什么是养老院? What is the difference between nursing homes and assisted living communities?
  • Demographics of nursing homes
  • Community life
  • Services offered at nursing homes
  • The costs of a nursing home
  • How to select a nursing home and what to expect during the assessment process
  • Finding inspection records on nursing homes
  • Touring a nursing home
  • The assessment process
  • Life after moving in
  • Resident with DaughterWhat comes to mind when you hear the words nursing home: a run-down facility, bed-ridden residents and a noticeable urine smell? That’s the image many people seem to have, and is a stereotype often perpetrated by movies, television and the media. But stereotypes aren’t always reality, and that image shouldn’t be how one judges a nursing home today.

    As providers of long-term care, nursing homes are subject to inspections to ensure their residents receive a high quality of life in a well-maintained setting. Just as assisted living communities allow seniors to experience a new lease on life, nursing homes offer the skilled care that cannot be found elsewhere.

    What is the difference between nursing homes and 打开雷竞技 ?

    Before 打开雷竞技 became a care option for families, seniors would typically remain at home with family members providing care until a debilitating illness or injury required nursing care, which the family could not provide. They may have required the skilled nursing care found in a hospital but without the life-threatening conditions which required a hospital stay. Nursing homes bridged this need, and are often the type of community which springs to mind when people say they are looking for a place where their parents may receive supportive care.

    But a nursing home is not synonymous with an assisted living community for a variety of reasons. An assisted living community does not provide skilled nursing services, and these communities are often private pay only. In contrast, nursing homes accept Medicaid and Medicare in addition to private pay or health insurance. Residents at an assisted living community are also capable of carrying out activities of daily living (ADLs) such as bathing, dressing and toileting with some or minimal assistance. In contrast, nursing home resident require more support with ADLs.

    Activity of Daily Living % of Residents Needing Help
    Bathing 96.1%
    Dressing 90.9%
    Toileting 86.6%
    Eating 56.0%
     *From the Long-Term Care Services in the United States: 2013 Overview.

    Nursing homes may be free-standing buildings or part of a larger community campus, whether a hospital or continuing care retirement community. Continuing care retirement communities, which offer residents comprehensive care for their life at the community, have health care centers which offer skilled nursing services or other advanced health care services. These health care centers may accept residents who aren’t part of their community when space permits. What can lead to further confusion is that some facilities no longer use the title of nursing home, and instead describe themselves as health care centers.

    Demographics of nursing homes

    According to a 2013 study produced by the National Center for Health Statistics, those 85 and older comprise 42.3 percent of nursing homes’ population, while 14.9 are younger than 65. More than two-thirds of nursing home residents are women.

    Community life

    Man with CaregiverThough residents may not be as active as their counterparts at an assisted living community—card games are the default activity which many people associate with nursing homes—nursing homes strive to provide engaging activities which encourage socializing and promote overall well-being. Activities are offered every day and can include outings to the local zoo, social hours, manicures or musical entertainment. Pet visits are also an important part of community life. Family involvement is also encouraged, and family members are invited to attend family nights or community dinners.

    Features that are commonly found at nursing homes include a beauty/barber salon, library, game room and landscaped courtyards. If the community offers different care types, such as skilled nursing and Alzheimer’s and dementia care, the building may be arranged into wings so residents needing similar care live together.

    Living arrangements are typically private or semiprivate rooms which may already be furnished or can be decorated with personal furnishings upon moving in. These rooms do not include kitchenette or a washer/dryer.

    Services offered at nursing homes

    In addition to providing skilled nursing care, nursing homes may also offer social work services, mental health or counseling services, therapeutic services, pharmacy or pharmacist services, or hospice care. The responsibilities of housekeeping, laundry and transportation to appointments are also handled by the community’s staff.

    The costs of a nursing home

    Nursing home costs vary depending on geographic location and whether a patient receives care in a private or semiprivate room. According to a 2015 Cost of Care Survey, the nationwide average daily rate for care provided in a private room is $250 and in a semiprivate room is $220, which equals $91,250 and $80,300 per year respectively. For those living in a nursing home long term, they can expect to see nearly a 4% annual increase in the base rate.

    The table below shows the range of costs by state in 2015* of the daily rate for a private room.

    The states with the most expensive median daily rate for a private room in a nursing home are:

    1. Alaska – $711
    2. Connecticut – $435
    3. Massachusetts – $382
    4. New York – $374
    5. Hawaii – $370

    The states with the least expensive median daily rate for a private room in a nursing home are:

    1. Oklahoma – $165
    2. Missouri – $167
    3. Louisiana – $170
    4. Kansas – $180
    5. Arkansas – $180
    *From the Genworth Financial 2015 Cost of Care Survey.

    How to select a nursing home and what to expect during the assessment process

    Once you find a community that is within your affordable price range and desired location, it is important to assess the community, not only to determine whether your loved one will feel welcomed but whether its staff properly care for residents.

    Finding inspection records on nursing homes

    Nursing homes are required to be licensed and inspected by a state agency charged with oversight of long-term care facilities. Nursing Home Compare is the well-known resource for finding the ratings of nursing homes, and oftentimes nursing homes will boast they have a 5-Star Quality Rating. However, this system has been subjected to scrutiny for relying on self-reported data that does not reveal a complete picture of deficiencies or complaints filed against a facility.

    Unlike assisted living communities, whose inspection records may not be available online, more often than not, a nursing home’s inspection records are available online to the public. These inspection records are available from each state, either online or through a public records request. Most states also require nursing homes to post or make available their most recent inspection results upon request. By viewing several years’ worth of records, you can see if there are patterns of failing to follow procedure and whether the violations are life-threatening or minor.

    Touring a nursing home

    Before moving your parent to a community, take the time to take a tour and see its community life for yourself. Ask to join residents for lunch and see the interactions between residents and staff, but also visit during random times of the day, rather than just during dining or activity hours, to see how residents are cared for. Because touring may be overwhelming, be sure to bring a checklist with you to note certain features of the community, such the overall physical appearance or any odors. And most importantly, do not be afraid to ask questions and trust your instincts about a community.

    The assessment process

    After finding a nursing home that will be a good fit for your loved one, the community’s clinician will perform an assessment to determine the level of care and services needed. This will form the basis of your parent’s care plan. The community’s priority is keeping residents safe, and during the assessment, you should share your parent’s complete medical history, whether it is frequent falls, forgetful moments or substance abuse. No matter how sensitive the information, you should feel safe disclosing it, because the clinician is not there to judge and will maintain confidentiality. If your parent’s substance abuse, or another sensitive issue, doesn’t come up during the admissions process, do not count this as fortunate but rather as a red flag to search for another community. Clinicians can tell when information is being withheld based upon a review of a person’s medical history and how the family acts during the interview.

    Life after move in

    It will likely take some time for your parent to adjust to his/her new home, but if you have done your homework, the nursing home’s staff will quickly make him/her feel like part of the community. Family nights and community-wide celebrations are a few of the events that allow for families to spend time with their loved ones in a celebratory way. And with trained nurses on hand 24 hours a day, you can be confident your parent will require the nursing care needed to improve his/her quality of life.

    Written by SeniorHomes.com’s Andrea Watts.

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    你在哪里寻求帮助?

    养老院,也被称为熟练护理设施,专门照顾患有严重或衰弱的身体或精神疾病、不能自理的老年人。雷竞技平台可靠吗在提供日常生活援助的同时,该机构的主要重点是提供熟练的护理服务。

    发现养老院

    居民和女儿当你听到这些话的时候,你会想到什么养老院:破旧的设施,卧床不起的居民和明显的尿味?这似乎是许多人的印象,也是电影、电视和媒体经常使用的刻板印象。但刻板印象并不总是现实的,这种形象不应该成为今天人们评判养老院的标准。

    作为提供长期护理服务的机构,护养院须接受视察,以确保其住客在保养良好的环境中享有高质素的生活。正如辅助生活社区让老年人体验到新的生命,养老院提供的技术护理在其他地方是找不到的。雷竞技平台可靠吗

    养老院和打开雷竞技 有什么区别?

    之前打开雷竞技 成为家庭护理的一种选择,老年人通常会留在家里和家人一起提供护理,直到虚雷竞技平台可靠吗弱的疾病或受伤需要护理,而家庭无法提供护理。他们可能需要在医院里得到熟练的护理,但不会出现需要住院治疗的危及生命的情况。养老院架起了这种需求的桥梁,当人们说他们正在寻找一个可以让他们的父母得到支持性照顾的地方时,他们通常会想到这样的社区。

    但是,由于各种原因,疗养院并不等同于辅助生活社区。辅助生活社区不提供熟练的护理服务,这些社区通常是私人付费的。相比之下,疗养院除了接受私人支付或健康保险外,还接受医疗补助和医疗保险。在援助生活社区的居民也能够进行日常生活(ADLs)活动,如洗澡、穿衣和上厕所的一些或最低限度的帮助。相比之下,养老院的居民需要更多的支持与adl。

    日常生活活动 %的居民需要帮助
    洗澡 96.1%
    沙拉酱 90.9%
    个人卫生 86.6%
    56.0%
    *从美国长期护理服务:2013年概况

    疗养院可能是独立的建筑物,也可能是更大的社区校园的一部分,无论是医院还是养老社区。持续护理退休社区为居民在社区的生活提供全面护理,有提供熟练护理服务或其他先进保健服务的保健中心。在空间许可的情况下,这些医疗中心可能会接纳不属于他们社区的居民。一些机构不再使用“疗养院”的名称,而是自称为“保健中心”,这可能会导致进一步的混乱。

    养老院的人口统计资料

    根据一项2013年的研究根据国家健康统计中心的统计,85岁以上的老人占养老院人口的42.3%,65岁以下的老人占14.9%。养老院超过三分之二的住客是女性。

    社区生活

    男人照顾虽然居民可能不像他们的同伴在生活辅助社区卡游戏是默认的活动,许多人与养老院联系在一起,养老院努力提供吸引人的活动,鼓励社交和促进整体福祉。活动每天都有,包括去当地动物园、社交时间、美甲或音乐娱乐。宠物探访也是社区生活的重要组成部分。也鼓励家庭参与,邀请家庭成员参加家庭之夜或社区晚宴。

    养老院的设施包括美容/理发沙龙、图书馆、游戏室和景观庭院。如果社区提供不同的护理类型,如熟练护理和阿尔茨海默氏症和痴呆症护理,建筑可以被安排成厢房,这样需要类似护理的居民就可以住在一起。

    居住安排是典型的私人或半私人房间,可能已经配备了家具或可以在搬进去时装饰个人家具。这些房间不包括小厨房或洗衣机/烘干机。

    养老院提供的服务

    除了提供熟练的护理,养老院还可能提供社会工作服务、心理健康或咨询服务、治疗服务、药房或药剂师服务,或临终关怀。家务、洗衣和接送预约的工作也由社区工作人员负责。

    养老院的费用

    养老院的费用取决于地理位置以及病人是在私人病房还是半私人病房接受护理。根据一项2015年医疗成本调查在美国,包间和半包间每天的平均费用分别为250美元和220美元,分别相当于每年91250美元和80300美元。对于那些长期住在疗养院的人来说,他们可以预计基本养老费率每年将增长近4%。

    下表显示了2015年各州的私人房间每日价格的范围*。

    美国最昂贵的养老院私人房间的日平均费用为:

    1. 阿拉斯加- 711美元
    2. 康涅狄格- 435美元
    3. 马萨诸塞州- 382美元
    4. 纽约——374美元
    5. 夏威夷- 370美元

    美国最便宜养老院私人房间的日平均费用为:

    1. 俄克拉何马州- 165美元
    2. 密苏里州- 167美元
    3. 路易斯安那州- 170美元
    4. 堪萨斯- 180美元
    5. 阿肯色- 180美元
    来自Genworth Financial2015年医疗成本调查

    如何选择养老院,在评估过程中有什么期待

    一旦你发现一个社区在你负担得起的价格范围内和理想的位置,对社区进行评估是很重要的,不仅要确定你的亲人是否会感到受欢迎,还要确定它的工作人员是否恰当地照顾了居民。

    查找养老院的检查记录

    养老院必须获得执照,并由负责监督长期护理设施的州机构进行检查。养老院比较是寻找养老院评级的知名资源,通常养老院会吹嘘他们有五星质量评级。然而,这一系统由于依赖于自我报告的数据而受到审查,这些数据没有揭示缺陷或对设施提出的投诉的完整图景。

    与辅助生活社区的检查记录可能无法在网上获得不同,疗养院的检查记录往往可以在网上向公众提供。这些检查记录可以从每个州的网上或通过公共记录请求获得。大多数州还要求养老院应要求张贴或提供他们最近的检查结果。通过查看数年的记录,您可以看到是否有未能遵循程序的模式,以及这些违规行为是否危及生命或轻微的。

    参观疗养院

    在你的父母搬到一个社区之前,花点时间自己去看看那里的社区生活。要求和住院医生一起吃午餐,看看他们和工作人员之间的互动,也可以在一天中的任意时间访问,而不仅仅是在吃饭或活动时间,看看住院医生是如何得到照顾的。因为巡演可能会让人不知所措,所以一定要带一个检查表让你注意到社区的某些特征,比如整体的物理外观或任何气味。最重要的是,不要害怕问问题,相信你对社区的直觉。

    评估过程

    在找到一个非常适合你所爱的人的养老院后,社区临床医生将进行评估,以确定所需的护理和服务水平。这将构成你父母护理计划的基础。社区的首要任务是确保居民的安全,在评估期间,你应该分享你父母的完整病史,无论是频繁摔倒、健忘还是滥用药物。无论这些信息有多敏感,你都应该感到披露它是安全的,因为临床医生不在那里判断,并将保持机密。如果你父母的药物滥用,或其他敏感问题,在录取过程中没有被提及,不要认为这是幸运的,而是一个危险信号,去寻找另一个社区。临床医生可以根据一个人的病史和家人在面谈期间的行为来判断什么时候隐瞒了信息。

    搬进来后的生活

    你的父母可能需要一些时间来适应他/她的新家,但如果你做好了功课,养老院的工作人员会很快让他/她觉得自己是社区的一部分。家庭之夜和全社区的庆祝活动是一些让家人有时间与他们所爱的人一起庆祝的活动。有训练有素的护士一天24小时在身边,你可以相信你的父母会需要护理来改善他/她的生活质量。

    由SeniorHome雷竞技平台可靠吗雷竞技app怎么买球s.com的Andrea Watts撰写。

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