of industry terms
dispair if these terms and seem overwhelming and confusing.
Aging Family Serivces can guide you and help you sort
out choices and options for your sepcific circumstances.
day care centers provide a therapeutic environment
for older adults outside the home. They provide social
services and activities in a safe, supportive environment.
Depending on the program, health and therapeutic care
may or may not be available. It is important to check
Some centers may not accept participants who are disruptive,
have other health problems or are incontinent. Participants
generally attend several hours per day, up to five
days a week. Transportation to and from the adult
day care center may also be provided. Some centers
are now offering evening and Saturday programs
Living, Family Care Homes & Adult Care Homes
of these terms apply to homes for individuals who
cannot live alone, but do not need skilled nursing.
These facilities offer help with personal care and
hygiene, meals, social interaction with others, and
bedside care. They have 24-hour staff in case of emergencies.
care can be either formal (home care agency or personal
attendant) or informal (friend, family, or volunteer).
If no medical or personal care is needed, any caring,
responsible person may be suitable. An ad can be placed
in your local community, college, or church newspaper
to search for a responsible part-time companion and
If care involves toileting or bathing, you will need
a person who is trained and competent. Similarly,
if lifting the person and/or a wheel chair is necessary,
be sure the worker is physically able do the work.
Always check references carefully.
If medications are to be dispensed, or nursing care
is required, you will likely need an LPN. A registered
nurse (RN) is needed only when more complex medical
care is necessary (such as treating wounds, or managing
a ventilator). Medicare may be able to cover medically
necessary part-time care for a home-bound older person
under certain strict needs and duration-based guidelines.
a parent can no longer be cared for at home, it may
be necessary to consider a residential facility. Arriving
at this decision can be quite painful. Both you and
your parents are likely to have strong feelings about
facility placement. You may want to discuss the decision
with other family members, a counselor or spiritual
advisor. Or, you can make an appointment with Aging
Family Services and we will be happy to help you understand
Ultimately, it is important to evaluate your parent's
current living situation and carefully assess how
care needs can be met. Concerns about safety, your
parent's ability to be left alone, medical needs,
and adequate help for basic daily activities (e.g.,
eating, dressing, toileting, bathing, moving around)
should be considered. In addition, the daily strain
on the caregiver should not be ignored. If you, your
sibling or parent is the primary caregiver, it is
vital to recognize when caregiving demands exceed
what is humanly possible. If you determine home is
no longer a viable option, it is time to look at residential
Residential care options are not limited to what most
people refer to as nursing homes. A range of options
exist for residential care. For maximum independence,
senior residences offer apartment-style living
with additional services such as meals, house cleaning,
transportation, recreational activities and, sometimes,
an on-call nurse.
Nursing Facilities provide nursing care to residents
and must be equipped to administer medications, injections
and provide other nursing functions. People are often
discharged from the hospital to a skilled nursing
facility for rehabilitative care.
nursing homes and assisted living facilities have
special care units for individuals with Alzheimer's
disease. These facilities should provide specialized
care, trained staff, and secured premises. Since there
is currently no federal care standard for special
units, it is important to obtain information on staff
credentials, resident-to-staff ratio, and the specific
services offered to ensure that the unit provides
a clear benefit.
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