Different Facilities for Health Care Services

Subject: Geriatric Nursing (Theory)

Overview

Senior citizen homes, often known as old age homes, are locations where residents can stay or spend their time participating in various activities run by the old age home. The construction of senior citizen homes is geriatric-friendly, with a focus on the needs and changes that come with aging. After being released from the hospital, adult day services facilities are a growing source of transitional care and short-term rehabilitation. Home care, also known as domiciliary care, social care, or in-home care, is curative care given inside the patient's own residence. Care can be given by trained carers who provide daily assistance to ensure that needs for activities of daily living are satisfied or by certified healthcare providers who met medical needs.  A geriatric social worker assists clients with navigating complex government programs that they might not be aware are there and that can be of use to them. From social services and neighborhood community initiatives to healthcare providers and other governmental bodies, these programs cover it all. By creating community-based programs for social inclusion, opportunity equality, and rehabilitation programs for the impaired, community-based rehabilitation (CBR) aims to assist people with disabilities. In senior people, nutrition has a significant role in determining health. The significance of nutritional status in a number of morbid disorders, including as cancer, heart disease, and dementia in people over 65, has come to light more and more during the past ten years.

Different facilities for Health Care Services

Senior Citizen Home/Hospital

Old age homes, also referred to as senior citizen homes, are establishments where residents can remain or spend their time taking part in a variety of activities organized by the old age home. Construction of senior housing is geriatric-friendly, with an emphasis on the requirements and adjustments that occur with advancing age.

Meal delivery and top-notch nursing care are both provided in addition to a regular schedule of social events and group activities. A medical expert is present to supervise each resident's care, and nurses are available to administer medication and provide general personal care.

According to records kept by the social welfare council (SWC), a body established by the government to regulate the work done by NGOs and INGOs, there were 153 old age homes registered as of 2005, and the number is increasing.

Day Care Centers

Adult day services facilities are a rising source of transitional care and short-term rehabilitation after being discharged from the hospital. The majority of facilities provide meals, structured activities, and general supervision between the hours of 10 and 12 per day.

In addition to providing services to any adult with a disability, day care facilities may specialize in caring for adults with a specific chronic illness, such as Alzheimer's disease and related dementias. Numerous facilities maintain a nurse on site, designate a room where participants' vital signs can be taken, and, as needed, make arrangements for a medical assistant nurse to provide other health services. They might also offer personal care, transportation, and caregiver support groups.

Adults who participate in adult daycare can delay their admission to a long-term residential home and avoid the need for a hospital readmission. Individuals who would otherwise stay at home alone have been found to benefit from or maintain their physical and cognitive capacities through social interaction and leisure activities. The more severe the illness, the more effort the caregiver will have to do. Therefore, 19.1% of caregivers who had clients employed these services. Adult daycare centers may provide respite care, enabling caregivers to leave their caregiving responsibilities behind and go to work or take a break.

In order to promote independence and freedom of thought, adult day care facilities in Australia are designed for people with disabilities, older adults, or those from different linguistic backgrounds. Reintroducing them into staff-monitored, regular social settings is the idea behind this, as it will give participants a new experience by giving them a place to meet new people and learn new skills.

Over 5,000 adult day care facilities were in operation in the US in 2013, providing daily care for more than 260,000 older adults. While only 16% of the centers had a connection to the government, 72% of them were nonprofit corporations. Daily rates may be less than a home health visit and only half as expensive as a skilled nursing facility, depending on the services provided. The funding comes from participant fees, third-party insurance, as well as from public and private sources.

Home-Based Care

Supportive care is provided at home and is likewise referred to as social care, domiciliary care, or in a home car. Care can be provided by certified healthcare professionals who provide medical care for needs or by trained caregivers who provide daily assistance to ensure that needs for activities of daily living are met.

Instead of using residential, long-term, or institutional nursing care, home care aims to help people stay in their own homes. Companies that offer in-home care offer services in the clients' homes. These services could incorporate elements of both medical care provided by professionals and life support. Professional health services include things like medical or psychological evaluations, wound care, medication education, pain management, sickness education and management, physical therapy, speech therapy, and occupational therapy. Life help services include aid with daily tasks like food preparation, medication remembrances, laundry, light housekeeping errands, shopping, transportation, and companionship.Home care is frequently an essential component of recovery after hospitalization, especially in the initial weeks after discharge when the patient still requires some level of routine physical assistance.

Social Services

Senior social workers and social workers for children both care for the wellbeing of communities, families, and people. Social workers who specialize in geriatrics are taught to look for solutions to the many environmental problems that accompany aging. They concentrate on supporting people over 65. In other words, their top priority is to improve the quality of life for their clients and, ultimately, to safeguard the elderly from those who might try to take advantage of their vulnerabilities.

Helping clients with complex government programs that they might not be aware are available and able to help them is a geriatric social worker's most frequent task. From social services and neighborhood community initiatives to healthcare providers and other governmental bodies, these programs cover it all.

Senior social workers are professionals who may assist in resolving any issues that might crop up during the delivery of such services, including social services and getting funds for elder care. Various governmental and private programs offer assistance, and senior social workers can help their clients apply for those services. A range of useful programs, such as Meals on Wheels, in-home care services, local senior transportation, and many others, can be found by older persons with the assistance of senior social workers.

Additionally, geriatric social workers frequently provide counseling services that can help the elderly deal with a range of end-of-life circumstances. This counseling may help them transition from their home to a long-term care facility. It can also lessen the strain of handling a number of the common issues that older people run into.

Community-Based Rehabilitation Center

In order to achieve and maintain their best functioning in interactions with their environment, people with disabilities need a variety of treatments known as rehabilitation. Community-based rehabilitation (CBR) strives to help persons with disabilities by developing community-based programs for social inclusion, opportunity equality, and rehabilitation programs for the impaired. CBR programs have the benefit of being accessible in remote areas with inadequate infrastructure because program leadership is not restricted to those in the healthcare, education, vocational, or social services sectors. On the other hand, CBR programs collaborate with people with disabilities, their families, communities, and the pertinent specialists.

Major concept in Geriatric rehabilitation

  • The main causes of elderly adults needing rehabilitation may include chronic illnesses like diabetes, cancer, stroke, kidney disease, and cognitive loss.
  • Determining an older person's pre-morbid functional and cognitive level is crucial for management because these factors are important indicators of how well rehabilitation will go.
  • Two of its primary goals for elderly people are autonomous caregiving and mobility.

Appropriate and efficient rehab programs can assist patients in overcoming limitations that cannot be treated medically or in recovering from numerous disabling conditions. Throughout rehabilitation, the patient's physical, emotional, and environmental requirements are satisfied. Either the patient's physical and social circumstances are made better, or their bodily functions are restored. The three basic subcategories of rehabilitation are physical, occupational, and speech therapy.

Nutrition/Foods Service

In determining health in seniors, nutrition plays a crucial influence. Over the past ten years, there has been a growing awareness of the importance of nutritional status in a number of morbid conditions, such as cancer, heart disease, and dementia in seniors. Although the definition of malnutrition in the elderly varies, several telltale symptoms include excessive weight loss, an abnormal body mass index (BMI), vitamin deficiencies, and decreased nutritional intake. Many older patients are more prone to be malnourished than other adult groups. It is estimated that between 2% and 16% of senior residents in communities have nutritional shortages in calories and protein.

The availability and accessibility of healthy, nutritious food are essential for the rapidly growing, diversified, multiracial, and ethnic population of older individuals in order to promote successful aging and well-being.

To encourage healthy aging and decrease the effects of disease and impairment, a variety of flexible dietary standards, culturally appropriate food and nutrition services, physical activities, and supporting care especially created for older people are necessary. Integrated national, state, and local initiatives that promote access to food and nutrition services are necessary to maintain independence, functional ability, illness management, and quality of life. Aging-related professionals need to take the initiative to emphasize the significance of thorough food and nutrition services. To meet the needs of all older adults, registered dietitians and dietetic technicians must broaden their areas of expertise to include the prevention, treatment, and maintenance of health and quality of life into old age.

Things to remember

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