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Archive for the ‘Aging in Place’ Category

Getting Past Our Misconceptions about the Elderly

Monday, September 5th, 2011

Reading this poem brought back memories of how the medical field  basically wrote my mother off.  My Mom was an intelligent and ingenious women and yet few took the time to SEE her.  You can change your perceptions.

Eldery Woman

Your education is critical with skills focused on seeing the PERSON, not the patient.

See Me

What do you see, nurses, what do you see?
Are you thinking, when you look at me –
A crabby old woman, not very wise,
Uncertain of habit, with far-away eyes,
Who dribbles her food and makes no reply,
When you say in a loud voice — “I do wish you’d try.”

Who seems not to notice the things that you do,
And forever is losing a stocking or shoe,
Who unresisting or not, lets you do as you will,
With bathing and feeding, the long day to fill.

Is that what you’re thinking, is that what you see?
Then open your eyes, nurse, you’re looking at ME…
I’ll tell you who I am, as I sit here so still;
As I rise at your bidding, as I eat at your will.

I’m a small child of ten with a father and mother,
Brothers and sisters, who love one another,
A young girl of sixteen with wings on her feet.
Dreaming that soon now a lover she’ll meet;
A bride soon at twenty — my heart gives a leap,
Remembering the vows that I promised to keep;
At twenty-five now I have young of my own,
Who need me to build a secure, happy home;
A woman of thirty, my young now grow fast,
Bound to each other with ties that should last;
At forty, my young sons have grown and are gone,
But my man’s beside me to see I don’t mourn;
At fifty once more babies play ’round my knee,
Again we know children, my loved one and me.

Dark days are upon me, my husband is dead,
I look at the future, I shudder with dread,
For my young are all rearing young of their own,
And I think of the years and the love that I’ve known;
I’m an old woman now and nature is cruel –
‘Tis her jest to make old age look like a fool.

The body is crumbled, grace and vigor depart,
There is now a stone where once I had a heart,
But inside this old carcass a young girl still dwells,
And now and again my battered heart swells.

I remember the joys, I remember the pain,
And I’m loving and living life over again,
I think of the years, all too few — gone too fast,
And accept the stark fact that nothing can last –
So I open your eyes, nurses, open and see,
Not a crabby old woman, look closer, nurses — see ME!

This poem was found among the possessions of an elderly lady who died in the geriatric ward of a hospital. No information is available concerning her — who she was or when she died. Reprinted from the “Assessment and Alternatives Help Guide” prepared by the Colorado Foundation for Medical Care.

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Aging in Place with Telemedicine

Thursday, January 27th, 2011

According to the American Telemedicine Association, about 200,000 people nationwide receive treatment in their homes via mobile monitoring units – including telehealth units. Experts say an aging population, increasing prevalence of chronic diseases, the high cost of health care and technological advances are fueling growth.

A growing need for virtual care

Harry Wang, a health research analyst with Parks Associates in Dallas, projects the broader home health monitoring market – such as services and equipment to track if an individual has fallen or isn’t taking medications – will increase from $770 million in revenue in 2009 to $2.6 billion in 2014.

For consumers paying out-of-pocket, the fee for leasing home telehealth equipment and monitoring services is generally around $100 to $300 a month, says Lexi Silver, vice chair of the American Telemedicine Association’s home telehealth and remote monitoring special interest group.

A last chance to stay home

For some, technology is all that stands between a loved one and a nursing home. Jasmine Star of Teton Valley, Idaho, keeps an eye on grandmother Mildred Sloan in Houston, who has dementia, by logging into a secure site that streams live video from two cameras in Sloan’s home.

SOURCE: magazine.angieslist.com

Click here to read the article

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Seniors may have to pay for Medicare home health

Saturday, January 15th, 2011

WASHINGTON (AP) — Medicare recipients COULD see a sizable new out-of-pocket charge for home health visits if Congress follows through on a recommendation issued Thursday by its own advisory panel.

Until now, home health visits from nurses and other providers have been free of charge to patients. But the Medicare Payment Advisory Commission says a copayment is needed to discourage overuse of a service whose cost to taxpayers is nearing $20 billion a year amid concerns that fraudsters are also taking advantage.

The panel did not prescribe an amount, but its staff has suggested the charge be $150 for a series of related visits. Medicare requires copays for many other services, so home health has been the exception, not the rule.

Defying opposition by AARP, the seniors’ lobby, the congressionally appointed commission voted 13-1 to recommend that lawmakers impose the new charge. Two commissioners abstained and one was absent.

From caregiverlist.com:

Medicare pays for skilled home care visits currently, as long as a senior’s medical doctor approves of the skilled home care which only includes visits by one of the following skilled professionals: Registered Nurse (if there is an open wound or medical treatment that requires a R.N. to administer or monitor), Speech Therapists (S.T.), Occupational Therapist (O.T.), Physical Therapist (P.T.), and Certified Nursing Aide (C.N.A.).

These visits are approved for a short-time period to assist a senior in recovering from a medical condition such as a stroke or hip replacement. The senior must be showing improvement for the visits to continue to be approved.

CLICK HERE TO READ THE REST OF THE AP ARTICLE

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What does the CCL Community Care Licensing Meltdown Mean?

Monday, September 20th, 2010

This will have great impact on the RCFE Residential Care for the Elderly Communities, as well as Assisted Living.  How could this affect the care of your parent or loved one?

Potential Issues with the CCL Meltdown

Who will be monitoring and following up on problems and issues?

Inspections of RCFE communities will be affected.

Trying to get a new facility licensed could be an issue

The appeals process for facilities will be on hold

Complaint investigations may be curtailed

Reducing phone coverage for the public

From CALA:

CCL Meltdown

CALA has just engaged in a lengthy conversation with CCL leadership and has learned that CCL is temporarily suspending application processing (with minor exceptions) and appeal processing effective immediately. In addition, orientations will be suspended effective October 1, 2010. According to CCL, this is due to the cumulative effect of the budget shortfalls and repeated cuts to CCL staffing.

Applications
With very limited exceptions, application processing will cease immediately. Application specialists are being reassigned to other duties. CCL is reviewing pending applications to see if any can be processed quickly. On a case by case basis, CCL will make exceptions for immediate health and safety such as an unlicensed operator and situations involving communities where residents are already in care (change of management company, change of owner). These will be determined by Mary Jolls on a case by case basis.

Appeals
Appeal processing has been put on hold, although licensees should continue to submit them. Health condition relocations will be the only exception. LPAs are being instructed to call their manager before citing a licensee if there is any doubt about a regulatory requirement in order to avoid the need for an appeal in the first place.

Orientations
No orientations will take place after October 1, 2010. Those already conducted will not expire while this suspension is in place.

Other
CCL is also suspending all internal training, limiting staff involvement in community events and meetings, and reducing phone coverage for the public.

What Will CCL be Doing?
CCL’s top priority is complaint investigations. Depending on the staffing level of the individual office, 5-year inspections and 30% random sample inspections will take place if staffing allows. CCL also intends to continue processing waivers and exceptions.

What is CALA Doing?
CALA is exploring a budgetary solution to this situation, investigating the possibility of outsourcing these vital functions, and will continue to talk with CCL regarding the details and the “temporary” nature of this new approach. And of course keep members posted!

SOURCE: The California Assisted Living Association (CALA)

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Baby Boomer motivations and vision of aging

Wednesday, May 12th, 2010

Excellent description of baby boomer motivations and vision of aging produced by the Rose Community Foundation (Denver) as part of its Boomers Leading Change initiative

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SOURCE:  tla50resource.ning.com

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Dementia Beyond Drugs

Friday, March 19th, 2010

Dementia Beyond Drugs

Excerpts from the “Other Eyes” chapter of Dementia Beyond Drugs by Dr. Allen Power

The biomedical model sees dementia mostly as neuropathology. However, viewing only what can be easily observed and measured is inadequate to our needs. … one can say that the physical and chemical changes that occur in the brain are of no consequence until they are experienced by the person with the changing brain.

That experience is more than simple structural and chemical defects; many other factors come into play such as life history, relationships, values, interactions, and coping styles. Seeing dementia as a life experience and viewing the world through those eyes is the key to better understanding the needs of people with dementia.

The biomedical model sees dementia as an irreversible, progressive, and ultimately fatal disease. The experiential model sees dementia as a shift in the person’s perception of his or her world. The brain, while altered, remains somewhat plastic and is intimately tied to the surrounding environment. In fact, in many cases, individuals with dementia are more exquisitely sensitive to the attributes of their surroundings than the rest of us tend to be. … the experiential model holds that new learning can occur. .. The experiential view sees dementia as a challenge to make meaningful connections and improve the lives of all who live with the condition.

The biomedical view sees people with dementia as a burden and creates care environments that foster dependence. Biomedical dementia requires caregivers. The experiential view sees people for the gifts and abilities they continue to express to others. Experiential dementia creates care partnerships that empower all and maximize interdependence.

… the experiential model holds that well-being is not a function of cognitive skills, and that people may retain complex and integrative abilities far into their lives with dementia. People with dementia always remain unique individuals, and this uniqueness should be the driving force in their lives and their care. Autonomy should be preserved as far as possible.

Order your copy of Dementia Beyond Drugs from the Eden Alternative online store (www.edenalt.org) to learn more.

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