Senior Citizen's Guide to Metro Detroit Spring/Summer Edition 2017 - page 36

34
Say You Saw It in the Senior Citizen’s Guide to Metro Detroit
Step 3. Involve Others
People that help me make decisions about
long term care are:
(Check any that apply)
q
Spouse or partner
q
Family member/friend
q
Social worker/case manager
q
Mental health provider
q
Nurse care manager
q
Primary care provider (physician, nurse
practitioner, physician assistant)
q
Other: _ _____________________________
Who is
involved in
your long
term care
planning?
People who agree with my favorite long term care option(s)
are:
________________________________________________________
People who disagree with my favorite long term care
option(s) are:
________________________________________________________
Long term care options I would consider are:
(Check your choices – to learn more, go to
)
Options at my home
q
Adult Day Health Care
q
Home Based Primary
Care
q
Homemaker/Home Health
Aide
q
Hospice Care
q
Palliative Care
q
Program of All-Inclusive
Care for the Elderly
(PACE)
q
Respite Care
q
Skilled Home Health Care
q
Telehealth
q
Veteran-Directed Home
and Community Based
Services
Options in a residential
setting
q
Adult Family Home
q
Assisted Living
q
Community Residential
Care
q
Domiciliary Care (in a
State Veterans Home)
q
Medical Foster Home
Options at a nursing home
q
Community Living Center
(VA Nursing Home)
q
Community Nursing Home
q
State Veterans Home
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