Articles Posted in Selecting a Nursing Home

shutterstock_16983095711-300x200Placing a loved one in a nursing home can feel like a great solution. You don’t have to worry about them being home alone where they can’t do things for themselves. However, there are many issues to worry about when they do make the transition to a nursing home. One of the unfortunate things that accompanies these living conditions is the high risk of infection. Read on to learn about why this is such a hazardous environment and what nursing homes should be doing to prevent infections.

Risk Factors for Infections in Nursing Homes

There are various reasons why nursing home residents are likely to get infections, including the following:

shutterstock_1048899182-300x300A nursing home helps to provide a living situation for adults who have difficulty living on their own. Elderly adults can get assistance with meals, housekeeping, medical care, activities, and transportation, among other services. The first step is deciding that it’s time to consider placing your loved one into a nursing home. The next step is you to decide as a family the best place to make their new home. In no particular order, here are the main factors to think to help with your selection of a nursing home.

Location

One of the first things that you should consider when deciding on a nursing home is the location. For instance, it might be a deal breaker if a facility is not located close enough to where family members live. Another key element location is the proximity to hospitals and medical centers because this can be very important to a resident’s health. Additionally, the location may come into play due to the laws that can affect their residency. You should also pay attention the layout of the facility and whether it’s appropriate for your loved one’s specific needs, like mobility issues.

shutterstock_680112613-300x163Your loved one is having trouble remembering certain facts; they are disoriented and confused about a lot of details. It seems like they may have a condition beyond just aging memory issues and something more akin to developing dementia or Alzheimer’s disease. It’s worth investigating whether your loved one needs Memory Care and if so what to look for in a nursing home that offers this type of specialized care.

What is Memory Care?

Memory Care differs from regular care at nursing homes or assisted living facilities because Memory Care is specifically designed for individuals who suffer from Alzheimer’s or other types of dementia. Unlike an assisted living facility where a resident has enough independence to set their own schedules, (such as deciding when they will eat and when to engage in activities) a Memory Care facility is more like a nursing home in that the resident must have the staff manage their time and attend to their needs very closely.

shutterstock_641208637-300x200If you’ve made the difficult decision to place your loved one into a nursing home, then you have weighed the advantages and disadvantages, made financial considerations, while keeping in mind what’s best for your family member’s well-being. The same reasoning should be applied when contemplating whether they should remain in the nursing home you chose. With the Covid-19 pandemic happening, many children, spouses, and other relatives wonder whether they should bring their loved one home during these unprecedented times, especially if there are known cases at the facility. Before you take steps to make this move, there are several issues to think about. Here are four factors to consider.

  1. The Nursing Home’s Response to the Covid-19 Crisis

How is the facility dealing with the coronavirus? Is the place understaffed? What procedures are being done to ensure the safety of the residents? Are there cases already there and what is the facility doing to isolate those who have the virus? Do the members of the staff use adequate PPE (personal protective equipment)? Focus on the testing practices for both the staff and the residents to help determine what to do. Also, think about the ratio of staff to residents.

https://www.californiaelderabuselawyer-blog.com/wp-content/uploads/sites/132/2020/08/20.08.21-300x200.jpgPlacing a beloved family member in a nursing home or long-term care facility is never easy; it requires a lot of trust to leave their care up to the staff and the facility you’ve chosen. You rightfully expect staff and the nursing home to have the highest standards and provide the best, most compassionate care possible – that includes protecting them from neglect or abuse and addressing any lapses in proper care quickly and thoroughly.

Unfortunately, this often does not happen; in 2017, law enforcement were not alerted in over a quarter of serious nursing home abuse cases despite state and federal laws that mandate police notification. In fact, a pattern of behavior to cover up these abuses has surfaced; this means it’s important to be on the lookout for ways nursing homes could be trying to cover their tracks.

Failure to Comply with Reporting Laws

https://www.californiaelderabuselawyer-blog.com/wp-content/uploads/sites/132/2020/07/shutterstock_616951802-20.07.21-300x200.jpgThe decision to entrust a loved one’s care to a nursing home or long-term care facility is never easy. Selecting the facility can be just as overwhelming as the initial decision itself. California has approximately 1,230 licensed long-term care nursing facilities that provide care for more than 400,000 patients each year – it’s no wonder selecting a single, high-quality facility can seem like trying to find a needle in a haystack. However, the federal government has provided a tool that can make it easier to avoid facilities that may create an unsafe environment for your loved one.

Nursing Home Compare Site

The federal Centers for Medicare and Medicaid Services (CMS) helps set standards across the nation for long-term care facilities and administer Medicaid and Medicaid payments. They host a website called Nursing Home Compare, which provides data that can help families research facilities and find out information to help them decide on the right place for themselves or their loved one. Currently, nursing homes receive an overall rating, which is determined by combining the results of three categories:

Choosing to place yourself or a loved one in a nursing home can be extremely difficult.  Finding the right one is even harder.  A wealth of information exists online and much of it is useful, but this decision should be informed by experience and conversations with the people that matter most as well.

1 – Identify All of Your Options

Go online and find every nursing home in your area.  A great place to identify these facilities is on the medicare.gov website.  Using their Nursing Home Compare feature, you can type in your zip code and quickly compare all of the care facilities in a given radius.  You may have more options than you originally thought!

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.

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