Adult Day Care

A Life Style for Older Adults

Understanding frailty

Decline in physical ability and decline in Cognitive functioning

Decline in eating and drinking fluids Reduced mobility and socialization Increased isolation, loneliness and

depression leads to further decline in functioning

Successful Aging

Staying engaged with family, friends, associates

Staying active and participating in exercise Being stimulated in body, mind, and spirit Making a contribution to society Having self-respect and to be respected

by others

The dangers of being old and living alone Feeling of boredom, loneliness Poor eating habits Depression Lack of exercise Loss of physical function Poor personal hygiene World becomes very small

ADULT DAY CARE

Social and mental stimulation Nutritious meals Exercise Assistance with personal hygiene Medical oversight and monitoring Religious and spiritual opportunities A sense of belonging

Anatomy of Adult Day Care

Social model (ADS) versus Medical Model (ADHC)

Location, space, and equipment requirements Hours of operation Programming and services offered Admission and discharge policies Staffing needed Payment options

Goal of Adult Day Care:To enhance the lives of older adults Provide safe, secure, and supportive

environment Provide programming and services that address

the physical, mental, emotional, social, and spiritual needs of the older adult (also, medical needs in a medical model)

Provide avenues for the older adult to stay engaged with the greater community

Safe and Secure Environment

Measures to prevent elopement or wandering from the day care site or for uninvited persons from entering the site.

Sanitary conditions and infection control measures to prevent the spread of infection

Environment that is temperature controlled and well ventilated

Programming and Services

Programming to address the physical, mental, emotional, social and spiritual needs of older adultsChair exercises, balloon tossPlaying games that require thinking Intergenerational programs, reminiscing Story telling, news paper readingBible Study, saying of prayers

Services

Transportation Nutritious meals and snacks Therapy: physical, occupational, speech Health monitoring: blood pressure, pulse, blood

sugar, weight Health Screenings: vision, hearing, cancer Immunization and medication adminstration

Services (con’t)

Assistance with dressing changes Assistance with incontinence care Application of medical appliances and

treatments such as respiratory care Personal care such as bathing, shaving

and hair care Psychiatric and mental health services

SUMMARY

Community based with benefit of staying in one’s home

Supportive and stimulating environment Lower cost than other options Supports the concept of Successful Aging

Picture this!

Arrive by bus at the day care at 7:30 a.m. Have a light breakfast followed by morning

prayers Receive your morning medications and

have both blood pressure, pulse, and the swelling in your legs checked by a nurse and recorded in your record

Con’t

Have the morning headlines and lead article of the newspaper read to you as a group

Do morning stretching exercises Spend time playing a game that requires

thinking and moving around the room at the same time

Con’t

Have a snack Go for a walk outside with another

ADC participant and a staff person. Watch the local news on TV and then

discuss the events with your group Eat lunch Lie down for a short nap

Con’t

Participate in chair exercises set to music Attend a chapel service or prayer service

Take the medications the nurse has and describe to him/her how you feel today Show the nurse the sore on your

Con’t

Drink some juice or eat a healthy snack Play a game of bingo Visit with the small

dog that arrived for a visit. Join the group that will paint the wooden

birds Return to your home when your daughter

comes to take you home

Compare to this

Eat small breakfast Sit in your chair Sleep in your chair, you’re bored Watch TV, read a book Skip lunch, you’re not hungry Sleep in your chair, Watch TV, read newspaper Wait for your daughter to come home