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Why Would Someone Go to a Long-Term Care Facility?

2 min read

Approximately 70% of people turning 65 will need some form of long-term care in their remaining years. Understanding why would someone go to a long-term care facility requires looking beyond just aging, considering factors like chronic illness, cognitive decline, and safety concerns that necessitate professional, round-the-clock support.

Quick Summary

Individuals enter long-term care facilities due to chronic medical conditions, the need for 24/7 skilled nursing, cognitive impairments, or for rehabilitation after an illness or injury. Safety, specialized memory care, and relief for family caregivers are also common reasons for moving into a facility.

Key Points

  • Chronic Medical Conditions: When a person has complex, chronic health issues like heart disease, diabetes, or severe arthritis, a long-term care facility provides the continuous medical supervision and specialized care needed.

  • Cognitive Decline: Alzheimer's and other dementias can create serious safety risks and complex care needs, making specialized memory care units in a facility the best option.

  • Caregiver Burnout: The physical and emotional demands of full-time caregiving can overwhelm family members. Moving a loved one to a facility provides professional support and relieves this burden.

  • Need for Rehabilitation: After a stroke, surgery, or major illness, a skilled nursing facility offers intensive, on-site physical, occupational, and speech therapy to aid in recovery.

  • Enhanced Safety and Security: Facilities are designed to minimize risks like falls and medication errors, offering a secure environment that provides peace of mind for both residents and families.

  • Social Interaction and Engagement: For those experiencing isolation at home, long-term care facilities offer a built-in community with organized activities and social opportunities.

  • Specialized Care Needs: Beyond general aging, conditions like Parkinson's disease, multiple sclerosis, and severe injuries can necessitate the constant monitoring and expert care only available in a long-term setting.

In This Article

Chronic Medical Conditions and Advanced Health Needs

Individuals often transition to long-term care facilities when managing chronic, complex medical conditions becomes too challenging at home. These conditions, such as heart disease or diabetes, can require constant supervision and medical care that facilities are equipped to provide. Recovery from events like a stroke might also necessitate a skilled nursing facility for rehabilitation. Other serious conditions like Parkinson's disease also require the consistent monitoring and specialized care found in long-term settings.

Cognitive Impairment and Dementia Care

Cognitive decline, including Alzheimer's and other forms of dementia, significantly impacts judgment and the ability to perform daily tasks safely. This can lead to safety risks like wandering and challenging behavioral changes that families may find difficult to manage. Specialized memory care units within facilities offer a secure environment with staff trained to support individuals with dementia, focusing on routine and minimizing risks.

Overburdened Family Caregivers

The majority of long-term care is provided by family and friends, which can lead to significant burnout. When the demands of caregiving negatively impact a caregiver's health or other responsibilities, a long-term care facility can be a necessary choice. This allows family members to provide emotional support while professional staff handle daily care, reducing stress and preserving relationships.

A Comparison of Long-Term Care Facility Types

Different types of long-term care facilities exist to meet varying needs. Skilled nursing facilities provide 24/7 medical care for complex conditions, while assisted living communities offer support with daily activities for more independent individuals.

Feature Skilled Nursing Facility (SNF) Assisted Living Community
Level of Care Higher level; requires 24/7 skilled nursing care from licensed medical professionals. Lower level; provides assistance with daily living activities (ADLs), but not constant medical supervision.
Medical Services Extensive medical services, such as IV care, wound care, and specialized therapy. Medication management and health monitoring, but typically limited hands-on medical procedures.
Resident Profile Individuals with complex medical needs, chronic conditions, or those recovering from a major illness or surgery. Mostly independent individuals who need some help with daily tasks like bathing, dressing, or meals.
Cost Generally more expensive due to the higher level of medical care and staffing. Less expensive than SNFs, with varying costs based on the level of services needed.
Environment More clinical, with private or semi-private rooms and a focus on medical care. More home-like, with private apartments or rooms and a focus on community and social activities.

Conclusion

Moving to a long-term care facility is a significant decision often made when home-based care can no longer safely and effectively meet an individual's medical, cognitive, or social needs. The necessity for 24/7 skilled nursing for chronic conditions, specialized memory care for dementia, and the need to alleviate caregiver burnout are key reasons for this transition. These facilities provide a secure environment with professional staff and a supportive community to ensure comprehensive care and enhance quality of life. Evaluating the level of care required and researching different facilities with healthcare professionals can help families make an informed choice.

Frequently Asked Questions

Assisted living provides help with activities of daily living for relatively independent individuals, while long-term care, like a skilled nursing facility, offers 24/7 medical supervision and a higher level of care for those with complex health issues.

Medicare does not typically cover long-term custodial care. It may cover a short-term stay (up to 100 days) in a skilled nursing facility for rehabilitation following a qualifying hospital stay, but long-term care costs are usually covered by Medicaid, private insurance, or out-of-pocket payments.

It may be time to consider a facility if a person needs continuous medical care, requires substantial supervision for cognitive impairment, experiences frequent falls or safety issues at home, or struggles with daily living activities like bathing and dressing.

Wandering is a serious safety risk for individuals with dementia. Long-term care facilities, particularly memory care units, provide a secure environment with specialized staff to prevent wandering and ensure the person’s safety.

Activities of daily living, or ADLs, include basic personal care tasks like bathing, dressing, eating, using the toilet, and transferring (moving in and out of a bed or chair). Inability to perform two or more ADLs is a common trigger for long-term care benefits.

Yes, long-term care facilities recognize the importance of social engagement. They typically offer a wide range of social and recreational activities to combat loneliness, promote well-being, and provide opportunities for residents to interact.

Yes, while a majority of residents are older, a younger person with a disability, a serious illness, or a traumatic brain injury may also require long-term care. The need for care is determined by medical condition and ability to function, not just age.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.