Types of Care

Types of Care

Making a decision on the type of care needed for your loved one can be challenging. There are many types of care available and it can seem overwhelming at times. Please look over the general descriptions of the different types of care listed here and feel free to call or email us with any questions you may have. We’d be happy to share the information we have available to help you make an informed choice for your loved one.

In Home Assistance

In home assistance is generally defined as non-medical support services delivered at the home of the individual. The aim of home care is to allow individuals to remain at home longer rather than enter an assisted living community, nursing home or other type of senior care. Home care may be appropriate if an individual prefers to stay at home but needs minor assistance with activities of daily living. Activities of daily living include bathing, dressing, and meal preparation but may also extend to assistance with transportation, paying bills, making appointments, as well as being there to provide companionship and emotional support. Home care services are generally available 24 hours a day, seven days a week and can be paid for directly by the client or through a variety of public and private funding sources such as Medicare and/or Medicaid.

Respite

Respite care provides a temporary short term break from the emotional and physical stresses of caring for a loved one with Azlheimer’s disease in the home.
What are the Benefits of Respite? -Respite provides social opportunities for the participant, gives a caregiver time for themselves, and helps prevent caregiver burnout.

Among Friends Day Respite

The Among Friends Respite Program provides a caring, supportive, and safe environment for all participants. Included are mind stimulating activities, art therapy, exercise, music therapy, a nutritious lunch and snack. Activities are socially engaging, positive, and lighthearted. The program not only greatly benefits the caregiver, but the participant as well.

Location: Center 50+  at 2615 Portland Road NE

Time: Tuesdays, Wednesdays, and Fridays 
11:00am-4:00pm
Cost: $40.00 per day for five hours of respite, including lunch and snack.
Please contact Evelyn Ostermann for more information – 503-588-6303

Brochure

Long Term Care Resources

Long Term Care Options (LTC) in Oregon. These are licensed by the state of Oregon.

Adult Foster Homes (AFH)
AFHs are homes in which up to 5 residents reside with the owner/provider and his/her family. They are licensed by the state as level 1, 2 or 3 (with 3 being the highest level of care). Some have become specialized in a particular type of care, e.g., Alzheimer’s / memory care, bariatric, diabetic. All care, including personal care, medication administration, activities, housekeeping, laundry and meal preparation and service are provided by the owner/operator of the home and may include additional staff he/she hires. Staffing (which is usually 1-2 people) can vary from 24-hour awake staff to staff who are awake during the day and asleep at night. . Some AFHs provide services for private pay individuals only and some serve both Medicaid and private pay.
Assisted Living Facilities (ALF) and Residential Care Facilities (RCF)
ALFs and RCFs are also known as ‘€community based care’€ in Oregon.
ALF’s generally offer studio, 1- and 2-bedroom apartments with accessible bathrooms and kitchenettes. RCF’s are generally designed with shared bedrooms., although some have private rooms. Kitchenettes are typically not available. Standard services for both ALF and RCF include 3 meals daily, housekeeping, laundry, activities and wellness care. Unlicensed staff is onsite 24 hours a day. The amount of time licensed nurses are on site varies with each provider. Personal care services include bathing, dressing, grooming, incontinence care, medication administration, etc. Some ALFs and RCFs provide services for private pay individuals only and some serve both Medicaid and private pay.
Nursing Home Care
Nursing Home care is delivered through two levels of care; skilled nursing facilities (SNF) and intermediate care facilities (ICF). Both offer 24 hour licensed nursing care and personal care provided certified nursing assistants (CNA’s), activities, all meals, housekeeping and laundry.
SNF is designed to be a short-term stay. This is usually following a qualifying hospital stay for convalescence or rehabilitation. It includes 24-hour licensed nursing care and various therapies, e.g., physical, occupational, speech and respiratory.
Intermediate Care Facilities (ICF) are the traditional long-term care nursing homes. wherein 24-hour licensed nursing, including RNs and LPNs and CNAs provide care. Support services are offered along with a varied activity program.
Memory Care Endorsement
Special licensing endorsement for dementia and memory care is given to providers in ALF, RCF and NH who meet specific service delivery , environmental and staff training requirements. These units can be a secured (locked).
Information about long term care options can be accessed through advocacy organizations, e.g., State Long Term Care Ombudsman, hospital discharge planners, Medicaid workers, NH, ALF, RCF social workers, support organizations, e.g., The Alzheimer’s Network of Oregon, private placement agencies or on-line resources.

A check list to look for when visiting should include the following:

  • Is the outside appearance inviting? Neat? Clean?
  • Are you greeted upon your arrival?
  • Is the facility license posted where it is easily seen?
  • Is a copy of the most recent state inspection (if licensed) available to review?
  • Are the common areas clean, inviting, and odor-free?
  • What security measures are in place?
  • How are personal care services determined? How is it figured into the total cost?
  • How is medical care provided? Can a resident use their own doctor or do all residents use the same one?
  • Do the residents appear well cared for? Dressed appropriately?
  • Do residents appear happy or content?
  • What types of personal items or furniture are allowed or required?
  • Does staff interact positively with the residents? Call them by name?
  • Are there activities planned or in progress?
  • If you visit during a meal, does the food appear appetizing? Are there choices?
  • During your visit and tour of ALFs and RCFs are you offered a Uniform Disclosure Statement which describes in detail all services and costs? Pricing guidelines? Service information?
  • Is Medicaid accepted as payment? If so, are there any restrictions or limitations?
  • Are you left with unanswered questions?

Transitioning

Transitioning from home to a residential care setting, such as an assisted living facility or nursing home, can be challenging for both caregivers and care recipients.
Here’s how to make the move easier:

Do due diligence
Caregivers need to have a high degree of comfort in their selection. The quality of these settings varies greatly. Your decision should be based on three important factors: Is there a dementia care unit staffed by professionals with specific dementia training? Is the facility close enough to your home and/or work to allow for visitation at a level that is best for your family? Does the facility meet the specific medical, social, therapeutic and emotional needs of your loved one?
Understand the emotions at play.
An individual with dementia may not be able to fully appreciate the nature of the event or the long-term implications of placement. He may react to your emotional state during the move. Also, the new surroundings can be overwhelming and confusing, but this will subside in a few days or a week. Give him time to acclimate and to get used to the staff.
Provide input.
Share your extensive knowledge of your loved one with the staff, including the unit nurse, social worker and nutritionist prior to admission. Employees need time to learn about your loved one’s medical condition, temperament, behavior patterns, likes and dislikes, etc.
Talk about it.
The level of disclosure to your loved one about the upcoming move is a decision you must make based on your knowledge of his ability to understand this information. If you think it will help to talk about it each day for a couple of weeks prior to the move, be sure that he has a chance to express his concerns and fears. Be patient and understanding. Offer reassurance of your ongoing commitment and plans for regular visitation.
Prepare the room.
Plan to have the room set up before your loved one moves in. Put in familiar objects, but nothing of value that could be misplaced or damaged. Label his clothing and personal items as well.
Be by his side.
Accompany your loved to the facility for the actual move, and repeatedly explain that he will be okay and that you are there to help. You may want to stay for the day and have dinner together at the residence. When it is time to go, explain that you have to leave for a while, but will return as soon as you can. Assure him that he will be fine.
Ask for extra attention.
Introduce your loved one to the employee who will be available during the first shift that he is there alone. Ask the staff to tell each subsequent shift that he is new to the facility and needs some special consideration, kindness and reassurance.
Check in regularly.
Monitor the care of your loved one on a regular basis, and advocate on his behalf with the staff and administration.
Think about yourself.
Tap your network of family and friends for emotional comfort. And seek support from others who have been through this situation. The facility may host a support group on site or look for a support group in your area.




Alzheimer's Network
2673 12th St. SE
Salem, OR 97302

Phone: (503) 364-8100

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