1. Module 4: Care Centers Aging Services of Minnesota Older Adult Services Orientation Manual © Aging Services of Minnesota 2014 1

2. Acknowledgements This resource was made possible by funding from the Ronald Patterson Governance Fund of the Aging Services of Minnesota Foundation © Aging Services of Minnesota 2014 2 TERMS OF USE Aging Services of Minnesota (Aging Services) is the sole and exclusive owner of and retains all rights to this Orientation Manual (“Manual”) and all associated registrations. Aging Services makes this Manual available free of charge only to its members on the Members Only section of the Aging Services website, which is password protected. Member representatives are authorized to use any or all of this Manual only in the performance of duties and responsibilities on behalf of the member organization. The contents of the Manual may be customized to meet the needs of the member organization, and copies of any portion of the Manual may be distributed within the member organization. In every other respect, members and member representatives may not: (i) alter the Manual; (ii) add to the Manual; (iii) update the content of the Manual; (iv) distribute reproductions of the Manual to any person or organization not a member of Aging Services; (v) borrow portions of the Manual for use in other works; (vi) make derivative works; or (vii) be identified as an author of the Manual. Developed by Health Dimensions Group, Minneapolis, MN

3. Care Centers © Aging Services of Minnesota 2014 3 “Because chronic disease prevalence is higher and multiple conditions are more common, services received by residents in care centers have changed significantly from traditional custodial/personal care to clinically complex care”. Andy Edeburn, MA | VP of Continuum Strategies Health Dimensions Group

4. Care Centers © Aging Services of Minnesota 2014 4 Care centers may also be referred to as nursing homes, skilled nursing facilities, nursing facilities, or long-term care facilities

5. Care Center Services Provided Health care treatment and assessment of patients and residents not in need of an acute care facility, but requiring nursing supervision on a 24-hour basis Care centers provide two distinct types of care: Post-hospital or –acute care  Referred to as rehabilitative, short-term care or skilled care  Rehabilitative care needs due to injury, disability, or illness Long-term care  Nursing and personal care and services above the level of room and board  Needed regularly and on an ongoing basis due to a physical and/or cognitive condition © Aging Services of Minnesota 2014 5

6. Care Center Resident Care Staff © Aging Services of Minnesota 2014 6

7. Post-Hospital Care Services Provided © Aging Services of Minnesota 2014 7 Patients no longer requiring in-patient hospital care, but are not yet able to return to their previous home, may receive short-term care within designated care center units or beds

8. Post-Hospital Care Common Conditions © Aging Services of Minnesota 2014 8 Common conditions requiring post-hospital care:

9. Long-Term Care Long term care offers: A comprehensive range of medical/nursing, personal, and social services coordinated to meet the daily physical, social, and emotional needs of people who are chronically ill or disabled and anticipate an extended placement To residents who: Requires 24-hour medical and/personal care Requires assistance with the majority of activities of daily living (ADL) due to physical disability or dementia Needs a nursing home level of care as assessed by the preadmission screening team © Aging Services of Minnesota 2014 9

10. Long-Term Care Services Provided © Aging Services of Minnesota 2014 10 Services include: Medication administration and management Nursing care Palliative and end-of-life care Personal care assistance with ADLs (predominantly mobility, toileting, bathing, and eating) Programming for impaired cognition and behavioral conditions like dementia Rehabilitative services: physical, occupational, speech therapy, and respiratory therapy Restorative nursing RN case management

11. Notes © Aging Services of Minnesota 2014 11