Long-Term Care Options: Needs, Services & Costs
Q&A: How do you pay for long-term care? PBS Feb 19, 2015,
BY Bonnie Lawrence, Family Caregiver Alliance
- When there is a need to find support & assistance for a elderly spouse, family member or friend, where should one find relevant information about
- What services are needed?
- What services are available and where?
- How can one evaluate such services?
[Seven Tips to Help Boomer Children Communicate With Their Aging Parents:
Many adult children of aging adults know how difficult it can be to talk with their parents about certain topics. Following, from Home Instead Senior Care and communication expert Jake Harwood, Ph.D., from the University of Arizona, are tips to help family caregivers communicate with their aging parents on sensitive subjects]
3. What services are available and where?
a) Search, Find & Compare
- Snap for Seniors
SNAPforSeniors offers a searchable database of listings for over 60,000
senior service providers in the U.S.
Online Downloadable Resources and Tools are provided:
With the help of leading senior housing, independent, assisted living,
skilled nursing care, and continuing care retirement community
professionals, SNAP has assembled the best resources available to help
you learn about, assess, and choose the right living options for your
needs. Each checklist, worksheet, test, or booklet can be downloaded
and printed from the website. You'll find them invaluable tools when
evaluating a community you are interested in and determining the costs
you can expect. SNAP's Glossary and Frequently Asked Questions
sections are also great resources.
- Caregiver Stress Test
[Snap for Seniors]
"Caregivers are usually so involved in caring for the needs of their loved ones that they can easily lose sight of their own needs. To get a better idea of the level of
stress you are dealing with as a primary caregiver, please answer the following questions as honestly as possible. Taking this test periodically as you are caring for
your loved one will also help you to recognize changing stress levels which can be addressed before feeling too overwhelmed."
Long-term Care Conversation Checklist: This conversation guide offers
helpful tips for family members to begin talking about senior care and
senior housing with their loved ones
- Caregiver Stress Test: Taking this test allows you to periodically
assess the amount of stress you are dealing with as a primary caregiver
- Tour Checklists for Independent and Assisted Living or Skilled
Facility: Print out and take these checklists with you when touring
independent and assisted living communities or skilled nursing
facilities. Each checklist helps you evaluate each option for important
factors such as location, amenities, security, and general atmosphere.
- Cost Worksheets for Independent and Assisted Living or Skilled
Facility: Each worksheet is a helpful tool for you to determine what
costs you can expect each month from the community you are interested
- In Case of Emergency Checklist: A vital health history form to keep
up-to-date and readily accessible in case of an emergency
- Fall Prevention Checklist: Make your home safer for seniors and
out this checklist for important safety considerations
- Senior Housing: What You Need to Know: This 12-page booklet offers
information about assessing your housing needs, considering certain
housing factors, and determining your most important personal
preferences in senior housing.
- Senior Housing Selection Tool: Unsure what type of senior housing
right for you or a loved one? This chart will help you determine what
senior housing and level of care options might be most appropriate
based on your personal situation.
- Home Care & Home Healthcare Provider Assessment: This checklist
you to get more information about the care provide you are interested
in. Questions about business practices, caregiver training, health care,
transportaion, and vairous policies are covered in this form.
- A Place for Mom
"The Nation's Largest FREE Elder Care Referral Service -- (888) 704-7786 --
•Over 20,000 National Providers
•Connect with An Advisor in Your Area
•FREE Advice No Obligation"
- Ombudsman Services
- ElderCareWay.com ("Your guide to the ElderCare Journey")
This is a promising site based on the content already posted; however, eldercareway.com is presently (April 2013) still under construction.
"We aim to help caregivers understand every step of the Elder Care journey, including assessing your loved one; selecting the right placement option for your loved one; and giving you the resources and tools for evaluating and monitoring that selection.
Over time, facilities change and your loved one’s needs may change. We give you the confidence to know when a change might be in the best interest of your loved one."
- Transitional Care
- Home Care Webinar Replays
- Transitional Care Model
Mary Naylor, University of Pennsylvania, Center for Transitions and Health]
"The Transitional Care Model (TCM), designed by Dr. Mary Naylor and a multidisciplinary team of colleagues at the University of Pennsylvania, addresses the negative effects associated with common breakdowns in care when older adults with complex needs transition from an acute care setting to their home or other care setting, and prepares patients and family caregivers to more effectively manage changes in health associated with multiple chronic illness."
- Transitional Care Interventions Prevent
Hospital Readmissions For Adults With Chronic Illnesses)
Health Affairs,. 2014, Abstract, Authors:
Kim J. Verhaegh1,*,
Janet L. MacNeil-Vroomen2,
Suzanne E. Geerlings4,
Sophia E. de Rooij5 and
Bianca M. Buurman6
Our findings suggest that to reduce short-term readmissions, transitional care should consist of high-intensity
interventions that include care coordination by a nurse, communication
between the primary care provider and the hospital, and a home visit within three days after discharge.
- Quimper (Port Townsend) Co-Housing Project
- Co-Housing Association of America ["Creating Community: One Neighborhood at a Time"]
- What is Co-Housing? [Slide show]
- Aging in Cohousing
Cohousing opens up new alternatives for seniors to take control of the inevitable, to live as independently as possible,
as long as possible. Cohousing sets seniors up for success and helps them achieve their full potential in the last 20-30 years of life.
Cohousing living arrangements support individual’s well-being physically, socially, and emotionally,
and offers aging adults a way to live among people with whom they share a common bond of age and
experience—an entirely new way to house themselves with dignity, independence, safety, mutual concern, and fun.
d) ASSISTED LIVING (with or without Dementia or Hospice Care)
FROM THE ARCHIVES:|
THE PORT LUDLOW VILlAGE COUNCIL
COMMUNITY DEVELOPMENT COMMITTEE
LONG RANGE PLAN
Long Range Plan Sub-Committee
ASSISTED LIVING CENTER
The construction of an Assisted Living Facility for residents of the community and the surrounding area may become feasible in the future, even though the most recent community survey (1997) identified only 16% of residents as possibly interested. Presently residents who are no longer able to maintain their individual homes must leave the area, their friends, and life style to accommodate their needs and limitations. However, the population base may never be large enough to support such a facility, partly because of the location of Port Ludlow, the distance from major and specialized hospital facilities, and the separation from extended family members.
A professional health-care corporation would be needed to build, operate, and maintain the facility. Also it is important to people entering an assisted living facility that the facility be capable of providing long-term (tri-Ievel) care so that they are able to remain and not have to move away from a comfort zone of known care-givers and surroundings again.
- Adult Family Homes (with 6 or less residents and with or without Dementia or Hospice Care)
- Assisted Living Communities (for more than 6 residents)
View Larger Map of Assisted Living Facilities near Port Ludlow
e) Nursing Homes (with or without Skilled Nursing/Rehab Services, Dementia or Hospice Care)
f) Continuing Care Retirement Communities (CCRC)
- Continuing Care (Wiipedia)
About Continuing Care Retirement Communities: Learn what they are and how they work
[...]There are three basic types of contracts for CCRCs:
•Life Care or Extended Contract: [...] offers unlimited assisted living, medical treatment and skilled nursing care without additional charges.
•Modified Contract: offers a set of services provided for a set length of time. When that time is expired, other services can be obtained, but for higher monthly fees.
•Fee-for-Service Contract: The initial enrollment fee may be lower, but assisted living and skilled nursing will be paid for at their market rates. [...]
- "Alternatives to Aging in Place," by Barrie Gustin, (a former PL resident);in: VOICE, January 2013, (pdf) scroll to pp.4-5.
- (Type A contracts) These places offer a full range of
care, from independent through assisted living, memory
care and skilled nursing....
- Type B contracts, in facilities such as Mirabella in
Seattle, are modified contracts which will subsidize
some degree of continuing care....
- Type C contracts are basically fee-for-service contracts.
There will be a much lower entry fee, and you get access
to various degrees of care (again from independent
to skilled nursing) but residents pay the full cost of
- Emerald Communities
- Skyline at First Hill (Seattle) [Life Care]
- Timber Ridge (Issaquah) [Life Care]
Seaport Landing (Bonaventure) Port Townsend [Retirement & Assisted
- Cascades of Bremerton: Continuing Care Retirement Campus
Cascades of Bremerton is senior retirement living at its finest, providing retirement living, personalized supportive services,
and a free-standing, memory care assisted living community.
- Washington Senior Living Communities
If you’re looking for detailed information about Washington State’s
3782 senior living communities, we’re here to help you! Senior Living
website offers the most comprehensive look at Washington’s active adult
retirement communities as well as a whole range of assisted-care
situations. Since we’re not affiliated with any specific providers, we
can offer totally unbiased and trustworthy information, including
reviews by seniors citizens with direct experience of various
- Horizon House, Seattle
"...is a Continuing Care Retirement Community, designed to provide a spectrum of services and care for residents, from complete independence to individualized care in
Supported Living ranging from light assistance to daily living to 24-hour-a-day nursing care..".
- Pacific Retirement Services, Inc: Continuing Care
- Mirabella, Seattle | and here!
Mirabella is the first all-new CCRC built in Seattle in nearly 35 years. As such, Mirabella is state-of-the-art in everything. From the spacious apartments to the host of
outstanding services, fine amenities, and on-site health care it offers, this new community truly stands alone.
What is Hospice? "Hospice is a special concept of care designed to provide comfort and support to patients and their families when a life-limiting illness no longer
responds to cure-oriented treatments." [
Hospice Foundation of America]
Palliative care is all about improving quality of life, whatever the illness. That may be through the relief of pain and
stress, and it addresses both the patient and the family. It is a growing and evolving specialty, and it is not just for
The WebGuys behind this assembly of Web resources are not responsible
for the content of the Web Sites to which they have provided links.
Nothing on this site shall constitute medical advice.
Click for the full disclaimer!
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Last updated: Feb 2015 -- plhealth.org(at)gmail.com
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Port Hadlock Medical Care LLC
(Driving into town, this is the very first Building on the left.
It includes Hospice, Kidney Ctr & Urgent Care)
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Jefferson Mental Health Services
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