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Related Concept Videos

Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Restorative Care01:19

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Aims Of Nursing01:29

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Nursing involves independent, cooperative, person-centered care for people of all ages, families, groups, and communities. Nurses assist the sick or the well person in all settings. Nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. Health promotion encourages people to take responsibility for their health. It focuses on the healthy behavior of individuals, families, and the community and the factors that impact their health. Examples of...
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Specialized Care Centers and Settings-I01:30

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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
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Aging01:26

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Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
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Promoting and Highlighting Research in Assisted Living to Inform Practice and Policy.

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Updated: Jun 27, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Does Assisted Living Provide Assistance And Promote Living?

Sheryl Zimmerman1, Robyn Stone2, Paula Carder3

  • 1Sheryl Zimmerman (Sheryl_zimmerman@unc.edu), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Health Affairs (Project Hope)
|May 6, 2024
PubMed
Summary

Assisted living facilities face challenges in meeting resident needs due to staffing shortages and complex regulations. Recommendations focus on improving workforce, regulations, consumer support, and financing to enhance elder care quality.

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Area of Science:

  • Gerontology
  • Health Services Research
  • Public Policy

Background:

  • Assisted living is the largest US residential long-term care provider, serving over 918,000 older adults.
  • Evolving resident needs, staffing shortages, complex regulations, and insufficient financing challenge assisted living's quality of care.
  • These factors negatively impact "aging in place" and overall well-being for residents.

Purpose of the Study:

  • To identify key challenges facing the assisted living sector.
  • To propose actionable recommendations for improving assisted living services.
  • To ensure assisted living adequately supports resident needs and promotes quality of life.

Main Methods:

  • This commentary analyzes current trends and challenges in assisted living.
  • It synthesizes existing knowledge on workforce, regulations, consumer needs, and financing.
  • Recommendations are developed based on identified issues and potential policy solutions.

Main Results:

  • Assisted living faces significant challenges including workforce deficits, regulatory complexity, and financial barriers.
  • Current models often fall short in providing adequate assistance and promoting resident well-being.
  • Specific policy recommendations are outlined across four key areas.

Conclusions:

  • Addressing workforce issues, regulatory reform, enhanced consumer support, and improved financing are crucial.
  • Policy interventions such as increased staffing, better wages, streamlined regulations, and financial incentives are proposed.
  • Implementing these recommendations can help assisted living better fulfill its promise to older adults.