Adult Day Care
A Life Style for Older Adults
Understanding frailty
Decline in physical ability and decline in
Cognitive functioning
 Decline in eating and drinking fluids
 Reduced mobility and socialization
 Increased isolation, loneliness and
depression leads to further decline in
functioning
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Successful Aging
Staying engaged with family, friends,
associates
 Staying active and participating in exercise
 Being stimulated in body, mind, and spirit
 Making a contribution to society
 Having self-respect and to be respected
by others
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The dangers of being old and living
alone
Feeling of boredom, loneliness
 Poor eating habits
 Depression
 Lack of exercise
 Loss of physical function
 Poor personal hygiene
 World becomes very small
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ADULT DAY CARE
Social and mental stimulation
 Nutritious meals
 Exercise
 Assistance with personal hygiene
 Medical oversight and monitoring
 Religious and spiritual opportunities
 A sense of belonging
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Anatomy of Adult Day Care
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Social model (ADS) versus Medical Model
(ADHC)
Location, space, and equipment requirements
Hours of operation
Programming and services offered
Admission and discharge policies
Staffing needed
Payment options
Goal of Adult Day Care:
To enhance the lives of older adults
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Provide safe, secure, and supportive
environment
Provide programming and services that address
the physical, mental, emotional, social, and
spiritual needs of the older adult (also, medical
needs in a medical model)
Provide avenues for the older adult to stay
engaged with the greater community
Safe and Secure Environment
Measures to prevent elopement or
wandering from the day care site or for
uninvited persons from entering the site.
 Sanitary conditions and infection control
measures to prevent the spread of
infection
 Environment that is temperature controlled
and well ventilated
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Programming and Services
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Programming to address the physical,
mental, emotional, social and spiritual
needs of older adults
 Chair
exercises, balloon toss
 Playing games that require thinking
 Intergenerational programs, reminiscing
 Story telling, news paper reading
 Bible Study, saying of prayers
Services
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Transportation
Nutritious meals and snacks
Therapy: physical, occupational, speech
Health monitoring: blood pressure, pulse, blood
sugar, weight
Health Screenings: vision, hearing, cancer
Immunization and medication adminstration
Services (con’t)
Assistance with dressing changes
 Assistance with incontinence care
 Application of medical appliances and
treatments such as respiratory care
 Personal care such as bathing, shaving
and hair care
 Psychiatric and mental health services
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SUMMARY
Community based with benefit of staying
in one’s home
 Supportive and stimulating environment
 Lower cost than other options
 Supports the concept of Successful Aging
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Picture this!
Arrive by bus at the day care at 7:30 a.m.
 Have a light breakfast followed by morning
prayers
 Receive your morning medications and
have both blood pressure, pulse, and the
swelling in your legs checked by a nurse
and recorded in your record
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Con’t
Have the morning headlines and lead
article of the newspaper read to you as a
group
 Do morning stretching exercises
 Spend time playing a game that requires
thinking and moving around the room at
the same time
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Con’t
Have a snack
 Go for a walk outside with another
ADC participant and a staff person.
 Watch the local news on TV and then
discuss the events with your group
 Eat lunch
 Lie down for a short nap
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Con’t
Participate in chair exercises set to music
Attend a chapel service or prayer service
 Take the medications the nurse has and
describe to him/her how you feel today
Show the nurse the sore on your
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Con’t
Drink some juice or eat a healthy snack
 Play a game of bingo Visit with the small
dog that arrived for a visit.
 Join the group that will paint the wooden
birds
 Return to your home when your daughter
comes to take you home
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Compare to this
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Eat small breakfast
Sit in your chair
Sleep in your chair, you’re bored
Watch TV, read a book
Skip lunch, you’re not hungry
Sleep in your chair,
Watch TV, read newspaper
Wait for your daughter to come home