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Magazine >>Nov/Dec 2006 >>Day Care Programs Spell Fun for Seniors


Day Care Programs Spell Fun for Seniors
By  Mara Anglen, Staff Writer

Whether you’re seeking respite from long hours of caregiving, need someone to care for a loved one while you’re at work, or any other reason, adult day care can be a much-needed option for caregivers.

Primarily, there are three types of adult day care:

  • Social care: Provides social activities, meals, recreation,  and some health-related services.         

  • Heath care: Provides more intensive medical, therapeutic and social services for people with severe medical problems and for those at risk of needing nursing home care.

  • Alzheimer’s care: Provides social and medical services  ONLY to those persons with Alzheimer’s disease or related dementia.   

According to Edith Lederberg, executive director of the Aging and Disability Resource Center of Broward County, adult day care is a vital service for both caregivers and the frail elderly. The facility’s McArthur Adult Day Care Center, which is funded primarily with Federal Older Americans Act money and a mandated local match of 10 percent with city and county funds, has no set fee for its clients. However, they are encouraged to contribute something, Lederberg said. Those monies go directly back into the Fort Lauderdale center to help expand services. Meals on Wheels visits to provide lunch, and clients or their families are encouraged to give money towards that, she explained.

Right now, the center has openings, Lederberg said. Day care programs are a win-win for all concerned, she said.

At another center, socialization is the key objective, too. Alan Beyda, co-owner of family-run Sarah Care Adult Day Care Center in Coral Springs, wants to provide a loving, caring atmosphere that keeps seniors busy and interacting.

 “We do not just let them watch TV all day and sit. We individualize the program for each participant,” Beyda said. “We offer exercises, singing, dancing, intergenerational activities (we partner up with the JCC preschool, which is right next door), arts and crafts room, men’s club room, beauty salon and square-foot gardening. These are just a few of the fun things.”

The new center, which will be open weekdays from 7 a.m. to 6 p.m., is slated to open in mid-November. Rates will be per-hour and based on a needs assessment for each client, Beyda explained. Medicaid, most long-term health insurance, Veterans Administration benefits and, of course, private pay will be accepted. 

From a health-care standpoint, the center will accept participants with various medical issues including physical impairments, Alzheimer’s disease or other dementia, stroke, Parkinson’s disease, and incontinence. A registered nurse, licensed practical nurse, and activity and social directors will be on staff, Beyda said.

In addition, enrollment in day care often prevents premature nursing home admissions, Lederberg said.
At the ADRC center and many other facilities, enrollees need a doctor’s note saying they can participate. (This safeguards both the client and the day care.) And by law, adult day care providers must have a nurse on duty, Lederberg added.       

“They (clients) can be frail, but not incontinent – people who need perpetual oversight, though,” she said.     When caregivers consider day care, they worry most about whether their loved one will eat and how they will socialize, Lederberg explained.     

 “They’ll (clients) do all sorts of activities, like arts and crafts that accommodate them,” Lederberg said. “Even 90-somethings can do great knitting and sewing, for instance.”

And games often can be inventive, such as taking a balloon, blowing it up and kicking it around the room with each other – fun and exercise in one activity. Whatever the game or activity, day care programs serve a vital purpose, Lederberg explained. “It frees the caregiver to do what they need to do and gives the frail elder a chance to socialize with others ...It’s a place to tell their stories to people who haven’t heard them 100 times.”      

 

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