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Respite Care
__NOTOC__ In the field of healthcare, respite care is either planned care or temporary emergency healthcare that is provided to the caregiver(s) of a child patient or of an adult patient. In order to support and maintain the social health of the primary relationship between the patient and the caregiver, programs of respite care provide planned, short-term rest breaks and limited-time rest breaks for the families and the other unpaid caregivers of children and adult patients, who either are disabled or who have a cognitive loss. Respite also provides a positive experience for the patient who is receiving healthcare service. Although a family willingly provides healthcare to their homebound loved ones, in the long term, the physical, emotional, and financial consequences for the caregiver can overwhelm the person without some emotional support. Programs of respite care provide a rest break for the family caregiver, which benefits the physical and the mental health of the caregiver. A ...
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Caregiver
A caregiver, carer or support worker is a paid or unpaid person who helps an individual with activities of daily living. Caregivers who are members of a care recipient's family or social network, who may have specific professional training, are often described as informal caregivers. Caregivers most commonly assist with impairments related to old age, disability, a disease, or a mental disorder. Typical duties of a caregiver might include taking care of someone who has a chronic illness or disease; managing medications or talking to doctors and nurses on someone's behalf; helping to bathe or dress someone who is frail or disabled; or taking care of household chores, meals, or processes both formal and informal documentations related to health for someone who cannot do these things alone. With an aging population in all developed societies, the role of caregivers has been increasingly recognized as an important one, both functionally and economically. Many organizations that provi ...
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New South Wales Government
The Government of New South Wales, also known as the NSW Government, is the executive state government of New South Wales, Australia. The government comprises 11 portfolios, led by a ministerial department and supported by several agencies. There are also a number of independent agencies that fall under a portfolio but remain at arms-length for political reasons, such as the Independent Commission Against Corruption and Electoral Commission. The state Executive Council, consisting of the governor and senior ministers, exercises the executive authority through the relevant portfolio. The current government is held by the state Labor Party, led by Premier Chris Minns. Minns succeeded Dominic Perrottet from the Liberal Party on 28 March 2023 following the state election. Ministries The following individuals serve as government ministers, appointed by the Governor, on behalf of the Monarch, and at the recommendation of the Premier. The full ministry was announced on 4 April 2 ...
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Commonwealth Fund
The Commonwealth Fund is a private American foundation whose stated purpose is to "promote a high-performing health care system that achieves better access, improved quality, and greater efficiency, particularly for society's most vulnerable, including low-income people, the uninsured, and people of color." It is active in a number of areas related to health care and health policy. It is led by Joseph R. Betancourt, M.D., M.P.H. Healthcare rankings Since 2004 it has produced reports comparing healthcare systems in high income countries using survey and administrative data from the OECD and the World Health Organization which is analyzed under five themes: access to care, the care process, administrative efficiency, equity and health-care outcomes. The United States has been assessed as worst health-care system overall among 11 high-income countries in every report, even though it spends the highest proportion of its gross domestic product on health care. In 2021 Norway, the Nethe ...
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Family Support
Family support is the support of families with a member with a disability, which may include a child, an adult, or even the parent in the family. In the United States, family support includes "unpaid" or "informal" support by neighbors, families, and friends, "paid services" through specialist agencies providing an array of services termed "family support services", school or parent services for special needs such as respite care, specialized child care or peer companions, or cash subsidies, tax deductions or other financial subsidies. Family support has been extended to different population groups in the US and worldwide. Family support services are currently a "community services and funding" stream in New York and the US which has had variable "application" based on disability groups, administrating agencies, and even, regulatory and legislative intent. History The late 1970s and early 1980s are considered pivotal times for the development of respite and family support servic ...
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Medicaid
Medicaid is a government program in the United States that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by U.S. state, state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant portion of their funding. States are not required to participate in the program, although all have since 1982. Medicaid was established in 1965, part of the Great Society set of programs during Presidency of Lyndon B. Johnson, President Lyndon B. Johnson’s Administration, and was significantly expanded by the Affordable Care Act (ACA), which was passed in 2010. In most states, any member of a household with income up to 138% of the federal Poverty line in the United States#Measures of poverty, poverty line qualifies for Medicaid coverage under the provisions of the ACA. A 201 ...
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Medicare (United States)
Medicare is a federal health insurance program in the United States for people age 65 or older and younger people with disabilities, including those with End Stage Renal Disease Program, end stage renal disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease). It started in 1965 under the Social Security Administration and is now administered by the Centers for Medicare and Medicaid Services (CMS). Medicare is divided into four parts: A, B, C and D. Part A covers hospital, skilled nursing, and hospice services. Part B covers outpatient services. Part D covers self-administered prescription drugs. Part C is an alternative that allows patients to choose private plans with different benefit structures that provide the same services as Parts A and B, usually with additional benefits. In 2022, Medicare provided health insurance for 65.0 million individuals—more than 57 million people aged 65 and older and about 8 million younger people. According to annual Medicare ...
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Group Home
A group home, congregate living facility, care home (the latter especially in British English and Australian English), adult family home, etc., is a structured and supervised residence model that provides assisted living as well as medical care for those with complex health needs. Traditionally, the model has been used for children or young people who cannot live with their families or afford their own homes, people with chronic disabilities who may be adults or seniors, or people with dementia and related aged illnesses. Typically, there are no more than six residents, and there is at least one trained caregiver there 24 hours a day. In some early "model programs", a house manager, night manager, weekend activity coordinator, and four part-time skill teachers were reported. Originally, the term group home referred to homes of 8 to 16 individuals, which was a state-mandated size during deinstitutionalization. Residential nursing facilities, also included in this article, may be ...
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Alzheimer's Association
The Alzheimer's Association is a nonprofit voluntary health organization that focuses on Alzheimer's disease care, support and research. History Jerome H. Stone founded the Alzheimer's Association with the help of several family support groups after meeting with the National Institute on Aging in 1979. Stone's efforts began in 1970 when his wife was first diagnosed with Alzheimer's. During the 1970s, there was very little information available about the disease, and only a few support groups existed at the time. Stone joined with seven independent groups who wanted to form a national organization. The groups consisted of researchers, physicians, caregivers and other humanitarians. Together, they held their first meeting on December 4, 1979, to discuss solutions for the need for Alzheimer's information and care and a cure for the disease. The Alzheimer's Disease and Related Disorders Association was incorporated on April 10, 1980. In that year, the National Institutes of Health ...
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Caregiver Burden
Caregiver burden, also called caregiver burnout, is a multidimensional concept of caregiving where carers experience physical, emotional and mental exhaustion due to caregiving for someone else. A nationwide survey shows that 32% and 19% of carers in the United States experience high and medium caregiver burden, respectively, while carers and their feeling are often neglected in clinical settings. Definitions Modern nursing and caregiving, which emerged in the 18th century, were largely centred on women’s self-sacrificing service, with little documentation of the negative aspects of caregiving responsibilities. It was not until the 1950s that researchers began to focus on the hardships and suffering experienced by caregivers. Peter Townsend (1957), after interviewing working-class men and women in East London, England, found that 22% of his study participants experienced “a strain of illness” due to the transition from employment to caregiving. In the 1960s, Grad and Sains ...
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Caregiver Stress
Caregiver syndrome or caregiver stress is a condition that strongly manifests exhaustion, anger, rage, or guilt resulting from unrelieved caring for a chronically ill patient. This condition is not listed in the United States' ''Diagnostic and Statistical Manual of Mental Disorders,'' although the term is often used by many healthcare professionals in that country. The equivalent used in many other countries, the ICD-11, does include the condition. Over 1 in 5 Americans are providing care to those who are ill, aged, and/or disabled. Over 13 million caregivers provide care for their own children as well. Caregiver syndrome is acute when caring for an individual with behavioral difficulties, such as: fecal incontinence, memory issues, sleep problems, wandering, impulse control problems , executive dysfunction, and/or aggression. Typical symptoms of the caregiver syndrome include fatigue, insomnia and stomach complaints with the most common symptom being depression. Signs and sy ...
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Respite Care In The United States
In the United States there are approximately 50 million people who are caring at home for family members including elderly parents, and spouses and children with disabilities and/or chronic illnesses. Without this home-care, most of these cared for would require permanent placement in institutions or health care facilities.Arno PS presentation at Albert Einstein College of Medicine (January 2006) Respite care An estimated 50 million family caregivers nationwide provide at least $306 billion in uncompensated services—an amount comparable to Medicare spending in 2004 and more than twice what is spent nationwide on nursing homes and paid home care combined. Family caregivers may suffer from physical, emotional, and financial problems that impede their ability to give care now and support their own care needs in the future. Without attention to their needs, their ability to continue providing care may well be jeopardized. Respite care is one of the services that Alzheimer's caregive ...
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Nursing
Nursing is a health care profession that "integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alleviation of suffering through compassionate presence". Nurses practice in many specialties with varying levels of certification and responsibility. Nurses comprise the largest component of most healthcare environments. There are shortages of qualified nurses in many countries. Nurses develop a plan of care, working collaboratively with physicians, therapists, patients, patients' families, and other team members that focuses on treating illness to improve quality of life. In the United Kingdom and the United States, clinical nurse specialists and nurse practitioners diagnose health problems and prescribe medications and other therapies, depending on regulations that vary by state. Nurses may help coordinate care performed by other provide ...
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