LONG TERM LÀ GÌ

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Long-term care involves a variety of services designed to lớn meet a person"s health or personal care needs during a short or long period of time. These services help people live as independently and safely as possible when they can no longer persize everyday activities on their own.

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Long-term care is provided in different places by different caregivers, depending on a person"s needs. Most long-term care is provided at home page by unpaid family members & friends. It can also be given in a facility such as a nursing trang chính or in the community, for example, in an adult day care center.


The most common type of long-term care is personal care—help with everyday activities, also called "activities of daily living." These activities include bathing, dressing, grooming, using the nhà vệ sinh, eating, & moving around—for example, getting out of bed và into a chair.

Long-term care also includes community services such as meals, adult day care, and transportation services. These services may be provided free or for a fee.

People often need long-term care when they have sầu a serious, ongoing health condition or disability. The need for long-term care can arise suddenly, such as after a heart attaông xã or stroke. Most often, however, it develops gradually, as people get older và frailer or as an illness or disability gets worse.

Who Needs Long-Term Care?

It is difficult to lớn predict how much or what type of long-term care a person might need. Several things increase the risk of needing long-term care.

Age. The risk generally increases as people get older.Gender. Women are at higher risk than men, primarily because they often live sầu longer.Marital status. Single people are more likely than married people lớn need care from a paid provider.Lifestyle. Poor diet and exercise habits can increase a person"s risk.Health and family history. These factors also affect risk.

What Are the Different Types of Home-Based Long-Term Care Services?

Home-based long-term care includes health, personal, and support services to help people stay at home page & live sầu as independently as possible. Most long-term care is provided either in the trang chủ of the person receiving services or at a family member"s trang chủ. In-home services may be short-term—for someone who is recovering from an operation, for example—or long-term, for people who need ongoing help.

Most home-based services involve sầu personal care, such as help with bathing, dressing, & taking medications, và supervision khổng lồ make sure a person is safe. Unpaid family members, partners, friends, & neighbors provide most of this type of care.

Are you a long-distance caregiver? See When It"s Time lớn Leave trang chủ.

Home-based long-term care services can also be provided by paid caregivers, including caregivers found informally, and healthcare professionals such as nurses, home health care aides, therapists, & homemakers, who are hired through home page health care agencies. These services include: home page health care, homemaker services, friendly visitor/companion services, & emergency response systems.

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trang chủ Health Care

trang chủ health care involves part-time medical services ordered by a physician for a specific condition. These services may include nursing care to lớn help a person recover from surgery, an accident, or illness. trang chủ health care may also include physical, occupational, or speech therapy & temporary trang chính health aide services. These services are provided by trang chính health care agencies approved by Medicare, a government insurance program for people over age 65.

Homemaker và Personal Care Services

Home health agencies offer homemaker và personal care services that can be purchased without a physician"s order. Homemaker services include help with meal preparation và household chores. Personal care includes help with bathing and dressing. Agencies bởi not have sầu lớn be approved by Medicare lớn provide these kinds of services.

Find a Medicare-certified home page health agency in your area.

Friendly Visitor and Senior Companion Services

Friendly visitor/companion services are usually staffed by volunteers who regularly pay short visits (less than 2 hours) to someone who is frail or living alone. You can also purchase these services from trang chính health agencies.

Senior Transportation Services

Transportation services help people get to & from medical appointments, shopping centers, và other places in the community. Some senior housing complexes và community groups offer transportation services. Many public transit agencies have services for people with disabilities. Some services are không tính tiền. Others charge a fee.

Learn more about transportation services from Eldercare Locator.

Emergency Medical Alert Systems

Emergency response systems automatically respond khổng lồ medical và other emergencies via electronic monitors. The user wears a necklace or bracelet with a button to lớn push in an emergency. Pushing the button summons emergency help lớn the home. This type of service is especially useful for people who live alone or are at risk of falling. A monthly fee is charged.

Long-Term Care Planning

You can never know for sure if you will need long-term care. Maybe you will never need it. But an unexpected accident, illness, or injury can change your needs, sometimes suddenly. The best time lớn think about long-term care is before you need it.

Planning for the possibility of long-term care gives you time to learn about services in your community and what they cost. It also allows you to make important decisions while you are still able.

People with Alzheimer’s disease or other cognitive impairment should begin planning for long-term care as soon as possible.

Learn more about advance care planning.

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Read và share this infographic to get tips on how to make home page safe and accessible while aging in place.

Making Decisions About Long-Term Care

Begin by thinking about what would happen if you became seriously ill or disabled. Talk with your family, friends, & lawyer about who would provide care if you needed help for a long time. Read about how khổng lồ prepare healthcare advance directives.

You might delay or prevent the need for long-term care by staying healthy và independent. Talk lớn your doctor about your medical & family history and lifestyle. He or she may suggest actions you can take to improve sầu your health.

Healthy eating, regular physical activity, not smoking, và limited drinking of alcohol can help you stay healthy. So can an active sầu social life, a safe home page, and regular health care.

Making Housing Decisions: Aging in Place

In thinking about long-term care, it is important khổng lồ consider where you will live sầu as you age & how your place of residence can best tư vấn your needs if you can no longer fully care for yourself.

Most people prefer khổng lồ stay in their own trang chính for as long as possible. Learn about services, products, và resources that can help older adults stay in their homes.

Talking with Your Parents About Long-Term Care

It can be difficult lớn make the decision about whether you or a loved one needs to lớn leave sầu home. Sometimes, decisions about where to lớn care for a family member need to be made quickly, for example, when a sudden injury requires a new care plan. Other times, a family has a while to lớn look for the best place to lớn care for an elderly relative sầu.

You may have sầu had a conversation with a loved one where they asked you not khổng lồ “put them” in a nursing home page. Many of us want lớn stay in our own homes. Agreeing that you will not put someone in a nursing trang chủ may cthua the door to the right care option for your family. The fact is that for some illnesses and for some people, professional health care in a long-term care facility is the only reasonable choice.

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Making Financial Decisions for Long-Term Care

Long-term care can be expensive sầu. Americans spover billions of dollars a year on various services. How people pay for long-term care depends on their financial situation and the kinds of services they use. Often, they rely on a variety of payment sources, including:

Personal funds, including pensions, savings, and income from stocksGovernment health insurance programs, such as Medicaid (Medicare does not cover long-term care but may cover some costs of short-term care in a nursing home page after a hospital stay.)Private financing options, such as long-term care insuranceVeterans’ benefits

To find home-based services, contact Eldercare Locator at 1-800-677-1116 or visit https://eldercare.acl.gov. You can also call your local Area Agency on Aging, Aging và Disability Resource Center, department of human services or aging, or a social service agency.