A hospital stay is usually just that: a stay, followed by discharge to a skilled nursing or rehab facility, or recuperation at home. It all depends on the nature of the illness or the surgery performed. In some cases, especially for older individuals, the lines between hospital and home have begun to blur in terms of the care patients receive.
That’s because many people needing rehabilitation care are opting for in-home care vs. going into a facility. While many of those offer on-site care at varying levels, from fully independent living to various “a la carte” assisted living programs, and even full nursing home and hospice care, the vast majority of patients (more than 95 percent, according to the AARP) very much want to remain at home.
There is no one “right” answer when it comes to who will thrive with in-home services rather than some form of facility care, so it’s worth taking a look at some of the pros and cons of each.
This is not to say that home vs. facility is an all-or-nothing proposition. These are big decisions, and don’t have to be made overnight. If someone wants to stay home, and is beginning to lose the ability to care for themselves properly, it’s important to note that there are “guard rails” that can be put into place to address safety concerns, including:
And finally, let’s return to the cost of care, regardless of location. It’s going to fluctuate between states, and the type of health care professionals needed. Some services will be out of pocket, while others may be partially or fully covered by public and private sources such as Medicare, Medicaid, the Older Americans Act, the Veterans Administration, and private insurance.
Nursing homes and skilled care facilities that continue to excel are those that treat residents as people worthy of respect, regardless of medical condition or funding source—and regardless of the pressures felt by staff. HealthStream works with skilled nursing and LTC facilities, as well as across the care continuum, to address these challenges, from keeping pace with regulatory requirements to engaging and developing competent staff who can satisfy the demands of increased patient complexity. Learn about HealthStream’s Workforce Development Solutions for the Continuum of Care.
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