Discussion on the Continuum of Care

  The Continuum of Care

[WLOs: 1, 2, 3] [CLOs: 4, 5, 6]

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Person-centered care is an important concept when determining the optimal care setting for any individual. We can utilize a biopsychosocial approach to evaluate an individual’s needs in order to provide the necessary therapeutic supports and interventions. The biopsychosocial model had two main authors—Roy Grinker (1954) and George Engel (1977). Probably, Engel is more recognized in the USA as the “father” of this theory and approach to psychology. In this paradigm (a paradigm is a way of thinking about something) we give equal importance to three aspects of health care: the biological, psychological, and social. This paradigm also opened the door to evidence-based care and practice. In addition, patient preferences and beliefs are also incorporated into management choices. Thus, when thinking of medical topics, it is not just the diagnosis and management or cure of illness, but also how the patient views its value and the impact on desired functional capacity. The culture-change movement addressed incorporating the preferences and goals of the individual into elder care.

Different settings provide a range of care options, and the transitions of older life may require accompanying transitions in housing and care service-delivery models. Using the biopsychosocial approach, we include the social determinants of health (SDOH) as important factors to consider when determining the needs of an individual. Thus the health care professional must evaluate interpersonal, economic, medical, and environmental factors in order to help older adults maintain their health and well-being throughout the aging process. Providing specific supports may allow some individuals to successfully age in place, while others may with lifestyle housing or service-enriched housing. 

For this paper, you will analyze the continuum of care options available to an individual.

Discuss each of the following three available housing options with a focus on the factors and issues below:

· General Community Housing

· Lifestyle Housing

· Service-Enriched Housing

Examine the factors that determine why a particular housing option would be optimal for an individual.

Be sure to include information about medical, social, economic and any other pertinent factors.

Analyze possible barriers to utilizing each housing option.

Consider the social determinants of health that may create such barriers.

Describe what special supports would be needed to meet the goal of achieving optimal outcomes while respecting patient preferences and goals for each housing option.

For example, consider the need for specialized therapy services, technologies, and types of support systems.

Summarize your own preferences and goals for your own continuum of care in your elder years, and critique which housing option would serve you the best.

Use research to support your analysis. Consider utilizing resources from public health agencies such as the Centers for Disease Control (CDC), the U.S. Public Service Task Force (USPSTF), the National Institute on Aging (NIA) of the National Institutes of Health (NIH), the National Institute of Mental Health (NIMH) of the NIH, the World Health Organization (WHO), Healthy People 2020, and professional associations such as the National Council on Aging. Your references should include a minimum of five to seven peer-reviewed, credible, and/or scholarly sources, which provide evidence-based information regarding this topic and which have been published within the last 5 years.

The Continuum of Care paper

· Must be six to eight double-spaced pages in length (not including title and references pages) and formatted according to APA Style (Links to an external site.) as outlined in the Ashford Writing Center’s APA Formatting for Microsoft Word (Links to an external site.) resource.

· Must include a separate title page with the following:

o Title of paper

o Student’s name

o Course name and number

o Instructor’s name

o Date submitted

· Must utilize academic voice. See the Academic Voice (Links to an external site.) resource for additional guidance.

· Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper.

o For assistance on writing Introductions & Conclusions (Links to an external site.) as well as Writing a Thesis Statement (Links to an external site.), refer to the Ashford Writing Center resources.

· Must use at least five to seven scholarly, peer-reviewed, or credible sources published within the last 5 years, in addition to the course text or any required/recommended course materials.

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