H&A - March 19th, 2012.docx

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Formal Institutional Care and Community Care
The 3 models of health care
Medical model
Focuses on the treatment of diseases and injuries
Social model
Views medical care as only one part of a complete health care system
Personal and family counseling, home care and adult day-care programs as part of
the health care
Health promotion model
Focuses on prevention and self-care through lifestyle change, increased knowledge
about healthy behavior and environmental improvement
Changes in health care today
Shifts from institutionalization to the community
Funding
Waiting times for services
LTC not fully insured
Decline in number of hospital beds
Expenses double
Older person’s health care needs
More likely to have hospital separations
Spend more days in hospital
Higher surgery rates
Complementary and alternative medicine
Treatments include: qigong, aromatherapy, herbal and homeopathic remedies, chiropractic
services, physiotherapy, occupational therapy, massage therapy, therapeutic touch and
acupuncture.
Use ranges between 41 and 58% of older Americans.
Typical community care programs
Includes hospitals, nursing homes, doctor’s services and community-based services such as
geriatric day hospital, adult day care and home acre.
All form the continuum of care.
Acute care
Enter through emergency department
Managed/stabilized for home or admitted
General internal medicine (non-specific)
Cardio, surgical, vascular (specific)
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