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There are several senior

living and care options.

It can be daunting and

confusing when trying to

choose the right one for you

or your loved one. Choosing

depends on your needs and

personal preferences. What

services are out there to help

in the home? What’s the

difference between assisted

living and independent

living? What about nursing

facilities, where do they

come in? Knowing about the different senior living

alternatives and care options will help you make better

decisions about what might match your needs when

it comes to current or future long-term care planning.

Below we go over the different options out there within

this continuum of care for seniors.

Housing Options

INDEPENDENT LIVING

An independent living community is typically amulti-

unit senior housing development that provides full apart-

ment style living. There are several options when it comes

to independent living. There are moderately priced senior

apartments and subsidized apartment communities that

provide housing with no personal services. Then there are

retirement communities and continuing care retirement

communities that offer additional services depending on

the community these may include meals, housing keep-

ing, and activities. Another possibility is a 55+ housing

neighborhood. In Howard County these neighborhoods

are generally comprised of townhouse-style homes or pos-

sibly condominiums. In this instance the individual pays a

fee to have the outside of

the property maintained

but the owner must pro-

vide upkeep to the inte-

rior. Typically, personal

services are not provided.

ASSISTED LIVING

Assisted

living

facilities are for people

who need some assistance

and can no longer live

independently, but do not

require 24-hour nursing care. Assisted living facilities offer

help with activities of daily living (ADL’s), such as eating,

bathing, dressing, laundry, housekeeping, and assistance with

medications.These facilities are classified as small (1 to 16 beds

– group homes) and large (16 beds or over.) Individualized

care plans are developed to meet the needs of residents.

NURSING AND REHABILITATIVE CARE

A nursing home is a long-term care facility that offers

roomandboard andhealth care services, includingbasic and

skilled nursing care and rehabilitation services. Residents

of nursing homes require regular health monitoring and

ongoing care rather than intermittent nursing care. The

individual is generally at a point in the health state where

they need around the clock medical oversight and care with

activities of daily living (ADL’s). Most people whomove into

nursing homes have exhausted all other living possibilities

and must remain in the facility long-term. Some nursing

facilities also have designated units that serve individuals

that require more acute or specialized services such as

rehabilitation or skilled care following a hospitalization.

These services are generally provided for a short period of

time and may be reimbursed through Medicare.

Continuum of Care

FOR SENIORS AND THEIR CAREGIVERS

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H OWA R D C O U N T Y C A R E G I V E R G U I D E