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Long-Term Care What is long-term care? What types of services are available along the spectrum of...

Long-Term Care What is long-term care? What types of services are available along the spectrum of long-term-care settings? What is an ethical will? What are advanced directives? Consider that death and dying are part of life and are not a sign of failure; within the context of health and wellness, and successful aging, what role does long-term care play?

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  • Long term care is a variety of services which help meetone both the medical and non medical needs of people with chronic illness or disability who cannot care For themselves For long periods .
  • Long term care is focussed on individualised and co ordinated services that promote independence , maximise patients quality of life and meetone patients needs over a period of time .
  • It is common For long term care to provide custodial and non skilled care such as assisting with normal daily tasks like dressing , feeding ,using the bathroom .
  • Increasingly long term care onvolves providing a level of medical care that requires the expertise of skilled practitioners to address the multiple chronic conditions associated with older population .
  • Long term care provided at homeostasis , nursing facility , in community , in assisting living facility or in nursing homes .

Services :

At the home :

  • Most older adult live in a homeo setting with only a small percentage of those aged 65 or older residing in an institutional setting .
  • Care of older adults at home may involves a treatment deal of participation from loved ones .
  • It costs approximately half as much to care For an older adult at home as it eould cost in a long term care facility .
  • Home patients may receive only minimal assistance or they receive complex nedical therapies.

Hospice :

  • Peovide services to patients and families as the end of life approaches.
  • The philosophy of maintaining comfort as death approaches is central to hospice care .
  • Provide nursing interventioms to meetone basic needs such as ADLs : pain and symptom management and spiritual and psychological support For the patient ,family and significant others .

Adult day care :

  • Community based programmes are designed to meetone the needs of functionally or cognitively impaired adults through an individualised plan of care .
  • These structured ,comprehensive programmes provide to variety of services including physical care , mental stimulation , socialisation , assistance with health maintainance and health referral during any part of the day but providing less than 24 hours care .
  • They are designed to serve adults eho require supervision , social opportunities or assistance due to physical or cognitive impairment.

Residential seyting :

  • Assisted living.
  • Continuing care retirement communities.

Institutional setting :

  • Rehabilative services provide 24 hour care
  • All the communicable and non communicable diseases
  • Medicare and medicaid services .

Ethical will :

An ethical will is a document designed to pass ethical values from one generation to the next .

Advanced directive :

Advanced directives are legal documents that allow you to spell out your decisions about end of life care ahead of time .

They give you a way to tell your wishes to family , friends and health care professionals and to avoid confusion later

Successful aging is the process of developing and maintaining the functional ability that enables well being in olde age.

Successful aging is freedom from disease and disability and high cognetive and physical functioning .

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