One's ability (or inability) to complete day-to-day activities, called Activities of Daily Living (ADLs), is commonly considered. These are basic activities a person must complete daily to care for oneself. These activities include bathing and personal hygiene, dressing and undressing oneself, using the toilet and cleaning up after oneself, mobility/transferring (walking from one room to another, getting out of bed and into a chair), and eating.
These activities do not necessarily need to be done daily but are necessary to live independently. Examples include shopping for groceries and other essentials, meal preparation, housecleaning, laundry, medication management, and paying the bills.
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We Hear You, and We Care Deeply
At HomeBridge Iowa Together, our mission is to provide compassionate, affordable co-living housing for those in need of support. While we currently offer homes for individuals requiring assistance with physical functional abilities and instrumental activities of daily living, we recognize that many others also need help—and we are truly sorry that we cannot serve every level of care at this time.
This limitation weighs heavily on us, and we want you to know we are actively working toward expanding our services. Our team is committed to a phased approach that will allow us to grow responsibly, ensuring quality, safety and feasibility for all.
We appreciate your understanding and support as we build a stronger, more inclusive Iowa—together.
Physical Functional Ability
One's ability (or inability) to complete day-to-day activities, called Activities of Daily Living (ADLs), is commonly considered. These are basic activities a person must complete daily to care for oneself. These activities include bathing and personal hygiene, dressing and undressing oneself, using the toilet and cleaning up after oneself, mobility/transferring (walking from one room to another, getting out of bed and into a chair), and eating.
Instrumental Activities of Daily Living (IADLs) may also be considered.
These activities do not necessarily need to be done daily but are necessary to live independently. Examples include shopping for groceries and other essentials, meal preparation, housecleaning, laundry, medication management, and paying the bills.
Health Issues/Medical Needs
One's health, or medical needs, are also frequently considered when determining if a senior meets a Nursing Home Level of Care. Examples include needing assistance with injections, catheter care, and intravenous (put into a vein) medications.
Cognitive Impairment
Cognitive (mental) functioning may also be considered when determining if a senior meets a nursing home level of care. This area is particularly relevant for persons who have Alzheimer's disease or related dementia, such as dementia from Parkinson's disease or Lewy body dementia. Seniors with impaired judgment may not be able to make appropriate and/or safe decisions, putting themselves in danger if living independently without supervision and assistance.
Behavioral Problems
Behavioral issues, also commonly seen in persons with dementia, particularly in the mid-late stage of the disease, may also be taken into account when determining if an individual meets a Nursing Home Level of Care. Such behaviors include frequent wandering from the home and becoming lost, impulsiveness, and aggressiveness (physical, sexual, verbal).
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