FUNCTIONAL INTERIORS FOR SPECIAL NEEDS 4(2+2)

Lesson 30 : Functional Interior Options for Continuing Care & Nursing Care Environment

Types of Continuing Care Environments

The CCE may be defined as a facility which is operated either independently or in connection with a hospital and provides nursing care and medical services under the general guidance of doctors. They do not have resident physicians or doctors and limits its medical services to minor treatment and diagnostics. Eight categories of CCEs are identifiable.

1. General hospitals with long-term-care beds
2. Voluntary chronic hospitals
3. Convalescent homes
4. Voluntary nursing homes
5. Proprietary nursing homes
6. Infirmaries and homes for the aged
7. Local Government hospitals
8. Public home/ Government infirmaries

The CCEs may also be called as

• Extended care facilities
• Intermediate care facilities
• Shelter homes for the aged
• Geriatric homes for the aged
• Long-term care facilities
• Homes for adults
• Foster homes
• Boarding homes etc.,

The ideal method of determining the physical facilities of the building is in terms of the proposed patient population rated by their capacities to perform activities, including daily living, both in terms of their physical capabilities and their behavioral capacities. Four categories / groups of patient population are identifiable.

Group I	Physically disabled
Group II	Mentally & physically disabled
Group III	Custodial – they are able to function is uncontrolled social milieu, but they function best in a professionally supervised environment
Group IV	Mentally Disabled : Patients having minimal to mild physical disabilities with major emotional and social disabilities, which require minimal nursing care but are essentially and permanently disabled.