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WebSideStory Pick of the Week! 3/16/98

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Senior Housing Net
    Types Of Services Available For Children, Adults, And Elderly
    By: Gail R Mitchell
    Whether you are caring for a child, a spouse or a parent, each 
    will have very definite needs, which will need to be met. It is 
    best to begin familiarizing yourself with the various forms of 
    services that are available. Most individuals responsible for the 
    care of another would prefer to keep them at home if they are 
    a child or spouse, and a parent living comfortably in their own 
    home and surroundings.
    There is a broad range of care choices that permit you to keep 
    your loved one at home, even if they are saddled with physical, 
    mental or emotional limitations. Home care covers the range of 
    supplying transportation to and from doctors, preparation of 
    meals all the way to caring for those who are disabled, elderly 
    and frail.
    Assistance With Daily Living:
    Companion- A personal care attendant provides 
    assistance with meal preparation, shopping, supervision, light 
    housekeeping and companionship. Generally speaking, they do 
    not provide any personal care such as bathing, dressing and 
    grooming, and no medical care is administered.
    Housekeepers- can provide assistance with meal 
    preparation, shopping and transportation. No personal or medical 
    care is given.
    Home Maintenance, Repair And Chore Services
    Community volunteers perform minor home repairs inside and out. 
    Their job chores may include raking leaves, winterizing the home, 
    mowing lawns, installing special handrails or guards, and removing 
    snow. There usually are fees for major repairs and cosmetic 
    Emergency Response Systems- Electronic monitors 
    which can be worn by an individual or placed in the home to 
    provide an automatic response to medical or other emergencies.
    Health Care Services:
    Home Health Aide or Personal Care Attendant-Provides 
    personal care such as bathing, dressing, grooming and feeding. 
    This may also include light housekeeping services, the 
    administration of medications and other light duties. 
    Government and charities may offer these services for free 
    or on a sliding scale or you can hire one through a health 
    care agency.
    Nursing Assistance, Occupational or Physical Therapy-
    Licensed personal that may be provided by insurance if the 
    patient's doctor prescribes their need or they can be hired 
    on your own.
    Hospice-Supportive medical and social programs for 
    terminally ill patients, usually diagnosed with six months or 
    less to live. Volunteers and support are provided for members 
    of the patient's immediate family at home.
    Community Involvement:
    Case Management-Care Managers
    Home maintenance, housekeeping, chores and services
    Telephone reassurance- Volunteers will make daily 
    phone calls to an elderly person living alone to provide contact 
    and checkup on their well-being. Programs may be set up to 
    remind them to take their medications, etc.
    Friendly Visitors- Volunteers from civic organizations, 
    church, senior center, or service organization will come and spend 
    time with the individual. They may read, play cards, bring a video 
    to watch, take them for a walk or whatever is needed. They are 
    their to socially connect with the individual as well as offer 
    support and monitor their well being.
    Senior Centers- The centers act as a social gathering 
    and networking place for seniors who are able to function on an 
    independent basis. Social, cultural and recreational activities 
    are usually offered. These may also include day trips, matinees 
    at the theater, communal meals, health screenings, volunteer 
    opportunities and even legal and financial services. Generally 
    speaking services are free or available at a low nominal fee 
    to all participants.
    Childcare Centers- Centers with professional staffing 
    to care for your children while you are at work or caring for a loved 
    one. There are special centers for children with special needs as well.
    Adult Day Centers-Community programs offering meals 
    and structured activities. Transportation may or may not be provided 
    as with health services. Most programs operate only during the 
    week. Depending on the area you are in, attendance can be full 
    or part time and there may be a wait list. They usually provide 
    social and health care services for those who have special needs. 
    Hospitals, private organizations, local governments, nursing homes 
    and often religious groups offer these types of programs.           
    Transportation-Some cities and communities provide 
    special transportation for seniors and children. Volunteers may drive 
    their own cars and assist in transporting them to doctors, 
    treatments, supermarkets, senior centers, childcare centers, 
    etc. Other services might be van pickups, sponsored by the City. 
    One such example is “Access-A-Ride.” If the program is funded it 
    may be offered free or for a small, nominal fee.
    Meals- There are two types of programs available. 
    Volunteers in programs such as “Meals on Wheels” can deliver 
    meals. Upon delivery of the meal, the volunteer will also check 
    on the well being of the recipient. The second form is communal 
    or group meals for the elderly, usually served at a senior center. 
    Recreational activities may be supplied as well. Depending on 
    the situation the programs may be free or there may be a small 
    nominal fee.
    Legal And Consumer: Attorneys, ombudsmen, elderly 
    abuse, child abuse
    Financial Assistance: Paying bills, balancing checkbooks, 
    submitting insurance forms, tax preparation
    Medical Assistance, Sliding Fees, Subsidized Programs
    Housing Options:
    Rehabilitation Facilities- Facilities for short-term stays 
    helping a patient to recover from an illness or accident where they 
    receive treatment until they are ready to return home.
    Senior Apartment Living- This type of living is usually 
    government subsidized and adjustable accordingly to the senior's 
    income. They usually are conveniently located to shopping and 
    transportation. They may also serve meals
    SHARED HOUSING-Elderly people who live together. Each 
    has their own room and they share the common areas. 
    Adult Foster Care-This method of care is starting to 
    grow in different parts of the nation. A family provides custodial 
    care to an elderly person or more than one person in exchange 
    for a predetermined fee.
    Assisted Living- These are usually individual living units 
    in senior housing situations. A kitchenette may be available; however, 
    usually meals are served in a dining room with other members of 
    the facility. Activities are provided throughout the day. A 24-hour 
    staff is present. Nursing and housekeeping fees are usually 
    provided for an additional fee.
    Long-Term Care Facilities: 
    Nursing Homes
    Hospice- Supportive medical and social programs for 
    terminally ill patients, usually diagnosed with six months or less to 
    live. Volunteers and support are provided for members of the 
    patient's immediate family at a Hospice facility.
    Support for Caregivers:
    Respite- Services provided to assist and relieve the 
    caregiver from their role for a few hours to a week or more. Care 
    may be provided at home or in a long-term care facility.
    Links corresponding to this article are:
    American Self-Help Clearinghouse - database of housing, etc.
    Directory Of Aging Web Site Directories
    Elderweb - ElderCare Sourcebook
    HealthCare Financing Administration (HCFA)
    Hospice Foundation Of America
    National Association of Geriatric Care Managers
    National Association Of Home Care
    National Meals on Wheels Foundation - 1-800-999-6262
    National Respite Locator Service
    NCOA Aging And Advocacy Links
    NCOA Addresses Vital Aging Issues
    Nursing Home Care
    The Health Care Financing Administration publishes a 
    free booklet called “How To Select A Nursing Home” - Write 
    to HCFA Publications Dept., 7500 Security Blvd., 
    Room N1-26-25, Baltimore, MD 21244-1850.
    Senior Housing Net
    Click on logo links on this page
    State Index Aging Agencies and Programs
    THE ELDERCARE LOCATOR - A wayy to find community services for Seniors.
    The Wellspouse Foundation
    To find out more about all of the services mentioned in 
    this section and other options as well, order “Staying 
    at Home: A guide to Long-Term Care & Housing” (D14986) 
    from AARP Fulfillment, 601 E St. NW, Washington, DC 20049.
    We look forward to the opportunity of serving you. We 
    welcome your comments, suggestions, and questions. Please 
    feel free to contact us at: or

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