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Geriatric care management is the process of planning and coordinating care of the elderly and others with physical and/or mental impairments to meet their long term care needs, improve their quality of life, and maintain their independence for as long as possible.
It encompasses assisted living, adult daycare, long-term care, nursing homes (often called residential care), hospice care, and home care. Elderly care emphasizes the social and personal requirements of senior citizens who wish to age with dignity while needing assistance with daily activities and with healthcare .
Such changes must be carefully managed to maintain health and well-being. Common activities of daily living (ADLs) include feeding oneself, bathing, dressing, grooming, working, homemaking, and managing personal hygiene after using the toilet. [5] A number of national surveys have collected data on the ADL status of the U.S. population. [6]
A hospital patient said she had to change her clothes "in full view of everybody" during a 28-hour wait that saw her sleep in a corridor. Linda Wenman, 70, said she was afforded "no dignity ...
The concept was first articulated in a 1972 article The dignity of risk and the mentally retarded by Robert Perske: Overprotection may appear on the surface to be kind, but it can be really evil. An oversupply can smother people emotionally, squeeze the life out of their hopes and expectations, and strip them of their dignity.
A lack of self-care in terms of personal health, hygiene and living conditions is referred to as self-neglect. Caregivers or personal care assistants may be needed. There is a growing body of knowledge related to these home care workers. [9] Self-care and self-management, as described by Lorig and Holman, are closely related concepts. [10]
Over a period of time, more professional care in the form of nursing and other supportive care may be required medically, whether at home or in a long-term care facility. There is evidence to show that case management can improve care for individuals with dementia and the experience of their caregivers. [ 1 ]
The self-care deficit nursing theory is a grand nursing theory that was developed between 1959 and 2001 by Dorothea Orem. The theory is also referred to as the Orem's Model of Nursing . It is particularly used in rehabilitation and primary care settings, where the patient is encouraged to be as independent as possible.