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Assisted Living: Care With an Independent Flavor


by Attorney Joseph L. Matthews

Find out what assisted living may have to offer -- and what to look for when evaluating it as a new home.

Assisted living combines much of the homelike atmosphere of independent living with some of the personal care of a nursing facility. It provides extensive personal assistance and services, plus round-the-clock monitoring, that are not offered by independent living residences and would be extremely expensive if arranged through home care. On the other hand, assisted living permits residents to maintain some of the privacy and independence that are lost in more institutional, and more expensive, nursing facilities. Assisted living is the fastest-growing type of senior residence -- meeting the needs of millions of seniors who cannot make it entirely on their own, but who do not need nursing care.

The residences referred to here as assisted living are sometimes also called sheltered care or catered living. Although each facility or residence differs somewhat in the type of housing and level of services and staffing provided, all of them, regardless of name, have certain things in common. They provide:

  • domestic services, including meals and housekeeping
  • assistance with personal care and the activities of daily living, but not nursing care, and
  • close monitoring to help ensure residents' health and safety.

Assisted living provides a room or small apartment -- usually rented -- to help maintain a homelike setting, plus a range of services to assist residents with those tasks of daily life that have become difficult because of the loss of some physical or mental capabilities.

Types of Living Spaces

There are several kinds and sizes of assisted living housing: full-size one-bedroom apartments; studio apartments with small kitchenettes; studios without a kitchen or with a partial kitchen that has no cooking facilities; single rooms; and shared rooms. An assisted living apartment or room may be furnished or unfurnished. Even if a space is furnished, some places permit residents to bring in some furnishings of their own, which can make a new place feel more like home.

Assisted living apartments and rooms tend to be smaller than living spaces intended for the general public. They are often fitted with safety devices such as handrails and special bathroom fixtures, and may include a hospital bed if needed. In addition to the small rooms and space-eating fixtures, people tend to bring more of their own furnishings than would otherwise fit easily into the space. As a result, many assisted living apartments feel crowded and even smaller than they are. It is often difficult for a new resident to adjust to the smaller, more cramped quarters.

 
Special Care for Alzheimer's or Disorientation

Many people suffer mild symptoms from the early stages of Alzheimer's or other age-related disorientation. Their need for monitoring and assistance makes independent living too difficult or dangerous, but they do not need the high level of care provided by a nursing facility. For them, assisted living is often an excellent solution.

However, the kind of assistance these people need is different from that required by those who have only physical limitations. The same assisted living residence that provides good care for someone with only physical frailties does not necessarily work well for a person with mild dementia. Most assisted living facility administrators will tell you that they are experienced with Alzheimer's residents. But it is the quality of that experience that counts. Most important is whether the staff is trained to handle the difficulties of dementia sufferers. You want staff trained to provide special attention to residents who are mildly disoriented -- not merely to shuttle them from one place or activity to another, but if necessary to explain what is going on, without treating the residents as children.

If you are considering an assisted living facility for someone with mild disorientation problems, watch how the staff interacts with current residents who have similar difficulties. And pay close attention to how the staff -- not just the administrator who gives you a tour -- interacts with you or your loved one during a meal, an activity or an explanation of facility rules.

Services Provided

The main difference between assisted living and independent living residences -- usually housing complexes built or renovated for older residents who are basically able to care for themselves -- is that assisted living gives residents more help in meeting their daily needs. While assisted living does not offer either the medical care or the level of attention of a nursing facility, it does provide personal care in a resident's living space and common areas, meals, household tasks and extensive monitoring of each resident's physical condition.

Copyright 2007 Nolo

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