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Ltc Options

In: Social Issues

Submitted By katemilone
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Long Term Care Options: Don and Mary When a loved one is aging or ill the subject of long term care is discussed with family over dinner, with a social worker at a hospital, with friends at a neighborhood social. The dilemma of Don and Mary is faced by millions of families. According to Spencer, Patrick and Steele (2009) older adults would prefer to remain at home, although given several options, most would prefer not to be cared for by family and friends. What long term care options should Don consider for Mary and himself? Don is put in the position of having to explore options for long term care for his wife Mary and for himself. Based on the description of Mary’s illness, it appears she is in the severe stage of Alzheimer’s disease (AD) and requires total care of all functions including feeding, dressing, bathing (McSweeney-Feld & Oetjen, 2012, p71). People with Mary’s symptoms need the safe and structured around- the -clock care provided in a skilled nursing home facility.
Don’s physical ailments have started to affect his ability to care for himself, although his mental faculties remain intact. An assumption is made that Don needs help in meeting some of his daily living needs such as meals, transportation to physician appointments, and probably the use of assistive living devices, such as a cane or walker for ambulation. While he could gain the assistance he needs from a home health aide and continue to live at home with some structural changes to the home, assisted living would be of more benefit to him. Assisted living is a viable option because it meets the needs of people with limited functionality.
McSweeney-Feld and Oetjen describe Continuing Care Retirement Communities as having assisted living and nursing home services all in one community. For Don, having the ability to maintain some level of independence, receive the care...

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