HLTHAGE 2F03 Lecture Notes - Lecture 23: Deinstitutionalisation, Long-Term Care, The Chronic
7 Apr 2018
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Document Summary
Long term care is at the far end of quaternary prevention. Patients are dependent: they cannot perform without(human) support. They are limited in performing at least one adl or several iadl. Objective is to prevent consequences of impairment on disability. Make sure impaired individuals can function and perform. Lo(cid:374)g ter(cid:373) (cid:272)are is: (cid:272)hro(cid:374)i(cid:272), holisti(cid:272) (cid:894)vs. o(cid:374)e spe(cid:272)i (cid:272) orga(cid:374)(cid:895), a(cid:374)d a(cid:271)out (cid:272)are, (cid:374)ot (cid:272)ure. The chronic care model applies particularly well tolong-term care. Long-term care can be provided by: unpaid caregivers (parents, friends, neighbors, volunteers): informal care, paid caregivers (psws, nurses, physiotherapists): formal care. Proportion institutionalized increases with age: from 2% at 65-69 to 31% at 85+ These proportions are lower in 2011 than in 2001: by one percentage point among males, and two among females. This is called de-institutionalization and specialization of care. Also, contrary to myths, fewer seniors now live alone than in 2001 (56% versus 54%) - due to narrowing of gender gap in longevity.
