什么是护理家园? 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 assisted living communities?

    Before assisted living communities 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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    你在哪里寻找帮助?

    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。

    寻找护理家园

    居民和女儿当你听到这些话的时候,你会想到什么疗养院: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。

    随着长期护理的提供者,护理家庭受到检查,以确保他们的居民在维护良好的环境中获得高品质的生活。正如援助生活社区一样,允许老年人在生活中体验新的租约,养老院提供在其他地方无法找到的雷竞技平台可靠吗熟练护理。

    护理家园和辅助生活社区有什么区别?

    辅助生活社区成为家庭的护理选择,老年人通常会在家中留在家里,在家庭成员提供护理,直雷竞技平台可靠吗到令人衰弱的疾病或伤害所需的护理,该家庭无法提供。他们可能需要在医院中发现的熟练护理,但没有所需的危及生命的条件,需要住院。养老院弥合了这种需要,并且通常是人们说他们正在寻找父母可能获得支持性护理的地方时突出的社区类型。

    但是,由于各种原因,养老院不是辅助生活共同体的代名词。辅助生活社区不提供熟练的护理服务,这些社区往往仅私人支付。相比之下,除私人工资或健康保险外,护理家庭还接受医疗补助和Medicare。辅助生活社区的居民也能够开展日常生活(ADL)的活动,如沐浴,敷料和厕所,有些或最小的帮助。相比之下,护理家庭居民需要更多支持ADL。

    日常生活活动 居民的百分比需要帮助
    洗澡 96.1%
    敷料 90.9%
    厕所 86.6%
    56.0%
    *来自美国长期护理服务:2013年概述

    护理家庭可​​能是自由站立的建筑物,也可能是一个较大的社区校园,无论是医院还是持续护理退休社区。继续护理退休社区,为居民全面照顾其在社区的生活中,为医疗中心提供熟练的护理服务或其他先进的医疗保健服务。这些医疗保健中心可以接受当空间许可时不属于其社区的居民。有什么可能导致进一步混淆的是,一些设施不再使用养老院的标题,而是将自己描述为医疗保健中心。

    护理家园的人口统计

    根据一项2013年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。

    养老院常见的功能包括美容/理发师沙龙,图书馆,游戏室和园景庭院。如果社区提供不同的护理类型,例如熟练的护理和阿尔茨海默氏症和痴呆症,则建筑物可以安排在翼中,使居民需要类似的护理。

    生活安排通常是私人或半私人的房间,可能已经提供或者可以在进行中装饰有个人家具。这些客房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外,护理家庭还可以提供社会工作服务,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护理。家务,洗衣和交通到任命的责任也由社区的员工处理。

    养老院的费用

    护理家庭费用根据地理位置而有所不同,以及患者是否在私人或半私人房间接受护理。根据一项2015年护理费用,全国范围内私人房间提供的平均每日汇率为250美元,在Semiprivate房间是220美元,每年等于91,250美元和80,300美元。对于长期养老院生活的人,他们可以期望看到近4%的基本税率增加。

    下表显示了2015年私人房间的日期税率的成本范围。

    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

    美国最便宜的养老院私人房间的日平均费用为:

    1. 俄克拉荷马州 - 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. 阿肯色州 - 180美元
    *来自Genworth金融2015年护理费用

    如何在评估过程中选择护理家庭以及预期的内容

    一旦您找到一个在您实惠的价格范围和所需位置的社区,重要的是评估社区,不仅要确定您所爱的人是否会感到欢迎,但其工作人员是否适当地关心居民。

    在养老院寻找检查记录

    疗养院需要由州代理机构许可和检查,该机构负责监督长期护理设施。养老院比较是寻找护理家庭评级的知名资源,而且养老院的疗养院将吹嘘他们有5星级的评分。但是,该系统受到审查,以依赖于自我报告的数据,这些数据并没有揭示对设施提起的缺陷或投诉的完整图片。

    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。

    巡回养老院

    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与您注意到社区的某些功能,这种整体外观或任何气味。最重要的是,不要害怕提出问题并信任您对社区的本能。

    评估过程

    在寻找一个养老院后,将为您所爱的人有好处,社区的临床医生将进行评估,以确定所需的护理水平。这将形成父母的护理计划的基础。社区的优先事项正在保持居民安全,在评估期间,您应该分享您的父母的完整病史,无论是常见的堕落,健忘的时刻还是药物滥用。无论信息多么敏感,你都应该感到安全披露它,因为临床医生不是判断并将保持保密。如果您的父母的药物滥用,或其他敏感问题,在招生过程中没有提出,不要将此视为幸运,而是作为针对另一个社区寻找的红旗。临床医生可以根据对人的病史以及家庭在面试期间行为的审查,何时扣除信息。

    搬进后的生活

    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。

    由毕业生的Andrea雷竞技平台可靠吗雷竞技app怎么买球 Watts撰写。

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