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The Four Stages of Care

The Four Stages Of Care
  Stage 1 Stage 2 Stage 3 Stage 4
Independence Very independent Somewhat independent Somewhat dependent Totally dependent
Lifestyle Active Stable Limited Restricted
Health Good Fair Frail Poor
Housing Own home/apartment Own home/apartment with help Seniors or retirement housing Hospital
Triggers To Move To Next Stage Calling you at work

Lonely

Restricted mobility

Life-altering event

More forgetful

Serious medical diagnosis

Lonely

Unable to be alone and safe

Unable to walk, talk

Serious medical condition

Unable to eat, bathe independently

Loss of support system

Caregiver Self Spouse/family/close neighbors or friends

Home care worker, visiting nurses, care agencies

Physiotherapist (PT), occupational therapist (OT) PT, OT plus nurses, doctors
Care Delivery Rare Weekly / As needed A few hours daily 24 hours day
Care Activities None Help needed with:

Laundry

Transportation

Home maintenance

Meal preparations

Shopping

Household chores

Mobility inside and outside home

Stage 2 plus help with:

Dressing

Personal hygiene

Toileting

Eating

Medication use

Total Patient Care

Medical

In long-term care

Environment

Palliative

Hospice

  Other Help

Helping with money management

Arranging community services

Completing forms

Providing financial assistance

Dealing with serious memory problems

Dealing with mood swings due to mental changes

Help in a crisis

 

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