HEALTH CARE INSTITUTIONS
NCM114 GERONTOLOGY
HEALTH CARE INSTITUTIONS
a. Hospital
○ An institution the primary function of
which is to provide in patient
diagnostic and therapeutic services for
a variety of medical and surgical
conditions
○ General hospitals admit individuals
requiring a variety of services
○ Ex. medical, surgical, obstetric, and
pediatric
○ St. Luke's Hospital
○ Philippine General Hospital
○ Pag malaki, hospital
b. Specialty Hospital
○ A hospital that admits only certains
types of patients or with specified
illnesses or conditions
○ Other hospitals offer only specialty
services
○ Example: psychiatric, pediatric, lung,
kidney, cardio, psychiatric, and
infectious disease
- Anything pertaining to the heart -
it provides specialization
- Pediatric - National Children
Hospital, Philippine Children
Medical Center
- Lung Center - located in Quezon
City Circle (the structure of the
building is the chambers of heart;
left ventricle is the largest)
- Infectious disease - San Lazaro
Hospital (such as HIV, rabies,
measles and others)
- Fabella Hospital - Cater labor and
delivery located in LRT Recto
- V. Luna Military Hospital (focused
on the military wounded soldiers)
- Dialysis Center
- East ave. - trauma center
- Veterans - for elderly
c. Health Care Facilities
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○ Maliit na hospital; mini hospital
○ Any facilities or establishment that is
engaged in direct patient care on site
○ Example: hospice care, nursing home,
extended facilities, and etc.
○ Like private health centers
○ Camillus Medhaven
○ Marikina - we have in Marist
(most popular healthcare facilities
in the Philippines)
○ Los abuelos nursing home
○ Marikina Dementia Village
○ Veterans Hospital
○ Dialysis centers
ACUTE CARE
● Short period of time, acute care, and episodic
care
- Less than 3 weeks, within days only
- Ex. sore throat
● GI resolves/ treating a new and acute illness
● Professional care, hoeatment, diagnostics,
emergency medical services
● More on disease prevention
● Hospital Providing
○ Central in planning for the older adult
upon discharge: follow up- care,
transportation, home health aide and
homemaking services, adult day care
○ Goals: health protection, health
promotion and wellbeing of the older
adult
○ Health promotion strategies
(smoking-cessation, stress
management, weight-loss, or exercise)
CHRONIC CARE
● The ongoing provision of care provides
medical, functional, psychological, social,
environment and spiritual care
- Maraming dimensions of care na
provided in this facility
- Holistic approach
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HEALTH CARE INSTITUTIONS
NCM114 GERONTOLOGY
- Ex. cancer, diabetes, heart failure,
hypertension
● For patients with serious and persistent health
conditions
● To help optimize older adults’ functional
independence and well-being
AMBULATORY CARE
● Institutional Organized Health Setting
○ It provides outpatient basic health
services (surgeries and treatments)
○ No overnight stay in hospital is
required to ambulatory patients
- Walang natutulog dito
○ Outpatient health services that can
perform operation (discharge also
within THAT day)
○ OPD - Outpatient Department -
check-ups
○ Ex. Vicky Belo, focused on minor
surgeries that doesn’t require long
hospital stay
- The longer you spent on the
hospital, the more expensive it is
ADULT DAY CARE
● Or Day Therapy Centers
○ Non residential facility that offers daily
nursing care and social opportunities
○ It enables family members to carry on
daily activities while the older person
is at the daycare center
○ Provides transitional care - health,
nutrition, daily living needs
○ When you say adult day care, ang
pumapasok sa isip natin yung
nursery/day care center nung bata pa
tayo so just like nung bata pa tayo,
yung adult day care, iiwan yung patient
doon buong araw and then after lunch
susunduin na
➢ Dadalhin yung mga lolo’t lola sa
adult day care (doon merong
socialization, art therapy, play
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therapy and other social
programs/activities na ginagawa)
➢ Habang andun sina lolo’t lola,
yung parents natin usually
nagwwork. Nilalagay na lang doon
sa adult day care para may
mag-aalaga pa rin sa kanila
COMMUNITY SUPPORT SERVICES
● Goal
○ Community based services helps the
older person maintain independence
● Informal sources of help
○ Family, friends, church members,
neighbours
○ Senior centers have social support,
health promotion activities, and
nutritious noontime meal services
● Community Services
○ It includes telephone reassurance,
friendly visitors, home health aides,
homemakers , home repair, home
delivered meals, chores services,
employment resources
● Examples
○ Respite care, Adult Day Care Center,
Home for the Aged, Senior Center,
Housing, Veterans Home Care
Programs
HOSPICE CARE
● Definition
○ It focuses on the promotion, improving
or maintaining quality of life, palliative
care, supportive services,
compassionate care to dying patients
○ Advanced, terminal, life-limiting
illness, not going to survive illness,
last phase of incurable disease, serious
illness a dying patient
○ Patient needs to live life fully, live as
comfortable as possible, relief of
symptoms, not saving life
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○ These are a dignified alternative for
patient with an end stage disease who
is not expected to live long
○ Providing physical, psychological,
social, and spiritual dimensions of care
○ Facilitate early discussions about a
patient’s wishes and goals and for
end-of-life care
○ Ex. Hospicio de San Jose
Assisted Living Facility
Definition:
● Provide supportive residential housing and
appealing housing alternative, home-like
environment
○ The owner renting a house then
sinusupervise niya yung older adults
for 24 hours
● Older adults with minor to moderate
functional impairment
● 24-hour coverage supervision, three meals a
day with snacks
● Services - range from personal, health care
and recreational service
○ Provision sa billiards, board games
● Costly - monthly care, additional costs
○ If provided yung meal (naka-depend if
want mo na monthly yung meals.
Depende sa choice ng older
adult/family)
● Mild to moderate functional impairment
Nursing Home
● Meron siyang sariling lupa, bahay or
healthcare facility. Yung assisted living, wala
siyang sariling bahay nagrerent lang
● For patient na malala na yung sakit. Focused
on geriatric facility
● It specializes in services for older persons who
can no longer live independently
● Provide specialized care to seniors with severe
illness, injuries
● Services - acute, intermediate and long term
skilled nursing care
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● Ex. geriatric assessment, rehabilitation,
medical and nursing services, therapy services
and residential gerontological care
● All in one, hindi na kailangan dalhin sa hosp.
Kasi may residential doctors and geriatrics
● Different with hospice care
Skilled Nursing Facility
● Intermediate Nursing Care
● It provide 24-hour nursing care to older adults
who are unable to care for themselves
● Services - medication administration, nursing
care, wound care, daily assessment, meals,
and assistance with ADLs
● Other skilled services - physical therapy,
respiratory therapy, speech language
pathology services, and occupational therapy,
rehabilitative in the hospital
● Parang nursing home
Skilled Nursing Facility
> Residents may stay in SNFs
● Short-term - rehabilitation after surgery or
medical illness
○ Pag na-stroke
● Long term - reside in them throughout their
lives
● Note: Managing the health care needs of
individuals who do not meet the criteria for
remaining in the hospital
● Mas mababa yung cost compared to other
hospitals
Retirement Center
● Also known as Retirement Village, Continuing
Care Retirement Communities
● Full service communities offering long-term
contracts
● Continuum of care - retirement, assisted
living and nursing services all on one campus
● Purpose - to facilitate aging in place
Continuing Care Retirement Communities
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NCM114 GERONTOLOGY
● Several levels of care - independent ● “Ageing in place” (from basic level to
living, assisted living, periodic home high-care level
care, skilled nursing, housing services, ● Offers temporary and intermittent delivery of
nursing care, basic recreational health care while remaining in their own
services home/patient’s home, stay in their home
● Very expensive - full daily rates for longer
long term care ● Ito yung mga family na ayaw umalis si patient
kaya nasa bahay lang si patient
9/6/2021 ● Supervised by a licensed health professional in
EXTENDED CARE FACILITIES a person’s home
● Residential aged care facilities ● Broadened services offered - showering,
● Are Permanent/long-term care facilities dressing and mobility or help with house
● High dependency residential care facility cleaning and basic home maintenance
● Need specialist knowledge to meet the activities, assist patient perform activities of
complex needs of these individuals and their daily living
families ○
● Personal care (assistance with ADL, ● Provide comprehensive care to acute, chronic
mobilizing, hygiene and nutrition) and terminally ill individuals
professional bedside nursing care, medical ● Early discharge of individuals from hospitals
attention, rehabilitative services ● Staff offer health education to individuals and
● Provide custodial care for elderly people families
● Substitutes to prevent hospitalization for frail,
RESPITE CARE elderly outpatients
● A short-term rehabilitation after surgery or
medical illness
● Note: Managing the health care needs of
individuals who do not meet the criteria for
remaining in the hospital
● Discharged earlier from acute care hospitals,
some individuals may still require
supplemental care before they return home
● The patient is still not totally well so kailangan
niya ng rehabilitation after surgery
● Parang extended facility and skilled nursing
facility but different is yung client sa respite ay
short-term lang. Once they recover, they can
return na sa home nila

HOME HEALTH CARE

● Private Duty Nursing
● Home as a care delivery site
● Provides home health services, private duty
nursing, primary care and professional
services

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