Agenda - 05-20-2003-6a - Laserfiche WebLink

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Participants Enrollment Process Referrals for participants have been coming in from a variety of sources, including DSS's, Adult Services, the Dept. on Aging's Eldercare Program, and those who have read about it in papers or via word of mouth. Each enrollment begins with an in-home assessment by a social worker and, if available, an RN. A medical history and medication list is obtained from the potential participant's physician. These forms make up the initial framework of the participant's chart. A nursing assessment soon follows and an individual plan of care is developed for each participant. With the staff, training, experience and supplies, the center is capable of caring for and developing care plans to address a variety of medical conditions. To date, our participants suffer from: dementia, stroke, diabetes, arthritis, incontinence, high blood pressure, heart problems, and depression. They may also have a history of falls, malnourishment and dehydration. It is these participants and others that are at-risk for long-term placement. This is both a financial and emotional hardship. The decision to place a spouse or parent in a long-term care facility can lead to feelings of anger, guilt and even depression. It can also be an expensive option, draining family financial resources, as well as a state or county's. Cost Comparison: Day Centers vs. Other long-term care options. Looking at the per day cost of services along the continuum of care, one can easily see that adult day services are the most cost effective. Since most individuals prefer to live in their own homes as long as possible, adult day services serve as the most favorable and least restrictive option. ^ An average daily nursing home fee is $150 per day or higher. ^ An average daily assisted living rate can range from $100 for general care up to $165 per day for dementia care. ^ An in-home aide from an agency costs about $150-180 per 10 hour day, based on the current rate of home care agencies, which is $15.00 - $18.00 per hour. The Central Orange Adult Day Health Center will cost $65.00 at its highest level of care for 10 hours of service. From there, the cost goes down depending on the individual's income (See attachment #1). For that price, participants receive care, based on a nursing, social work, and arecreational/social plan. The program is staffed with an MSW, an RN, and a certified nursing assistant. Programming is designed to meet the needs and interests of the participants, with an emphasis on developing relationships with other participants and a sense of belonging to a community. Along with scheduled activities, participants receive a luncheon meal, snacks, and transportation.