Pauline Vaillancourt Rosenau with the assistance of Paul
Management , Policy, and Community Health
School of Public Health
University of Texas Health Science Center
Houston, Texas, USA
Types of post-acute, institutional, residential, and community-based settings for older adults
Types of clients served in select settings
Facility and patient demographics
Payment and cost of long-term care
Community Living Assistance Services and Supports program (CLASS Act)
Initiating the process and making challenging decisions
Transitioning from one setting to another
“Health, mental health, residential or social
support provided to a person with functional
disabilities on an informal or formal basis
over an extended period of time with the
goal of maximizing the person's
independence. Services change over time
as the person's and caregivers' needs
Sources can be found in the notes of each slide.
The full presentation will be made available to the class .
Home Care: "Services (as nursing or personal care) provided to a homebound individual (as one who is convalescing, disabled, or terminally ill) “ Informal care refers to long-term services carried out by families and unpaid caregivers, whereas, formal home care service involves the aid of paid care.
Supportive Housing: "Combines affordable housing with individualized health, counseling and employment services for persons with mental illness, chemical dependency, chronic health problems, or other challenges. Generally it is transitional housing, but it can be permanent housing in cases such as a group home for persons with mental illness or developmental disabilities. Supportive housing is a solution to homelessness because it addresses its root causes by providing a proven, effective means of re-integrating families and individuals into the community by addressing their basic needs for housing and on-going support."
Independent Living: "Residents in Independent Living are just that - totally independent. Independent living residences provide meals and services as required. Some people confuse Independent Living and Assisted Living and justifiably so - they are very similar. Assisted Living residences provide two or more meals, and offer Planned Care."
Assisted Living: A subcategory of residential care that includes, "housing and limited care that is designed for senior citizens who need some assistance with daily activities but do not require care in a nursing home —usually hyphenated when used attributively“
Nursing Homes: "A facility licensed with an organized professional staff and inpatient beds and that provides continuous nursing and other health-related, psychosocial, and personal services to patients who are not in an acute phase of illness, but who primarily require continued care on an inpatient basis."
Chronic Care Facilities: "Long-term care of individuals with long-standing, persistent diseases or conditions. It includes care specific to a problem as well as other measures to encourage self-care, promote health and prevent loss of function."
Acute Care Programs: "Medical care administered, frequently in a hospital or by nursing professionals, for the treatment of a serious injury or illness or during recovery from surgery. Medical conditions requiring acute care are typically periodic or temporary in nature, rather than chronic."
Hospice Care: "Care designed to give supportive care to people in the final phase of a terminal illness and focus on comfort and quality of life, rather than cure. The goal is to enable patients to be comfortable and free of pain, so that they live each day as fully as possible."
Home Care (formal) Community: resident individuals who require ADL aid beyond the capabilities and/or...
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