Trans4mind Home Page
~ A Journey of Self-Discovery ~

Explore Article Library


Elder Care Options

By Thomas LeBlanc

Although our focus is on elder care options it is important to remember that life-changing conditions that threaten independent living are not limited to the elderly. People of any age can experience challenging conditions due to illness or injury that interfere with normal activities of daily living. When a decline in function renders a person unable to live independently, there are many care options to consider in regards to the kind of care they"ll receive and who will provide it.

It is my desire that the following summary of care options will be helpful to those needing care.

Hospitals

Hospitals usually keep patients with acute medical conditions until the acute condition is resolved. However, this is not always long enough to allow the patient to become independent and safe enough to return home.

Hospitals serve an important function by saving the lives of those with life-threatening conditions, but when patients are medically stable they must move to another type of facility.

Because the present healthcare environment imposes tight funding restrictions on hospitals, it forces them to reduce the duration of a patient's stay. The allotted time is rarely sufficient to return patients to their prior level of function. At this point, patients and/or their family members must decide what to do next.

The care option that's right for your circumstances depends on availability, accessibility, price, expectations and the patient's age, condition and recovery potential.

Swing Bed Programs

Progressive hospitals offer Swing Bed Programs. To move from acute care to Swing Bed is no more than a paperwork move. However, patients on the Swing Bed Program can continue to qualify for Medicare benefits as long as they make progress in physical therapy, and as long as they demonstrate good rehab potential.

Rehabilitation is the key in these facilities. Patients are involved in therapeutic exercises, functional training, balance training, and gait training. The Swing Bed Program functions as a skilled nursing facility.

Regional Rehabilitation Centers

Qualifying patients may transfer from an acute hospital to a regional rehabilitation center. These patients receive intensive rehab that usually consists of a combination of physical therapy, occupational therapy and speech therapy.

Stays are typically one to three weeks, after which the patient must either transition to their home or to another care facility.

Nursing Homes

Nursing homes, referred to as care homes, convalescent homes, rest homes, and elder care centers, vary in size and type. Skilled nursing homes can, in some cases, carry on the rehabilitation the hospital began. If the patient is able to consistently show physical progress and good rehab potential, Medicare may reimburse for a certain number of days.

Physical therapy and occupational therapy can include therapeutic exercises and training in activities of daily living (bathing, dressing, grooming, etc). When patients reach a plateau in their progress, they are either discharged or sent to a non-skilled nursing facility. Medicare does not provide financial assistance for non-skilled facilities.

The best nursing homes provide restorative services. A restorative aide performs simple exercises and assisted ambulation with patients that do not qualify for the skilled services of a licensed physical therapist. Nursing homes are a good choice for individuals who require lots of care or who lack the rehab potential to progress to a rehabilitation facility.

Assisted Living Facilities (ALFs)

ALFs provide care for individuals who have a much higher level of independence than do those who require a nursing home. They usually have a private apartment-like setting where the residents can be reasonably independent. Meals and varying levels of care are provided.

Assisted living facilities are designed for those who have a good degree of independence, yet are not able to live independently in their own homes. ALF's typically do not offer physical therapy, exercises programs or restorative therapy services, and Medicare offers no assistance.

Adult Foster Homes

These facilities offer a home-like environment and the best possible staff-to-resident ratio. The State allows a maximum or five residents in Oregon Adult Foster Homes. Other states vary. Residents are given home-cooked meals and activities that are relevant to their interests.

In Oregon, adult foster homes are licensed as level 1, level 2 or level 3, based on the experience and capabilities of the care providers. Level 1 foster homes provide for functional residents who require only minimal assistance in their activities of daily living. Level three residents require care in several activities of daily living and may even be bed bound.

Although adult foster homes specialize in elder care and retirement age residents, people of any age can live in them.

Family Caregiving

Sometimes, families want or need to care for their loved ones in their own home. This seemingly overwhelming task can be handled in two ways: One way is by hiring personal in-home caregivers to provide the needed care. Someone needs to coordinate the caregivers to ensure consistency. When 24-hour care is needed the expense can far exceed any of the above options.

A second option is to personally care for your loved one yourself. This could necessitate leaving your job. This ambitious task can be done if you take care of yourself to prevent burnout and to avoid falling ill. If you take this route you might consider having a personal caregiver come in once or twice a week to relieve you.

Transitional Care

Often, patients are not ready to return home after leaving the hospital. Various life-changing conditions, such as a hip fracture, knee or hip replacement or stroke can make it impossible to safely transition home. Even conditions like pneumonia or bowel obstructions can start the deconditioning process that makes a person less stable on their feet and puts them at risk for falling.

It's imperative to maximize a patient's level of function in order to ensure their safe transition home. Transitional care units have emerged to fill this gap. Transitional care units provide various degrees of rehabilitation that can include physical therapy and occupational therapy.

About The Author
Tom LeBlanc PT has been a physical therapist for over 30 years. His experience includes working in all of the above caregiving environments. He is currently developing a FREE TeleSeminar on Caregiver Secrets. He also hosts Home Entrepreneurs News (www.home-entrepreneurs.com), a site dedicated to helping entrepreneurs and business seekers find the business that is right for them. One of his "featured Businesses is detailed in his article, Become a Personal Caregiver.

 All Rights Reserved Home Entrepreneurs Corporation

This article may be copied as long as the following information box remains.


AND EXPLORE...

Addictions
Astrology
Careers & Employment
Communication
Creativity
Dating
Depression
Diabetes
Diets
Divorce
Education
Environment
Ethics
Exercise
Family
Goal-Setting
Grief & Loss
Happiness
Health
Kids & Teens
Leadership
Love
Marriage
Meditation
Nutrition
Organizing
Parenting
Psychology
Public Speaking
Relationships
Schools
Self Help
Self Improvement & Motivation
Sexual Relations
Spirituality
Stress Management
Travel and Leisure
Women
Writing


From our extensive site, you'll find good info on many topics using this search:

Want to renew your life?

Our online, interactive video workshops present the most effective methods of holistic personal development...
Start off with a Free Life Assessment and a Free Consultation...
 

Have a question about Trans4mind Training?

Frequently Asked Questions
What Are Our Fees?
Email Peter Shepherd

Support your personal development with these popular and effective hypnosis downloads...

This is our selection of favorites, but there's a session for every need! Choose from over 800 Hypnosis Downloads...
Search now on an issue that interests or concerns you...
 

Welcome to the New Wave in Meditation Technology

Click here to learn more about the iAwake Profound Meditation Program
The iAwake Profound Meditation Program
is a way of enhancing your meditation practice, making meditation not only easier and more enjoyable, but also more efficient and effective.
Profound Meditation provides the smoothest, deepest, richest, most profound meditation experience available anywhere...
Here is a link to a free 20-minute track from iAwake Technologies - a sample of the type of tools that will deepen your meditation immediately and help you quickly become a successful meditator. It's the opening track of iAwake's flagship product, the Profound Meditation Program, called the iAwake Experience...
Learn More and Download the iAwake Experience
We think you'll find this technology a tremendous aid on your transformative journey of becoming your best and most creative self - and you can get started today!
And here's a fantastic resource for self-education...

The World of Inspiration eLibrary

World of Inspiration
A treasure trove of personal development wisdom

Step inside. Just like a real library, there are thousands of quality eBooks presented on three "floors" and in different "rooms." To purchase your $15 Lifetime Membership to the World of Inspiration eLibrary, click the following button:

Payment is made through our secure transaction agent, PayPal.
The transaction is in the language and currency of your choice.
"I want to just say 'WOW!' This collection is probably the best money I ever spent! I've already received many times over in personal enrichment after just 9 days. I've had a past metaphysical background, but even newcomers to this material will really benefit. Thanks again." ~ J.S. (Pennsylvania, USA)
"The collection is everything which you promised. And more! A superb contribution to the good of the world. Many thanks indeed." ~ R.P. (Georgia, USA)
"Just a short note of thanks for the library. I've only had membership for several days now but I already feel this is perhaps the most interesting compilation I have yet seen. Worth far more than the price of admission. The browser linked structure works well and makes it easy to manage such a large storehouse of information. It is rarely that I find something I like as much as this or that I feel strongly enough to write a note like this." ~ P.W. (Minnesota, USA)
Copyright © 1997-2016 Trans4mind Ltd