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Transcript: "What Does Long-Term Care Include?"

[Narrator] When people hear the words long-term care the often think only of nursing homes, but long-term care includes much more.

[Linda Velgouse] Long-term care is a wide variety of services and supports to help meet one’s personal and health care needs over an extended period of time.

[Narrator] The most common type of long-term care is actually personal care, services that a person receives in the home from paid or unpaid caregivers. Home-based care includes home health care, personal care, homemaker services, friendly visitor companion services, and emergency response systems.

[Linda Velgouse] Home-based long-term care is primarily care received in your home. It is generally care, as I just mentioned, to complete your activities of daily living and again that’s bathing, dressing and it also includes other activities that support you in your home -- shopping, meal preparation, getting to doctor’s appointments. All of these things are home-based services.

[Narrator] Long-term care also includes services that are available outside of the home called community-based services. Community-based care includes adult day care programs, senior centers, transportation service, meals programs, and respite care. Community-based care supplements services available in the home, making it easier for a person to live at home.

[Linda Velgouse] Community-based services are basically services that are available in the community. Generally they supplement the services that people get and need in their homes, and they help people to stay in their home. Community-based services include things like adult day care services which are service programs that provide supervision and nutrition programs.

[Narrator] Other community-based services include meal programs, transportation services to help people get around, and senior centers.

[Linda Velgouse] Senior centers are very important in the community. They are generally for kind of well elderly or elderly that don’t need supervision, but they do provide social, recreational, and nutrition programs for people in the community.

[Narrator] When people are no longer able to live on their own and need full-time help, they may require long-term care in a facility, such as a nursing home. Facility-based care includes adult foster care, board and care homes, assisted living facilities, nursing homes, and continuing care retirement. Facility-based care is for those who require help and can no longer live on their own.

[Linda Velgouse] Nursing homes provide 24-hour housing, health care and personal services, supervision 24 hours a day, and most nursing homes also provide rehab services.

[Narrator] To find out about long-term care services that are provided in the home, in the community, or at a facility, contact the Eldercare Locator at 1-800-677-1116 or visit You can also contact your local area agency on aging.

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