On Lok SeniorHealth a national model of community-based long-term care in the USA / [electronic resource] :
SSW Cheung.
- pp. 101-106.
On Lok is a well known national model of long-term care for the frail elderly in the United States. It is the prototype for PACE—Program of All-Inclusive Care for the Elderly. On Lok began as a programme addressing local needs in 1973, then evolved to a national demonstration project, and in 1997 became a permanent federal- and state-funded programme. As a health plan and health services provider, On Lok serves the frail elderly through neighbourhood-based community centres that offer primary care, adult day health care, and home care. On Lok’s interdisciplinary teams provide psychosocial and medical case management, rehabilitation therapies, nutrition services, recreational therapies, and transportation services. Seniors and their families partner with On Lok in decision making on care plans, establishing advanced planning directives, and documenting health care wishes. We illustrate a case providing an overview of the On Lok long-term care model, focussing on end-oflife issues and comfort care plans enabling a Chinese elderly man to maintain his quality of life and dignity till death.
Mode of access: Internet.
community health centers; health care facilities, manpower, and services; long-term care; palliative care; patient care team; quality of life