What Is Long-Term Care?

Long-term care refers to a comprehensive range of medical, personal, and social services coordinated to meet the physical, social, and emotional needs of people who are chronically ill or disabled. A nursing home facility may be the best choice for people who require 24-hour medical care and supervision.

What Type of Care Do Nursing Homes Provide?

Nursing homes offer the most extensive care a person can get outside a hospital. Nursing homes offer help with custodial care -- like bathing, getting dressed, and eating -- as well as skilled care. Skilled nursing care is given by a registered nurse and includes medical monitoring and treatments.

How Can I Find the Right Nursing Home?

Finding the right nursing home takes time. It is important to begin the search for a suitable nursing home well in advance of seeking admission to the facility. There are often long waiting periods for available accommodations. Planning ahead also can make the transition of moving into a nursing home much easier.

About Nursing Homes

A nursing home, convalescent home, skilled nursing facility (SNF), care home, rest home or intermediate care provides a type of residential care. It is a place of residence for people who require continual nursing care and have significant difficulty coping with the required activities of daily living. Nursing aides and skilled nurses are usually available 24 hours a day.

Residents include the elderly and younger adults with physical or mental disabilities. Residents in a skilled nursing facility may also receive physical, occupational, and other rehabilitative therapies following an accident or illness. Some nursing homes assist people with special needs, such as Alzheimer patients.

Residents may have specific legal rights depending on the nation the facility is in.

Before the Industrial Revolution, elderly care was largely in the hands of the family who would support elderly relatives who could no longer do so themselves. Charitable institutions and parish poor relief were other sources of care.

Nursing homes offer the most extensive care a person can get outside a hospital. Nursing homes offer help with custodial care—like bathing, getting dressed, and eating—as well as skilled care given by a registered nurse and includes medical monitoring and treatments. Skilled care also includes services provided by specially trained professionals, such as physical, occupational, and respiratory therapists

Features included

  • 3 Chef-prepared meals daily and restaurant style dining
  • Dynamic calendar of activities, outings and Watercrest Institute classes
  • Salon and Spa Services on-site
  • Coastal Living design complete with pool, verandas, and outdoor living spaces
  • Spacious apartments with washer, dryer, and kitchenettes
  • 24-hour licensed staffing and world class personal care
  • Wellness programs
  • Pet friendly environment
  • A state-of-the-art wireless resident call system
  • Medication management available
  • Preventative health screenings
  • High apartment ceilings and spa showers
  • Transportation services seven days per week
  • Housekeeping services
  • Maintenance services
  • Utilities and cable included
  • Move-in coordination
  • Respite stay accommodations

Neck Pain––Dr. Richard Jackson

in Health & Fitness
Created: 01 June 2016
Neck Pain––Dr. Richard Jackson

What Causes Neck Pain?

By Richard Jackson, MD, Texas Institute for Surgery, North Dallas LIVING WELL Magazine

Neck pain is a common problem, affecting 40 to 75 percent of adults at some time during their life. Neck pain is more common in females than males. Oftentimes, neck pain is a self-limited or temporary condition responding favorably to simple treatments such as rest, over-the-counter medications and topical application of ice or moist heat.


Trauma, such as motor vehicular collision or sports injuries or occupational injuries, can cause neck pain. Major trauma can result in serious injuries such as fractured vertebra or herniated disc. These injuries can potentially cause paralysis and/or numbness. The most common traumatic neck injury is a whiplash injury. Whiplash is the result of a sudden extension/flexion movement of the neck, most commonly from a rear-end impact. This can occur in any type of vehicular injury, but also sports injuries or even a fall at home or work.



Age-related disc degeneration can result in arthritis of the neck, bone spurs in the neck, or herniated disc. Sometimes these will cause pressure on the spinal cord or nerve root with resultant pain or numbness or weakness radiating into the arm or hand.


Severe neck pain can result in spasms of the neck muscles with severe restricted range of motion of the neck. Rare causes of neck pain include infection in the spine, tumors of the spine, and rare congenital anomalies of the joints or malformation of the brain tissue such as Chiari malformation.


Treatment of the neck starts with avoidance of posture or activities that aggravate the pain. Medical treatment using over-the-counter medications such as aspirin, acetaminophen, ibuprofen or naproxen are often quite effective. Other home treatments could include topical heat or cold or massage.

Lifestyle changes include alteration of posture at work, such as changing the height of your chair at a desk to avoid prolonged flexion of the neck. Altering the height of a computer monitor or keyboard will avoid prolonged stress/tension on the neck muscles. Avoiding cradling a telephone between the ear and the shoulder by using a telephone headset is oftentimes helpful for chronic muscle tension in the neck at work. Sleeping on you side or on you back with a rolled towel under the neck can avoid neck pain from sleeping in the prone position, which can cause chronic neck problems. If these lifestyle changes are ineffective, acupuncture or chiropractic adjustments and manipulation may be helpful.


If the above treatment methods do not work, evaluation by a physician can offer additional treatment options such as prescriptions for physical therapy including cervical traction, prescription strength pain medications or muscle relaxants, and a cervical collar. Imaging studies may be recommended. Sometimes injections in the structures of the neck with various steroid medications and analgesics are required.

If neck pain in resistant to the above modalities, surgery may be required. Before surgery is considered, diagnostic imaging testing with x-rays, MRI, CT scan or myelogram or EMG and nerve conduction tests are performed. Surgical treatment includes discectomy, disc replacement surgery, fusion of the spine or decompressive laminectomy to relieve pressure on the nerves or spinal cord in the neck.

Most neck pain conditions are temporary and respond favorably to non-operative treatment.

Richard Jackson, MD, is a neurosurgeon on the medical staff of Texas Institute for Surgery, and board certified by the American Board of Neurological Surgery. He also is a Fellow of the American College of Surgeons. To learn more about Dr. Jackson, call 214-750-3646, visit DallasNeurosurgical.com or TexasInstituteforSurgery.com or email This email address is being protected from spambots. You need JavaScript enabled to view it..


  • Muscle tension due to physical or psychological stress
  • Poor posture
  • Occupational strain on neck muscles
  • Ergonomic stress to the neck related to prolonged flexion of the neck, i.e., operators, seamstress jobs and microscopist jobs
  • Computer work, especially on a laptop, can result in neck pain prolonged looking down at the keyboard and/or monitor in a flexed neck position
  • Direct traumas from contact sports can aggravate neck problems or whiplash
  • Disc degeneration, herniation or bone spurs in the spine