Older Là Gì

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Long-term care involves a variety of services designed khổng lồ meet a person"s health or personal care needs during a short or long period of time. These services help people live as independently and safely as possible when they can no longer perform everyday activities on their own.

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Long-term care is provided in different places by different caregivers, depending on a person"s needs. Most long-term care is provided at trang chính by unpaid family members và friends. It can also be given in a facility such as a nursing home page or in the community, for example, in an adult day care center.


The most common type of long-term care is personal care—help with everyday activities, also called "activities of daily living." These activities include bathing, dressing, grooming, using the nhà vệ sinh, eating, & moving around—for example, getting out of bed & into lớn a chair.

Long-term care also includes community services such as meals, adult day care, & transportation services. These services may be provided free or for a fee.

People often need long-term care when they have sầu a serious, ongoing health condition or disability. The need for long-term care can arise suddenly, such as after a heart attaông xã or stroke. Most often, however, it develops gradually, as people get older & frailer or as an illness or disability gets worse.

Who Needs Long-Term Care?

It is difficult lớn predict how much or what type of long-term care a person might need. Several things increase the risk of needing long-term care.

Age. The risk generally increases as people get older.Gender. Women are at higher risk than men, primarily because they often live sầu longer.Marital status. Single people are more likely than married people khổng lồ need care from a paid provider.Lifestyle. Poor diet và exercise habits can increase a person"s risk.Health & family history. These factors also affect risk.

What Are the Different Types of Home-Based Long-Term Care Services?

Home-based long-term care includes health, personal, & tư vấn services to help people stay at home and live sầu as independently as possible. Most long-term care is provided either in the trang chính of the person receiving services or at a family member"s trang chính. In-trang chính services may be short-term—for someone who is recovering from an operation, for example—or long-term, for people who need ongoing help.

Most home-based services involve sầu personal care, such as help with bathing, dressing, và taking medications, and supervision to lớn make sure a person is safe. Unpaid family members, partners, friends, và neighbors provide most of this type of care.

Are you a long-distance caregiver? See When It"s Time to lớn Leave sầu Home.

Home-based long-term care services can also be provided by paid caregivers, including caregivers found informally, và healthcare professionals such as nurses, trang chủ health care aides, therapists, và homemakers, who are hired through trang chủ health care agencies. These services include: home health care, homemaker services, friendly visitor/companion services, and emergency response systems.

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trang chủ Health Care

trang chủ health care involves part-time medical services ordered by a physician for a specific condition. These services may include nursing care khổng lồ help a person recover from surgery, an accident, or illness. trang chủ health care may also include physical, occupational, or speech therapy and temporary trang chủ health aide services. These services are provided by trang chủ health care agencies approved by Medicare, a government insurance program for people over age 65.

Homemaker and Personal Care Services

trang chủ health agencies offer homemaker and personal care services that can be purchased without a physician"s order. Homemaker services include help with meal preparation và household chores. Personal care includes help with bathing & dressing. Agencies bởi not have to lớn be approved by Medicare to provide these kinds of services.

Find a Medicare-certified home page health agency in your area.

Friendly Visitor and Senior Companion Services

Friendly visitor/companion services are usually staffed by volunteers who regularly pay short visits (less than 2 hours) khổng lồ someone who is frail or living alone. You can also purchase these services from home page health agencies.

Senior Transportation Services

Transportation services help people get to và from medical appointments, shopping centers, and other places in the community. Some senior housing complexes & community groups offer transportation services. Many public transit agencies have services for people with disabilities. Some services are không tính tiền. Others charge a fee.

Learn more about transportation services from Eldercare Locator.

Emergency Medical Alert Systems

Emergency response systems automatically respond khổng lồ medical & other emergencies via electronic monitors. The user wears a necklace or bracelet with a button khổng lồ push in an emergency. Pushing the button summons emergency help khổng lồ the trang chủ. This type of service is especially useful for people who live alone or are at risk of falling. A monthly fee is charged.

Long-Term Care Planning

You can never know for sure if you will need long-term care. Maybe you will never need it. But an unexpected accident, illness, or injury can change your needs, sometimes suddenly. The best time to lớn think about long-term care is before you need it.

Planning for the possibility of long-term care gives you time to lớn learn about services in your community and what they cost. It also allows you to make important decisions while you are still able.

People with Alzheimer’s disease or other cognitive sầu impairment should begin planning for long-term care as soon as possible.

Learn more about advance care planning.

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Read and share this infographic khổng lồ get tips on how to make trang chủ safe and accessible while aging in place.

Making Decisions About Long-Term Care

Begin by thinking about what would happen if you became seriously ill or disabled. Talk with your family, friends, và lawyer about who would provide care if you needed help for a long time. Read about how to lớn prepare healthcare advance directives.

You might delay or prevent the need for long-term care by staying healthy & independent. Talk lớn your doctor about your medical và family history và lifestyle. He or she may suggest actions you can take lớn improve your health.

Healthy eating, regular physical activity, not smoking, and limited drinking of alcohol can help you stay healthy. So can an active social life, a safe trang chính, & regular health care.

Making Housing Decisions: Aging in Place

In thinking about long-term care, it is important to lớn consider where you will live as you age and how your place of residence can best support your needs if you can no longer fully care for yourself.

Most people prefer to lớn stay in their own trang chủ for as long as possible. Learn about services, products, và resources that can help older adults stay in their homes.

Talking with Your Parents About Long-Term Care

It can be difficult to make the decision about whether you or a loved one needs to lớn leave sầu home. Sometimes, decisions about where to lớn care for a family member need lớn be made quickly, for example, when a sudden injury requires a new care plan. Other times, a family has a while lớn look for the best place lớn care for an elderly relative sầu.

You may have sầu had a conversation with a loved one where they asked you not to lớn “put them” in a nursing trang chính. Many of us want to stay in our own homes. Agreeing that you will not put someone in a nursing home page may cthua thảm the door to the right care option for your family. The fact is that for some illnesses và for some people, professional health care in a long-term care facility is the only reasonable choice.

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Making Financial Decisions for Long-Term Care

Long-term care can be expensive. Americans spkết thúc billions of dollars a year on various services. How people pay for long-term care depends on their financial situation & the kinds of services they use. Often, they rely on a variety of payment sources, including:

Personal funds, including pensions, savings, và income from stocksGovernment health insurance programs, such as Medicaid (Medicare does not cover long-term care but may cover some costs of short-term care in a nursing home page after a hospital stay.)Private financing options, such as long-term care insuranceVeterans’ benefits

To find home-based services, tương tác Eldercare Locator at 1-800-677-1116 or visit https://eldercare.acl.gov. You can also Gọi your local Area Agency on Aging, Aging and Disability Resource Center, department of human services or aging, or a social service agency.