What is Available for Help?
In much the same way that a three legged stool needs all three legs to be useful, the care planning approach needs at least three key entities in order to be successful.
- Yourself or Caregiver
- Community and Government Long Term Care Programs
- Long Term Care Professionals
Yourself or Caregiver
Long term care refers to a broad range of supportive medical, personal, and social services needed by people who are unable to meet their basic living needs for an extended period of time. This need for care may be caused by an accident, illness, or frailty. Such conditions may require help with the ability to move about, dress, bathe, eat, use a toilet, medicate, and avoid incontinence. Also care may be needed to help the disabled person with household cleaning, preparing meals, shopping, paying bills, visiting the doctor, answering the phone, and taking medications.
The need for long term care may only last for a few weeks or months or it may go on for years. It all depends on the underlying reasons for needing care.
Temporary Long Term Care (need for care only weeks or months)
- Rehabilitation from a hospital stay
- Recovery from illness
- Recovery from injury
- Recovery from surgery
- Terminal medical condition
Ongoing Long Term Care (need for care many months or years)
- Chronic medical conditions
- Chronic severe pain
- Permanent disabilities
- Ongoing need for help with activities of daily living
- Need for supervision
Long term care services may be provided in any of the following settings:
- In the home of the recipient
- In the home of a family member or friend of the recipient
- At an adult day services location
- In an assisted living facility or board-and-care home
- In a hospice facility
Community and Government Long Term Care Programs
There are many private, religious and government organizations across the country that provide supportive services for older people. Many of these services center around helping people stay in their homes and avoid having to live in a care center or nursing home.
Community services may provide socialization or service opportunities which might include:
- Meals served at home or in community centers
- Transportation and shopping for people who can not drive
- Home repairs, yard work, telephone support, caregiver support
Private support groups in the community include the Red Cross, United Way, or religious denominations. These groups often supply services for free to people with limited income and assets. They may, however, charge people for services who have adequate income.
National service that links older adults and their caregivers to community-based aging resources. 800-677-1116
Government services through the National Association of Area Agencies on Aginghttp://www.n4a.org/
There are 655 area agencies on aging in every state and territory of the United States. State aging units, under direction from the Administration on Aging, oversee and coordinate the activities of area agencies on aging in their states. Services are numerous but concentrate primarily on helping elderly people remain independent in the community, delaying the possibility that they will need help in a facility. Area agencies also support caregivers and coordinate Medicaid programs for home care and assisted living.
National institute of senior centershttp://www.noca.org/
Long Term Care Professionals
Elder Law Attorneys specialize in legal issues affecting the elderly. They are expert in Medicare and Medicaid programs and qualifications.
An Estate Planner may be an attorney or an expert in financial, tax and estate planning.
Financial and Insurance Services
Financial specialists that work with the elderly understand long term care insurance and financial planning. They are expert on Medicare Plans, Insurances and investments for retirement planning.
Experts in Funeral pre-planning help seniors make all necessary future arrangements for payment and services.
Geriatric Care Specialist
Geriatric Care Mangers or professional Care Managers are experts in evaluating and recommending the type of care needed.
Geriatric Medical Care
Geriatricians and other practitioners serving the elderly populations are knowledgeable in helping seniors and their families with health and mental issues.
Home care services come in two parts, Medical and non-Medical. Medical home care may be prescribed by a doctor and paid for in part by Medicare. They usually provide trained medical services. Non-medical home care provides numerous types of daily care included bathing, meals, household chores and are usually private or insurance paid.
Relocation, downsizing, organizing
Senior Relocation Specialists offer services to help seniors find new living arrangements and sell their existing homes. Another growing service for the elderly is helping to downsize and organize their personal effects as well as packing and moving.
A Reverse Mortgage allows seniors to use the equity in their homes to pay off debt, repair the home or even pay for in-home care.
Veterans Benefits for Long Term Care
Elderly veterans who served during a time of war may be eligible for a benefit to help pay for long term care. Specialists that work with Veterans can educate them on this benefit.