The Continuum Of Institutional Long Term Care

Adult day care signifies an increasing option for many families with loved ones who require long-term care. Adult day care can be offered by for- profit, or not for-profit organizations. Some large nursing homes also offer day care services on the site. Adult day care programs offer care services such as meals,

(Long Term Care Canada, 2011) All in All for this form of service it would be beneficial for this individual to either have private insurance or for the family to care for them.

Acute care and long-term care are both continuum care, but there are many differences between these types of facilities. When people are severely injured or ill, they seek treatment at an acute care facility. “Acute care is medical care designed to treat and/or cure an acute condition, for example, a heart attack or stroke” (http://eldercarehelper.com, 2016). Acute care facilities usually release patients before the 30th day and treatment is provided by a physician. In long-term is provide for patients that need continuum care, but less intensive treatment. “Long-term care facilities offer medical care to patients who need…less intensive level then that provided at an acute care facilities” (Gartee, 2011). The patients usually stay longer

The information contained in this report was gathered in a private nursing home over 2 weeks that for the sake of this essay, be called “facility x”

Assisted Living Homes are designed to provide residents with basic everyday assistance. An important aspect is that assisted care facilities provide a safe and comfortable environment for older adults who need assistance with duties such as bathing, dressing, shopping, cooking, grooming, arranging doctor’s appointments, medication administration and laundry services. These facilities have social and recreational activity programs designed to keep the residents active. The recreation groups provide residents with activities for enjoyment, exercise, and interactions with others to build character. Special activities such as luncheon,

Millions of people in the U.S. are unable to care for themselves and need long-term care services. These people need assistance in performing one or more self-care activities of daily living such as eating, bathing, dressing, and executing basic movements like walking, sitting, or standing. Services can be provided in the patient’s home, a residential care community, nursing home, assisted living facility, adult day service center, or at a hospice. Housework, money management, shopping, organizing medication, and helping with communication are some of the other long-term care services that are provided.

Hospitals can be set up as nonprofit or for-profit facilities. The differences between the nonprofit and for profit hospitals will be discussed. Hospitals have experienced different trends in the last thirty years. This paper will identify at least three major trends that have occurred within the hospital sector. Three examples that describe and differentiate the roles of hospitals and nursing homes are providing long-term care. The conclusion of this paper will be a brief critiquing of the current state of long-term care policy in the United States.

Reimbursement for these facilities and programs is shifting to a quality and acuity-based system, meaning the better care a facility provides, the better the reimbursement will be. This new reimbursement system is aimed at benefiting those receiving care but does not take into consideration the costs associated with providing such care. Additionally, this program is not just centered around medical care, but also considers the quality of life long-term care facilities and programs provide for their patients (TN Division of TennCare). Long-term facilities and programs focus their attention to the maintenance and monitoring of health conditions in individuals, and now these facilities and programs must do so while documenting every aspect of care – from when and what types of medicines are being given to the number of showers an individual takes each week to the portion of meals an individual is eating. While this may sound essential in the maintenance and monitoring of conditions, the extensive charting required under the new reimbursement system also takes caregivers away from providing additional

The word “fall” does not usually strike fear into the hearts of most people, but it should. Falls are all too common in the geriatric population, and they have devastating consequences. American Geriatric Society. (2016) falls are the leading cause of injury and death in adults 65 years and over. A person who falls may sustain severe injuries such as hip fracture, or head trauma. Falls have cost the US health system more than $19 billion and is predicted to increase to $54.9 billion by 2020. Falls are prevalent among elderly patients living in a Long Term Care Facility. According to Lee, A., Lee, K.-W., & Khang, P. (2013), argues that falls are the common and devastating problem among elderly clients causing a tremendous amount of morbidity,

The demand of long-term Care Service refers to the chronic disorders, through the judgment of the evaluation and the required for the various long-term care services. Such services include professional and non-professional aspects, non-professional services by family members, neighbors, relatives, friends and self-employed domestic service activities of daily life and household activities care; and professional services in part, is the multifaceted health problems in the long-term. In health professionals, such as health care, social workers, nutrition and physical therapists provided for the various health or community service (Roe, Whattam, Young * Diomond, 2001). Long-term Care Services demand is the informal and formal care, family and

Expressed need is determined by the percentage of those who seek the services and those who are actually receiving it. Nursing homes, are designed for people who are in need of twenty-four hour nursing care; these facilities provide residential services such as room and board, personal care, protection supervision, and. nursing care, provided by RNs, LPNs, and aides at any time inside the facility. Nursing homes typically provide custodial care, to include assistance with eating, dressing, bathing, medication management, and walking. Most people with Alzheimer's disease require custodial care (Alzheimer's Association,

Also referred to as “custodial” care, is a long-term residential care provider specified for senior care and disabled patients. Enrolled patients are self-reliant in daily routines but may require additional assistance or care in daily activities, such as bathing or getting dressed. Here, residents enjoy regular social activities and are encouraged to live a lifestyle of independence while having the comfort of knowing care is nearby, if needed. These communities offer assistance in the essential activities of daily living, or ADLs. Homes provide a wide range of services which include, but are not limited to, personal care, housekeeping, prepared meals, medication management, transportation and dressing.

facility that has features of a hotel suite, efficiency or an apartment complex. It is a community-based residential facility used by self-sufficient seniors and by those with mild cognitive impairment, who wants to maintain an independent life, which gives them a sense of control. Some benefits of assisted living facilities are schedule activities, and having a social life with their peers. Other benefits are providing care and assistance to the elderly adult, helping them maintain their activities of daily care such as dressing, bathing and the preparation of meals. Another is flexible living space which adapts to changes in the health of an older adult. The facility also provides laundry services, housekeeping and transportation services

The agency provides programs to keep the residents enthused about living at this agency. The agency is contracted to provide services in-house such as: Mental health services, from the Department of Mental Health, counseling services, medication monitoring for the psychotropic medications, group activities through Region IV Department of Mental Health. We are contracted with two hospice companies (Sanctuary Hospice, Gentiva Hospice) for residents whose health are declining then determined by a physician if hospice services are needed, they will be at our service. Those services are provided within the agency, so they do not have to leave the agency or an unknown environment. There are other facilities that make visits to the agency to convene our clients are optometrist which provide eye care and specialize in eye health. The podiatrist assists our patients who are diabetic and are disabled to walk. The dentist is also contracted to provide mouth care and all these services are provided

Able 2 provides a wide variety of services to their residents and clients that accommodate multiple interests. One of the many services provided by able 2 is their Day Habilitation program. This program includes opportunities to volunteer throughout the community at local libraries, animal shelters, nature reserve centers, meal assistance kitchens, and events that are occurring throughout the city. Programs such as this allows the residents and clients of Able 2 to have autonomy in choosing which activities they would like to participate in. In addition, those who do not require residential care but still are in need of disability services can receive support programs to help with daily functions. Able 2’s Day Habilitation provides their clients with social workers, nursing personnel, speech pathologists, occupational and physical therapy, as well as dietician guidance and physiological support (Able 2, 2016g). In addition to providing outside services to clients, those who require residential care receive around the clock care to ensure the ultimate safety, health, and necessary care for each client (Able2, 2016g). Inside the Able 2 homes, a registered nurse is assigned to 10-13 residents, allowing them the ability to provide specialized and individualized care. In addition to having a registered nurse, the residential homes also include certified staff that are required to be skilled and knowledgeable in all areas of disability services to provide