9 - 1 Introduction to US Health Care Text by Dennis D. Pointer, Stephen J. Williams, Stephen L. Isaacs & James R. Knickman with Tracy Barr PowerPoints by Robin Pickering Eastern Washington University

9 - 2 Introduction to US Health Care Chapter 9 Long-Term Care

9 - 3 Long-Term Care Services Ambulatory medical services Inpatient medical services Mental-behavioral services Social services Daily living support services

9 - 4 Primary Users of Long-Term Care People with temporary disabilities People with chronic health problems

9 - 5 Personal Care Facilities Assisted living facilities Continuing care retirement communities Congregate care facilities Nursing homes Alzheimer’s /dementia facilities

9 - 6 Personal Care Facilities Assisted living facilities Continuing care retirement communities Congregate care facilities Nursing homes Alzheimer’s /dementia facilities Board-and-care facilities Adult foster care Licensed by the state

9 - 7 Personal Care Facilities Assisted living facilities Continuing care retirement communities Congregate care facilities Nursing homes Alzheimer’s /dementia facilities Self-sufficient communities All personal and medical services Generally only accept healthy seniors

9 - 8 Personal Care Facilities Assisted living facilities Continuing care retirement communities Congregate care facilities Nursing homes Alzheimer’s /dementia facilities Similar to CCRCs but offer no health care services

9 - 9 Personal Care Facilities Assisted living facilities Continuing care retirement communities Congregate care facilities Nursing homes Alzheimer’s /dementia facilities Intermediate-level nursing and personal services Serve those who are temporarily or permanently unable to care for themselves All states require nursing homes

Nursing Home Staffing Nursing aids Social workers and case managers Dietitians, rehabilitation therapists, and other health professionals Administrative personnel Licensed nurses

Personal Care Facilities Assisted living facilities Continuing care retirement communities Congregate care facilities Nursing homes Alzheimer’s /dementia facilities Independent unit or component of assisted living facility Provide constant supervision Help with ADLs and personalized care

Home Health Care Agencies Voluntary nonprofit Government Proprietary Medicare Certified?

Community-Based Care Adult day care Respite care Senior centers Transportation Meals on Wheels Telephone reassurance Area Agencies on Aging

Hospice Care Provide physical care and counseling to terminally ill patients and families Medical personnel Social workers and counselors Clergy Therapists Volunteers

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