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Assisted Living

 
Dr. Karl Steinberg
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www.karlsteinberg.com
  • What is the difference between assisted living and independent living?
  • What services do assisted living facilities provide?
  • How does an assisted living facility differ from a nursing home?
  • How many US seniors reside in assisted living facilities?
  • Is there 24-hour supervision at an assisted living facility?
  • Do assisted living facilities offer medical care?
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Long-Term Care
 Long-Term Care 
  1. Dr. Karl Steinberg
  2. What is long-term care? 
  3. Why should I worry about long-term care? 
  4. Who needs long-term care? 
  5. What are long-term care services? 
  6. Who pays for long-term care? 
  7. What is skilled care? 
  8. What is unskilled care? 
  9. At what age do most people need long-term care? 
  10. What are the chances I'll need long-term care? 
 Choosing Long-Term Care 
  1. Dr. Karl Steinberg
  2. Who provides long-term care? 
  3. What long-term care options are available? 
  4. What is a long-term care facility? 
  5. Are long-term care facilities federally regulated? 
  6. What kind of certification is there for long-term care facilities? 
  7. Why is the type of long-term care facility so important? 
  8. Why are there so many names for long-term care facilities? 
  9. What is the most common type of long-term care situation in the US? 
 Planning For Long-Term Care 
  1. Dr. Karl Steinberg
  2. How can I plan for long-term care? 
  3. How do I prepare financially for long-term care? 
  4. How do I prepare legally for long-term care? 
  5. How do I choose the best long-term care situation for myself? 
  6. How do I choose the best long-term situation for my parents? 
  7. Why is discussing long-term care with my parent so hard? 
  8. What can I say when my parents want me to promise they'll never be 'placed' in a nursing home? 
  9. What if I can't provide the long-term care my parents need? 
  10. Why does the thought of my parent in a long-term care facility make me feel so guilty? 
 Long-Term Care Issues In The US 
  1. Dr. Karl Steinberg
  2. What is the 'Sandwich Generation' in regard to long-term care? 
  3. Who can help me make decisions about long-term care? 
  4. Why is long-term care such a hot issue right now? 
  5. What is the biggest problem with the long-term health care system in the US? 
  6. How many Americans can't afford long-term health care? 
  7. What happens if I can't afford long-term care? 
  8. What reforms could change the long-term health care system? 
  9. What is the single biggest misconception about long-term care? 
 Aging Parents And Long-Term Care 
  1. Dr. Karl Steinberg
  2. What are the signs my parent is ready for long-term care? 
  3. What is the first thing I should do if I believe my parent needs long-term care? 
  4. Who can help me implement a long-term care plan for my parent? 
  5. What should I consider before taking on the role of long-term caregiver for my parent? 
  6. How can I determine what type of long-term care facility my parent needs? 
  7. What is an independent living residence? 
  8. What is an assisted living facility? 
  9. What are board and care homes? 
  10. What is a nursing home? 
  11. Is a nursing home and skilled nursing facility the same thing? 
  12. What is a continuing care retirement community CCRC? 
 Long-Term Care Problem Solving 
  1. Dr. Karl Steinberg
  2. What is a geriatric care manager? 
  3. How do I find a geriatric care manager? 
  4. How do I find long-term care for a chronically ill parent? 
  5. What is a 'geriatric screening' for long-term care? 
  6. What's the best way to approach other family members about long-term care for aging parents? 
  7. What if my parent is resistant to long-term care? 
  8. How do I help an aging parent if I live far away? 
 Long-Term Care Legal Planning 
  1. Dr. Karl Steinberg
  2. How does 'power of attorney' affect long-term care? 
  3. What is an advance directive? 
  4. Why are advance directives important? 
  5. Where can I get an advance directive? 
  6. What is a declaration? 
  7. Why would I need a living trust for long-term care? 
 End Of Life Issues And Long-Term Care 
  1. Dr. Karl Steinberg
  2. What about end-of-life decisions and long-term care? 
  3. When should I start thinking about end-of-life decisions? 
  4. Who should know my wishes concerning end-of-life decisions? 
 Long-Term Care Insurance 
  1. Dr. Karl Steinberg
  2. What is long-term care insurance? 
  3. What does long-term care insurance cover? 
  4. At what age should I consider long-term care insurance? 
  5. What should I look for in a good long-term care insurance policy? 
 Independent Living 
  1. Dr. Karl Steinberg
  2. What is independent living? 
  3. What types of independent living facilities exist? 
  4. What are the requirements for independent living facilities? 
  5. Do independent living facilities provide medical care? 
  6. How expensive are independent living facilities? 
  7. Does Medicare or Medicaid pay for independent living facilities? 
  8. How can I find a good independent living facility? 
Assisted Living (Now Playing)
  1. Dr. Karl Steinberg
 Costs Of Assisted Living 
  1. Dr. Karl Steinberg
  2. How much do assisted living facilities cost? 
  3. What services are not included in the monthly fee at an assisted living facility? 
  4. Are assisted living facilities eligible for Medicaid? 
  5. What should I look for when choosing a good assisted living facility? 
  6. What are the pros and cons of assisted living facilities? 
  7. Is there a regulating organization that ranks assisted living facilities? 
 Combination Facilities 
  1. Dr. Karl Steinberg
  2. What is a continuing care retirement community CCRC? 
  3. What range of services do combination facilities provide? 
  4. Does a CCRC meet its claim of 'aging in place'? 
  5. Why have CCRCs become a popular long-term care option? 
  6. Is a CCRC the same as a 'stepped care community'? 
  7. What are the advantages of a CCRC? 
  8. What are the disadvantages of a CCRC? 
 Costs Of Combination Facilities 
  1. Dr. Karl Steinberg
  2. How much does a CCRC cost? 
  3. Will the cost of a CCRC change based on the level of care I need? 
  4. Do you rent or buy units in a CCRC? 
  5. Is it wise to sign an all-inclusive contract at a CCRC? 
  6. What is a 'Life Care Contract' at a CCRC? 
  7. What is a fee-for-service contract at a CCRC? 
  8. Who decides when a patient needs to be moved from one level of care to the next in a CCRC? 
  9. Does Medicaid help pay for a continuing care retirement community? 
 Nursing Facilities 
  1. Dr. Karl Steinberg
  2. What services does a nursing facility provide? 
  3. How do I know if my parent needs to be placed in a nursing facility? 
  4. Do all nursing facilities offer 24-hour medical care? 
  5. Do I need to choose a nursing facility certified by the federal government? 
  6. What are the essential services a nursing facility must provide? 
  7. What are the most important services to evaluate when choosing a nursing facility? 
  8. Why is the staff to patient ratio so important in a nursing facility? 
  9. How important are recreational and social activities in a nursing facility? 
  10. What are the main concerns about quality of life in a nursing facility? 
  11. Is there an organization that 'ranks' nursing facilities? 
  12. What does an ombudsman do? 
 Costs Of Nursing Facilities 
  1. Dr. Karl Steinberg
  2. How much do nursing facilities cost? 
  3. What are the living arrangements in a nursing facility? 
  4. Are there any monthly fees in addition to rent at nursing facilities? 
  5. How much does Medicare pay for a nursing facility? 
  6. How much does Medicaid pay for a nursing facility? 
 Long-Term Care And Medicare 
  1. Dr. Karl Steinberg
  2. What is Medicare? 
  3. What is the difference between Medicare A and Medicare B fee-for-service plan? 
  4. What is Medicare C? 
  5. Who qualifies for Medicare? 
  6. What does Medicare cover? 
  7. When can I enroll for Medicare? 
  8. What is the difference between Medicare and Medicaid? 
  9. What are the worst widely-held misconceptions about Medicare? 
 Long-Term Care And Medicaid 
  1. Dr. Karl Steinberg
  2. What is Medicaid? 
  3. Why is it called Medi-Cal in California? 
  4. How do I qualify for Medicaid? 
  5. Who determines Medicaid eligibility? 
  6. Is it true Medicaid can recollect the cost of care from a person's estate upon death? 
  7. What does Medicaid cover? 
  8. What does Medicaid NOT cover? 
  9. Do all long-term care facilities accept Medicaid? 
  10. Does Medicaid only pay for certified nursing facilities? 
  11. How can I find out about my state's Medicaid program? 
 Long-Term Care And Medigap 
  1. Dr. Karl Steinberg
  2. What is Medigap? 
  3. Who is eligible for Medigap? 
  4. What does Medigap cover? 
  5. How much does Medigap cost? 
  6. How do I know if I need Medigap insurance? 
  7. Who sells Medigap? 
 Elder Care Benefits 
  1. Dr. Karl Steinberg
  2. What are elder care benefits? 
  3. Do all employers offer elder care benefits? 
  4. How can I find out more about elder care benefits? 
 The Dying Process 
  1. David Kessler
  2. What physical signs will indicate that my loved one is dying? 
  3. How will hospice make my loved one more comfortable before death? 
  4. Will hospice help me understand what my loved one can and cannot hear? 
  5. How do I explain death to my children? 
  6. How can I make my loved one more comfortable before death? 
  7. Will a hospice worker be present following death? 
  8. Will hospice help arrange for the disposition of the body? 
Karl Steinberg Dr. Karl Steinberg
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Transcript

Assisted Living

What is the difference between assisted living and independent living?

Assisted living, compared to independent living, is just a somewhat higher level of assistance that's available. So, in an assisted living setting you definitely have aides on hand, or staff members on hand, who are available to assist with things, like dressing or bathing, grooming, things of that nature. Not everybody in assisted living may require all of those services, but those services are available.

What services do assisted living facilities provide?

Assisted living settings typically provide help with some of the activities of daily living. Those could be as minor as just meal preparation, essentially, or transportation, ranging all the way up to people who need assistance, even with transfers or getting out of bed. People who require assistance getting from one room to another, bathing, grooming, and things of that nature. In some situations, particularly in some of the dementia units, they can even take care of incontinent patients.

How does an assisted living facility differ from a nursing home?

An assisted living facility compared to a nursing home, is just a lower level of care. They are not a medical facility. For example, if you live in an assisted living facility, you never have to see a doctor. Typically, a doctor also has to sign a form saying that you are okay to move in, but there is no requirement for periodic physician visits. Usually physician visits don't happen onsite, although more and more physicians may be seeing patients in that setting, and certainly the bigger places have a physician on staff that is available. A nursing home is a medical place where they have the ability to provide medical treatments. If you live in an assisted living facility and you require medical treatment, it has to be provided by an outside agency or you have to go offsite to get the medical treatment. Whereas if you reside in a nursing facility, then you can get your medical care onsite. You have to be seen by a physician every 30 days for the first ninety days and at least every sixty days thereafter. Whether you really need it or not, that's just the regulation.

How many US seniors reside in assisted living facilities?

I believe the current numbers are getting close to a million, and those numbers have been growing every year, and those are assisted livings that are actually licensed and recognized as assisted livings. There may be other types of facilities that are similar to that that are operating without a formal license or certification, so it's probably even higher than we estimate.

Is there 24-hour supervision at an assisted living facility?

Do assisted living facilities offer medical care?

Assisted living facilities are just not medical, flat out. Some of them do have the availability of a physician who comes on-site, and may have a little office to see patients there. Residents are also permitted to receive home health services from licensed home health agencies. There are also situations where, if a family member a spouse or somebody can provide some of the assistance like placing bandages or things like that, then that also can be provided in that setting, depending on the state. Some states have very specific requirements as far as prohibited conditions that can not be in an assisted living setting, but in a general statement assisted livings are just not medical. They're strictly to give custodial assistance to their residents.

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  • What is the difference between assisted living and independent living?
  • What services do assisted living facilities provide?
  • How does an assisted living facility differ from a nursing home?
  • How many US seniors reside in assisted living facilities?
  • Is there 24-hour supervision at an assisted living facility?
  • Do assisted living facilities offer medical care?

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