Transcript SJSUHSCI118Chapter01.ppt [PPT]

Chapter 1. Long-Term Care
Today: Turbulent Times
Long-Term Care: Managing
Across the Continuum
(Second Edition)
1
Learning Objectives
1. Define the current long-term care system,
including how it developed, and key
strengths and weaknesses of the system.
2. Define the term "continuum of care."
3. Identify and define the consumers and
providers of long-term care.
4. Define institutional and non-institutional
care, and the strengths and shortcomings
of each approach.
5. Identify the changes taking place in longterm care today.
2
Defining the Long-Term Care
System
Long-Term Care:
“Care of those persons requiring health care,
personal care, social, and supportive
services over a sustained period of time”
3
Factors Contributing to
Development of the Long-Term
Care System
1. Financing: Growing role of
government
2. The impact of regulations
3. The results of past successes
4. Cost-reduction efforts
4
Components of the Long-Term
Care System
Consumers:
 Elderly users of long-term care
 The elderly as a political force
 Nonelderly long-term care users
 The physically handicapped
 The mentally ill/mentally retarded
 The baby boomers: future long-term
care consumers
5
Components of the Long-Term
Care System
Providers:
Nursing Facilities
Assisted Living/Residential Care
Subacute Care
Adult Day Care
Home Health Care
Hospice Care
6
Institutional vs. NonInstitutional Care
Institutional:
Non-Institutional:
• Nursing Facilities
• Assisted Living
• Subacute Care
• Adult Day Care
• Home Health Care
• Hospice Care
7
Long-Term Care as Part of a
Continuum
The Continuum of care is:
 Client-Oriented
 Comprehensive
 Integrated
8
Strengths and Weakness of The
Long-Term Care System
Strengths:
 Response to changing needs
 Uniquely American nature
 Dedication of caregivers
 Focus on customer service
 Innovative types of care
 Integration efforts
9
Strengths and Weakness in The
Long-Term Care System
Weaknesses:
 Reimbursement-driven
 Inequitably distributed services
 Fragmented and uncoordinated
 Mix of health and social services
 Multiple entry points
10
Strengths and Weakness in The
Long-Term Care System
Weaknesses (continued):
 Overshadowed by the acute system
 Poor public image
 Inadequate support for informal
caregivers
 Confusing and “user-unfriendly”
system
11
Summary
The long-term care system has taken years
to develop, and is still evolving. It is a
critical part of the overall continuum of
care, and has both strengths and
weaknesses
12