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Long-Term Care Options for Stroke Survivors

If someone has been debilitated by a stroke and can longer care for themselves independently there are many options. Care varies based on the needs of the individual and the funds available. Below, we breakdown all of the available options for long-term care to help you know what’s best.

Homemaker Services

A homemaker is a service which provides assistance with household tasks that an individual cannot manage alone. A homemaker enters an individual’s home with the intent of making it possible for someone to age-in-place and offer support with minor chores which may include cleaning house, cooking meals and running errands. Homemakers are often also known as ‘personal care assistants’ or ‘companions’.

Home Health Aides

Home health aids are a more extensive personal care option. They provide ‘hands-on’ personal care in the home, under the direction of medical personnel. Home health aids will often assist with bathing, dressing, eating, transferring, assisting with maintaining continence, laundry, shopping for and preparing food, and medication management. These individuals may also act as an advisor to patients and families on certain issues; providing support by instruction or psychological counseling.

Adult Day Health Care

A facility where adult patients who need supervision and assistance are dropped off just for the day. These programs typically provide meals, personal assistance, medication management, social interaction, therapeutic activities, and more. In some cases, transportation to and from the facility may be provided.

There are three types of Adult Day Health Care Models:

  • The Social Model: For individuals who do not need medical based services. Typically provides basic care, supervision, meals, recreations, and social activities.
  • Medical Model: For individuals who require medical monitoring because of health conditions. May also offer physical, occupational and speech therapies.
  • Combination Model: Both social and medical models are incorporated.

Assisted Living Facilities

An apartment-style setting where an individual has moved out of his or her home and into this community facility to have access to consistent support with activities of daily living or supervision while still maintaining a level of independence. Individuals who live in ALFs tend to be less impaired and have fewer health problems and may not require medical supervision.

Nursing Home Care

Nursing Homes provide shelter and care for seniors who have more serious health problems, functional impairments or cognitive deficits. Services include personal care, room and board, supervision, medication, therapies, rehabilitation, and 24-hour skilled nursing. These are often also known as ‘nursing facilities’ and ‘skilled nursing homes’.

Continuing Care Retirement Communities

A full continuum of housing and services within the same community. As the senior’s needs change, he or she moves to the next ‘area’ within the community that is able to address his or her needs.

By: Courtesy, The Society of Certified Senior Advisors, Visit website

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Assessing Your Needs For Long-Term Care

To determine the appropriate level of care that you or a loved one may require, a full assessment of daily needs should be addressed. Determine if there are issues with any of the following:

  • Bowel/bladder control
  • Eating
  • Toileting
  • Dressing
  • Bathing
  • Transferring
  • Walking
  • Driving
  • Cooking
  • Housekeeping
  • Taking medications

Serious issues with one of more of these categories may indicate that some variety of long-term care should be pursued. Ask a medical profession for their opinion, as they may see the situation more objectively.

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