutional and 2.9 million community-based residents assisted. As visualized in Figure 1, of the almost 70

Long-Term Care is the retirement crisis that no one is talking about. There is an increasing demand for long-term care services because Americans are living longer with chronic health conditions. For Example, Veterans may live with family or alone and need services that their caregiver can no longer provide or may outlive their primary caregiver. Nursing home placement seems like the only option.

Our patients are our number one goal, so it is preferred if possible to do a face-to-face conversation. That is if we can find any of the families, we are looking through all the medical records to see if there are any out of date information that might help to lead us to the first person. “Even basic communication skills such as phone courtesy and message taking can have an important influence on the organization’s success. Communication skills affect the performance of every employee, not just those in leadership roles Du Pre, A (2005). Everything is marketing from greeters to nurses” (P. 58).

The long-term care system consists of an integrated continuum of many institutional and non-institutional providers who deliver extended care when needed. Long-term care providers distribute a variety of care to individuals with chronic, mobility and/or cognitive impairments/limitations. These providers include: nursing facilities, subacute care, assisted living, residential care, elderly housing options and community based adult services (CBAS) (Pratt, 2010). CBAS is broken down into subdivisions, which include: home health care, hospice care, adult day care and adult day health care (ADHC). ADHC’s falls under the category of non-institutional care, allowing individuals to be independent, stay within their community, live at home, and age in place, while being of high quality and low cost. The ultimate goal of ADHC’s is to keep individuals out of hospitals and nursing homes (institutional care), and allow them to live their life comfortably, independently and in their households with their loved ones (Alteras, 2007).

As individuals age, numerous decisions must be made. A person, in conjunction with their loved ones, will need to address matters such as where they will live, how long term care will be paid for (if needed) and who will receive which assets upon their passing. When making medical decisions, one thing that individuals need to keep in mind is their home may need to be sold if they wish to qualify for medicaid. Anyone in need of advice on Medicaid, who qualifies and what assets may be retained while still qualifying should contact a Southington CT Medicaid Planning Attorney.

The demographic of clients in the long term care delivery model has a range that starts in infants and ends with the elderly, this care also includes persons with disabilities (mental and physical). According to Hooyman (2014),”to address escalating health and long-term care costs, the locus of care for older adults and persons with disabilities is shifting from institutional to community-based settings (p.25). Community based settings would fall under the realm of assisted living, nursing homes where there would be onsite staff that included nutritionist to ensure residents had a balanced diet, physicians, certified nurse aides or medical assistants, nurses, physical therapists, pharmacy technicians, and a health care administrator, but a large portion of long term care is also carried out by family members and friends due to the financial costs associated with facility care which offsets the coverage provided by private insurance, Medicaid and Medicare. The ultimate goal is to have a positive outcome and assist the person receiving care in regaining their

A study that used data from the National Long-Term Care Survey (NLTCS) was conducted at the Center for Demographic Studies at Duke University to look at who receives in-home care from a sample of 2428 adults. They found that overall the odds of receiving at least one hour of home care services were about 2 times greater for older people with family incomes over $75,000 per year and at the same time, the odds for receiving the same services for individuals with family incomes over $30,000 were .22 times the odds of families in the lowest income category (Alexander L. Janus1* and John Ermisch2). The same study showed that 63% of caregivers were paid by personal sources and 28% by Medicaid (Alexander L. Janus1* and John Ermisch2). This means that only 9% of the caregivers work with individuals that fall between the highest income category and the lowest income category further showing the lack of HCBS services accessible to the population of people 65 and older who do not fall in the middle income

Rehabilitation facilities provide inpatient care while helping the patient return to the maximum functionality possible. Rehab facilities specialize in physical medicine, physical therapy, and occupational therapy, helping patients recover from the effects of accidents, severe injuries or illnesses, strokes, or serious surgery.

Health care is a fascinating industry. So many types of care are included within the industry. Health care can be very broad or very specific. Health care is also comprised of different types of health care. One specific sector is long-term health care. Long-term care plays a huge role in the health care continuum. This paper will define long-term care and a continuum as well as discuss the services provided and how these services fit in the continuum of care, the resources that go along with long-term care and how it contributes to overall health care resources, and how long-term care services

Chapter 10 discusses long term care. Long term care involves many services. Cognitive impairment is when someone has a hard time remembering things. ADL’s can help determine this, ADL’s include looking at someone’s ability to do simple things like taking a shower or eating. IADLs involve looking to see if a person is capable to cook and manage other things like housework. The National Study of Long Term Care Providers is a new research developed that will help us determine how much in LTC services we will need. We as tax payers are the primary people responsible for LTC. LTC services are formed to fit the need of the patient, to do this we look at their mental, physical capabilities.

Health care is a necessity in life, even more so for the elderly, but the country we live in does not provide its citizens with a universal health care system. With that being said, it is pivotal for the elderly to find ways to finance their health expenses. With the advancement of medical technology, there are 44.7 million individuals that are 65 and above about 14% of the population. (census.gov) Finding ways to provide the elderly is a daunting task. On the bright side, there are many different programs to assist the elderly in paying for the health care they need.