Long-Term Care vs. Home Care

Current numbers show substantial growth from the eighties, and estimates suggest that the demand for long term care among the elderly will more than double in the next thirty years. (Feder, Komisar, and Niefeld) This growth will exacerbate concerns about balancing institutional and noninstitutional care, assuring quality of care, and most importantly adopting and sustaining financing mechanisms that equitably and adequately protect the elderly who need long-term care.

Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.

What are the Effects of current health care tends on long term care and this facility

You mentioned two of the main payers for the over 65 population, Medicaid and Medicare. I work in long-term care (LTC) and deal with regulations governing Medicaid and Medicare reimbursement daily. Currently, at least in North Carolina, our skilled nursing facility (SNF) Medicaid rates were frozen at the 12/31/14 CMI rate. That means for over a year now SNFs have been paid at the same rate, but expenses have not frozen. This rate freeze has placed financial pressures on SNFs and presented them with operational challenges regarding implementing and maintaining quality initiatives.

Will mom or loved one receive better care at home or in a nursing home? This is a hard choice to make, but which is the best? In this paper, it examines the efficiency of home care programs, assisted living and long-term care programs. It examines the care and cost of the different programs with respect. The decision of whether or not to place an aging parent (or a loved one) into a long-term care facility, or to try and to keep them in their own home or yours is one that many American families are facing each day. Factors in dealing with this decision are too numerous to count, but we will address a few of them in the following paper, like the

The continuum of institutional long-term care is for patients whose needs are not adequately met in a more community-based setting. It is for individuals who need more dependency. There are two ends of the continuum of institutional long-term care spectrum. On the one end there are the individuals that may only need basic personal or custodial care (Shi & Singh, 2015, p. 399). An example of personal and custodial care can include help with walking, bladder training, or just helping with bathing. On the other end there are the individuals that may need more round the clock care with nursing or specialized services along with the basic needs (Shi & Singh, 2015, p. 399).

Before there was any type of reform, legislation those that were running these Long-Term Services were abusing and neglecting the patients they were be paid to take care of, in light of quality of life. They were giving them medications that were keep them in deep trances were they didn’t have to care for them, but could keep them in a trance like state for hours and even days at times. “Although Nursing Home Care in general has improved, problems persist in areas relevant to end-of-life care, including pressure sore, malnutrition, dehydration, pain and quality of life.” (Sarah Thompson, 2008 ) These were all serious issues that needed to be addressed and major improvements starting happening within Long-Term

to the licensure, operation, and reimbursement of nursing home care under the Medicaid program. Furthermore, the state and federal regulations assist ISDOH surveyors to conduct their investigations of a nursing home. The surveyors are concerned with potential and actual outcomes of care, and focus on such care during their survey process to ensure nursing homes are achieving the best practicable quality of life for residents, as well as preventing accidents and adverse events” (Sweeney Law Firm, 2017).

Worldwide, the number of people who have dementia has dramatically increased over the years. This means that there will be a greater demand for facilities to care for these patients in the future. In general, people tend to prefer home care over residential care, but it has been proven that people in the late stages of dementia need greater care. There is a great deal of criticism involved with large-scale nursing homes, and hospital environments, so in response, a new method, called “small-scale living” or a microenvironment is being introduced (DeRooj 2011).

The overall purpose of this study is to evaluate the effects of Medicare's prospective payment system and Medicaid's preadmission regulations on long-term care. For patients in high-Medicare nursing homes, the prevalence of medical problems and problems requiring skilled

Many seniors no longer have the support at home that they did when they were younger. Even those with spouses at home find that the care they need is beyond what their spouse can provide. Friends and family may have moved or passed on. While a convalescent home is

For this critical commentary, I will be looking into the article written by Janice Keefe and Pamela Fancey which is called “ The Care Continues; Responsibility for Elderly Relatives before and after Admission to a Long Term Care Facility. The article is made up of information regarding their research into 214 family members who have put their loved ones in these long-term care facilities. The overall result from the research had shown that these families had only put their loved ones in these homes due to their declining care (Fancey and Keefe,1). From here, the article looks into several points that reflect on the family members continuing care even when they are in these homes or not.

Nursing home care will be furnished to beneficiaries for whom such care is specifically authorized by VA. It is understood that the type of patients to be cared for under this agreement will normally not require more than occasional visits by physicians for more than minimal laboratory, X-ray and other special services. At the negotiated fair rate, the VA expects the nursing home to provide room; meals, nursing care and any other services or supplies normally provided other patients in the nursing home without extra charge. In addition, the negotiated rate is to include the cost of routine medical care, emergency dental care, laboratory, x-ray, and drugs/supplies/nutritional supplements. Rehabilitation Services will require prior approval

Continuing care retirement communities are life-care communities that are based in the United States. Under these communities, the lives of aging people are enhanced through independent living; assisted living and nursing home care (Morrison et al., 2013). These types of care may be met in a single residence or apartments. My community consists of 300 units. These units are divided into 180 independent units, 40 assisted living beds and 80 nursing home beds. The community accommodates an older resident for three years in the independent facilities, followed by one in the assisted living facility. Finally, the resident lives in the nursing home for nine months. The CCRC serves aging people in the United States. These people move into CCRC even when they live independently. Their stay in the community continues until the end of their lives. The advancement in age leads to changes in medical needs as well as the changes in the kind of nursing they receive in the community. In this regard, an increase in age leads to a corresponding increase in care services for aging people. The community takes care of the needs of the patrons. In the event that a patron requires hospitalization, s/he may go back to their residence when they get well. They receive relevant treatment and care in these residences. The community attracts senior people that live in isolation and are in dire need of care environment alongside people of the same age.

Welfare facility for the elderly requiring long-term Care: Living facility for older people who require long-term care