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Doctor insights on: Assisted Living Or Nursing Home Care

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What is difference between assisted living and skilled nursing center and nursing home?

What is difference between assisted living and skilled nursing center and nursing home?

Levels of care: The highest level of care is delivered in the hospitals. Out of the hospital the highest level of care is in a skilled nursing facility that can give complete custoidial care including total patient assistance with daily living, giving medications and intravenous therapy, and all necessary care. The next level of care are assisted living homes that can help people who need less nursing care. ...Read more

Dr. Ramin Rafie
72 doctors shared insights

Assisted Living (Definition)

Assisted living is a condition in which a person (usually an elderly person) lives in a facility with some assistance from the staff. The person is not debilitated enough for "nursing home" but also is not self-reliant enough for "independent living". Assisted living staff help with basic activities of daily living such as ...Read more


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What are the costs of assisted living compared to nursing home care?

What are the costs of assisted living compared to nursing home care?

Many variables: There are many variables to consider when considering long-term care. Cost is affected by location & unit (1bdrm vs shared) as well as type of care required. Nursing homes are typically more expensive than assisted living b/c staffing requirements. Check out http://www.aarp.org/relationships/caregiving-resource-center/LTCC.html as starting point for comparison. ...Read more

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How dangerous is visiting a nursing home. Are >50% of nursing homes infected with norovirus?

How dangerous is visiting a nursing home.  Are >50% of nursing homes infected with norovirus?

Visiting nursing hom: Nursing home patients usually have medicla problems that make them more prone ot infections and some of these are contagious. I think it also depends on the nurisng home as to the santaion pracices. If you are concerned you should follow good hand hygiene and do not eat anything until you are able to wash your hands after the visit. Also you should wash all your clothes after wards. ...Read more

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What changes have occurred in assisted living and skilled nursing facilities in preparation for boomers/?

What changes have occurred in assisted living and skilled nursing facilities in preparation for boomers/?

See below: 20 yrs ago, seniors and their families had few options to turn to for long term assistance and support other than expensive, institutional-like nursing homes. Obamacare and other tweaks in the healthcare laws may allow seniors greater access to resident-centered options/in a facility that seems more like a residence than a hospital. ...Read more

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What services do nursing homes typically offer?

What services do nursing homes typically offer?

Basic Life Activity: The short answer is room and board. But not at all limited to that. They also provide assistance with toileting and bathing, social interaction with staff and other residents, assistance with taking medication, they should also offer physical, & occupational rehabilitation, and spiritual support. ...Read more

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What is the difference between assisted living and hiring a nursing home CNA?

What is the difference between assisted living and hiring a nursing home CNA?

Many issues 2 consid: Check out http://www.aplaceformom.com/assisted-living for starting point re assisted living which is essentially a facility w/basic non-skilled nursing services (otherwise, you'd be looking at skilled nursing facility or nursing home if you needed skilled nursing). ALF are covered by state & local regulations. Hiring certified nursing assistant is just contract btwn you & CNA to provide home care ...Read more

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What is skilled nursing center vs nursing home?

What is skilled nursing center vs nursing home?

Skilled Nursing : Facilities (snf) have nursing home level of care within their building. For example, one wing of the snf or certain rooms are dedicated to people receiving short term rehabilitation services (those who will not be living there once therapy is complete) and those who stay long term. People who live there are under custodial care, or the same level of care as a nursing home. ...Read more

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How many residents in a residential care home to one aide?

Depends on State: State and federal regs define the staff to resident ratios.From my own experience, these requirements are not always met due to several reasons particularly call ins and unavailibilityog staff. ...Read more

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Assuming you, as a geriatric physician, contracted by either a teaching hospital or a corporation operating --- --- several nursing homes for profit, are charged with examining residents at one or more nursing homes and one such resident discloses being:

Assuming you, as a geriatric physician, contracted by either a teaching hospital or a corporation operating --- --- several nursing homes for profit, are charged with examining residents at one or more nursing homes and one such resident discloses being:

Elder : Elder abuse is a crime. All of us, physicians, nurses, social workers and other staff who work with older individuals and those who do not, are legally and ethically required to report suspected abuse to appropriate authorities. I have attached a link to elder abuse hotlines by state and also a link to a document describing signs of elder abuse. ...Read more

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Dr. Ted Saha Dr. Saha
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Would the hospice give better care in a nursing home?

Dr. Ted Saha Dr. Saha
1 doctor agreed:
Would the hospice give better care in a nursing home?

Palliative/ Hospice: Hospice serves pts in their own homes, nursing homes, long-term care or assisted living facilities or hospitals. Pts receive palliative care to ease pain, and discomforting symptoms; psycho-social, and spiritual support. Hospice care is focused on maintaining dignity, increasing quality of life, and providing comfort , including pain and symptom management. Hospice gives best care at end of life ! ...Read more

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How do a skilled nursing facilities make money?

How do a skilled nursing facilities make money?

Medicare Part A: The biggest factor in how skilled nursing facilities make money is the number of patients receiving rehab services under medicare part a. This level of service reimburses the most and nursing homes go to great lengths to try and have as many patients on rehab as possible. They also make money on patients who are custodial care (live there) however the margin of profit is small. ...Read more

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What are the qualifications to get into assisted living residential care?

What are the qualifications to get into assisted living residential care?

Assisted living: One need not "qualify". However, most people going into assistive living need assistance with instrumental activities of daily living(iadls) like shopping, cooking, etc and may need help with adls(activities of dail living) like bathing dressing, eating, etc. ...Read more

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Should I hire a nurse to take care of mom in medicaid nursing home?

Should I hire a nurse to take care of mom in medicaid nursing home?

See below: You would need a permission from the director of nursing to allow a private nurse to care of your mom. You would have to pay privately on your behalf. ...Read more

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What are the differences between subacute care, outpatient care, hospice care, home health care?

What are the differences between subacute care, outpatient care, hospice care, home health care?

Also: Subacute care in many skilled nursing facilities usually entails significant specialized care, like patients on long term ventilators. These patients are too stable for the hospital but because the tracheostomy & vent require constant monitoring and nursing care. If a pt can't be taken off the vent they are usualy transferred to a facility where this type of care is usual. ...Read more

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Can hospital care include hospice care for the terminally ill ?

Can  hospital care include hospice care for the terminally ill ?

It depends...: It depends on the hospital course. If the person was admitted for a condition and treated but worsened during the hospitalization to the point that death was imminent, comfort care or hospice care may occur in the hospital. However, most hospitals will try and transfer people home or to a skilled nursing facility with hospice care if the person has a little longer to live. ...Read more

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Any special health rules in nursing home with conjunctivitis?

Any special health rules in nursing home with conjunctivitis?

Wash your hands: The best thing for preventing spread of conjunctivitis in any setting is washing your hands and keeping them out of your eyes. ...Read more

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What safety tips must I follow while living in a nursing home?

What safety tips must I follow while living in a nursing home?

Ask for help: Most common danger is falls. Never try to do dangerous maneuvers without asking for help. Early morning in the bathroom is often the most dangerous. Stairs are another. Eat well and sleep well and keep up a good exercise routine. Talk with anyone who will listen and read and watch news shows and keep your brain active. As soon as you start to feel ill, ask for help and get a checkup. ...Read more