Elder
Care Services - Determining Your Level of Care
The condition of the person seeking
nursing care is the key factor in your choice of a long-term
care facility. All skilled/intermediate care nursing facilities
provide personal care and residential services including rooms,
meals, planned activities and programming to meet social and
spiritual needs. The levels of nursing and therapy services offered
vary quite widely, and these should be carefully matched to the
individual’s needs. The resident’s physician is involved
regularly in the direction of a resident’s care. The nursing
staff works with and keeps the resident’s physician updated
on any changes in the resident.
Levels of Care: |
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Sheltered
Care
People who are functionally independent
but need some assistance in daily living, require the care of
a sheltered care facility (SC).
Sheltered care facilities emphasize
the social needs of the individual rather than the medical needs.
Dietary and housekeeping services, medication monitoring, and
leisure activities are primary functions of these facilities.
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Assisted
Living
People who are mobile but may
need assistance with one or two activities of daily living, may
require the services of an assisted living facility.
An assisted living facility is
a congregate residential setting that provides or coordinates
personal services, 24-hour supervision and (scheduled and unscheduled)
assistance, activities, and health-related services; is designed
to minimize the need to move; is designed to accommodate individual
residents' changing needs and preferences; is designed to maximize
residents' dignity, autonomy, privacy, independence, choice,
and safety; and is designed to encourage family and community
involvement.
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Intermediate
Care
People who need 24-hour nursing
care by licensed nurses as prescribed by a physician, require
the care of an intermediate care facility (ICF).
Rehabilitative programs, social
services and daily activities for persons not capable of full
independent living, (such as persons who are convalescing or
persons with chronic conditions which are not critical) are provided.
Physical, occupational and other therapies are also provided.
This type of facility may be certified to participate in the
Medicare and/or Medicaid program. Check with each facility.
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Skilled
Nursing Care
People who need 24-hour care
require the care of a skilled nursing facility (SNF).
Registered Nurses (RN), Licensed
Practical Nurses (LPN), and Certified Nurse Assistants (CNA)
provide care and services prescribed by physicians with heavy
emphasis on medical nursing care. Social services, as well as
physical, occupational and other therapies are provided. This
type of facility may be certified to participate in the Medicare
and/or Medicaid program. Check with each facility.
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Subacute
Care
People who need a greater intensity
or complexity of care than generally provided in a skilled nursing
facility but who no longer require the stabilization or treatment
provided in acute hospital care, require the care of a subacute
care facility.
Subacute care includes physician
supervision, registered nursing and psysiological monitoring
on a continual basis. |
