services to maintain independent living the continuum of care
TRANSCRIPT
Services to Maintain Independent Living
The Continuum
of Care
How to Read the Road Signs
What services are needed to maintain independent living?
Understanding the terminology and acronyms
Assessment: The First Step
Information about the person’s general condition and special needs
Guides the care plan development
Assessment (continued)
Physical and cognitive abilities
Social and emotional needs
Financial and environmental needs
Identification of available informal and formal support and resources
Assessment…Who To Involve
Client
Family and friends
Personal physician
Long-term care professionals currently assisting client
The Plan of Care
Client-centered, based on assessed need
Specifies who will do what and for how long
Home and Community-Based Services
Services provided in the home or community that help frail and older people to remain independent for as long as possible
Can be provided as caregiver respite
Home Care Services
Often referred to as “in-home services”
Support independent living
A range of services to meet diverse needs
Skilled Home Care
Skilled nursing
Nutrition services
Specific therapies
Home Support Services
Homemaker Service
Personal Care
Home Delivered Meals
Community- Based Services
Services provided outside of the home
Support for independent living and family caregiving
Promote socialization
Typical Community-Based Programs
Adult day care
Congregate nutrition
Transportation
Senior centers
Where to Find Home and Community-Based Services
Area Agencies on Aging
Other human service agencies
Eldercare Locator
Yellow pages
How to Pay for Home and Community-Based Services
Medicare Medicaid Private health insurance Private pay Scholarships Area agencies on aging and local
departments of social services
Part Two
Supportive
Living Options
Senior Apartments, ECHO Housing, and Retirement Communities
Home maintenance
Social programs
Home safety devices
Transportation
Adult Care Residences
Licensed by DSS
Private or public pay (Auxiliary Grant)
Residential living
or assisted living
Residential Living
Serves adults with minor physical or cognitive limitations
Provides limited assistance with activities of daily living
Assisted Living
Serves adults with a higher level of need than residential living
Provides moderate assistance with activities of daily living (ADLs)
Nursing Facility
Nursing home, health care center, convalescent home
Provision of ongoing health related services
Licensed by Virginia Department of Health
Nursing Facility (continued)
Nursing care, rehabilitative therapies, meals, activities, housekeeping, laundry, and social services
Most direct care provided by Certified Nursing Assistant (CNA)
Payment-private, commercial insurance, Medicare, and Medicaid
Continuing Care Retirement Community (CCRC)
Full service community offering retirement, assisted living, and nursing facility care on one campus
Promise of lifetime care in return for an entry fee/long-term agreement
Typically enter while independent with access to all levels of care as needed
Elizabeth A. Morley, MSWProgram Coordinator
Virginia Department for the Aging1600 Forest Avenue, Suite 102
Richmond, Virginia 23229(804) 662-9333