Home care is available for individuals who want care in the comfort of their own home. Home care aides (Professional Caregivers) can provide companionship, transportation, meal preparation and help with activities of daily living such as bathing and dressing. They also provide specialized care for Alzheimer’s and dementia patients and respite care for family caregivers. All caregivers are well trained and receive ongoing training to keep them up to date. Home care is covered by long-term care insurance or it is private pay.
Assisted Living Facilities (ALFs)
An assisted living facility is licensed housing for people who need help caring for themselves and who choose to not stay at home. Assisted living falls somewhere between an independent living community and a skilled nursing facility in terms of the level of care provided. People who live in newer assisted living facilities usually have their own private apartment. There is usually no special medical monitoring equipment that one would find in a nursing home, and their nursing staff may not be available at all hours. However, trained staff are usually on-site around the clock to provide other needed services. Household chores are performed: sheets are changed, laundry is done, and food is cooked and served as part of the base rent and included services. Depending on their disclosure of services, assisted living services may include medication management, bathing assistance, dressing, escorts to meals and activities, toileting, transferring, and insulin injections by an RN. Some homes even have a beauty parlor on-site. Grocery service is often available too. Where provided, private apartments generally are self-contained; i.e., they have their own bedroom and bathroom, and may have a separate living area or small kitchen. Registered nurses and licensed practical nurses are available by phone or e-mail 24-hours a day to ensure proper teaching and/or education of staff is available.
Alternatively, individual living spaces may resemble a dormitory or hotel room consisting of a private or semi-private sleeping area and a shared bathroom. There are usually common areas for socializing, as well as a central kitchen and dining room for preparing and eating meals
Nursing Homes/Long Term Care
Nursing Homes – also known as Skilled Nursing Facilities – are licensed to provide 24-hour skilled nursing care. Along with nursing care they provide physical, occupational, speech and respiratory therapies; as well as end-of-life care with physician oversight. Nursing facilities are most appropriate for those in need of therapy or those with complex medical needs requiring supervision and services from a licensed nurse. Many residents have medical or behavioral needs that cannot be met in other care settings. Long-term care is also provided for those who need more care than what is offered in other settings. Skilled nursing care is covered by Medicare (requires 3-day hospital stay), Medicaid, private pay or long-term care insurance.