Gerontology Notes-2.pdf

What is the most common cause of dementia housing

Info icon This preview shows pages 8–10. Sign up to view the full content.

What is the most common cause of dementia? HOUSING ARRANGEMENTS Independent Family Setting More than two thirds of older adults (68%) live independently in a family setting Older individuals often try to keep their home despite the physical or economic difficulties in doing so; it represents independence and security Some older individuals remain in their own houses and refuse to give them up long after it is safe for them to be alone Independent or Assisted-Living Centers Combine privacy with easily available services Most consist of private apartments that are purchased or rented Different levels of medical, nursing, and personal care services are available Many centers have communal activity rooms, art and craft hobby centers, swimming pools, lounges, beauty salons, mini-grocery stores, greenhouses, and other amenities Transportation to church, shopping, and other appointments is provided by some of these facilities Life-lease or Life-contract Facilities For a large initial investment and substantial monthly rental and service fees, older persons or couples are guaranteed a residence for life
Image of page 8

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

Independent residents occupy apartment units, but extended-care units are attached to this apartment complex or located nearby for residents who require skilled nursing services When the occupants die, control of the apartment reverts to the owners of the facility Government-Subsidized Housing May be simple apartments without any special services, or they may have limited services, such as access to nursing clinics and special transportation arrangements Waiting lists and 1- to 2-year delays are common Group Housing Plans Two or more unrelated people share a household in which they have private bedrooms but share the common recreational and leisure areas, as well as the tasks involved in home maintenance In some cases, a large house may shelter 10 or more residents Community-Based Residential Facility For a monthly fee, this type of facility provides services such as room and board, help with activities of daily living, assistance with medications, yearly medical examinations, information and referrals, leisure activities, and recreational or therapeutic programs Most of these facilities provide private or semiprivate rooms with community areas for dining and socialization Nursing Homes or Extended-Care Facilities Provide room and board, personal care, and medical and nursing services They are licensed by individual states and regulated by both federal and state laws HEALTH CARE PROVISIONS Medicare The government program that provides health care funding for older adults (65 or older) and those with disabilities Part A Covers inpatient hospital care; extended care in a skilled nursing facility following hospitalization; some home health services and hospice services but only after the patient pays an initial deductible and any co-pay expenses
Image of page 9
Part B Covers 80% of the “customary and usual” rates charged by physicians after deductibles are met Part C Includes “Advantage” or “Choice” plan, which allows beneficiaries to receive Medicare benefits through private insurance companies that are able to demonstrate cost savings Part D Prescription drugs are distributed through local pharmacies and administered by a wide variety of private insurance plans Supplemental Medicaid May be available for those older adults who meet certain financial need requirements Many of those who have assets do not qualify; they are left with a Medicare gap (or “medigap”) that they must pay themselves Many older people buy private medical insurance often at unreasonable prices to pay medical bills that are not covered by Medicare Advance Directives Two formal types of advance directive are recognized in most states: Durable Power of Attorney for Health Care Transfers the authority to make health care decisions to another person Living Will Informs the physician that the individual wishes to die naturally if he or she develops an illness or receives an injury that cannot be cured
Image of page 10
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern