China
Africa
Explore chapters and articles related to this topic
The healthcare continuum
Published in Edward M. Rafalski, Ross M. Mullner, Healthcare Analytics, 2022
Post-acute care includes: assisted living, skilled nursing, long-term care and most recently super skilled nursing facilities (Super-SNFs) a new designation created by certain states to accommodate the most skilled post-acute care for COVID-19 patients.14 Assisted living is housing for the elderly or disabled that provides nursing care, housekeeping and prepared meals as needed. Skilled care is nursing and therapy care that can only be safely and effectively performed by, or under the supervision of, professionals or technical personnel. It is healthcare given when skilled nursing or skilled therapy to treat, manage, and observe the condition, and evaluation of care is needed. Long-term care involves a variety of services designed to meet a person’s health or personal care needs during a short or long period of time. These services help people live as independently and safely as possible when they can no longer perform everyday activities on their own. Long-term care is provided in different places by different caregivers, depending on a person’s needs. Most long-term care is provided at home by unpaid family members and friends. It can also be given in a facility such as a nursing home or in the community, for example, in an adult day care center.15
Medicare
Published in Kant Patel, Mark Rushefsky, Healthcare Politics and Policy in America, 2019
Despite the relatively small number of the elderly in nursing homes, the threat of a nursing home stay is that it can wipe out lifetime savings. In 2018, the national median yearly cost for a semiprivate room in a nursing home was $89,297. Nor is home healthcare cheap. The national median yearly cost for homemaker services was $48,048; for a home health aide, $50,366. Adult day healthcare costs a median $18,720 a year. The median annual cost of living in an assisted-living facility is $48,000 (Genworth Financial 2018). The impact of these high costs should be compared to the income available to the elderly. While members of the Baby Boomer generation are relatively better prepared for retirement than previous (and perhaps future) generations, they are hardly wealthy. Just over half of elderly Social Security beneficiaries depend on the program for more than half of their income, especially minority groups (Caldera 2012). Social Security benefits are not overly generous. The average monthly benefit for a retired worker in 2018 was $1,413, with a maximum monthly benefit of $2,788 (Brandon 2018). To put this into perspective, compare the above numbers on the cost of long-term care with the yearly benefits from Social Security: its average cost is $16,956 and the maximum is $33,456, less than the cost of living in an assisted-living facility and much less than the cost of living in a nursing home. And those who receive the maximum are more likely to have other sources of income, such as retirement accounts and pensions, than those at the lower end.
Long-Term Care Pharmacy
Published in William N. Kelly, Pharmacy, 2018
Intermediate care: An emerging level of LTC between independent living and nursing homes is called intermediate care. This level of care is less intense than nursing home care but more intense than independent living. More services are offered than in assisted living, and the care allows the resident to remain as independent as possible before progressing to nursing home care. For example, impairment may occur in one or more basic measures of function.
Room Arrangement and Social Cohesion in Senior Homes – A Study in China
Published in Journal of Gerontological Social Work, 2022
Regarding the open-end question on environmental promotion, 147 survey participants wrote down their suggestions. Of the suggestions, 12% were focused on room-level environments and 32% were on facility-level environments; the rest was regarding facility management and services (e.g., the quality of food and staff education). Residents suggested improvements in the context of individual facilities.Regarding the room-level environments, nursing-care residents didn’t commend, whereas 10 independent-living and 13 assisted-living residents responded. The themes included the needs for better room environments and the strategies of roommate management. Keywords identified from their comments were private room, roommate, natural lighting, room furniture or appliance (e.g., desk, sofa-bed, and refrigerator). Private room type was suggested by two double-room residents in an independent-living facility. Thoughts on how to get along with roommates were discussed, such as developing common hobbies.
Improving Behavioral and Psychological Symptoms and Cognitive Status of Participants with Dementia Through the Use of Therapeutic Interactive Pets
Published in Issues in Mental Health Nursing, 2022
Bryanna Streit LaRose, Lisa Kirk Wiese, María de los Ángeles Ortega Hernández
Pet therapy has been proven to be a cost effective, therapeutic intervention for improving mood and behavior in the older adult population. An early live animal assisted therapy evidence-based program and its follow-up study were proven successful in a day center program (Kanamori et al., 2001a, 2001b) as well as a more recent study (Liang et al., 2017). Research was available regarding pet therapy in long-term care facilities (Moyle et al., 2017; Sicurella and Fitzsimmons, 2016), assisted living facilities (Friedmann et al., 2015), and nursing homes (Jøranson et al., 2015). These programs demonstrated patient and family perceptions of improved quality of life and self-care management by aiding in controlling symptoms of dementia. However, the use of therapeutic interactive pets in adult day centers has not been widely published.
Linking Service Quality Attributes to Meaning-in-Life Outcomes for Residents Who Have Transitioned to an Assisted Living Community
Published in Journal of Gerontological Social Work, 2021
In 2019, 9% of the global population (703 million persons) were 65 aged years and older, and by 2050, this number is expected to double, resulting in a projected 1.5 billion citizens (United Nations, 2020). Of this demographic, the fastest growing will be from persons aged 80 years and over, who will increase nearly threefold between 2019 and 2050, from 143 million to an estimated 426 million (United Nations, 2020). In the United States, it was estimated that 1.4 to 1.5 million older people resided in assisted living (AL) in 2019 (Howley, 2019). Projections for the growing numbers of older adults worldwide will impact the need for skilled nurses, professionals and paraprofessional caregivers in this sector, placing greater emphasis on service management and delivery as methods to assess quality of life in AL. Leaders and boards of directors, both managing and governing assisted living communities (ALCs), will be called to focus on a service-centered culture, mandatory for success of the business model (Kivnick, 2016).