Module 4: Care Centers Aging Services of Minnesota Older Adult Services Orientation Manual © Aging...

© Aging Services of Minnesota 2014 1

Module 4: Care CentersAging Services of Minnesota

Older Adult Services Orientation Manual


Acknowledgements

This resource was made possible by funding from the Ronald Patterson Governance Fund

of the Aging Services of Minnesota Foundation

TERMS OF USEAging Services of Minnesota (Aging Services) is the sole and exclusive owner of and retains all rights to this Orientation Manual (“Manual”) and all associated registrations. Aging Services makes this Manual available free of charge only to its members on the Members Only section of the Aging Services website, which is password protected.Member representatives are authorized to use any or all of this Manual only in the performance of duties and responsibilities on behalf of the member organization. The contents of the Manual may be customized to meet the needs of the member organization, and copies of any portion of the Manual may be distributed within the member organization.In every other respect, members and member representatives may not: (i) alter the Manual; (ii) add to the Manual; (iii) update the content of the Manual; (iv) distribute reproductions of the Manual to any person or organization not a member of Aging Services; (v) borrow portions of the Manual for use in other works; (vi) make derivative works; or (vii) be identified as an author of the Manual.

Developed by Health Dimensions Group, Minneapolis, MN

3

Care Centers

© Aging Services of Minnesota 2014

“Because chronic disease prevalence is higher and

multiple conditions are more common, services received by residents in care centers have

changed significantly from traditional custodial/personal

care to clinically complex care”.

Andy Edeburn, MA | VP of Continuum StrategiesHealth Dimensions Group

Care Centers

24-hour nursing and medical care Predominantly older adults or complexly disabled Treat chronic conditions

Care for medically complex patients

Private or semi-private rooms or suites

Generally, rooms have attached bathrooms (shared or private)


Care centers may also be referred to as nursing homes, skilled nursing facilities, nursing facilities, or long-term care facilities

Care CenterServices Provided

Health care treatment and assessment of patients and residents not in need of an acute care facility, but requiring nursing supervision on a 24-hour basis

Care centers provide two distinct types of care:• Post-hospital or –acute care

Referred to as rehabilitative, short-term care or skilled care Rehabilitative care needs due to injury, disability, or illness

• Long-term care Nursing and personal care and services above the level of room

and board Needed regularly and on an ongoing basis due to a physical and/or

cognitive condition


Care Center Resident Care Staff


Reh

abili

tativ

e T

hera

py

Med

ical

Car

e

Die

tary

Clin

ical

& N

ursi

ng

Soc

ial S

ervi

ces

Registered (RN) or Licensed (LPN) nurse

Nursing

Aide/Assistant

Medical Director

Trained Medication Assistant

Act

iviti

es

Primary Care Team

MD

Nurse Practitioner (NP)

Dentists

Podiatrists; not typically located on-site; may be contracted to visit

Physical Therapy (RPT, PTA)

Occupational Therapy (OTR, COTA)

Speech Therapy (SLP)

Respiratory Therapy (RT)

Registered Dietician (RD)

Dietary Aide

Feeding Assistant

Social Worker

Social Services Designee

Therapeutic Recreation Specialist (TRS)

COTA

Activity Aide

Post-Hospital Care Services Provided


Patients no longer requiring in-patient hospital care, but are not yet able to return to their previous home, may receive short-term care within designated care center units or beds

Rehabilitative services

Physical, occupational, and speech therapy

Improves and/or restores functional

independence

Skilled nursing services

Assessment, development and

monitoring of skilled plan of care

Management of complex post-hospital

treatment & skilled nursing care

Post-Hospital CareCommon Conditions

General, cardiac, and thoracic surgery

Acute onset of medical condition (e.g., congestive heart failure or pneumonia)

Orthopedic injuries and surgeries (e.g., fractures, dislocations, and hip/knee replacements)

Neuromuscular disorders(e.g., stroke, traumatic brain injury, Parkinson's, ALS, and other complex diagnoses)

Respiratory care, wound care, or IV therapy


Common conditions requiring post-hospital care:

Long-Term Care

Long term care offers:

• A comprehensive range of medical/nursing, personal, and social services coordinated to meet the daily physical, social, and emotional needs of people who are chronically ill or disabled and anticipate an extended placement

To residents who:

• Requires 24-hour medical and/personal care

• Requires assistance with the majority of activities of daily living (ADL) due to physical disability or dementia

• Needs a nursing home level of care as assessed by the preadmission screening team


Medical

Personal

Social

Long-Term Care Services Provided


Services include:• Medication administration and management

• Nursing care

• Palliative and end-of-life care

• Personal care assistance with ADLs (predominantly mobility, toileting, bathing, and eating)

• Programming for impaired cognition and behavioral conditions like dementia

• Rehabilitative services: physical, occupational, speech therapy, and respiratory therapy

• Restorative nursing

• RN case management


Notes

Module 4: Care Centers Aging Services of Minnesota Older Adult Services Orientation Manual © Aging...

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