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Topics Caregiving by Diagnosis |
Living Arrangements
and End-of-Life Care Choosing the Best Place for Care Senior Centers Adult Day Health Care Center For more detailed information:
Often people prefer to remain in their home and have help come in as needed. The level of help you require can vary depending on the needs of the individual. Early on, supervision and socialization may be all that is required. Later, the needs of your family member may include more physical care such as bathing, toileting, and feeding. Individuals can be hired through personal contacts or local agencies can provide trained staff to meet these needs. It is always a good idea to interview someone and speak with references before you hire them. If there are medical needs (ex. wound care or blood monitoring), sometimes a Visiting Nurse Association (VNA) will provide services for a short time. These services may be reimbursed by insurance providers, especially if the individual is determined to be “homebound” or unable to get out for required medical treatments. Arrangements for these services can be made by you, your provider, or staff in a facility if the individual has been hospitalized. For more detailed information:
Respite care refers to periods of time where care is provided by an alternate person or facility to allow a break for the caregiver. This can be for specified times each day by in-home or community-based caregivers or for longer periods of time such as a week-end or vacation period. Some long-term care facilities and community organizations offer these services which may be reimbursed by insurance providers. For more detailed information: Hospice is a philosophy of care for patients who are expected to have less than 6 months left to live. Care is given by a well-trained team of professionals and can be delivered in a variety of settings (at home, nursing home, etc). Services are focused on providing comfort to patients and families and include things such as pain management, nursing care, and counseling. These services are covered by Medicare for patients with end stage dementia and may also be reimbursed by other insurance plans. For more detailed information:
Retirement Communities These communities can be primarily for healthy, independent individuals where the focus is on social networks and leisure activities or they can provide multiple levels of care and service from independent homes to nursing home settings. The latter can often accommodate diverse needs for a couple by allowing for one to live independently on the same grounds as someone in a health care facility. Movement between facilities is also permitted according to changing conditions. These communities generally require a significant entry fee as well as monthly fees or additional fees according to services provided. Generally, residential costs are not covered by insurance but costs associated with health care may be reimbursed. For more detailed information:
Assisted living facilities are facilities that provide some assistance to residents who remain largely independent but may be somewhat functionally impaired. Assistance varies according to facility but can include help with bathing, toileting, laundry and meal preparation. Skilled nursing or medical care is not provided and the level of independence required by the resident varies by institution. This category also includes Residential Care Facilities and Board and Care Homes. These residential facilities do not qualify for reimbursement by insurance providers. For more detailed information:
Nursing homes are residential facilities for those individuals who can no longer live independently due to disease or the need for round-the-clock supervision or skilled nursing care. These facilities provide for all the physical needs of the residents. Cost and types of payment accepted, special programs, and availability of additional services such as physical therapy vary by facility. Some facilities have specific dementia services such as activities or a secured (wander-free) environment. For more detailed information:
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