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Chapter 47 - Community-based long-term care for the elderly

from Section IV - Principles of care for the elderly

Published online by Cambridge University Press:  05 June 2016

Jan Busby-Whitehead
University of North Carolina
Christine Arenson
Thomas Jefferson University, Philadelphia
Samuel C. Durso
The Johns Hopkins University School of Medicine
Daniel Swagerty
University of Kansas
Laura Mosqueda
University of Southern California
Maria Fiatarone Singh
University of Sydney
William Reichel
Georgetown University, Washington DC
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Community-based long-term care encompasses a wide array of medic al and non-medical diagnostic, preventive, therapeutic, rehabilitative, personal, social, supportive, and palliative services in a variety of settings for individuals who have lost some capacity for self-care because of a chronic illness or physical, cognitive, or emotional impairment. Some support services allow the patient to remain at home, whereas other services require a change of residence. The goal of care is to build on interprofessional expertise and teamwork to promote the optimally independent level of physical, social, and psychological functioning in the least restrictive environment. Most older adults with chronic health problems prefer to remain at home or in a homelike setting. A minority of older adults live in nursing homes, and there has been a trend toward community-based services to provide support. Community-based long-term care services focus on the older adult's medic al and psychosocial needs and aim to maintain function, prevent acute exacerbations of chronic illness, and avoid unnecessary and costly emergency room visits and hospitalizations.
Reichel's Care of the Elderly
Clinical Aspects of Aging
, pp. 651 - 658
Publisher: Cambridge University Press
Print publication year: 2016

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