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Concord North Carolina is a diverse community with varying health related needs. When reviewing
health related services for the end of life population in this community the focus was on people 60 years
of age or older because this age group represents the largest portion of the end of life population. Many
services identified were offered Cabarrus County and served the 28027 zip code in Concord.



     

The Cabarrus County Senior Centers, an affiliate of the Cabarrus County Department of Aging, is not
only a place for older adults come together to receive services, but also provides a multitude of home
services that benefit the members of the community that are 60 years of age and older. The Department of
Aging coordinates several human service programs funded by the Older Americans Act, which offer
overall wellness activities, promote health and/or delay any decline in health status. The Department
encourages an active, healthy lifestyle for older adults by promoting total wellness and allowing our
participants to remain independent. This philosophy preserves the dignity of each individual while
minimizing institutional care. They also coordinate efforts with other agencies to assist older adults in
receiving the services and support they need and desire (http://www.cabarruscounty.us/Aging/). This
service is not located in the community that is being assessed but its services can be utilized by all
residents of Cabarrus County. These services include:

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Adult Day Care is available for residents of Cabarrus County who are 60 years old or older. The
services are provided by a certified Adult Day Service Center located in the community. Adult
Day Services are designed to meet the daytime needs of participants who have physical and/or
memory related disabilities, or who live at home and depend on support from a caregiver. These
 services promote independence by allowing the participants to continue to live at home because
daytime supervision is available while the primary caregiver is able to work outside of the home.
Respite assistance is also provided. Personal care, meals, health screenings, recreational/leisure
activities and rehabilitation services may be provided.

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This program provides educational and training opportunities and respite for caregivers that will
assist them with the necessary knowledge and resources to provide the level of support that their
loved one deserves. It also provides access to available services that will help them meet the
diverse needs for their specific circumstances. Services may also be available for grandparents
raising grandchildren.

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In±home aides are available to provide temporary relief to 24±hour caregivers who are caring for
a loved one who cannot be left alone due to physical or mental impairments. To receive this
service, either the caregiver or the care receiver must be at least 60 years old.

Many other services are provided by this organization. For more information, please go to
http://www.cabarruscounty.us/Aging/ or contact cmsmart@cabarruscounty.us



 
   

This organization provided meals to residents of Cabarrus County who are unable to prepare and have no
one to prepare one hot balanced meal per day. They also provide frozen meal for weekend in addition to
the weekday hot meal delivery service. In order to receive this service, the recipient must live in Cabarrus
County, no ability to prepare one hot meal per day, need the service for a minimum of three weeks and
live within a Cabarrus Meals on Wheels delivery route. Payment is based on a sliding scale based on
income and sponsorship is available for those who are unable to pay. Meals on Wheels also can provide
assistance with pet food for those who receive food services and cannot afford to feed their pet.


  
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The Coltrane L.I.F.E. Center located in

Concord at 331 Corban Avenue provides
adult day care services for elderly or
disabled individuals who need assistance
while their primary care giver is at work,
running errands or taking care of other
matters giving them the peace of mind
knowing their loved one is safe.
Socialization and recreational activities
are provided Monday through Saturday.
In addition, there is exercise and
rehabilitative therapy, beauty/barber
services, monthly health screens and
assistance with personal care needs
available. Transportation is provided as necessary. Payment for the Center¶s services is flexible and
affordable. The Center collaborates with federal, state, and county agencies on behalf of participants who
need financial assistance. Through generous support from United Way and many others from the
community, the Center maintains affordable rates and offers some scholarships
(http://www.coltranelifecenter.org/).

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The end of life community in Concord is served by Hospice and Palliative Care of Cabarrus County, an
affiliate of CMC-Northeast. Hospice & Palliative Care of Cabarrus County has agreements and
partnerships with a community of healthcare providers to offer comfort and improve quality of life in the
final weeks and months of life. Hospice services enable patients to remain in their home and received care
that in the past was only available in the hospital. Collaboration with physicians, hospitals, nursing homes
and health insurers make Hospice care available to everyone who wants it in Cabarrus County. In order
to receive hospice services, a patient must have a life limiting illness with a diagnosis of six months or
less to live; care focused on comfort and not cures and resides within the service area. Hospice services
may be utilized in the home, skilled nursing facility, nursing home, assisted living center and the hospital.
Hospice is a Medicare /Medicaid benefit and can be covered by private insurance. The patient in
conjunction with the family and interdisciplinary care team determines the care needs and the services to
be utilized.Y

 

 
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to assess patient¶s medical condition, assist with symptom and
pain management, emotional support and provide education to the patient and family about
numerous topics including pain control, symptom management, medication management, the
dying process

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Home Visits (CNA) to provide supportive care to patients and families,
bathing services, and personal care. The CNA is in contact with the nurse and communicates any
changes or information pertinent to the patient¶s care.

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attends to the patient and family¶s non-medical concerns that can
develop during an overwhelming time. The social workers provide for the emotional needs of the
patient, family, and caregiver. In addition, they provide problem solving related to additional
practical issues such as sitter and/or respite for the caregiver. The social worker also can provide
information regarding funeral arraignment, living wills and advanced medical directives,
healthcare power of attorney, legal assistance, and community resources for transportation and
financial assistance.

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  is available to patients and families if they feel they need spiritual support.
This service is provided without discrimination and recognizes each person¶s unique personal and
religious views.

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 are available to spend time with patients to provide friendship and companionship.

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 are available to patient¶s family for 13 months after the death of a loved
one. The bereavement coordinator counsels and supports the family through the grieving process.
They help identify support systems, the physical, mental and emotional reactions to grief and
loss, support groups and role adjustment.

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Tucker Hospice House provides 24 hour a day 7 days a

week professional care on an inpatient basis of those
hospice patient who are having symptom management
issues, healthcare needs cannot be met in the home or
for respite visits while caregivers are away. Payment
for hospice services while at the Tucker Hospice House
are still covered under the Medicare, Medicaid benefit
or private insurance, but room and board is not covered
by most insurance. A sliding scale fee is available for
those patients in need, but admission is based on need
and not ability to pay (http://www.hpccc.org/hospicehouse.asp).

 
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Y American Home Patient

Y Carolina Med Plus

Y Advanced Medical Solutions

Y Apria (Vents)

Y CMC Home Infusion Systems

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Carolinas Medical Center Northeast is located in Concord

only a few miles outside of the 28027 zip code. This facility
is a 457 bed regional hospital that provides many services
such as emergency, Labor and Delivery, Oncology, and
Cardiovascular services. In addition, this hospital has children¶s hospital staffed by employees special
trained to care for pediatric patients. The hospital provides a multitude of services and is affiliated with
Hospice and Palliative of Cabarrus County. In addition to this facility, several other hospitals are located
in the surrounding area to meet this community¶s needs and include:

Y Carolinas Medical Center-Charlotte

Y Presbyterian Hospital ±Charlotte

Y University Hospital-Charlotte

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 provided by Bayada Nurses Home Care Specialists
provided nursing, rehabilitation, therapeutic and personal home health care to residents in
Cabarrus, Rowan, Stanly and parts of northern Mecklenburg County to benefit from the
comprehensive resources available from a leading, national home health company
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services and offer access to homecare professionals, skilled nurse, prescription medication, home
equipment and monitoring services. Service areas include Mecklenburg, Cabarrus, Rowan,
Stanly, Iredell and Lincoln counties.
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 provides comprehensive home health services to residents located in
Cabarrus County.
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provides services such as meal preparation, lighthouse keeping, errands, shopping, walks,
medication reminders, companionship and hygiene assistance
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Concord Place is an assisted living center for senior citizens. Each resident has a private apartment and
can select from the following services to meet their needs:

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Assessment of individual needs and preferences. A service plan is customize to meet those needs
and preferences. Residents only pay for what they need and want.
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Assistance with bathing or showering, selection of clothing, dressing assistance, grooming,
hygiene, mobility and transferring and dining assistance.
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Residents can be escorted to meals and activities within the building.
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Breakfast, lunch and dinner is provided daily. All of the meals are selected by a registered
dietician. Snacks are available all day long.
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: Suite/apartments are cleaned regularly and the trash is taken out when
needed.
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Launder of personal items, linens and towels and change bed linens.
Laundry may be done independently in the complimentary washers/dryers.
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includes reminders to scheduling to assistance.
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: Professional nurses oversee the delivery of all health care services to residents.
Nurses are on call 24 hours a day, seven days a week.
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 Comprehensive medication support, which include service such as
medication reminders and standby assistance to administering medications.
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Programs and outings range from wellness programs to outings
to fitness and educational programs to cultural and social events.
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 on site 24 hours a day
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Monitoring and intervention in specific areas can help avoid
illness and/or injury and improve quality of life for our residents. Specifically, nutrition tracking,
weight management and falls management programs.
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 staff provides door to door services to shopping, restaurants, and
personal appointments (pre-arranged).
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: is available for family vacations or just a much needed rest for family
caregivers.


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Located in Concord provides rehabilitations, nursing and assisted living services. The rehabilitation
includes physical, speech and occupational therapy. The staff consists of a Board Certified Gerontologist,
Geriatric Nurse Practitioner, Nutritionist, Registered Nurses (RN), Licensed Practical Nurses (LPN¶s) and
Certified Nursing Assistants (CNA).



 


 Y http://www.cabarruscountync.gov/Social/)

The Department of Social Services provides a host of services that

benefit the end of life population which include:

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 to provide access for individuals to medical providers, job seeking,
education, training and other activities that are required for daily living, when access is not
otherwise available.Y Medicaid Transportation is authorized in certain Medicaid programs for
recipients who are authorized for Medicaid and require this service to access medical providers. It
is not authorized if it can be provided by another means. Elderly, Disabled and Handicapped
Transportation Program (EDHTAP) is based on need and income, and can be used when the
individual requiring transportation for medical needs is not Medicaid eligible.
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 are intended to assist individuals with maintaining self-sufficiency
and improving quality of life. In-Home Aide services are those paraprofessional services which
assist adults with essential home management tasks or personal care tasks to enable adults to
remain and function effectively in their own home as long as possible. Home management tasks
include: shopping for food and other essentials, preparing meals, light housekeeping, laundry and
care of clothing, and assistance with budgeting and paying bills. Personal care services include
assistance with personal hygiene including bathing, hair care, shaving, fingernail care, and
assistance with dressing, assistance with toileting, assistance with mobility, and assistance with
feeding.Y The intent of IHA services is to assist but not replace family members in carrying out
their responsibilities for those persons needing care and support. IHA services are available to
persons living in the Cabarrus County area only.
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is a special Medicaid program for people who have Medicare and have
limited income and resources. It is a free program that helps pay your Medicare premiums, co-
payments and deductibles. There are several Medicare-Aid programs, which are also known as
Medicare Savings (Comprehensive Medicare-Aid) covers the Medicare Part B premium, the Part
B deductible for doctor bills, the Part A hospital deductible, 20% co-payment of Part B approved
costs and co-payment for Medicare approved skilled nursing home care. MQB-B (Limited
Medicare-Aid) covers only the Medicare Part B premium. MQB-E (Limited Medicare-Aid
Capped Enrollment) also covers only the Medicare Part B premium for those people whose
income is too high to qualify for MQB-B. MQB-QI (Medicare-Aid Partial Reimbursement) only
pays a portion of the Medicare Part B premium attributed to Medicare Home Health.
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@ program offers home care as
an alternative to persons 18 and older to remain in their own home rather than be placed into a
nursing home. CAP/DA can provide: in-home aide services, home mobility aids including
wheelchair ramps, non-skid surfaces and widening of doorways; telephone emergency alert, adult
day health care, medical supplies, institutional respite, pillboxes, home delivered meals, and
nutritional supplements taken by mouth such as Ensure, Boost, etc.
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 @  covers aide services in private residences. The aides perform
personal care tasks for patients who, due to a medical condition, need help with such activities as
bathing, toileting, moving about and keeping track of vital signs; and housekeeping and home
management tasks that are essential, although secondary to the personal care tasks necessary for
maintaining the patient¶s health.
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  program is designed to help
with the cost of care for individuals who are aged, blind or disabled and are in domiciliary care
(group homes or adult care home facilities and assisted living facilities also known as rest
homes).
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The Cabarrus County Transportation Service (CCTS) provides transportation for the elderly and low-
income residents in the community. The service operates during normal business hours, five days a week.
Interested individuals should check with either the Cabarrus County Department of Social Services, the
Department of Aging or LifeSpan Inc. for eligibility. The ¢ 
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 has several
different programs to assist the community and will cover the cost for their transportation. Medicaid will
cover transportation to doctor appointments and pharmacy visits (for prescription pickups only). The
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$ &!! assists residents sixty years of age or older who are not receiving Medicaid. The
Department of Aging will also cover the cost for transportation to doctor appointments and pharmacy
visits (for prescription pickups only). All reservations must be scheduled no later than 1pm the day before
the appointment. Reservations can be scheduled up to two months in advance.