1. Adult Day Care A Life Style for Older Adults

2. Understanding frailty Decline in physical ability and decline in Cognitive functioning Decline in eating and drinking fluids Reduced mobility and socialization Increased isolation, loneliness and depression leads to further decline in functioning

3. Successful Aging Staying engaged with family, friends, associates Staying active and participating in exercise Being stimulated in body, mind, and spirit Making a contribution to society Having self-respect and to be respected by others

4. The dangers of being old and living alone Feeling of boredom, loneliness Poor eating habits Depression Lack of exercise Loss of physical function Poor personal hygiene World becomes very small

5. ADULT DAY CARE Social and mental stimulation Nutritious meals Exercise Assistance with personal hygiene Medical oversight and monitoring Religious and spiritual opportunities A sense of belonging

6. Anatomy of Adult Day Care Social model (ADS) versus Medical Model (ADHC) Location, space, and equipment requirements Hours of operation Programming and services offered Admission and discharge policies Staffing needed Payment options

7. Goal of Adult Day Care: To enhance the lives of older adults Provide safe, secure, and supportive environment Provide programming and services that address the physical, mental, emotional, social, and spiritual needs of the older adult (also, medical needs in a medical model) Provide avenues for the older adult to stay engaged with the greater community

8. Safe and Secure Environment Measures to prevent elopement or wandering from the day care site or for uninvited persons from entering the site. Sanitary conditions and infection control measures to prevent the spread of infection Environment that is temperature controlled and well ventilated

9. Programming and Services Programming to address the physical, mental, emotional, social and spiritual needs of older adults  Chair exercises, balloon toss  Playing games that require thinking  Intergenerational programs, reminiscing  Story telling, news paper reading  Bible Study, saying of prayers

10. Services Transportation Nutritious meals and snacks Therapy: physical, occupational, speech Health monitoring: blood pressure, pulse, blood sugar, weight Health Screenings: vision, hearing, cancer Immunization and medication adminstration

11. Services (con’t) Assistance with dressing changes Assistance with incontinence care Application of medical appliances and treatments such as respiratory care Personal care such as bathing, shaving and hair care Psychiatric and mental health services

12. SUMMARY Community based with benefit of staying in one’s home Supportive and stimulating environment Lower cost than other options Supports the concept of Successful Aging

13. Picture this! Arrive by bus at the day care at 7:30 a.m. Have a light breakfast followed by morning prayers Receive your morning medications and have both blood pressure, pulse, and the swelling in your legs checked by a nurse and recorded in your record

14. Con’t Have the morning headlines and lead article of the newspaper read to you as a group Do morning stretching exercises Spend time playing a game that requires thinking and moving around the room at the same time

15. Con’t Have a snack Go for a walk outside with another ADC participant and a staff person. Watch the local news on TV and then discuss the events with your group Eat lunch Lie down for a short nap

16. Con’t Participate in chair exercises set to music Attend a chapel service or prayer service Take the medications the nurse has and describe to him/her how you feel today Show the nurse the sore on your

17. Con’t Drink some juice or eat a healthy snack Play a game of bingo Visit with the small dog that arrived for a visit. Join the group that will paint the wooden birds Return to your home when your daughter comes to take you home

18. Compare to this Eat small breakfast Sit in your chair Sleep in your chair, you’re bored Watch TV, read a book Skip lunch, you’re not hungry Sleep in your chair, Watch TV, read newspaper Wait for your daughter to come home