Clinic
A clinic is a healthcare facility, focused on the care of outpatients. Clinics can be operated or publicly managed and funded, they cover the primary healthcare needs of populations in local communities, in contrast to larger hospitals which offer specialised treatments and admit inpatients for overnight stays. Most the English word clinic refers to a general medical practice, run by one or more general practitioners, but it can mean a specialist clinic; some clinics retain the name "clinic" while growing into institutions as large as major hospitals or becoming associated with a hospital or medical school. Clinics are associated with a general medical practice run by one or several general practitioners. Other types of clinics are run by the type of specialist associated with that type: physical therapy clinics by physiotherapists and psychology clinics by clinical psychologists, so on for each health profession; some clinics are operated in-house by employers, government organizations, or hospitals, some clinical services are outsourced to private corporations which specialize in providing health services.
In China, for example, owners of such clinics do not have formal medical education. There were 659,596 village clinics in China in 2011. Health care in India, China and Africa is provided to those countries' vast rural areas by mobile health clinics or roadside dispensaries, some of which integrate traditional medicine. In India these traditional clinics provide unani herbal medical practice. In each of these countries, traditional medicine tends to be a hereditary practice; the word clinic derives from Ancient Greek κλίνειν klinein meaning to lean or recline. Hence κλίνη klinē is a couch or bed and κλινικός klinikos is a physician who visits his patients in their beds. In Latin, this became clīnicus. An early use of the word clinic was "one who receives baptism on a sick bed"; the function of clinics differs from country to country. For instance, a local general practice run by a single general practitioner provides primary health care and is run as a for-profit business by the owner, whereas a government-run specialist clinic may provide subsidised or specialised health care.
Some clinics function as a place for people with injuries or illnesses to come and be seen by a triage nurse or other health worker. In these clinics, the injury or illness may not be serious enough to require a visit to an emergency room, but the person can be transferred to one if needed. Treatment at these clinics is less expensive than it would be at a casualty department. Unlike an ER these clinics are not open on a 24 × 7 x 365 basis, they sometimes have access to diagnostic equipment such as X-ray machines if the clinic is part of a larger facility. Doctors at such clinics can refer patients to specialists if the need arises. Large outpatient clinics can be as large as hospitals. Typical large outpatient clinics house general medical practitioners such as doctors and nurses to provide ambulatory care and some acute care services but lack the major surgical and pre- and post-operative care facilities associated with hospitals. Besides GPs, if a clinic is a polyclinic, it can house outpatient departments of some medical specialties, such as gynecology, ophthalmology, neurology, pulmonology and endocrinology.
In some university cities, polyclinics contain outpatient departments for the entire teaching hospital in one building. Large outpatient clinics are a common type of healthcare facility in many countries, including France, Germany and most of the countries of Central and Eastern Europe, as well as in former Soviet republics such as Russia and Ukraine. Recent Russian governments have attempted to replace the polyclinic model introduced during Soviet times with a more western model. However, this has failed. India has set up huge numbers of polyclinics for former defence personnel; the network envisages 426 polyclinics in 343 districts of the country which will benefit about 33 lakh ex-servicemen residing in remote and far-flung areas. Polyclinics are the backbone of Cuba's primary care system and have been credited with a role in improving that nation's health indicators. There are many different types of clinics providing outpatient services; such clinics may be private medical practices. A CLSC are in Quebec.
A retail-based clinic is housed in supermarkets and similar retail outlets providing walk-in health care, which may be staffed by nurse practitioners. A general out-patient clinic offers general treatments without an overnight stay. A polyclinic provides a range of healthcare services without need of an overnight stay A specialist clinic provides advanced diagnostic or treatment services for specific diseases or parts of the body; this type contrasts with general out-patient clinics. A sexual health clinic deals with sexual health related problems, such as prevention and treatment of sexually transmitted infections. A fertility clinic aims to help couples to become pregnant. An abortion clinic is a medical facility providing aborti
Botulinum toxin
Botulinum toxin is a neurotoxic protein produced by the bacterium Clostridium botulinum and related species. It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromuscular junction and thus causes flaccid paralysis. Infection with the bacterium causes the disease botulism; the toxin is used commercially in medicine and research. Botulinum is the most acutely lethal toxin known, with an estimated human median lethal dose of 1.3–2.1 ng/kg intravenously or intramuscularly and 10–13 ng/kg when inhaled. There are eight types of botulinum toxin, named type A–H. Types A and B are capable of causing disease in humans, are used commercially and medically. Types C–G are less common. Type H is considered the deadliest substance in the world – an injection of only 2 ng can cause death to an adult. Botulinum toxin types A and B are used in medicine to treat various muscle spasms and diseases characterized by overactive muscle. Commercial forms are marketed among others. Botulinum toxin is used to treat a number of problems.
Botulinum toxin is used to treat a number of disorders characterized by overactive muscle movement, including post-stroke spasticity, post-spinal cord injury spasticity, spasms of the head and neck, vagina, limbs and vocal cords. Botulinum toxin is used to relax clenching of muscles, including those of the oesophagus, lower urinary tract and bladder, or clenching of the anus which can exacerbate anal fissure, it may be used for improper eye alignment. Botulinum toxin appears to be effective for refractory overactive bladder. Strabismus is caused by imbalances in the actions of muscles that rotate the eyes, can sometimes be relieved by weakening a muscle that pulls too or pulls against one, weakened by disease or trauma. Muscles weakened by toxin injection recover from paralysis after several months, so it might seem that injection would need to be repeated. However, muscles adapt to the lengths at which they are chronically held, so that if a paralyzed muscle is stretched by its antagonist, it grows longer, while the antagonist shortens, yielding a permanent effect.
If there is good binocular vision, the brain mechanism of motor fusion, which aligns the eyes on a target visible to both, can stabilize the corrected alignment. In January 2014, botulinum toxin was approved by UK's Medicines and Healthcare Products Regulatory Agency for treatment of restricted ankle motion due to lower limb spasticity associated with stroke in adults. On July 29, 2016, Food and Drug Administration, of the United States of America approved abobotulinumtoxinA for injection for the treatment of lower limb spasticity in pediatric patients two years of age and older. AbobotulinumtoxinA is the first and only FDA-approved botulinum toxin for the treatment of pediatric lower limb spasticity. In the United States of America, the FDA approves the text of the labels of prescription medicines; the FDA approves. However, those approved by the FDA to prescribe these drugs may prescribe them for any condition they wish, called off-label use. Botulinum toxins have been used off-label for several pediatric conditions, including infantile esotropia.
Khalaf Bushara and David Park were the first to demonstrate a nonmuscular use of BTX-A while treating patients with hemifacial spasm in England in 1993, showing that botulinum toxin injections inhibit sweating, so are useful in treating hyperhidrosis. BTX-A has since been approved for the treatment of severe primary axillary hyperhidrosis, which cannot be managed by topical agents. In 2010, the FDA approved intramuscular botulinum toxin injections for prophylactic treatment of chronic migraine headache. In cosmetic applications, botulinum toxin is considered safe and effective for reduction of facial wrinkles in the uppermost third of the face. Injection of botulinum toxin into the muscles under facial wrinkles causes relaxation of those muscles, resulting in the smoothing of the overlying skin. Smoothing of wrinkles is visible three days after treatment and is maximally visible two weeks following injection; the treated muscles regain function, return to their former appearance three to four months after treatment.
Muscles can be treated to maintain the smoothed appearance. Botulinum toxin is used to treat disorders of hyperactive nerves including excessive sweating, neuropathic pain, some allergy symptoms. In addition to these uses, botulinum toxin is being evaluated for use in treating chronic pain. While botulinum toxin is considered safe in a clinical setting, there can be serious side effects from its use. Most botulinum toxin can be injected into the wrong muscle group or spread from the injection site, causing paralysis of unintended muscles. Side effects from cosmetic use result from unintended paralysis of facial muscles; these include partial facial paralysis, muscle weakness, trouble swallowing. Side effects are not limited to direct paralysis however, can include headaches, flu-like symptoms, allergic reactions. Just as cosmetic treatments only last a number of months, paralysis side-effects can have the same durations. At least in some cases, these effects are reported to dissipate in the weeks after treatment.
Bruising at the site of injection is not a side effect of the toxin but rather of the mode of administration, is reported as preventable if the clinician applies pressure to the injection site.
American College of Surgeons
The American College of Surgeons is an educational association of surgeons founded in 1912. Headquartered in Chicago, the College provides membership for doctors worldwide specializing in surgery who pass a set of rigorous qualifications; the American College of Surgeons is a scientific and educational association of surgeons, founded in 1912 to improve the quality of care for the surgical patient by setting high standards for surgical education and practice. American College of Surgeons members are referred to as “Fellows.” Members abbreviate their membership status in the American College of Surgeons by using the letters FACS. Those letters after a surgeon’s name mean that the surgeon’s education and training, professional qualifications, surgical competence, ethical conduct have passed a rigorous evaluation, have been found to be consistent with the high standards established and demanded by the College. “Associate Fellow” is another category of American College of Surgeons membership. Associate Fellowship provides an opportunity for surgeons who are beginning surgical practice and who meet specific requirements to assume an active role in the College at an early stage in their careers.
In order to provide education and other benefits for allied professionals who deal with surgical patients, but who are not surgeons, the “Affiliate Member” category was created. There are 78,000 members, including more than 58,000 Fellows in the U. S. and Canada and more than 4,000 Fellows in other countries, which makes the American College of Surgeons the largest organization of surgeons in the world. There are presently more than 3,900 Associate Fellows. Patricia L. Turner, MD, FACS, became the director of the Division of Member Services in 2011. Twenty-two members make up a Board of Regents; the Board of Regents is selected by an elected Board of Governors representing different specialties and geographical locations. While the Board of Regents is an administrative body, the Board of Regents serve as the representative body of the ACS between Fellows and the Board of Regents. Within the ACS are numerous committees and advisory councils and serving as a liaison for different specialties and aspects of the surgical profession.
Examples include the Committee on Trauma, the Patient Education Committee, the Advisory Council on General Surgery. As of 2015 there are 103 chapters into which ACS Fellows are organized: 64 chapters in the United States, 2 in Canada, 37 in other countries around the world. Through its Inspiring Quality initiative, the American College of Surgeons drives awareness of its quality improvement programs such as the ACS National Surgical Quality Improvement Program and ACS NSQIP Pediatric; the initiative is intended to enable the College to have a dialogue and work together with health care leaders around the nation, to continue to have a tremendous impact on improving surgical care, to lead our health care system in the right direction. By administering myriad continuing medical education offerings, reflecting technology advancements and distance-learning options. By means of standard setting and rigorous review processes through its Commission on Cancer, National Accreditation Program for Breast Centers, National Accreditation Program for Rectal Cancer, Committee on Trauma, Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program, the American College of Surgeons accredits and verifies facilities to help ensure that surgical patients get high-quality care.
In an effort to provide surgeons with the best scientific evidence available through evidence-based data, ACS works to improve the quality of surgical care through the ACS National Surgical Quality Improvement Program, National Cancer Data Base, National Trauma Data Bank, Trauma Quality Improvement Program. ACS monitors and analyzes socioeconomic and regulatory issues affecting the practice of surgery through its Division of Advocacy and Health Policy based in Washington, DC, the ACS Professional Association; the College participates in health policy development on these issues, prepares responses to Congress and federal agencies, serves as a liaison between the ACS and Congress and federal agencies, as well as the offices of other surgical and medical associations regarding health policy matters of importance to surgeons and surgical patients. In 1919, the headquarters of the ACS were a former private residence at 40 East Erie Street near downtown Chicago, the Samuel M. Nickerson House. In 1923, on property adjacent to the Nickerson House, the ACS commissioned the creation of the John B. Murphy Memorial Auditorium from the architectural firm of Marshall and Fox.
By 2003, the organization grew larger than the space provided by these two buildings and moved to the present location at 633 N. Saint Clair; the Nickerson House was sold and served as a museum, while the Murphy Auditorium was renovated and in June 2006 reopened as a venue for public events. The ACS maintains ownership of the building; the American College of Surgeons established the Commission on Cancer in 1922 to develop standards for treating cancer. In 2016, the CoC began working to ensure a patient-centered standard of care across
Doctor of Medicine
A Doctor of Medicine is a medical degree, the meaning of which varies between different jurisdictions. In the United States and other countries, the MD denotes a professional graduate degree awarded upon graduation from medical school. In the United Kingdom and other countries, the MD is a research doctorate, higher doctorate, honorary doctorate or applied clinical degree restricted to those who hold a professional degree in medicine. In 1703, the University of Glasgow's first medical graduate, Samuel Benion, was issued with the academic degree of Doctor of Medicine. University medical education in England culminated with the MB qualification, in Scotland the MD, until in the mid-19th century the public bodies who regulated medical practice at the time required practitioners in Scotland as well as England to hold the dual Bachelor of Medicine and Bachelor of Surgery degrees. North American medical schools switched to the tradition of the ancient universities of Scotland and began granting the MoD title rather than the MB beginning in the late 18th century.
The Columbia University College of Physicians and Surgeons in New York was the first American university to grant the MD degree instead of the MB. Early medical schools in North America that granted the Doctor of Medicine degrees were Columbia, Harvard, McGill; these first few North American medical schools that were established were founded by physicians and surgeons, trained in England and Scotland. A feminine form, "Doctress of Medicine" or Medicinae Doctrix, was used by the New England Female Medical College in Boston in the 1860s. In most countries having a Doctor of Medicine degree does not mean that the individual will be allowed to practice medicine. A doctor must go through a residency for at least four years and take some form of licensing examination in their jurisdiction. In Afghanistan, medical education begins after high school. No pre-medicine courses or bachelor's degree is required. Eligibility is determined through the rank applicants obtain in the public university entrance exam held every year throughout the country.
Entry to medical school is competitive, only students with the highest ranks are accepted into medical programs. The primary medical degree is completed in 7 years. According to the new medical curriculum, during the 12th semester, medical students must complete research on a medical topic and provide a thesis as part of their training. Medical graduates are awarded a certificate in general medicine, regarded "MD" and validated by the "Ministry of Higher Education of Afghanistan". All physicians are to obtain licensing and a medical council registration number from the "Ministry of Public Health" before they begin to practice, they may subsequently specialize in a specific medical field at medical schools offering the necessary qualifications. After graduation, students may complete residency; the MD specification: Before the civil wars in Afghanistan, medical education used to be taught by foreign professors or Afghan professors who studied medical education abroad. The Kabul medical institute certified the students as "Master of Medicine".
After the civil wars, medical education has changed, the MD certification has been reduced to "Medicine Bachelor". In Argentina, the First Degree of Physician or Physician Diplomate is equivalent to the North American MD Degree with six years of intensive studies followed by three or four years of residency as a major specialty in a particular empiric field, consisting of internships, social services and sporadic research. Only by holding a Medical Title can the postgraduate student apply for the Doctor degree through a Doctorate in Medicine program approved by the National Commission for University Evaluation and Accreditation. Australian medical schools have followed the British tradition by conferring the degrees of Bachelor of Medicine and Bachelor of Surgery to its graduates whilst reserving the title of Doctor of Medicine for their research training degree, analogous to the PhD, or for their honorary doctorates. Although the majority of Australian MBBS degrees have been graduate programs since the 1990s, under the previous Australian Qualifications Framework they remained categorized as Level 7 Bachelor's degrees together with other undergraduate programs.
The latest version of the AQF includes the new category of Level 9 Master's degrees which permits the use of the term'Doctor' in the styling of the degree title of relevant professional programs. As a result, various Australian medical schools have replaced their MBBS degrees with the MD to resolve the previous anomalous nomenclature. With the introduction of the Master's level MD, universities have renamed their previous medical research doctorates; the University of Melbourne was the first to introduce the MD in 2011 as a basic medical degree, has renamed its research degree to Doctor of Medical Science. In French-speaking Belgium, the medical degree awarded after six years of study is "Docteur en Médecine". Physicians would have to register with the Ordre des Medicins to practice medicine in the country. At the end of the six-year medical programs from Bulgarian medical schools, medical students are awarded the academic degree Master in Medicine and the professional title Physician - Doctor of Medicine.
After 6 years of general medical education, all students will graduate with
Pessary
A pessary is a prosthetic device inserted into the vagina to reduce the protrusion of pelvic structures into the vagina. It can be a route of administration of medication and provides a slow and consistent release of the medication. Pessaries are of sizes, they may cause vaginal ulceration if they are not sized and cleansed. Depending on locale, pessaries can be fitted by health care practitioners; the term is derived from Ancient Greek: translit. Pessárion, "a piece of medication-soaked wool/lint, inserted into the vagina." Pessaries are mentioned in the oldest surviving copy of the Hippocratic Oath as something that physicians should never administer for the purposes of an abortion: "Similarly I will not give to a woman a pessary to cause abortion." A therapeutic pessary is a medical device similar to the outer ring of a diaphragm. Therapeutic pessaries are used to support the uterus, bladder, or rectum. Pessaries are a treatment option for pelvic organ prolapse. A pessary is most used to treat prolapse of the uterus.
It is used to treat stress urinary incontinence, a retroverted uterus and rectocele. Pessaries may have been used to perform abortions; the Cerclage Pessary is used to treat pregnant women with cervical incompetence in order to support the cervix and turn it backward towards the sacrum. It may be indicated in pregnancies with a history of premature labor, multiple pregnancies or mothers who are exposed to physical strain, it may be indicated in pregnant women suffering from prolapse of the genital organs. The pessary can be placed temporarily or permanently, must be fitted by a physician, physician assistant, midwife, or advanced practice nurse; some pessaries can be worn during intercourse. A pharmaceutical pessary is used as a effective means of delivery of pharmaceutical substances absorbed through the skin of the vagina, or intended to have action in the locality, for example against inflammation or yeast infection, or on the uterus. According to Pliny the Elder, Pessaries were used as birth control in ancient times.
An occlusive pessary is used in combination with spermicide as a contraceptive. The stem pessary, a type of occlusive pessary, was an early form of the cervical cap. Shaped like a dome, it covered the cervix, a central rod or "stem" entered the uterus through the os, to hold it in place. Side effects that are shared among most different types of pessaries include: risks of increased vaginal discharge, vaginal irritation, ulceration and dyspareunia. United States v. One Package of Japanese Pessaries Diaphragm Suppository
Hospital
A hospital is a health care institution providing patient treatment with specialized medical and nursing staff and medical equipment. The best-known type of hospital is the general hospital, which has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital is the major health care facility in its region, with a large number of beds for intensive care and additional beds for patients who need long-term care. Specialized hospitals include trauma centers, rehabilitation hospitals, children's hospitals, seniors' hospitals, hospitals for dealing with specific medical needs such as psychiatric treatment and certain disease categories. Specialized hospitals can help reduce health care costs compared to general hospitals. Hospitals are classified as general, specialty, or government depending on the sources of income received. A teaching hospital combines assistance to people with teaching to medical nurses; the medical facility smaller than a hospital is called a clinic.
Hospitals have a range of departments and specialist units such as cardiology. Some hospitals have outpatient departments and some have chronic treatment units. Common support units include a pharmacy and radiology. Hospitals are funded by the public sector, health organisations, health insurance companies, or charities, including direct charitable donations. Hospitals were founded and funded by religious orders, or by charitable individuals and leaders. Hospitals are staffed by professional physicians, surgeons and allied health practitioners, whereas in the past, this work was performed by the members of founding religious orders or by volunteers. However, there are various Catholic religious orders, such as the Alexians and the Bon Secours Sisters that still focus on hospital ministry in the late 1990s, as well as several other Christian denominations, including the Methodists and Lutherans, which run hospitals. In accordance with the original meaning of the word, hospitals were "places of hospitality", this meaning is still preserved in the names of some institutions such as the Royal Hospital Chelsea, established in 1681 as a retirement and nursing home for veteran soldiers.
During the Middle Ages, hospitals served different functions from modern institutions. Middle Ages hospitals were hostels for pilgrims, or hospital schools; the word "hospital" comes from the Latin hospes, signifying a foreigner, hence a guest. Another noun derived from this, hospitium came to signify hospitality, the relation between guest and shelterer, hospitality and hospitable reception. By metonymy the Latin word came to mean a guest-chamber, guest's lodging, an inn. Hospes is thus the root for the English words host hospitality, hospice and hotel; the latter modern word derives from Latin via the ancient French romance word hostel, which developed a silent s, which letter was removed from the word, the loss of, signified by a circumflex in the modern French word hôtel. The German word'Spital' shares similar roots; the grammar of the word differs depending on the dialect. In the United States, hospital requires an article; some patients go to a hospital just for diagnosis, treatment, or therapy and leave without staying overnight.
Hospitals are distinguished from other types of medical facilities by their ability to admit and care for inpatients whilst the others, which are smaller, are described as clinics. The best-known type of hospital is the general hospital known as an acute-care hospital; these facilities handle many kinds of disease and injury, have an emergency department or trauma center to deal with immediate and urgent threats to health. Larger cities may have several hospitals of facilities; some hospitals in the United States and Canada, have their own ambulance service. A district hospital is the major health care facility in its region, with large numbers of beds for intensive care, critical care, long-term care. In California, "district hospital" refers to a class of healthcare facility created shortly after World War II to address a shortage of hospital beds in many local communities. Today, district hospitals are the sole public hospitals in 19 of California's counties, are the sole locally-accessible hospital within nine additional counties in which one or more other hospitals are present at substantial distance from a local community.
Twenty-eight of California's rural hospitals and 20 of its critical-access hospitals are district hospitals. They are formed by local municipalities, have boards that are individually elected by their local communities, exist to serve local needs, they are a important provider of healthcare to uninsured patients and patients with Medi-Cal. In 2012, district hospitals provided $54 million in uncompensated care in California. Types of specialised hospitals incl
Elderly care
Elderly care, or eldercare, is the fulfillment of the special needs and requirements that are unique to senior citizens. This broad term encompasses such services as assisted living, adult day care, long term care, nursing homes, hospice care, home care; because of the wide variety of elderly care found nationally, as well as differentiating cultural perspectives on elderly citizens, it cannot be limited to any one practice. For example, many countries in Asia use government-established elderly care quite infrequently, preferring the traditional methods of being cared for by younger generations of family members. Elderly care emphasizes the social and personal requirements of senior citizens who need some assistance with daily activities and health care, but who desire to age with dignity, it is an important distinction, in that the design of housing, activities, employee training and such should be customer-centered. It is noteworthy that a large amount of global elderly care falls under the unpaid market sector.
The form of care provided for older adults varies among countries and is changing rapidly. Within the same country, regional differences exist with respect to the care for older adults. However, it has been observed globally that older people consume the most health expenditures out of any other age group. An observation that shows comprehensive eldercare may be similar. One must account for an large proportion of older people worldwide in developing nations, as continued pressure is put on limiting fertility and decreasing family size. Traditionally, care for older adults has been the responsibility of family members and was provided within the extended family home. In modern societies, care is now being provided by state or charitable institutions; the reasons for this change include decreasing family size, greater life expectancy, the geographical dispersion of families, the tendency for women to be educated and work outside the home. Although these changes have affected European and North American countries first, they are now affecting Asian countries as well.
In most western countries, care facilities for older adults are residential family care homes, freestanding assisted living facilities, nursing homes, continuing care retirement communities. A family care home is a residential home with support and supervisory personnel by an agency, organization, or individual that provides room and board, personal care and habilitation services in a family environment for at least two and no more than six persons. According to Family Caregiver Alliance, the majority of family caregivers are women:"Many studies have looked at the role of women as family caregivers. Although not all have addressed gender issues and caregiving the results are still generalizable to Estimates of the age of family or informal caregivers who are women range from 59% to 75%; the average caregiver is age 46, female and worked outside the home earning an annual income of $35,000. Although men provide assistance, female caregivers may spend as much as 50% more time providing care than male caregivers."
According to the United States Department of Health and Human Services, the older population—persons 65 years or older—numbered 39.6 million in 2009. They represented 12.9% of the U. S. population, about one in every eight Americans. By 2030, there will be about 72.1 million older persons, more than twice their number in 2000. People aged over 65 years represented 12.4% of the population in the year 2000, but, expected to grow to be 19% of the population by 2030. This means. There were more than 36,000 assisted living facilities in the United States in 2009, according to the Assisted Living Federation of America. More than 1 million senior citizens are served by these assisted living facilities. Last-year-of-life expenses represent 22% of all medical spending in the United States, 26% of all Medicare spending, 18% of all non-Medicare spending, 25 percent of all Medicaid spending for the poor. In the United States, most of the large multi-facility providers are publicly owned and managed as for-profit businesses.
However, there are exceptions. Given the choice, most older adults would prefer to continue to live in their homes. Many elderly people lose functioning ability and require either additional assistance in the home or a move to an eldercare facility, their adult children find it challenging to help their elderly parents make the right choices. Assisted living is one option for the elderly, it is still considered expensive for most people. Home care services may allow seniors to live in their own home for a longer period of time. One new service in the United States that can help keep older people in their homes longer is respite care; this type of care allows caregivers the opportunity to go on a vacation or a business trip and to know that their family member has good quality temporary care. Without this help the elder might have to move permanently to an outside facility. Another unique type of care cropping in U. S. hospitals is called acute care of elder units, or ACE units, which provide "a homelike setting" within a medical center for older adults.
Information about long-term care options in the United States
