If you’re new to the world of assisted living, rehabilitation, and long or short-term care facilities, navigating your way around the different types of care can be daunting. What’s the best program for your loved one and what level or type of care do they really need? To get you started with some clarity, here is a list of the different program types out there, and what these programs do:
Dictionary definition: “temporary institutional care of a sick, elderly, or disabled person, providing relief for their usual caregiver.”
Respite care is great for necessary breaks for the caregiver at home to take good care of themselves. Caregivers at home must keep their own mental, physical, and spiritual health in top shape in order to be the best they can be for their loved-one that needs care. Caregiving is one of the hardest jobs there is, so finding a great, trustworthy program and facility that will provide respite care could be “just what the doctor ordered” for the weary caregiver.
Quality respite programs offer licensed nursing services at all times, onsite rehabilitation services, and assistance with activities of daily living as needed.
Long Term Care
Definition from Wikipedia: “a variety of services which help meet the medical and non-medical needs of people with a chronic illness or disability who cannot care for themselves for long periods…Long term care can be provided in home, in the community, in assisted living facilities or in nursing homes.”
According to an article on health.usnews.com there are four signs that someone might need to go into long term care: 1) They can’t get organized 2) They’re letting hygiene slip 3) They’re declining physically 4) You don’t have the bandwidth.
Long term care as well as assisted living programs normally include specialized care like: cardiac rehabilitation, stroke rehabilitation, various therapy programs including physical, occupational, and speech, orthopedic recovery and more.
Long term care programs generally have skilled nurses on site 24/7 and are often covered by Medicare and Medicaid.
Skilled Nursing Care (often used synonymously with Long Term Care)
Definition from verywellhealth.com: “Skilled nursing is a term that refers to a patient’s need for care or treatment that can only be done by licensed nurses.”
Dictionary definition from Merriam-Webster: “a system of housing and limited care that is designed for senior citizens who need some assistance with daily activities but do not require care in a nursing home”
Something to know is that assisted living is often not covered by Medicare or Medicaid and is usually paid for out of pocket in all or part.
To determine if someone belongs in assisted living vs. long term care, there is a chart that was developed by Dr Sidney Katz in the 1960’s. It measures how well the person can do activities of daily living or ADL’s for short. There are 6 basic ADL’s: bathing, dressing, toileting, transferring, continence, and feeding. How many of these functions a person can perform independently can determine the level of care in a facility that’s required.
Definition from Independent Living Institute: “Independent living means the ability to examine alternatives and make informed decisions and direct one’s own life. This ability requires the availability of information, financial resources and peer group support systems. Independent living is a dynamic process. It can never be stagnant.”
Some facilities offer separate independent living communities and/or spaces, but more often seniors who are active and able, will choose to live in 55+ developments of small homes, townhomes or apartments. These communities have activities, amenities and services available as needed or wanted.
Please call us or take a tour to find out about assisted living facilities in New Jersey.
Bridgeway Care and Rehabilitation
395 Amwell Rd.
Hillsborough, NJ 08844
bridgeway senior care
The terms assisted living and personal care are used interchangeably most of the time despite the fact that they mean different things. In 2011, there was legislation that was passed which separated the care industry into two main categories. You might be familiar with assisted living if you’re looking for a nursing home in Somerset County. This is because the term has been in existence for a long time. People might not be familiar with the term personal care as it sounds like a generic description rather than an act. Which begs the question, what is the difference between assisted living and personal living community?
Differences In Assisted Living and Personal Care Communities The main difference is that for personal care living community, one will need to have to look for a health center should they require the services of a healthcare professional. For assisted living communities, the auxiliary health services are brought to the facility and are in existence for as long as possible.
Concept Assisted living allows for the residents to age in place. This means that their healthcare requirements will be taken care of as the needs increase. They will not have to move to another facility in order to get treatment as they grow older. This is not the case for personal care facilities.
ConstructionAssisted Living facilities are required to provide a room for the residents. The room should have a lockable door and a private bathroom and a decent kitchen. Most personal care homes do not offer such amenities and are not required to do so.
Level of care Assisted living homes ensures that the residents get skilled nursing services should their level of care surpass the services that are offered by the assisted living facility.
Staffing Levels The staffing levels will differ when comparing personal care and an assisted living facility. It is a requirement for an ALR to have a nurse on duty at all times of the day. There should also be a registered dietician who is under staff or contracted to provide service. Those under direct care should remain vigilant and awake while on duty even if it is the middle of the night. With regards to training, those that work in assisted living must undergo up to 18 hours of supervised training before they can be left on their own. There is also a need for dementia training and the annual recommended time is 12 hours.
Assisted Living and Personal Care SimilaritiesDespite the differences, the two types of facilities do have their similarities. They both provide food, housing, and the daily care you’d expect from such facilities. The most important thing should be personal care. There are facilities that will offer both personal care and assisted living facilities. What you go for will depend on your needs and level of care that is needed. The facility should also be affordable so that there is no strain on your finances. You can check out https://www.bshcare.com/ for more information.
Bridgeway Senior Healthcare
395 Amwell Rd
Hillsborough, NJ 08844
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