services to maintain independent living the continuum of care
TRANSCRIPT
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Services to Maintain Independent Living
The Continuum
of Care
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How to Read the Road Signs
What services are needed to maintain independent living?
Understanding the terminology and acronyms
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Assessment: The First Step
Information about the person’s general condition and special needs
Guides the care plan development
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Assessment (continued)
Physical and cognitive abilities
Social and emotional needs
Financial and environmental needs
Identification of available informal and formal support and resources
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Assessment…Who To Involve
Client
Family and friends
Personal physician
Long-term care professionals currently assisting client
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The Plan of Care
Client-centered, based on assessed need
Specifies who will do what and for how long
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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
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Home Care Services
Often referred to as “in-home services”
Support independent living
A range of services to meet diverse needs
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Skilled Home Care
Skilled nursing
Nutrition services
Specific therapies
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Home Support Services
Homemaker Service
Personal Care
Home Delivered Meals
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Community- Based Services
Services provided outside of the home
Support for independent living and family caregiving
Promote socialization
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Typical Community-Based Programs
Adult day care
Congregate nutrition
Transportation
Senior centers
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Where to Find Home and Community-Based Services
Area Agencies on Aging
Other human service agencies
Eldercare Locator
Yellow pages
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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
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Part Two
Supportive
Living Options
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Senior Apartments, ECHO Housing, and Retirement Communities
Home maintenance
Social programs
Home safety devices
Transportation
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Adult Care Residences
Licensed by DSS
Private or public pay (Auxiliary Grant)
Residential living
or assisted living
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Residential Living
Serves adults with minor physical or cognitive limitations
Provides limited assistance with activities of daily living
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Assisted Living
Serves adults with a higher level of need than residential living
Provides moderate assistance with activities of daily living (ADLs)
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Nursing Facility
Nursing home, health care center, convalescent home
Provision of ongoing health related services
Licensed by Virginia Department of Health
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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
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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
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Elizabeth A. Morley, MSWProgram Coordinator
Virginia Department for the Aging1600 Forest Avenue, Suite 102
Richmond, Virginia 23229(804) 662-9333