SPECIAL NEEDS SHELTERS

LEVELS OF CARE

 

Condition                          

Level By Shelter Type

 

American Red Cross (ARC)

General Shelter

Special Needs Shelter

(SNS)

Medical Management Facility (Hospital or Nursing Home)

Alzheimer’s Disease (ALZD)

Early

Progressive

Advanced

·     Bedridden

·Unable to communicate

·Unable to eat

·Totally dependent

Ambulation assistance (walker, cane, crutches)

ü

Combined with other assistance may indicate eligibility

 

Ameliorating Lateral Sclerosis (ALS) (wheelchair)

 

ü

 

Aphasia (difficulty communicating)

 

ü

 

Arthritis

Self-ambulating

Wheelchair bound

Bed bound

Asthma

ü

 

 

Bronchitis

ü

 

 

Cardiac abnormalities

Stable

Controlled with medication

Unstable, having shortness of breath or

Angina

Cerebral Palsy

 

ü

 

Cerebro Vascular Accident  (recent CVA)

 

Wheelchair bound

Bedridden

Chronic Obstructive Pulmonary Disease (COPD)

No oxygen use

Independent or assisted function with oxygen use

Oxygen dependent - end stage

Colostomy (uncomplicated)

ü

 

 

Comatose

 

 

ü

Contagious disease or infection

 

 

Varicella (Chicken pox) Hepatitis, Tuberculosis, Measles or Mumps in adult

Continuous Ambulatory Peritoneal Dialysis (CAPD)

 

 

Hospital with dialysis unit

Cystic Fibrosis

Stable

Requires medication and assistance with ADL

End stage

Dementia

 

Requires constant monitoring

End stage/bedridden

Diabetes/Hyperglycemia

Insulin and diet controlled

Requires assistance with Insulin administration and monitoring

 

Eating and swallowing disorders

ü

 

 

Edema

ü

 

 

Emphysema

No oxygen required

Requires oxygen

Oxygen dependent - end stage

Foley Catheter

Stable

Requires monitoring

 

Fractured Bones

ü

Pin care/dressing changes

 

High Blood Pressure / Hypertension

ü Stable

 

 

Hip Replacement

>6 Months

<6 Months

 

Ileostomy

ü

 

 

Knee Replacements

>6 Months

<6 Months

 

Hi-tech Medical Equipment

 

G-tube, uncomplicated IV or central venous infusion sites (with home health or hospice attendant), healed tracheostomy site

NG tube, complicated IV or central venous catheters, new tracheostomy site

Migraine Headaches

ü

 

 

Multiple Sclerosis

Self-ambulating

Wheelchair bound

Bed bound

Muscular Dystrophy

Self-ambulating

Wheelchair bound

Bed bound

Neuromuscular Disorders

Self-ambulating

Wheelchair bound

Bed bound

Neurological Deficit

 

Requires monitoring assistance with ADL

Incoherent/total care

Osteoarthritis/Osteoporosis

Self-ambulating

Wheelchair bound

Bed bound

Parkinson’s Disease

 

Assistance with ADL

Advanced

Psychosis

Controlled

Requires attendant

Uncontrolled

Respirator/Ventilator Dependent

 

 

ü

Seizures

Controlled

Medication assistance required

Uncontrolled

Skin Rashes

Sores/Non-draining

Open sores, draining wounds, dressing changes

 

Sleep Apnea

Not-mechanically dependent

 

Mechanically dependent

Upper Respiratory Infection

ü

Isolation

 

Urinary Tract Infection

ü

 

 

Wheelchair Transferable

Mobile with minimal assistance

Wheelchair bound with complicating conditions

 

Wounds

Uncomplicated

Open draining wounds, dressing changes, complicated treatments