Planning for Health Promotion,

Health Maintenance and Home

Health
Considerations
AURORA R. SAMOSA, MAN
Learning Outcomes/Objectives:
• Formulate with the client a plan of care to
address the identified health conditions,
needs problems and issues based on
priorities.
TOPICS:
• Planning for Successful Aging
• Home care and Hospice
• Community-based services
• Assisted living
• Special care units
• Geriatric units
PLANNING FOR SUCCESSFUL AGING
Steps:
- As we age, we make choices about our lifestyle, health care, personal
pursuits, and our plans for old age. A few "steps to successful aging"
will help guide us to healthy and active golden years.
1. Adopt and maintain healthy habits and positive lifestyles
2. Maintain intellectual stimulation and socialization
3. Be wise in financial planning
4. Work to maintain dignity and good health in old age
Adopt and maintain healthy habits and
positive lifestyles:
• Avoid cigarette smoking
• Have no more than one alcoholic beverage in a 24 hour period
• Exercise regularly, maintaining the triad of weight bearing, aerobic,
and balance activities
• Maintain a comfortable weight
• Get regular medical checkups
Maintain intellectual stimulation and
socialization:
• Pursue hobbies and interests with passion, particularly those such as
dancing that are social
• Strengthen family relationships
• Resolve intergenerational conflicts
• Engage in adult educational activities to challenge your mind
Be wise in financial planning:
• Plan in advance for retirement
• Carefully manage investments and assets
• Assure adequate insurance coverage
• Decide on your future living arrangements
Work to maintain dignity and good health in
old age:
• Choose a physician knowledgeable in the medical care of older adults.
• Choose a health care system that facilitates appointments and care
for elders.
• Communicate your goals of care to your family and physician.
• Express your advance directives in writing.
HOME CARE and HOSPICE
 OVERVIEW ON HOSPICE and
PALLIATIVE CARE
Is Hospice the same as Home Health Nursing?
1. Any patient with a skilled medical care need is qualified to
receive home health nursing care. Hospice care, on the other
hand, is limited to persons with a terminal illness, with a life
expectancy of six months or less, and with a focus on
palliation not cure.
2. Patients in home health care receive visits primarily from a
nurse while patients care receive the services of an entire
interdisciplinary whose area of expertise is end-of-life care.
 COMMUNITY-BASED SERVICES
• There are healthcare options that allow older adults to live at home,
while still providing important healthcare or personal care support in
the community.
1. Adult Day Care Centers
2. Program of All-inclusive Care for the Elderly (PACE)
3. Home-Based Primary Care (HBPC)
 Adult Day Services
• An adult day care center, also commonly known as adult day services, is a
non-residential facility that supports the health, nutritional, social, and
daily living needs of adults in professionally staffed, group settings.
• It serve as an emerging provider of transitional care and short-term
rehabilitation following hospital discharge.
• Most centers operate 10 – 12 hours per day and provide meals,
meaningful activities, and general supervision.
• Operations in adult daycare centers are often referred to as social models
(focusing on socialization and prevention services) and/or a health care
model (including skilled assessment, treatment and rehabilitation goals).
 Program of All-inclusive Care for the Elderly
(PACE)
•  PACE allows an older person to spend their day at the program and
get medical care while caregivers are at work.
• The goal of PACE is to keep participants in the community for as long
as it is medically, socially, and financially feasible. 
• provide complete care for the patient in a variety of settings, such as
at home or in the hospital, an alternative living situation, or a
nursing home. It also allows for adult day care, respite care,
transportation, medication coverage, rehabilitation (including
maintenance physical and occupational therapy), hearing aids,
eyeglasses, and a variety of other benefits.
 Home-Based Primary Care (HBPC)
• HBPC programs provide care to high-risk, medically vulnerable
patients at home.
• Many of these residents have multiple chronic conditions and
require assistance with some Activities of Daily Living (ADL).
• Due to these problems, most of these residents are confined to
their homes and would otherwise have to live in a nursing home.
• HBPC enables patients to continue living at home while teams
made up of physicians, nurse practitioners, nurses, social workers,
case managers and pharmacists oversee their care at home.
 ASSISTED LIVING
• There are times when an older adult needs more
assistance than can be provided in the home when it
comes to personal care. In many cases, however, the
older person still may not need the round-the-clock
skilled nursing and medical care that a nursing home
provides. In that case, an assisted living arrangement
might be an option to consider in order to protect the
older person’s independence and privacy for as long as
possible.
 Assisted living facilities (ALFs)
• Adult care facilities
• Residential care facilities
Older adults have a variety of choices in ALFs, ranging from smaller,
simple home-like environments, to larger, fancier accommodations.
This wide range in types of ALFs allows people to choose a home that
best suits their needs, tastes, and financial situation. Most ALFs offer
private rooms or apartments. Special care units that focus on
Alzheimer’s disease and other forms of dementia are also becoming
more common.
 ALFs are required to provide a variety of
services, including:
• 24-Hour staffing to meet the scheduled and unscheduled needs of residents
(Note: This does not mean that skilled nursing must be available 24 hours a
day.)
• Social services
• Housekeeping and laundry
• Recreation and meals
• Help with activities of daily living (ADLs)
• Health-related services (e.g., help with medication management)
• Transportation
Most older adults must pay for assisted living
themselves, although some states now may pay
costs through Medicaid. Generally, care in an ALF
is less expensive than in a nursing home. Part of
this difference in cost is because ALFs provide less
service and have less overhead. In addition, ALFs
generally have fewer regulations to observe (at
least for now) and are therefore able to operate
with fewer expenses.
 SPECIAL CARE UNITS
• It is an inpatient unit within a
healthcare facility that is
custom-designed, staffed, and
equipped to care for people with
specific health conditions.
• They are usually in a physically
separate space from other
patient populations.
 Examples of some of the SCU:
• Memory/cognitive care – for people with Alzheimer’s disease or other
types of dementia
• Neurological care- those who have Parkinson’s or Huntington’s disease
or who have suffered a stroke
• Orthopedic rehabilitation- for people who have undergone orthopedic
surgery; include specialized rehabilitation equipment and treatment by
experienced rehabilitation professionals.
• Cardiac/pulmonary care- with heart or lung issues; patients may
receive specialized services like exercise therapy, smoking cessation
programs, and education on lifestyle modification.
• Hospice care - for people approaching the end of life
 GERIATRIC UNITS
• The care of aged is called Geriatrics or clinical
gerontology.
• Gerontology – is the study of the physical and
psychological changes which are incidental to old
age is clinical gerontology.
References:
- https://www.healthinaging.org/age-friendly-healthcare-you/care
-settings/assisted-living
- https://www.slideshare.net/AngelaSmith11/assisted-living-servic
es-and-amenities
- https://www.mylifesite.net/blog/post/special-care-units/
- https://speakingofwomenshealth.com/health-library/steps-to-su
ccessful-aging