According to the Assisted Living Federation of America, assisted living is "a long-term care option that combines housing, support services and health care, as needed." It is designed to provide assistance to individuals who may need help with everyday activities such as preparing meals, managing medications, transportation, medical care, and other activities of daily living. While assisted living is not a substitute for nursing home care, it is viewed as a complement to it.
Assisted Living Options
Assisted living programs are licensed by state governments and are known by different names such as residential care, personal care, board and care, and congregate care. Most facilities have between 25 and 120 living units, ranging in size from a single room to a full apartment. The needs of residents are assessed upon entry, and an individualized service plan is developed. The goal of assisted living is to provide individuals with the ability to choose the setting in which they will receive services and care. The role of staff is to help the residents enjoy as much independence and freedom as their condition allows.
Assisted living programs offer a more affordable, residential approach to providing many of the same medical services available in nursing homes. Services typically include customized health care and medical services, 24-hour emergency call systems, three meals per day served in a group dining area, housekeeping, and laundry services. For those with greater physical needs, assistance with walking, dressing, bathing, eating, and toileting is provided as necessary. Some assisted living facilities offer memory care services that involve innovative methods to improve quality of life and promote safety. Exercise and wellness programs may also be provided, as well as basic transportation services.
What to Look for in an Assisted Living Facility
Individuals or family members should make sure the physical layout and features of the residence meet the needs of the person who will be staying there. Is the floor plan easy to navigate? Can wheelchairs and walkers fit through hallways and doors? Are elevators or ramps available? Have handrails been installed throughout the building? Are cabinets and shelves accessible? Are the floors covered with firm carpeting or non-skid material? Are the building and grounds well lit? Is the facility clean, odor-free, and kept at a comfortable temperature?
Also carefully evaluate the services provided. Are staff members available around the clock to meet both expected and unexpected needs? Is assistance with bathing and dressing provided? What type of meals and snacks are provided? Are housekeeping services provided in the living units? How much notice is needed to request transportation services? What service providers such as physical therapists and hairdressers visit the facility? Is staff able to coordinate medical visits? Does the residence have a procedure for handling medical emergencies?
When an assisted living facility is properly selected, a balance between independence and security can be achieved.
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