Living Well Blog

Posts Tagged ‘Living Well best practices to age in place’

Frustration When it Comes to Avoid Abuse in Residential Facilities

Tuesday, July 20th, 2010

Alarming is the word we can use to define the findings of the U.S. Department of Justice-funded study by Hawes and Kimbell that examined state processes for detecting, investigating, resolving and preventing elder abuse in Residential Care Facilities.

This study focused on detection, investigation, and resolution of elder abuse and neglect complaints in what are known as residential care facilities (RCFs). These facilities are the most rapidly growing form of senior housing. This growth is a result both of the preferences of the elderly and their families and of public policy aimed at reducing nursing home use. RCFs are referred to by a variety of names across the states, including assisted living facilities, personal care homes, domiciliary care homes, adult congregate living facilities, adult care homes, and shelter care homes. The best estimate is that some 50,000 facilities nationwide house a mainly older population in between 900,000 and one million beds. In addition, an unknown number of unlicensed homes house a mixed population of poor older persons and individuals with mental illness. By contrast, there are about 17,000 nursing homes with 1.6 million residents.

The researchers found a lack of adequate resources in all states and all agencies, as well as deeply flawed processes. The report highlights smart practices by Ombudsmen and identifies policy suggestions, training needs, and research recommendations.

Download the U.S. Department of Justice-funded study by Hawes and Kimbell.

Six Questions to Protect Elderly Patients

Monday, July 5th, 2010
How to Help Patients When Being at the Hospital

Living Well provides medical advocacy to help patients who are hospitalized

On the Wellness section of the New York Times, Pam Belluck compile the advice of three experts  on the questions family members can ask to lower a patient’s risk for delirium during a hospital stay.

Pam says “…Many readers have asked me what family members can do to help lower an elderly patient’s risk. To find out, I turned to three experts –  Dr. Margaret Pisani at the Yale University School of Medicine, Dr. Wes Ely at Vanderbilt University School of Medicine and Dr. Sharon Inouye at Harvard Medical School. Based on their advice, here are six questions family members should ask to lower an elderly patient’s risk for hospital delirium…”

Read the article

Not All Assisted Living Facilities Are Safe. A Report Describes How Elders Are Dying in Nursing Homes.

Monday, July 5th, 2010

Not all senior care or residential facilities are safe!

America’s largest elderly people live in California. 3.7 million over age 65. Most of these seniors live in institutions and although some of these facilities provide an outstanding care for many seniors,  a staggering number of others are being abused and neglected and even are dying on these residential care facilities. Some of these facilities are so eager to retain the residents that they ignore the issues that will need real medical care and well trained medical staff and keep the residents away from the needed care until it is too late.

Tanya McRae  conducted an investigative report on abuse and neglect of the elderly at skilled nursing facilities and nursing homes. In the video, one daughter shares her story of her mother’s horrific death, and attorneys explain staggering number of other criminal cases.

Watch the video

House Safety: An Important Matter When Aging in Place

Monday, July 5th, 2010
Living Well provides home modification, smart technology, and individualized care to keep seniors safe at home. Aging in Place!

Home Safety, important matter to age in place.

Our homes fulfill many needs for us. Often, the most basic need is for shelter from the elements and intruders. Once we are protected and secure, other needs can be met. Comfort and a place for self-expression are vital for our well-being. Home gives a feeling of independence. Ourhome should also be a place in which we can be safe from accidents and injuries.

Housing Safety Checklist for Older People prepared by Sarah D. Kirby, Extension Housing Specialist, and published by NORTH CAROLINA COOPERATIVE EXTENSION SERVICE. North Carolina State University and North Carolina A&T State University commit themselves to positive action to secure equal opportunity regardless of race,color, creed, national origin, religion, sex, age, or disability. The guide-checklist stresses that “…Home accidents are a major source of injuries and can cause death. Older persons, whose bones are often less dense and more brittle, are especially vulnerable to serious injuries from home accidents. A simple fall that results in a broken bone can become a serious, disabling injury that limits one’s independence…”

On the guide, you will find a series of checklists. Use these lists as you go through your home. Make a check mark next to those items or behaviors that you already have. If there are items that you do not check, then your home is not as safe as it could be. By improving those items not marked, you can make your home a safer and more comfortable place to live. While the suggestions in this publication are for older people, they apply to all age groups as well.

To Download the guide, click here.

Wandering Seniors at Risk of Getting Lost and Even Dying.

Monday, July 5th, 2010
Living Well Assisted Living at Home combines individualized care with smart technology to keep seniors safe from getting lost.

Smart technology: GPS shoes for wandering seniors!

Some of the common symptoms of Alzheimer’s and any other type of dementia are lack of memory, confusion, and wandering. These symptoms usually lead to  loosing track of familiar surroundings and thus getting lost. Understanding the symptoms of dementia might help safeguard elderly people who are at risk for getting lost. While infections, tumors, and head injuries can all cause dementia, Alzheimer’s disease is most commonly behind the phenomenon of wandering. For patients who hallucinate, their risk for wandering might depend on how well they trust their caregiver. If they hallucinate, they may be at low risk or high risk, depending on their trust for the caregiver. If they are suspicious, they might try to get out.

In 2008, Texas Legislature enacted a statewide communication system to help find mentally impaired senior citizens. “I think they are a really good idea,” said Hester, a Lubbock Police sergeant. “(A Silver Alert) could have helped those people. I mean, nobody knew where they were.” But Silver Alerts alone can’t keep seniors safe. On Monday, police officials were preparing an alert for 70-year-old Lubbock resident Jim Hardy Clary, who left home for a doctor’s appointment he didn’t keep. He was found dead before a statewide alarm was raised. Read More about this article

In Virginia, law enforcement officers are learning how to search for missing persons who may not know they are lost. A  4-minute video produced by Kassie Bracken for The New York Times tells us the lessons they have learned.

See the video: lessons from the Lost

Listening to the Voices of Alzheimer’s

Monday, July 5th, 2010
Living Well with Alzheimer's

Voices of Alzheimer's

A series of videos presented for The New York Times by Karen Barrow explores the frightening and confusing world of Alzheimer’s. She captures the voices of both patients and loved ones who are struggling with issues of independence, long-term care and making the most of the time they have left.

Listening to people who say that Alzheimer’s is not a normal part of aging but a disease that affects the patient and all family members equally, brings your awareness of the challenges of this disease that affects people “just out-of-the-blue…”

A common desire of people affected with Alzheimer’s is that they want to live life at its fullest and stay in their homes for as long as they can.

See the videos: Patient Voices: Alzheimer’s Disease and read the related article: “The Voices of Alzheimer’ by Tara Parker-Pope

Caring for The Elder at Home: The Need For a New Paradigm.

Tuesday, June 29th, 2010

Living Well at HomeThe increasing number of people turning 65, the high number of elders with health constraints, and the sky-rocketing price of health care posits the question of how are we going to care for all the elders who constitute, today the upcoming silver tsunami?

More than 40 percent of adult patients in acute care hospital beds are 65 or older. Seventy million Americans will have turned 65 by 2030. They include the 85-and-older cohort, the nation’s fastest-growing age group. Elderly people often have multiple chronic illnesses, expensive to treat, and they are apt to require costly hospital re-admissions, sometimes as often as 10 times in a single year. Living Well Assisted Living at Home has designed a new model of comprehensive care that will help care for elders at home, including those who are frail, recovering from surgery, accidents or any illness. The model also strives to care for those suffering from dementia, at home.

In an article written by Milt Freudenheim for the Health section of the New York Times, in June 28, 2010, we find how geriatricians and other professionals are lobbying for best practices in the field of aging.  In the article it is stressed the fact of how “..to stay independent, the elderly will need to stay healthy. Many of these people could be back on the golf course and enjoying their grandchildren if we did the right thing for them,” said Mary D. Naylor, a longtime geriatric care researcher and professor of gerontology in the School of Nursing at the University of Pennsilvania. Her research showed that even fragile older people could avoid a quick return to the hospital if they are managed by teams of nurses, social workers, physicians and therapists, together with their own family members. Hospital re-admissions, which cost $17 billion a year, could be reduced by 20 percent — $3.5 billion — or more, she said…” Obviously a new approach to care for the elder is imperative if we wnat to promote wellness in this sector of the population and reduce the increasing costs of caring for seniors.

Mr. Freudenheim continues by saying: “…Many internists, family physicians and other primary care doctors are lobbying for payments for a team approach based in the physician’s office. The concept, which they call a patient-centered medical home, will be tried out under the new health care law by Medicare, Medicaid and some private insurers. Secretary Sebelius has called the medical home idea “one of our most promising models for improving the quality of care and bringing down health care costs…”

Read the article.