1. 9 - 1 Introduction to US Health Care Text by Dennis D. Pointer, Stephen J. Williams, Stephen L. Isaacs & James R. Knickman with Tracy Barr PowerPoints by Robin Pickering Eastern Washington University

2. 9 - 2 Introduction to US Health Care Chapter 9 Long-Term Care

3. 9 - 3 Long-Term Care Services Ambulatory medical services Inpatient medical services Mental-behavioral services Social services Daily living support services

4. 9 - 4 Primary Users of Long-Term Care People with temporary disabilities People with chronic health problems

5. 9 - 5 Personal Care Facilities Assisted living facilities Continuing care retirement communities Congregate care facilities Nursing homes Alzheimer’s /dementia facilities

6. 9 - 6 Personal Care Facilities Assisted living facilities Continuing care retirement communities Congregate care facilities Nursing homes Alzheimer’s /dementia facilities Board-and-care facilities Adult foster care Licensed by the state

7. 9 - 7 Personal Care Facilities Assisted living facilities Continuing care retirement communities Congregate care facilities Nursing homes Alzheimer’s /dementia facilities Self-sufficient communities All personal and medical services Generally only accept healthy seniors

8. 9 - 8 Personal Care Facilities Assisted living facilities Continuing care retirement communities Congregate care facilities Nursing homes Alzheimer’s /dementia facilities Similar to CCRCs but offer no health care services

9. 9 - 9 Personal Care Facilities Assisted living facilities Continuing care retirement communities Congregate care facilities Nursing homes Alzheimer’s /dementia facilities Intermediate-level nursing and personal services Serve those who are temporarily or permanently unable to care for themselves All states require nursing homes

10. 9 - 10 Nursing Home Staffing Nursing aids Social workers and case managers Dietitians, rehabilitation therapists, and other health professionals Administrative personnel Licensed nurses

11. 9 - 11 Personal Care Facilities Assisted living facilities Continuing care retirement communities Congregate care facilities Nursing homes Alzheimer’s /dementia facilities Independent unit or component of assisted living facility Provide constant supervision Help with ADLs and personalized care

12. 9 - 12 Home Health Care Agencies Voluntary nonprofit Government Proprietary Medicare Certified?

13. 9 - 13 Community-Based Care Adult day care Respite care Senior centers Transportation Meals on Wheels Telephone reassurance Area Agencies on Aging

14. 9 - 14 Hospice Care Provide physical care and counseling to terminally ill patients and families Medical personnel Social workers and counselors Clergy Therapists Volunteers

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