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What is Long Term Care?

Sudhir Mathuria

Sudhir Mathuria HEALTHLIFE 360 713-771-2900

Long-term care or LTC is any of a wide range of ongoing services and support systems designed to help individuals perform self-care when they are unable to do so themselves. It can be something as simple as one spouse helping another out of bed at home, or it can involve providing round-the-clock medical care to a chronically ill patient in an institutional facility where the individual lives full time. Long-term care can also be anything in between these two extremes. For example, it can include: 1) Visits by a professional caregiver in an individual’s home a few times a week 2) Driving an individual to a community center each day and bringing him or her back home every evening 3) full-time custodial care in an institutional facility that does not offer any medical care
Informal and Formal Care Long-term care services can be divided into two categories: Informal care and Formal care. Informal Care Informal care is care provided by: A spouse or other family members or friends Informal care is generally provided at no cost to the individual receiving the care. The most common type of informal care is one spouse helping the other through the day, or an adult child caring for an aging parent.
Formal Care Formal care is provided by paid professionals, such as nursing home staff, licensed nurses, or home-care providers. Like informal care, formal care encompasses a wide range of settings and levels of intensity. Formal care can be provided by: Visiting homemakers who provide cleaning, companionship, and other nonmedical services in the individual’s home, in-home personal care providers who provide nonmedical services such as assistance with eating, dressing, washing, and other personal care tasks, home health aides or visiting nurses who provide medical services in the individual’s home, senior centers, which provide opportunities for companionship and recreation in a largely unsupervised setting, adult day care centers, also known as adult day service programs, where meals, activities, and supervision can be provided in a group setting to individuals who are dropped off each morning and picked up each afternoon or evening, assisted living facilities, for individuals who cannot live independently but need only a minimal level of regular assistance, custodial care homes, also referred to as nursing homes, which offer individuals daily personal care but not medical care, care intermediate care facilities, for individuals who need part-time medical or rehabilitative care provided by skilled professionals, skilled nursing facilities, where licensed nurses provide continuous care on a 24-hour basis under a plan of care written and supervised by a physician.
Home-Based Care The home-based care category includes all the types of informal care, such as that provided by one spouse for another or an adult child for an aging parent. But some types of formal care also fit in the home-based care category: Visiting homemakers, personal care providers, home health aides. Fact that care is delivered in the home does not necessarily make it informal. If the care is rendered by trained and paid professionals, it is considered formal care, regardless of where it takes place.
Facility-Based Care In the facility-based care category are all the other settings of care: assisted living facilities, custodial care homes, nursing homes, intermediate care facilities, and skilled nursing facilities. assisted living facilities—These are nonmedical residential community settings that offer various levels of assistance, ranging from protective oversight to higher levels of assistance with activities that are necessary for independent living or supported living. Assisted living facilities have been described as a bridge between independent living and living in a nursing home. Residents typically live in apartment-like accommodations, with lockable doors and private bathrooms. Intermediate care facilities—These are settings in which health care and support are provided regularly to residents who require ongoing intermittent services but not at a level of a hospital or skilled nursing facility. Those who reside in intermediate care facilities typically have some kind of chronic mental or physical condition that requires a sustained and consistent program of care that cannot be served in less restrictive environments. Nursing homes—These are residential facilities for those with chronic illness or disability who need help with activities of daily living, such as eating and transferring. Nursing homes provide room and board and 24-hour care and support, including recreation.
Growing Demand for Long-Term Care Services As the baby boom generation continues to age, the demand for long-term care services is expected to grow over the coming decades. Consider the following figures: In 2012, the number of people age 65 and older in the U.S. was greater than 43 million, representing approximately 13 percent of the population. By 2020, it is estimated that the number of people age 65 and older will grow by about 30 percent to nearly 56 million. By 2030, that segment of the population will grow another 28 percent to over 72 million.
So is the cost of Long Term Care. WE will examine the options to fund long term care next week.
To plan for Medicare or Long-Term Care contact Sudhir Mathuria 713-771-2900.
Read complete report online: www.voiceofasiaonline.com


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