Choosing a Nursing Home

As the Baby Boomers enter their retirement years, it is unavoidable that many of these seniors, who may at one time have headed companies or traveled the world, could begin to require help with daily activities. But they're understandably uneager to sacrifice their independence. Someone accustomed to handling a business enterprise (or a family) can have a troublesome time admitting that they forget to take their medicine, or require assistance getting bathed and clothed. Because they don't require day-to-day medical aid at this stage, Assisted Living can be a fine housing alternative.

What is an Assisted Living Facility?
An Assisted Living Facility renders care for seniors who need some assistance with activities of day-to-day living yet want to remain as self-supporting as imaginable. A center ground between autonomous living and nursing homes, Assisted Living Facilities aim to nurture as much self-reliance as the occupant is capable of. Most facilities provide 24-hour supervising and a range of supporting services, with more privacy, space, and self-esteem than many nursing homes—at a smaller cost.
There are about 33,000 Assisted Living Facilities functioning in the United States. today. The amount of residents living in a facility can run from a few to 300, with the most standard size being between 25 and 120 persons.

Assisted Living Facilities are also called:
Personal care homes
Residential care facilities
Domiciliary care
Sheltered housing
Community residences

An Assisted Living Facility helps seniors with personalised attention (also called custodial care), such as:
getting dressed
getting about

Day-to-day contact with supervisory faculty is the delineating characteristic of an Assisted Living Facility. Medical aid is constricted in an Assisted Living Facility, but it could be conceivable to sign on for some medical needs.
The central features of Assisted Living Facilities include:

Key Characteristics of Assisted Living Facilities
Activities of day-to-day Living (dressing, personal upkeep) all-encompassing aid provided
Community Activities (sociable events, excursions, golf, etcetera.) some activities offered
Community Services (laundry, housecleaning, etc.) many / most services furnished
Health Services (medications, nursing care) some services provided; not skilled nursing
Environment (personal freedom) residents are reasonably autonomous
Overall wellness (physical, emotional) residents have moderate health problems

How does Assisted Living for Seniors Differ from a Board and Care Home, Nursing Home, or Congregate Housing?
Assisted Living Facilities extend assistance with activities of day-to-day living (personal or protective care), but no or very small medical care. Board and Care Homes and Congregate Housing have been around for numerous decades, and provide more or less the equivalent services as an Assisted Living Facility. A lot of Board and Care homes are established to serve only two to six occupants in a converted single family house although some are converted apartments; but Congregate Housing and Assisted Living Facilities by and large serve bigger amounts of residents. Congregate Housing was originally government supported housing, but today varied types of senior communities call themselves “congregate housing.” In recent decades, as more and more Assisted Living facilities have been produced with varied combinings of services, the deviations between Board and Care, Congregate Housing, and Assisted Living have become blurry to the level that all three are frequently reckoned assortments of Assisted Living.

An Assisted Living Facility differs from a Nursing Home in that:
An Assisted Living Facility doesn't provide far-reaching medical care, as a nursing home does, and
An Assisted Living Facility puts heavier emphasis on personalised privacy and self-reliance.
A nursing home is set up for folks who require skillful medical professionals rendering them aid and services on a day-to-day basis.

Suitable Candidates for Assisted Living
It is calculated that one million Americans presently live in Assisted Living Facilities. Assisted Living residents can be young or old, wealthy or low-level income, fragile or handicapped. A representative resident is a widowed or unmarried adult female in her eighties. Residents might suffer from retention disorders, or merely require assistance with mobility, incontinency or additional challenges. Assisted Living is advantageous for anybody who can no more manage to live on their own but does not necessitate medical care.
Assisted Living Facility residents may require help with activities of day-to-day living, including:
getting about
If a senior requires a number of services, an Assisted Living Facility may become a more efficient choice to home care services.
An Assisted Living Facility is oftentimes the 1st stop for a senior who needs to find help with day-to-day living. Many residents advance to a Nursing Home; other people may come to Assisted Living from a Nursing Home or hospital after a period of rehabilitation.

Types of Assisted Living Facilities Accessible
Although Assisted Living Facilities are residential in quality, there's no basic blueprint as consumers' tastes and needs deviate so greatly. Assisted Living residences can run from a multistoried apartment built as an Assisted Living Facility, to a converted Victorian house, to a refurbished schoolhouse. They can be detached or housed with other alternatives, such as independent living or nursing care. They could be studio apartments, or one-bedroom apartments with scaled-down kitchens.
An Assisted Living compound will generally be constructed with 25 to 110 units, varied in size from one room to a full apartment. This bigger type of Assisted Living Facility may have a group dining area and common areas for sociable and recreational activities.

Services Furnished in an Assisted Living Facility

The most common services an Assisted Living Facility offers include:
Three meals per day, frequently served up in a restaurant-like setting, with bills of fare and salad bars
24-hour superintendence
Personal care assistance (bathing, dressing, grooming, eating)
Housework and laundry
Modest medical supervision, such as aid with medicine
Security system and emergency address systems
Health and work out programs
Cultural, cultural and informative activities
In addition, many facilities provide:
Recreation rooms
Exercise rooms
Exterior gardens
Chapel service
An Assisted Living Facility may likewise arrange for residents to obtain senior services in the community, such as adult daycare, shopping and diversion, and may offer social work assistance to organise these services.
Specific needs satisfied in an Assisted Living Facilities for seniors
Many Assisted Living Facilities can address special needs, such as:
Cognitive disabilities
Short-term care
Respite Care (to afford day-to-day caregivers a break)
Temporary medical care after a hospital stay
Terminal illnesses (Hospice Care)
Selecting an Assisted Living Facility
The resources department provides many extensive checklists to employ when visiting diverse Assisted Living Facilities. As a whole, preserve these guides in mind:
1) Living area and accommodations:
Is the community well-designed for occupants' demands? Does it include safety features?
What types of units are accessible and how much does each cost?
Does the faculty greet you cordially? Do they address residents by name?
Do residents socialise with one another and seem cheerful?
Speak with a few of the residents. Do they seem like folks whom you would enjoy getting to know?
Do residents get an option of eating in public dining areas or their personal units?
Is the food nourishing, tasteful, and cooked according to dietetic restrictions?
If you have a pet, determine whether pets are welcomed in your residence.
2) Personal care/services:
What professionals are on faculty?
What are their qualifications and accessibility?
Are the custodial care services provided what you require and need?
What social, recreational and physical fitness plans are obtainable?
3) Licensing and prices:
Does the facility conform to local and state licensing prerequisites?
Is government, private, or corporate aid accessible?
What are the costs, including any extra fees for added services?
Do occupants get a published service plan that's periodically reexamined and adapted?

Costs of an Assisted Living Facility
Assisted Living Facilities are owned and controlled by both for-profit and non-profit establishments and can range in price from $800 to $4,000 a month or more, depending on where you reside. Fees might be comprehensive or there may be extra charges for particular services. Costs are normally lower than for home health services or nursing home care




“Under the care of Leo J. Borrell, M.D. since December 2001, I have seen a remarkable improvement in my mother’s condition. She is responding dramatically to the new regiment Dr. Borrell has prescribed”

- Beth Rose


Feb 3, 2008

The Interdisciplinary Team; The Role of the Psychiatrist

by Dr. Leo J. Borrell, featured in Assisted Living Consult for November/December 2006. A HealthCom Media Publication