module 4: care centers aging services of minnesota older adult services orientation manual © aging...
TRANSCRIPT
© Aging Services of Minnesota 2014 1
Module 4: Care CentersAging Services of Minnesota
Older Adult Services Orientation Manual
© Aging Services of Minnesota 2014 2
Acknowledgements
This resource was made possible by funding from the Ronald Patterson Governance Fund
of the Aging Services of Minnesota Foundation
TERMS OF USEAging Services of Minnesota (Aging Services) is the sole and exclusive owner of and retains all rights to this Orientation Manual (“Manual”) and all associated registrations. Aging Services makes this Manual available free of charge only to its members on the Members Only section of the Aging Services website, which is password protected.Member representatives are authorized to use any or all of this Manual only in the performance of duties and responsibilities on behalf of the member organization. The contents of the Manual may be customized to meet the needs of the member organization, and copies of any portion of the Manual may be distributed within the member organization.In every other respect, members and member representatives may not: (i) alter the Manual; (ii) add to the Manual; (iii) update the content of the Manual; (iv) distribute reproductions of the Manual to any person or organization not a member of Aging Services; (v) borrow portions of the Manual for use in other works; (vi) make derivative works; or (vii) be identified as an author of the Manual.
Developed by Health Dimensions Group, Minneapolis, MN
3
Care Centers
© Aging Services of Minnesota 2014
“Because chronic disease prevalence is higher and
multiple conditions are more common, services received by residents in care centers have
changed significantly from traditional custodial/personal
care to clinically complex care”.
Andy Edeburn, MA | VP of Continuum StrategiesHealth Dimensions Group
Care Centers
24-hour nursing and medical care Predominantly older adults or complexly disabled Treat chronic conditions
Care for medically complex patients
Private or semi-private rooms or suites
Generally, rooms have attached bathrooms (shared or private)
© Aging Services of Minnesota 2014 4
Care centers may also be referred to as nursing homes, skilled nursing facilities, nursing facilities, or long-term care facilities
Care CenterServices Provided
Health care treatment and assessment of patients and residents not in need of an acute care facility, but requiring nursing supervision on a 24-hour basis
Care centers provide two distinct types of care:• Post-hospital or –acute care
Referred to as rehabilitative, short-term care or skilled care Rehabilitative care needs due to injury, disability, or illness
• Long-term care Nursing and personal care and services above the level of room
and board Needed regularly and on an ongoing basis due to a physical and/or
cognitive condition
© Aging Services of Minnesota 2014 5
Care Center Resident Care Staff
© Aging Services of Minnesota 2014 6
Reh
abili
tativ
e T
hera
py
Med
ical
Car
e
Die
tary
Clin
ical
& N
ursi
ng
Soc
ial S
ervi
ces
Registered (RN) or Licensed (LPN) nurse
Nursing
Aide/Assistant
Medical Director
Trained Medication Assistant
Act
iviti
es
Primary Care Team
MD
Nurse Practitioner (NP)
Dentists
Podiatrists; not typically located on-site; may be contracted to visit
Physical Therapy (RPT, PTA)
Occupational Therapy (OTR, COTA)
Speech Therapy (SLP)
Respiratory Therapy (RT)
Registered Dietician (RD)
Dietary Aide
Feeding Assistant
Social Worker
Social Services Designee
Therapeutic Recreation Specialist (TRS)
COTA
Activity Aide
Post-Hospital Care Services Provided
© Aging Services of Minnesota 2014 7
Patients no longer requiring in-patient hospital care, but are not yet able to return to their previous home, may receive short-term care within designated care center units or beds
Rehabilitative services
Physical, occupational, and speech therapy
Improves and/or restores functional
independence
Skilled nursing services
Assessment, development and
monitoring of skilled plan of care
Management of complex post-hospital
treatment & skilled nursing care
Post-Hospital CareCommon Conditions
General, cardiac, and thoracic surgery
Acute onset of medical condition (e.g., congestive heart failure or pneumonia)
Orthopedic injuries and surgeries (e.g., fractures, dislocations, and hip/knee replacements)
Neuromuscular disorders(e.g., stroke, traumatic brain injury, Parkinson's, ALS, and other complex diagnoses)
Respiratory care, wound care, or IV therapy
© Aging Services of Minnesota 2014 8
Common conditions requiring post-hospital care:
Long-Term Care
Long term care offers:
• A comprehensive range of medical/nursing, personal, and social services coordinated to meet the daily physical, social, and emotional needs of people who are chronically ill or disabled and anticipate an extended placement
To residents who:
• Requires 24-hour medical and/personal care
• Requires assistance with the majority of activities of daily living (ADL) due to physical disability or dementia
• Needs a nursing home level of care as assessed by the preadmission screening team
© Aging Services of Minnesota 2014 9
Medical
Personal
Social
Long-Term Care Services Provided
© Aging Services of Minnesota 2014 10
Services include:• Medication administration and management
• Nursing care
• Palliative and end-of-life care
• Personal care assistance with ADLs (predominantly mobility, toileting, bathing, and eating)
• Programming for impaired cognition and behavioral conditions like dementia
• Rehabilitative services: physical, occupational, speech therapy, and respiratory therapy
• Restorative nursing
• RN case management
© Aging Services of Minnesota 2014 11
Notes