Long-Term

Care
GROUP A
BSN3-B
 01 • NAVIDAD
NURSING HOMES • ARROYO

CONTENT
PRESENTATION 02
ASSISTED LIVING • SALARDA
FACILITY • SENILONG

03
ADULT DAY • CARBALLO
SERVICES • PANONTONGAN
Nursing
Homes
 Nursing Homes
● In the US, the demand for long term care (LTC) is expected to rise. Year 2030,
20.3% of the US population will be over 65 years old, up 13% from 2012. By
2050, it’s expected that 21% of those over age 65 years will be 85 years of age
or older.
● About 1% of the young elderly (aged 65-69 years) currently live in a nursing
home or LTC facility.
● 3% for ages 75 to 79;
● 11.2% for ages 85-89;
● 19.8% at ages 95-99;
● 38.2% among centenarians;
 Nursing Homes
● LTC industry includes nursing homes, for both custodial and skilled
care, assisted living homes, and independent living homes.
● Developed to meet the needs of the elderly and infirm in an
environment that would embrace efficiency in terms of economics of
scale for those requiring care outside the home for long periods of
time. Also nursing homes were connected to hospitals or physician
groups.
Nursing Homes
● Skilled nursing homes offered
rehabilitation services when the acute
care setting began looking for alternative
care environment for those in need of these
types of services.
Nursing Homes
● According to the Medicare Benefits Policy
Manual (MBPM), skilled care requires
services provided by a professional.
However, custodial level care, provides by
unskilled or unlicensed medical person
such an aide or assistant.
Care Levels in LTC Homes
Nursing Homes
• Skilled nursing care of a RN
required, such as:
a. Medication administration
b. Daily wound care
c. Assessment
• Requires assistance with one or
more activities of daily living
(ADLs) 24 hours/day at the
skilled level
• Therapy provided if required
Assisted Living Homes
• Does not require skilled nursing
care services daily
• Supportive care
a. Medication management
b. Personal care assistance
c. Homemaking
d. Social activities
e. 24-hour supervision
• Health-related services provided
on a Limited basis
Assisted
Living
Facility
 Assisted Living Facility (ALFs)

Provide assistance and monitoring of older

residential adults for whom independent living is no
longer appropriate but who do not need 24-hour
skilled nursing home care.
 Assisted Living Facility (ALFs)
● The typical living
arrangements for ALFs
vary.
● In general, they replicate
the typical apartment
settings with various floor
plans and sizes to
accommodate the needs,
finances, and desires of the
renter.
Adult
Day
Services
 Adult Day Services
Adult Day Services Adult day services (ADSs) provide supervised daily care in a nonresidential facility for the
elderly and disabled.

ADC programs may be sponsored by a variety of organizations, including churches, hospitals, or healthcare
systems that includes these facilities. These centers provide socialization, planned outings, nutritional diet-
appropriate meals, supervised activity, medication administration, and a safe environment for older adults

Many ADS providers offer 6-, 8-, or 12-hour service options that allow caregivers to continue working or have
respite periods.

The persons who may benefit from these ser- vices are those with chronic health conditions, cognitive
impairments, limited mobility or physical disabilities, and safety concerns.Because half all care recipients have
some level of dementia, many ADC centers offer dementia care programs and have dementia-trained staff.
 Adult Day Services
Many older adults prefer to remain in their own homes as they age; however, many persons
are faced with the daecreased ability to maintain their independence because of age-related
physical or cognitive impairments or chronic health conditions. For these indiaiduals,
ADS might be an ideal alternative to congregate residential care such as assisted living and
nursing homes.

ADSs create a partnership among acaregivers, families, and professionals in managing the
health and well-being of an individual to promote and support aging in place.

The NADSA (2015) reports that most adult day centers are operated on a nonprofit or public
basis and the average daily fees across the country are approximately $69. Funding comes
from philanthropic or public sources, such as the local agency on aging. Third-party payers
(Medicare Part B or health insur- ance) may cover skilled services or medical therapies. Many
services are paid for privately by care recipients and families (NADSA, 2015).
 Adult Day Services
Many older adults prefer to remain in their own homes as they
age; however, many persons are faced with the decreased ability
to maintain their independence because of age-related physical
or cognitive impairments or chronic health conditions.
For these individuals, ADS might be an ideal alternative to
congregate residential care such as assisted living and nursing
homes.

ADSs create a partnership among caregivers, families, and

professionals in managing the health and well-being of an
individual to promote and support aging in place.