[wooosp]

Has anyone worked in an adult day care center?
Just curious, as an LVN, what do you do?

Thanks!

[joprasklpn]

I never worked in one, but did observe one during nursing school. They gave meds and had people with feeding tubes. I also saw them cooking for the people and toileting them. It reminded me of LTC exept the family came and took them home for the night.I would imagine anyone can use the adult daycare so you may have any variety of care to do.

[Fiona59]

There are many versions of the Adult/Seniors Day Programmes. Many require doctors referals. They can be publicly or privately funded. Some operate 24/7 with respite and discharge from hospital beds.

The PN is usually utilized to fullscope of practice. When I worked in one we did routine vitals, medications via all routes, wound care, a lot of charting on psychosocial issues, met with families, pretty much name it we did it.

Our programme also offered a limited amount of palliative care, acted as a "waiting for placement in LTC" holding unit for programme participants.

A bit of everything. Many families become too dependent on the programmes and expect the programme to "take" the elder when they have had enough. They will fight against placement right up until the moment the family crashes and burns and drops the elder off at the programme door with a suitcase and say's "take care of them".

It can be very rewarding and very difficult.

You are supervising the care of the elderly and delegating duties to care aides, interacting with physios, OTs, social workers, etc. And the family, oh how they get involved.

[linzz]

Fiona59 is right on. Adult day care is tough. I have done respite care which is overnight and the patients arrive with many health issues and family issues, oh yes many family issues which will make good use of your psychosocial training and skills.