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Unformatted text preview: April 17, 2008 Long term care includes those health, social, housing, transportation, and other supportive services needed by persons with physical, mental, or cognitive limitations sufficient to compromise independent living Primary consumers of long term care are persons who have complex or chronic healthcare needs and functional disabilities . Disabilities Federal survey: Limitation of activity caused by chronic conditions o Decline in disability Total Pop 75+ 1997: 13.3% 50.2% 2005: 11.7% 43.5% 1982-2004 Decline in prevalence of disability May result from o An event at or prior to birth o An acute onset of disease or injury o A chronic condition that over time can affect physical or cognitive function in mid to later life Definitions o Is commonly viewed as a limitation in completing basic life activities o Is also defined by limitations in social roles o Defined by lack of fit between the person and the environment in which he/she functions Activities of Daily Living (ADLs) o Transfer o Feeding self o Bathing o Dressing o Toileting Instrumental Activities of Daily Living (IADLs) o Cleaning o Cooking o Ability to take medications o Ability to use telephone o Paying bills, taking care of finances Why are informal caregivers important? o About 85% of people needing long-term care services are receiving some assistance from family and friends o They provide large amounts of unpaid care o Many contribute to the financial cost of care o The care they provide reduces/limits the amount of formal care services needed, including residential care. o Who are the informal caregivers? o Female 61% o Average age 46 years o Fair Housing Amendments Act of 1988 o Try to accommodate o Americans with Disabilities Act of 1990 o Included Employment, public transportation systems o Ticket to Work and Work Incentives Improvement Act of 1999 o Olmstead Decision o Illegal discrimination o President Bushs New Freedom Initiative Major objective o Promote full access to community life for those with disabilities o Maryland waiver from Department of Health and Human Services (November 2004) o Program: New Directions o Services include Respite Someone else comes in and takes over role of caregiver Supported Employment Personal Support Transportation Assistive Technology and Adaptive Equipment o Rehabilitation o Part of an integrated post acute care network of services o In a process aimed at enabling an impaired person of any age to reach an optimum physical, mental, and/or social functional level o Frequently must deal with a combination of social, psychological, and physiological problems o Helps the individual regain lost skills or learn new skills or learn new skills in accordance with set goals o Some impairments are shorter-term and completely correctable, many impairments are permanent o Clinical staff and patients often must be satisfied with only small increments of progress over a long period of time...
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This note was uploaded on 07/13/2008 for the course HAPP 100 taught by Professor Riley during the Spring '08 term at UMBC.
- Spring '08