Long Term Care Case Study

Question 1

The evolution of Long term care (LTC) in the United States (U.S) has seen its evolution in three main phrases: financing, utilization, and quality. Financing being the various means of payment either through Medicare, Medicaid, Veterans Health Administration, private insurance, or out of pocket funds. In the past, nursing homes were considered as warehouses where residents were lifeless, depressed and the quality of care far below average. Residents were subjected to psychotic medicine, more often than not, strap down to keep them quiet. The nursing industry was basically making money out of the frail vulnerable elderly. In 1981, president Regan
The three major components of LTC are: In home, community-based system and the institutional system. The in home system consisting of senior housing, adult day care, home health care, hospice and palliative care is the largest institution financed mostly by private arrangements and
These health care agencies include intermediate care facility for the mentally retarded (ICF/MF), assisted living community (ALC) and continuing care retirement community (CCRC). Services rendered can be classified under two categories: intramural and extramural services. Intramural services include home health (HH) care and meals on wheels. They include a wide range of support programs and services like chores and errands, homemaking, and handyman assistance. Unlike intramural services that are delivered inside a patient’s home, extramural services are delivered outside the patient’s home to a community-based location. These services include mental health outpatient clinics, adult daycare, and congregate meals provided at senior centers and respite care. The community-based (LTC) system consist of the following objectives.
 Capable of delivery affordable LTC services in a less restricted setting in accordance to the patient’s medical needs.
 To repressed the use of informal care with more advanced and sophisticated skills and