Articles Posted in Selecting a Nursing Home

Dementia is described by the Alzheimer’s Association as “an overall term that describes a wide range of symptoms associated with a decline in memory or other thinking skills severe enough to reduce a person’s ability to perform everyday activities.” Indeed, there are a variety of types of dementia, depending upon the types of brain cells damaged, and where specifically that damage has occurred within the brain.

Regardless of the type of dementia an elder may have, it is important that symptoms are recognized as soon as possible in order to ensure the safety and wellbeing of your loved elder. Even if an elder is receiving care or assistance from a family member, in-home caregiver, or residing in a nursing home or skilled nursing facility, it is still vital to recognize symptoms of mental decline in elders. This is partly due to the fact that unfortunately, it is believed elders who suffer from some form of dementia are thought to be at greater risk for abuse or neglect than elders who do not have some form of dementia.

In fact, according to one research brief released by the NCEA, three different international studies have found that the rates of elder abuse for elders with dementia ranges from 34%-62%.

Symptoms that a loved elder in your life may be developing dementia include cognitive changes and psychological changes. Some of these changes may include:

*Memory loss/problems
*Trouble choosing the right words
*Disorientation or getting lost
*Challenges in planning/organizing
*Coordination or motor function difficulties
*Agitation or paranoia
*Inappropriate behavior
*Lack of proper personal care and poor nutrition/eating habits
*Difficulty sleeping
*Injuries/personal safety problems

If you believe that a loved elder in your life is beginning to show symptoms of dementia, it is important to take action, though it’s advisable to tread lightly, per the helpful website DementiaToday.net, which provides DementiaToday.net for how to talk to a loved elder about your concerns.

If you have reason to believe that a loved elder with dementia is being abused physically, financially, psychologically, or sexually, it is important that you report your suspicions to the proper authorities:

• The local Law Enforcement, including the Police, Sheriff, and District Attorney’s office. The San Diego County Sheriff’s Department can be reached at (858) 565-5200. The San Diego County District Attorney may be reached at (619) 531-4040.
• Long-Term Care Ombudsman Program provide a 24/7 Crisis Complaint Hotline at (800) 231-4024.
• Adult Protective Services (APS), in San Diego County, you may contact: San Diego County Aging and Independent Services (858) 495-5660.

You may also want to seek the advice of an experienced San Diego elder abuse attorney who can inform you and your loved one of your rights.
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If a loved elder in your family is showing signs that they need assistance in their lives because they are no longer able to manage everything as they once did, it’s time to consider what type of help/assistance they need. There are many different types of assistance available, ranging from housekeepers to attorneys.

Here’s a look at the different types of assistance available for seniors in San Diego.

1. Emergency Response Alarms Because so many elders fall each year, with many facing grave injuries or illness as the result of a fall, it’s imperative that an elder at risk for falling have an in-home emergency response device installed. This will ensure that an elder who has fallen will receive appropriate and immediate treatment.

2. Non-Medical In-Home Assistance The types of services offered through non-medical in-home assistants may include transportation to appointments, help with grocery shopping and meal preparation, bill paying, housekeeping and even just companionship. However, it’s crucial that you thoroughly check references of any one who will be assisting a loved elder. Seek out only those who are bonded and insured for added assurance that your loved elder will be well cared for.

3. Respite Care/Spousal Care Respite care or spousal care is available for family members who choose to care for their loved elder themselves. Because caregivers and spouses may face challenges in caring for their loved ones, you may wish to contact the San Diego Regional Office of Respite Services to help find assistance so that the caregiver may have time off to attend to personal tasks and obligations.

4. Residential Care Assisted Living Homes
Assisted living homes will generally offer elders a wide variety of services including meals, laundry, daily activity assistance, medication supervision and/or transportation services. To find an assisted living facility in San Diego, you may consider visiting SeniorHomes.com to begin your search for the best facility for your loved one.

If you are uncertain as to what type of assistance your loved elder needs, you may want to consult a Geriatric Care Manager, such as those available at www.eldercareguides.com. These San Diego experts will work with you to determine what types of care your elder may require, and provide you with a host of options to meet your needs.
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For many Californians the time comes when their loved elderly parent or family member may need some help within their home. Whether they need help with meal preparation, personal health and hygiene, or just some help around the home and with errands, finding the right person to care for your elder can be stressful.

Types of in-home caregivers for elders may range from a weekly housekeeper to a certified nursing assistant, or skilled care worker. The range of services provided may be cleaning the home, dispensing medication, helping the elder with transportation, or home care workers may help with personal care such as bathing, and monitoring overall health.

Once you determine the type of care your loved elder needs, there are many places to find compassionate, qualified in-home caregivers. Consider beginning your search by asking for referrals from friends and family, or from a doctor specializing in senior care. You can also check job postings such as those found in the newspaper, or online on sites including www.Caring.com.

Understaffing nursing homes is incredibly dangerous to adults over 65 residing in long-term care facilities such as Southern California nursing homes. That’s precisely why specific laws and regulations are in place which mandate proper staffing at long-term care facilities.

Under California law, “The facility shall employ an adequate number of qualified personnel to carry out all of the functions of the facility” Health & Safety Code § 1599.1(a). Moreover, Health & Safety Code §1276.5-1276.65 mandates that nursing homes must provide a minimum of 3.2 nursing hours per patient per day.

Unfortunately, many facilities choose to ignore the California law. Even worse, the understaffing of nursing homes has been directly correlated to abuse and neglect of elders. Indeed, understaffing in California nursing homes leads to substandard care over and over again. Substandard care in nursing homes then leads to illness, injury, and too often, death.

Understaffing nursing homes is incredibly dangerous to adults over 65 residing in long-term care facilities such as Southern California nursing homes. That’s precisely why specific laws and regulations are in place which mandate proper staffing at long-term care facilities.

Under California law, “The facility shall employ an adequate number of qualified personnel to carry out all of the functions of the facility” Health & Safety Code § 1599.1(a). Moreover, Health & Safety Code §1276.5-1276.65 mandates that nursing homes must provide a minimum of 3.2 nursing hours per patient per day.

Unfortunately, many facilities choose to ignore the California law. Even worse, the understaffing of nursing homes has been directly correlated to abuse and neglect of elders. Indeed, understaffing in California nursing homes leads to substandard care over and over again. Substandard care in nursing homes then leads to illness, injury, and too often, death.

It is no secret that many people have difficulty asking others for help. Elders living in Southern California are no different. Even though physical and mental capabilities may start to diminish with aging, it is still not easy for many seniors to let others know they are struggling.
That is why it is up to all of us to keep an eye on aging family members or friends. Here is a list of warning signs that a senior you love may need help from family members or professionals.

1. Abnormal or repeated phone calls If your grandmother, mother, father, or other elder family members begin making phone calls to you repeatedly, or at peculiar times of day, it may indicate confusion. It may also be a sign of memory loss, or could indicate that the elder is feeling lonely or depressed. If you notice these types of calls, try scheduling set calls with your loved one every day to see if they stick to those times and calls. If they don’t, it may be indicative of cognitive decline.

2. Weight loss/lack of food in the home When you visit your loved one, take notice of their appearance. Are they maintaining a healthy weight? If they’ve lost a substantial amount of weight, take a look in the refrigerator to confirm that there is food, and that the food has not spoiled. If there is nothing to eat, this can indicate that your loved elder is finding it difficult to shop and/or cook, and are thereby not taking proper care of themselves. This may be a sign that they need your help in shopping, preparing meals for the week, or even that they need to see a physician.

3. Mail is piled up, unopened or has not been retrieve from the mailbox When you visit your loved senior, take notice of unopened mail piled up, or even in the mailbox. Signs that your loved elder may be overwhelmed by once routine tasks may indicate that they are feeling depressed or confused.

4. Their home is suddenly messy If your aging parents or grandparents have traditionally kept a neat home, but you find their home is cluttered or dirty, this may be a sign they need help. They may be in physical pain and unwilling to clean, or they may be too tired, or even depressed. If you notice a sudden change in the appearance of the home it can be a warning sign that your loved elder is having a hard time, and needs assistance.

5. Cooking and baking pots and pans are burnt If you see scorch marks on pots, pans, or baking sheets, it may indicate difficulty with short-term memory. Your loved one may be forgetting they have left the stove or oven on after making a dish. This is a warning sign you should never ignore, as it has safety ramifications not only for your loved elder, but also for neighbors.

6. They aren’t changing their clothes or are wearing clothing inappropriate for the weather If an elder you love seems to be wearing the same clothes over and over, or shows signs of poor personal hygiene it may be a signal that they are struggling, mentally, emotionally, or physically. They may have difficulty doing laundry because it is located on a different level of the home, or it may indicate depression, or cognitive decline wherein they are having difficulty assessing the proper clothing to wear for the weather.

7. They are missing doctor’s appointments and/or medication Missed appointments may indicate memory problems, or difficulty in securing transportation to their appointments. This can be dangerous for elders who need medication, so if you determine that they are missing their appointments and and/or are not taking their necessary medication, it may be time to consider hiring help for them.

If you notice any of these warning signs that a loved elder in Southern California may need help, don’t be afraid to speak up. Often times an elder may need something as simple as transportation a couple of days a week, or a housekeeper a few times a month. In other cases, they may need to be relocated into an assisted living facility. It’s important to realize though, that they may not ask for help, so you need to ask them questions, and ascertain as best as you can, whether or not they are still capable of living without any assistance.
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In our last post, we suggested tips for confirming that a potential skilled nursing facility or residential nursing home has the appropriate staff to address the needs of elders with dementia. To recap, dementia is a syndrome in which there is deterioration in memory, behavior and thinking. This causes many who suffer from dementia to lose the ability to perform their regular activities. The most common form of dementia is Alzheimer’s disease, though there are multiple types of dementia.

Elders suffering from dementia need special care when they move into a long term care facility such as a California nursing home. If you are considering helping to move a loved one with dementia into a nursing home, there are specific questions you will want to ask about the services provided for your loved one.

Questions should include:

According to the World Health Organization, dementia is one of the major causes of disability and dependency among older people. Dementia, which is a syndrome in which there is a deterioration in memory, behavior and thinking, causes many who suffer from it to lose the ability to perform their regular activities.

Elders are stricken with dementia far more than any other age group. In many cases, dementia can lead to an elder moving into a longterm care residence, such as a nursing home. If you or someone you know is considering placing an elder suffering from dementia in the care of a nursing facility in California, there are certain questions you’ll want to ask of the facility.

In this post, we will specifically talk about what to look for in terms of the staff of a skilled nursing facility or nursing home. In a subsequent article, we’ll talk about other facility services you’ll want to inquire about.

For many families the decision to help a loved one move into a long-term care facility is difficult. With elder abuse cases on the rise, it is understandable if you have concerns about a particular nursing home that you’re considering for yourself or your loved one.

Although the decision may be necessary, you’ll obviously want to ensure that you’ve selected the most reputable facility available. To help you in the process of searching for the perfect long-term care facility for your loved ones, here is a list of helpful questions to ask of the facility’s administrators and staff.

*What is the staff to resident ratio?

The decision to place a loved one in a long-term care facility for the elderly can be a very difficult and emotionally demanding process. Both you and your loved one need to take an active role in the decision to maximize the health, safety and well-being of your loved one. Once you have narrowed down your search and thoroughly researched and toured the facility, you should consider the following set of guidelines put together by California Advocates for Nursing Home Reform to ensure your loved one receives the best possible care and treatment.

1. Support your loved one’s transition to the care facility. Open communication is extremely important while your loved one transitions to their new home. There may be feelings of loss or abandonment by the person being placed in the facility, as well as mirrored feelings of guilt or neglect by the person assuming responsibility for the placement. Therefore, it is important to openly discuss these feelings. Make sure your loved one receives a comprehensive assessment upon admission and be attentive to any changes in needs, behaviors, attitudes, and affections during the transition.

2. Make your visits count. Vary your visiting schedule by going on different days and at different times. This will ensure you are able to meet various members of the staff, and observe how your loved one interacts with other residents and staff members at different times of the day. Also, make a plan before each visit. Try to discover new things, meet new residents and staff members, explore new areas of the facility, plan special events outside of the facility, and bring with you important talking points and your loved one’s special interests.