What’s With All The Jargon?


All of the options available for long-term care can be confusing.  I hope this helps somewhat.  Also take a look at Sequoia Senior Solutions Blog.


Options for Long-Term Care and Support of Activities of Daily Living

 Type of Service  Description
 Non-Medical Home Care Support for Activities of Daily Living, including homemaker, companion, concierge and personal care services.  Cooking, transportation, bathing, incontinence care and support for dementia are examples of specific services. The goal is to help the individual or family continue to live in their home, with safety and a high quality of life.  Clinical services are excluded from this type of care. A very good source of information and providers can be found on the Website of the National Private Duty Association.  Our own Support For Home Website is also a good source – honest. 🙂
 Home Health Care This is a set of medical services, normally associated with discharge from a hospital, acute rehabilitation or skilled nursing facility, to assist an individual’s safe return to the home environment.  Services may include skilled nursing and physical, speech and occupational therapy. This care must be prescribed by the individual’s physician and usually lasts 4-8 weeks, maximum. There is a very good treatment of this topic on the Medicare.gov site.
 Independent Senior Living This normally involves apartments that have been designed to accommodate aging residents (for example, wider doors for wheelchairs, easy accessibility), while allowing maximum possible independence for the residents.  In some cases, meals may be provided, for a fee.
 Assisted Living Facilities These apartment residents receive meals, housekeeping and some support for Activities of Daily Living.  Usually, residents of these facilities do not have significant health issues, including dementia, although some facilities do have memory care units. For seniors who prefer a high degree of social interaction, Assisted Living can be a very good option. Wikipedia has a decent article of these facilities.
 Skilled Nursing Facilities There are two types of SNFs, with some facilities having both.  One is acute rehabilitation, where individuals discharged from hospitals can receive intensive therapy (physical, speech, occupational) and nursing to prepare them to return home. The other type of focus is true long-term care, with the individual not expected to leave the facility. There is a good Medicare.gov description of skilled nursing care and coverage.
 Adult Day Health Programs These programs have many of the services involved in skilled nursing facilities, but they are day programs, rather than residential.  In addition to other services, socialization and (usually) dementia care activities are a frequent focus. A very good article on adult day health care can be found at the National Care Planning Council.

We also have this information in a PDF file, so you can print it or save it to your computer:  Options for Long-Term Care

Best wishes.  Bert

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