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Tertiary Healthcare System

Tertiary Healthcare System

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...

Restorative Care

Restorative Care

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,...

Continuing Care

Continuing Care

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,...

Specialized Care Centers and Settings-I

Specialized Care Centers and Settings-I

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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They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...

Specialized Care Centers and Settings-II

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...

Documentation in Long-Term and Home Healthcare Setting

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills

Published on: February 13, 2020

Are alternative long-term-care programs needed for adults with chronic progressive disability?

K M Donohoe¹, N M Wineman, R A O'Brien

¹University of Rochester, School of Nursing, New York, USA.

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses

|December 1, 1996

Summary

Planning long-term care for middle-aged adults with progressive neurological impairment is crucial. Innovative community services and residences are desired but viewed with some ambivalence.

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Area of Science:

Neurology
Gerontology
Rehabilitation Medicine

Background:

Long-term care planning for middle-aged adults with progressive neurological impairment remains under-researched.
Understanding factors influencing institutional placement risk is essential for this demographic.

Purpose of the Study:

To examine risk factors for institutional placement in individuals with progressive neurological disabilities.
To identify potential utilization of innovative long-term care preferences.

Main Methods:

A study involving 102 clients (92 with multiple sclerosis, 10 with other progressive illnesses) aged 48 years on average.
Analysis of social support, community service utilization (home-health aide, nursing services), and insurance status (Medicaid).

Main Results:

Medicaid, functional disability severity, and limited social support correlated with increased community service use.
Participants expressed interest in community residences (65%), adult day healthcare (63%), and family respite (46%), though with reservations.
Small social support networks were noted, with family providing most tangible aid.

Conclusions:

Nurses play a vital role in assessing current and future care needs for individuals with progressive neurological impairment.
Early assessment and intervention by nurses can help modify living arrangements and prevent premature institutionalization.
Exploring and offering innovative long-term care alternatives is important for this population.