Saturday, October 12, 2013

Get Rich Being A Nurse?


Warning! If you do not want to work don't go to school to become a Licensed Practical Nurse. It sounds bad when I say it that way but actually it's a good thing. If you are the sort of person who likes to help people and you have a strong stomach then you will always have a well paying job.

Why do I say that? Well the thing is a nurse; especially LPNs and LPs are needed in just about every aspect of the healthcare industry. With our baby boomer generation getting older the hospitals and nursing homes over the next decade will become more and more crowded. Of course along with the growth in patients there will be a growth in the need for health care professionals to care for the sick and elderly.

Besides the general nursing area there are still many other jobs for LPNs and CPNs. There is a huge need for in home health care professionals willing to deal with the elderly. Other areas LPNs are needed include physician's offices, residential care facilities, schools, temporary nurse agencies, traveling nurse agencies and government agencies. As you can see the choices for a place to work are not few and far between.

So besides the many choices of places and ways to work as a nurse why is the nursing profession expected to grow so much? The truth is the insurance industry and Medicaid has left no other avenue. As baby boomers grow older someone has to take care of them. The important fact here is that insurance companies and Medicaid except in isolated instances doesn't cover the cost of assisted living or of home-based health care. The average cost for home-based or assisted living is around $35,000 annually. So if Medicaid and insurance aren't going to pay the costs then who is? The sad truth is that many families who wish to care for there parents or siblings simply can't afford to and are forced to put there elderly into a long term care facility where Medicaid will cover the cost.

So what does this mean for a nurse. It means quite frankly that your job is more than secure for the next couple of decades. It also means that assisted living facilities and long term care facilities are going to make a killing in the decades to come.

Putting your personal feelings aside and looking at the business side of things... if you get in with the right company at the ground floor you could be in for a lot of pay raises in your future. If you want to do some calculations yourself... For assisted living at $35,000 average x 100 residents in an assisted living facility = $3.5 Million dollars a year. So take what you know of your assisted living facility and figure out about what your facility is making. Also keep in mind that this is only the average. If you work in a high-class facility they are probably charging double that cost.

If you wan to calculate how much a full time long-term care facility is bringing in... the average annual cost is $80,000. Times that by 100 residents and you have $8,000,000 in income a year.

How much are they paying you? How much do you want to get paid? Trust me if you have made the decision to become a LPN or NP you are going to make some good money in the years to come. You have made a good choice for your future and the future of your family.

Important Things To Know About An Assisted Living Residence In Texas


n assisted living residence is a facility designed for senior citizens or persons with disabilities who need help with some activities of daily living (ADLs). These people may need assistance with things like managing their medications or taking a shower or bath, but they do not need the 24-hour care and supervision provided by a skilled nursing facility. In Texas, assisted living facilities (ALFs) are licensed as personal care facilities. By Texas law, facilities that provide services to 4 or fewer people do not need to be licensed; facilities that have a census larger than 4 do require a license.

The first ALFs opened in the 1980s, when the United States was dealing with an aging, but basically healthy, population who did not have family nearby to help meet the few care needs they did have. These people resisted going into nursing homes, which at the time offered only limited privacy and personal choice. ALFs usually provided people with private rooms or apartments; social activities and outings were available but not mandatory.

ALFs currently provide homes to over 1 million United States residents. Of those, slightly less than half suffer from diseases that cause cognitive impairments such as Alzheimer's or vascular dementia. In Texas, there are currently 830 licensed personal care facilities and over 4000 facilities that are unlicensed.

An assisted living residence provides customers with a room and with three nutritious meals every day. In addition, the facility also provides staff to help with activities of daily living. Common needs include help managing one's medications, performing personal hygiene tasks such as bathing, getting dressed, and going to the bathroom. Some residents may also need help with activities such as transferring from a wheelchair and eating.

Most facilities figure costs by charging a basic rental rate. They then add on "points" depending on how much assistance the resident requires. Each point costs extra money per month. For instance, a woman who lived in a studio apartment and only needed help with medications would pay less than a woman who lived in a studio apartment and needed help with medications, bathing, dressing, and eating.

In Austin, Texas, the average base cost to live in a personal care residence in $1500. When you include assistance with care, the cost rises to about $2000. This is still less than a skilled nursing facility which typically charges anywhere from $3000 to $4000 per month.

Although some 90% of ALF residents nation wide pay for their care out-of-pocket, Texas was one of the first two states to pass legislation allowing Medicaid to cover the cost of an assisted living residence through its Community-Based Alternatives program. This program helps over 20,000 Texans who would not be able to afford assisted living care otherwise.

Texas has also set standards to determine when an assisted living residence is no longer an appropriate placement for an individual. In order to remain in an ALF in Texas, patients must be able to understand emergency instructions and assist in their own evacuation in the event of a fire or other emergency. ALF care is also no longer appropriate if a resident needs 24-hour care and supervision or requires invasive procedures such as tube-feeding or IV medications.

Crafting A Stellar Career Summary For Your Resume


Are you a career changer? Or, are you satisfied with your stable career but interested in updating your resume? Are you a professional who has tried different things but are still searching for the kind of work that best suits you? Whatever your career situation, what your resume most needs is a stellar career summary.

What difference can a career summary make for you? Here are 4 reasons why you need one in your resume:

1.) A career summary communicates more about you and does so more powerfully than an objective statement.

2.) Employers love career summaries and use them to preview your resume. If they like your summary, they're more likely to read your whole resume.

3.) A summary does a superlative job of masking weaknesses in your work history (too much experience, too little, too many different kinds of jobs, gaps in employment, ineffectual titles, and everything else you can think of)

4.) A career summary tells the employer what you most want them to know, up front. It therefore sells you well and sets you up to be asked the kinds of interview questions you really want to be asked.

All right, so a career summary is a good thing. What does it look like? A summary can be a short paragraph of 2-4 sentences or a brief phrase or sentence introducing a series of 4-8 bullets, depending on the communications style you prefer. It can be preceded by a job title or list of specialty areas that you wish to highlight. The summary always goes at the top of the resume immediately following your name and contact information.

Generally a good career summary will profile some mixture of the following kinds of critical details:


  • A brief overview of the breadth and scope of your experience

  • Academic credentials, if relevant

  • 3-5 skillsets that set you apart from the competition

  • 3-5 personality characteristics that describe the workplace you

  • Hints about your most important work-related values.

Okay, so all that sounds good, but what does a career summary look like? Here are two different versions of a summary that you can play with and make your own:

Career and Workforce Development Administrator

Coaching ... Training & Development ... Program Design

Seasoned, articulate and visionary professional with over 19 years' experience in all facets of career and workforce development in both corporate and social service settings. Possess outstanding verbal, written and interpersonal communications skills and an inherent ability to build effective and cohesive teams. Deeply value creativity and lifelong learning.

Seasoned, articulate and visionary professional with over 19 years' proven experience in:


  • Career Development

  • Workforce Development

  • Corporate Consulting

  • Social Service Delivery

  • Team Building

  • Program Design

  • Lifelong Learning

  • Communications

The key is to begin by brainstorming solid content. Choose your descriptive language carefully. Make every word count. Create content first; write a draft second. Then share your draft with others you trust before finalizing it for your resume.

Avoid Being Uncomfortable at a Hospital and Use Home Health Care


What happens when the health problem requires medical attention over the course of a long period of time or even for the rest of your life? Being hospitalized for long periods of time can be both uncomfortable and expensive as well. In events such as these, home health care can be a solution to the problem.

Home health care is, as the name suggests, any health care assistance in the comfort of your own home. There are a variety of companies that offer these services and each with various specializations to provide any sort of assistance that a person may require.

Companies that handle these are primarily oriented towards senior citizens. However, any person with an illness or disability that requires continual assistance may benefit from it as well.

Most companies offer their services in a variety of places (other than in your own home) such as nursing homes, rehabilitation centers and retirement facilities.

Home health care can be provided on a short or long term basis. It can benefit people recover from an accident or surgery after leaving the hospital or maybe provided for people with permanent disabilities or who are otherwise unable to take care of themselves. The services that companies generally focus on range from companionship and assistance to the patients to do some of their daily chores to twenty four hour care. Many of the companies' caregivers are trained nurses and can administer doses of medication or provide specialized medical assistance.

This is usually sought when the family members of the patient have a hard time being able to give all the assistance that the patient requires.

Choosing the right care program can be difficult. A primary concern can be the cost of acquiring home health care services. As mentioned before, there are many home health care companies, both privately and publicly owned. Privately owned companies require a greater personal expense in order to hire their services whereas Medi-care based agencies require little or no cost. Medi-care based agencies can even offer better assistance as they are held to stricter standards than some of the privately owned home health care companies. The first step to choosing the right agency, regardless of whether it's public or private, is the sort of services they offer. Some care providers only provide skilled services such as nursing, therapy and home aide and other agencies focus more on personal care and sitter services. The family members should research on several companies to choose which one best suits their needs. Even after a home health care service has been obtained and provided, family members are encouraged to occasionally supervise that their loved ones are getting the help they need.

Home health care is a great benefit for people who have trouble accomplishing some of their daily tasks. In this manner, family members know that their loved ones are getting all the help they need and continue to enjoy their company.

Top 6 Ways to Pay For Elder Care Housing


If you've been looking into elder care housing options, you don't need to be told that paying for various options of elder care can be outrageous. If you haven't been looking into the various options, you'd better be sitting down! The average cost of nursing home care in 2008 was a whopping $50,000 a year! That's right - $50,000! You may be thinking, ah, that's no big deal because Medicare will pick up that cost. Unfortunately, that's incorrect - at least over the long term. Medicare will indeed pick up pick up the cost for a very brief period of time, but only under certain circumstances. In this article, I'm going to take you through 6 ways to help you pay for your elder's care without sending you to the poor house.

1. Personal Resources

You likely figured this would be #1, didn't you? When elders are first admitted to a nursing home or other long term care facility, the initial monthly costs come out of their own pockets - unless they have some sort of long term care coverage. If there is no coverage, most folks will run out of personal resources that have been saved for decades with the intent of either paying for long term care - or perhaps left for their children. The staggering truth is that 75% of all nursing home care patients become insolvent after a year in such a facility. It is only at that point when they can apply for Medicaid.

2. Medicaid

This is a joint state and federal program that will pay for health and long term care costs for those with low incomes or who have "spent down" their life savings and can no longer afford to pay for long term care on their own. But, this isn't a free ride. Not by a long shot. Virtually any and all income that your elder receives (Social Security, pension, etc.) is turned over to the long term care facility and then Medicaid will pay the balance owed. Oh sure, Medicaid will let your elder keep some money for monthly expenses. Last I checked, Massachusetts was set at $35 a month! Whoopie!

3. Medicare

This is a federal health insurance program for those over 65 and other that have certain disabilities. The good thing there is that it's not limited to low income or limited income folks. There are two parts to it. Part A covers most hospital bills, but very little in the way of long term are. There are deductibles that the patient is responsible for as it's very similar to health insurance. Part B covers most medical bills, medical equipment, tests and outpatient care. Part A is free to the patient, but Part B comes with a monthly cost.

4. Long Term Care Insurance

This can be an outstanding option, if you can afford it. When purchased earlier in life when you have few or no heath issues, it can be very affordable. But if you or your elder is 60 years old and they have diabetes, you either won't be able to get it, or if you can, it'll cost an arm and a leg.

The tough thing here is trying to figure out how much coverage you need. Will you need full time nursing home care, or will you be able to get by with home care? If you can afford it, you'll likely want to go with full coverage - nursing home care. The average long term care stay is 2 years, so if you buy long term insurance, you are going to want to ensure there is enough coverage for at least that time. It's just like any other type of insurance - you may need it, or you may not. But in the case of long term care, it's generally better to have it than not.

5. Medigap

This is a private insurance that covers the deductibles and co-pays of Medicare. Unfortunately, these policies only pay when long term care is covered by Medicare, which is normally only for a brief period and under specific circumstances.

6. Managed Care Plans

Otherwise known as HMOs. These plans provide comprehensive health care coverage to their members. The problem with these plans is that patients are limited to doctors and other health providers that are in the managed care system. Members must use the specified hospitals and nursing homes that have contracts with the managed care organization.

It's going to be important to keep an eye on the health care bill that was passed into law in March of 2010 to see how long term health costs will be dealt with over the long term. In most instances, when a bill is passed, you'll be able to determine exactly what any changes in current law will be, but it is believed many components of this legislation will end up in court and won't be decided for a period of time.

Fire Sprinkler FAQs


How much do you know about your fire sprinkler system? Fire sprinklers are extremely important for keeping your building safe from fires, and having a solid working knowledge of the details of your fire sprinkler system can help you even more!

Do they really work?

One of the most common questions people have about indoor sprinkler systems is whether they're actually as effective as everyone says. Well chew on this: according to the NFPA, property damages per fire are cut by an average of 50 - 60% when the building has a working fire sprinkler system!

The NFPA also details death rates in sprinklered buildings, broken down by industry. Their studies show some surprising facts. Well maintained and tested sprinklers but the risk of dying in a fire:


  • 91% for hotels

  • 75% for assisted living facilities

  • 74% for retail shops and office buildings

  • 60% for manufacturing facilities

More surprising, there have been no multi-casualty fires in homes with sprinkler systems installed. That's pretty impressive.

What does a system cost?

As essential as they are to keeping you safe, it's a good thing that sprinkler systems are so inexpensive! The average sprinkler system (pump NOT included) will run you anywhere between $1 - 2 for a new building. If you're retrofitting an old building, expect to pay upwards of $2.50 per square foot - not bad, all things considered!

And that's not even counting insurance discounts and benefits!

How do fire sprinkler systems work?

Fire sprinkler heads use a small vial of colored liquid that acts as a one way valve, preventing water from escaping from the sprinkler when it is not in use. Heat from a fire causes the liquid to expand, eventually breaking and letting the water from behind it flow out. The different colors correspond with different activation temperatures, which are as follows:


  • Orange - 135 F

  • Red - 155 F

  • Yellow - 174 F

  • Green - 200 F

  • Blue - 286 F

  • Purple - 360 F

  • Black - 440 F

What type of fire sprinkler system is best?

There are numerous types of fire sprinklers:

Wet pipe - the most common type of sprinkler, wet pipe holds water in the pipes behind the sprinkler head. Useful for most common buildings.

Dry pipe - pipes hold pressurized gas and water is held out of the pipes until the heads open. This type of sprinkler is useful in cold environments where water in the sprinkler pipes would freeze if left alone.

Deluge - water is stored in pipes like in a wet pipe sprinkler, but the heads are kept open at all times. Once activated by a fire alarm, deluge fire sprinkler systems won't turn off until they are manually closed. Commonly found near high rise windows, warehouse bay entryways and anywhere else where a fire could spread and escape rapidly.

Pre-action - combination wet pipe and dry pipe. Water is not stored in the sprinkler system pipes until a fire is detected, at which point it quickly rushes to fill them before the sprinkler heads open. Useful in areas where accidental fire sprinkler operation (through tampering, etc) could lead to severe water damage.

Having as much information about your Houston fire sprinkler will keep you even better protected in the event of a fire!

Friday, October 11, 2013

What Do I Need to Consider When Bringing My Mom Or Dad From the Nursing Home This Holiday?


It's that time of year again! If your parents, your mom or your dad want to spend time with you and your family during the holidays and they are living in an assisted living facility or nursing home, there are a few things you will want to be aware of in order to pull this off and allow them (and you) to have a pleasant time! If you prepare beforehand, then you shouldn't run into any major problems. First off, if one of your parents is a diabetic, they are probably looking forward to a nice yummy home cooked meal.

The problem with this is that he or she might not be able to eat the same foods that you are serving - so make sure you plan a meal that they can participate in eating as well. Also, make sure you have just enough diabetes test strips so you can keep things under control.

If your parents have high blood pressure, high cholesterol, problems swallowing or even any dietary restrictions, it's always a good thing to talk to the dietitian at the nursing home to give you ideas on what things you can server or how to go about the eating situation. You are probably going to need some nursing home supply options or medical supplies as well.

One thing you might want to keep at hand is a blood pressure monitor. Sure, there are professional blood pressure monitors that can cost a fortune, but there are also quite a few basic ones for home use. Taking your parents' blood pressure regularly will help you stay on top of their condition and foresee any changes.

Also, if your mom or dad have a problem with incontinence, you might want to consider buying adult disposable briefs. The nursing home may send you some as well - but it's important to make sure they are available either way. There are great products on the markets and some of the most reliable brands you might want to look at will be Kendall and TENA.

If your parents will be staying for a few days, it's important to have medical supplies such as dressing changes, compression packs, or even colostomy supplies. Again, it's a good idea to talk with the nurses to make sure you have all the medical supplies you will need before the special day comes!

If your parent lives on their own, they probably won't need a lot of the medical supplies that an assisted living resident or nursing home resident would need. If anything, and your parent does live on their own, it's always a good idea to personally ask them if they need anything specific in order to make their stay more pleasant. The next thing you may be wondering about is WHERE to buy these medical supplies! Good question. For some companies and businesses you may actually have to be a licensed health professional or organization.

Also, if you think that you might have trouble taking care of your parents for Christmas (or any holiday) you can hire an aid or a nurse from a staffing company while your parents are out of the nursing home. They can also help you pick out which products you may need to buy in order to make their time more comforting.

You could even take a look at a blog or ask them questions about what you might need or what products or bands to choose from when deciding on medical supplies or nursing home supplies. The main point here is that Christmas is a really important time to bring your parents home for a nice home-holiday. Give them a break from all the craziness and simply let them enjoy their time with you, your children and your family - and if you need help buying medical supplies to make the trip all that much better, there is help available and it's only a click away!

Nursing Homes Suicides - They Happen, Or Do They?


You would never think it but there are many people inside of nursing homes who want to die. Yes, you hear correctly. They want to die. And most times, the reason they want to die is because they feel that they have no freedom, no life and no control over their life.

How do I come to this conclusion? Well, peer into any bad rehabilitation and care center or into any bad nursing home and check out the conditions and atmosphere inside there. Look at the people who line the hallways in wheelchairs and look at their faces. Are they smiling? Probably not. Most of the time that people spend inside of bad rehab centers is the time of waiting. Yes. They wait. On most visits to these places, a visitor can see the patients and residents waiting for something. Some wait for their breakfast, while others wait for their medication. Others wait to be taken to the rest room and still others wait to have their diapers changed. Then there are those who just want to go downstairs to the lobby or to another floor and they cannot go without an escort, so they wait for an escort.

And they wait and wait and wait and wait. And one would figure that after working hard their whole lives they would probably want to reach a point where they do not have to be dependent on someone else's time schedule and they probably would want a time in their lives when they could be free to do what they want. But no, not when one resides inside a bad rehabilitation and care center and not when one resides inside of a bad nursing home. (No need for comments, I am not stating that they are all bad; I am writing this article about the bad ones only).

So, during all this process of waiting, some do want to die. Some actually express this in words, like let me die. So there are people inside of these horrible places that wish to die and they feel that will relieve them of the pain that they are experiencing. Yet, nothing is done about this waiting and this pain and this atmosphere. Instead of hiring more workers so that the patients do not have to wait the last years of their lives away, the places hire psychiatrists to find out what the problem is. The problem is the bad places are understaffed or they have staff that is not doing its job.

No mystery, problem solved. So by looking around we see the need for more nurses, more nurses aids, more health care workers and less psychiatrists inside of the bad nursing homes and inside of the bad rehabilitation and care centers. What is actually happening is that the atmosphere and the lack of the proper number of workers is actually making patients depressed. And then some, being depressed wish to die.

This past year, one resident was found on the grounds of a nursing home. The police stated that this was a probable suicide. This resident, according to the news had jumped out of the sixth floor window and thus was killed. To date, no one has heard an update on this probable suicide. And this happened in a nursing home in Staten Island, New York.

Here are some true stories according to the news articles:

Staten Island suicide at nursing home suicide is here : http://www.idph.state.il.us/public/press01/elmhurst.htm

And this one, an added horror - a murder-suicide at another nursing home

This past year, at least ONE resident at a Staten Island nursing home supposedly jumped out of a six floor window. I say supposedly because to this date, there has been no news of whether an official investigation was done or not.

Do you have the updated story? My readers would love to hear it. So message me or leave a note. Thank you. (Be sure to leave your source also).

I created this article on June 1, 2008.

What Is a TAC Claim and How Can a Lawyer Help?


In Australia, the term "transport accident" applies to an accident involving a motor vehicle or motor car, railway train or tram. Transport accidents can also include pedal cyclists that collide with an open or opening car door, a motor vehicle, railway train or a tram that is out of control. When individuals are injured in a transport accident, they can lodge a claim with the TAC for medical benefits.

The TAC was established by the Victorian Government in 1986. The organization was designed to ensure that people who were injured in transport accidents received appropriate medical treatment and necessary benefits. The TAC also plays a pivotal role in promoting road safety and improving Victoria's trauma system.

The TAC is a personal injury insurance company that is funded by Victorian citizens when they pay their annual registration at VicRoads. The funds collected are used to ensure that every Victorian resident is treated in a fair and equal manner. The "no fault" system is designed to provide medical attention for all citizens, regardless of their ability to pay or fault.

The TAC covers several different types of accidents caused by motor vehicles, motorcycles, buses, trains or trams. TAC benefits cover the driver, passengers, pedestrians, motorcyclists or cyclists. Any reasonable injuries that one might sustain in a transport accident will be covered by the TAC. The TAC covers costs involving the ambulance, hospital, medical, chemist, and therapy, dental and nursing services. In addition to the above covered services, the TCA will also cover some other non-medical services and costs. For example, special equipment needed for recovery or travel reimbursements to medical facilities.

What types of benefits the TAC can pay are covered under legislation called the Transport Accident Act 1986. The benefits and treatment which are covered under the TAC depend on what is covered under the legislation, the injured person's circumstances and what treatment is reasonable considering the need and the cost of treatment. In additional to treatment costs, the TAC has benefits that cover family counseling, child care and vehicle modification.

Although the TAC is a government organization that aims to meet the needs of Victorian residents - it's still extremely important to hire a personal injury lawyer to assist you in the claims process. It can be extremely confusing and daunting to struggle with your claim while you are trying to nurse your injuries and adjust your life after an accident. Having an experienced lawyer by your side, will expedite matters and work towards finding additional liability where applicable. As a matter of fact, if your accident was caused by the negligence of another, your attorney may be able to pursue Common Law damages (pain, suffering and economic loss) on top of your TAC benefits.

Hydrating the Dehydrated Elderly


Believe it or not... Dehydration is one of the most frequent causes for hospitalization in our older population. Not only do warm temperatures contribute... but, dry indoor living conditions also increase body heat that forces them to excrete fluids in order to stay cool, thus creating a need for more hydration.

In fact, the elderly need up to 10 percent more fluids. On average, the adult elderly person should intake at least six, eight-ounce glasses of water per day.

Some of the signs and symptoms that dehydration is taking place include... dry mouth, light-headedness or dizziness, darkening of urine, increased weight loss and muscle weakness. Dehydration can lead to kidney failure and even death if not recognized and treated.

To prevent dehydration, make sure fluids are easily available. Set up a hydration schedule offering fluids every couple of hours. It is also wise that the elderly eat fruits and vegetables that are rich in water such as broccoli, tomatoes, oranges and such.

When you suspect that dehydration has already set-in, contact a medical professional immediately. Fluid and food in-take should continue if tolerated. The World Health Organization in the 1960's approved an oral solution that helps the absorption of water and electrolytes.

Now, I'm not a doctor, but the recommendation by the 'WHO' is still used today and may be considered for elderly persons in remote areas or who cannot access a medical professional. The solution is as follows:

3/4 Teaspoon of Table (preferable 'sea') Salt
1 Teaspoon Baking Powder
4 Tablespoons Orange Juice
1 Quart/Liter Water

As we age, our body composition has less water in it, which makes the elderly more susceptible to dehydration.

Younger people have 70 percent water content in their bodies, while elderly adults only have 60 percent or less (According to Ransky Law). Other contributing factors for dehydration in the elderly include a lowered thirst response, swallowing difficulties. The elderly also have more health problems and when sick, people need even more fluids to stay healthy, making it extremely important to keep up with water (fluids) intake.

School District Negligence


School districts play a unique role in the education of our communities by providing safe, and healthy environments for children of all different ages. They are involved in the education of their students for a longer period of time than any single campus and with that role comes specific responsibilities. Not only are school districts responsible to the students and parents at their schools, but they are also responsible for the proper functioning of the schools in their districts.

Among those responsibilities is the maintenance of educational facilities. A district that fails to maintain its facilities could possibly be liable for contributory negligence in the event of an injury on school property. With the active and naturally curious nature of young children, all schools in a district must maintain their facilities with the safety of their students in mind.

Also, any employment that deals with the care of children requires a high level of confidence in the responsibility of it's employees. Failure to properly screen and ?supervise employees can leave children at risk to be harmed by a person who is not adequately equipped to teach and instruct children. There is also always a threat of inappropriate behavior on the part of teachers. School districts must maintain vigilance in the proper hiring of employees who are fit to engage with children.

Bullying is a threat to the safety and experience of children at all levels of the schooling. Schools have a unique perspective of trends amongst students throughout their schools. Therefore, school districts have a responsibility to address any bullying that might occur at any campus. A failure to do so can result in serious physical and emotional damage to students who are victimized by bullies. Ignorance of or allowance of illegal activities on district properties, like physical or emotional abuse, should not be accepted by the community. School districts are responsible to consider these types of interactions at each of their campuses.

Boomers Accept Assisted Living Communities? Not Likely


It seems that lately there's another assisted living community being built on just about every empty lot in town. What does this mean to the future? For the immediate future, it's great. We Boomers who have no time, no desire, no call to welcome our elder parents into our own homes have someplace to put Mom and/or Dad as they need more and more assistance. But in the back of our minds, aren't we really thinking, "Gee, Mom and Dad are going to love it here. It has all the amenities they could ask for. But there's no way in h&%# I'm ever going to live here!"

Now be honest. Isn't that exactly what you're thinking right now? Boomers absolutely do not accept the idea of assisted living, and from recent studies, it would appear that some form of communal living is making its way back to the forefront. Be it condo, townhouse, duplex, or even a single family home in an adults-only community, isn't this where we're headed?

Way back when (in the 50s and 60s), communes were where all the hippies headed. This type of housing didn't die, it simply grew up to be co-housing - a new type of participatory community that is attracting Boomers as they enter their 60s. Cohousing units are individually owned (like condos). But residents of these eco-friendly communities share communal resources and facilities, all of which helps them be energy efficient.

In 2003, there were 60 such communities across the U.S. By 2008, there were at least 100, with 300 more in development (Columbia News Service, 5/11/08). These properties range from the Songia Co-housing Community's 11 acre site outside Seattle to the two-block Eco-Village apartments in Los Angeles (source: Iconoculture, 8/12/08).

What's ahead?

Assisted living communities, beware! The current senior housing model - from home to assisted living to nursing home - won't cut it for many Boomers. They've had a sneak peek while helping their parents, and want no part of it. Co-housing lets them rewrite the future by coming full circle with their youthful ideals. And, isn't that what all Boomers strive for - forever young?

Boomers are becoming as eco-friendly as Gen Y and the Millennials. No longer a luxury, building green is rapidly becoming necessary, and sustainable housing is the new wave.

But that isn't the only reason Boomers are rejecting the current assisted living model. We are much too independent to ever accept a regimen of bingo on Monday, dry meatloaf every Wednesday night, and sing-alongs on Sunday afternoon. We never were a group of one mind and I doubt if we ever will be. We see ourselves as individuals, not as part of the herd. Therefore, living in a setting of regimented routine will never be our style.

The solution

My personal opinion is that those who are attempting to determine "what to do with all those Boomers," need to step back and reassess their ideas. Boomers want options, Boomers want choices, Boomers want to make life-style decisions based not only on their financial health, but on their mental and physical health as well. When the time comes that we are no longer able to maintain our independent freedom, our assistance may come in many sizes, shapes and styles. They may be co-housing, a small adult community that sets aside one home to be paid for by community residents and "loaned" to a caregiver couple. It could be several single elder Boomers choosing to reside together under one roof - all with their own private space, but with communal areas to counteract isolation.

There are many methods of solving that driving question of, "What do we do with them?" Some currently exist, but leave it up to a Boomer to devise new methods of solving the problem - those methods being desirable and convenient for them.

Thursday, October 10, 2013

Aging Veterans Unaware of VA Pension Benefits - Millions of Veterans and Widows Loose Out


For aging veterans, one of their most important benefit programs is the Veterans Non-Service Connected Improved Pension Benefit Program. Established to assist qualified veterans, and/or their surviving spouses and family, the Veterans NSC Improved Pension Benefit Program provides financial support that enables veterans to live independently while receiving the quality of care they deserve. In particular, funds are available for aging veterans who need assistance with medical and non-medical care both in the home and in qualified facilities.

In many cases, veterans, along with their spouses and family, are unaware that this program exists. According to VA analysis, only 27 percent of veterans and 14 percent of widow(er)s who are likely eligible, actually receive any money from the program.

Types of Care Eligible

The availability of this program is something all veterans and their widow(er)s should know. Seniors in our country are now living longer. With higher living costs and the continued rise in healthcare expenditures, many seniors are at risk of quickly depleting their savings. Programs like the Veterans NSC Improved Pension Benefit Program can fund services like in-home care, assisted living facility expenses and other medical costs that many seniors face.

I see many clients that are faced with the difficult task of covering their healthcare expenses. If they qualify for these funds, it takes a huge burden off of veterans and their families. This money can be used to ensure they are given access to the care they need.

Qualifications

To qualify for the Veterans NSC Improved Pension Benefit Programs, a veteran must have 90 days or more of active duty with at least one of those days served during a US-declared war. The benefits are designed for those who meet specific financial criteria and demonstrate a physical need for healthcare.

The Department of Veterans Affairs determines active duty as full-time service, other than active duty for training, as a member of the Army, Navy, Air Force, Marine Corps, Coast Guard, or as a commissioned officer of the Public Health Service, Environmental Science Services Administration or National Oceanic and Atmospheric Administration, or its predecessor, the Coast and Geodetic Survey.

Other qualifications and considerations:

o Discharge for any reason other than dishonorable conditions

o Over the age of 65 or disabled

o Total financial assets

o Physical condition

o Current marital status (if you are the surviving spouse of a veteran)

o Total gross income versus medical deduction

Costly Misunderstanding

There are several reasons why veterans are unaware or misunderstand these benefits. First is the very name of the benefit itself - improved pension benefit. Pension benefits usually come after years of service, not after only 90 days of service.

In addition, many veterans often assume the available benefits are for those who have a service-related disability not just because they turned 65. As the name implies, this program is a non-service connected benefit.

Finally, it is uncommon for a benefit to be available in part just by virtue of age. However, the Veteran NSC Improved Pension Benefit does not require a qualified veteran to have any disability provided that they are over the age of 65.

Important Documents

Applicants who plan to seek VA benefits for the first time must submit the Service Discharge Form (DD-214, DD-215, or for WWII veterans, a WD form). This form will determine their service dates and reason for discharge, full name and military service number.

Applicants seeking VA benefits related to a veteran's death must submit the following:

o Veteran's birth certificate

o Veteran's marriage certificate

o Children's birth certificates or adoption papers

o Veteran's death certificate

Next Steps

There are several places to find additional information regarding the application process.

o Department of Veteran Affairs - The entire program is explained throughout their website. For additional questions please contact VA Benefits at: 1-800-827-1000 or visit http://www.vba.va.gov.

o State Veterans Service Officers can assist veterans in filing claims for benefits. Their locations and phone numbers can be found through the phone book under "State Government, Veterans Service Officer".

o VONAPP - Veterans Online Applications allow an individual to fill out the required forms regarding VA compensation, pension, education and vocational rehabilitation benefits. For more information or to get the correct forms, visit http://vabenefits.vba.va.gov/vonapp/faqs.asp.

These resources can assist in the application process. Other assistance can be provided through various national, county, or local service organizations. In addition, in-home care providers like Comfort Keepers in Clearwater and senior care facilities can assist in accessing the information necessary to evaluate a person's eligibility for the Veterans Improved Pension Benefit Program.

Comfort Keepers can provide professional guidance while the applicant is completing the necessary paperwork and being assessed for eligibility for the Veterans Improved Pension Benefit Program. Once approved, Comfort Keepers can be the solution for quality in-home care.

About Comfort Keepers

Carol S. Howland is the owner of the franchised business Comfort Keepers in Pinellas County Florida. This office provides Home Care to seniors in Clearwater, Oldsmar, Dunedin, Palm Harbor, Tarpon Springs and parts of Tampa.

Visit www.comfortkeepers.com/caregivers/115 for more information about the services provided to seniors at Comfort Keepers and a Free offer at Carol Howland' s location.

The Benefits of In Home Aged Care


In home Aged Care is a fast growing industry which is providing much-needed services to the ever aging population. As one grows old, receiving in home help allows you to be in the place where you can be most comfortable, doing the things that you are accustomed to doing, and be in the most familiar place where you can be yourself and enjoy the days of your retirement. In home care providers are not only experts in aged care and home care but also in respite care and likewise provide disability care at home.

These home care and aged care providers are very flexible in their terms of service. Depending on your needs, in home help for the elderly and in home help for people with disabilities can be on long-term and regular basis - either daily, periodically, or specifically when needed.

Tailored to perfectly fit whatever your needs are, disability care at home, simple companionship, light household duties, personal care, daily and weekly meal and diet plan preparation, including shopping in the company of carer and car transport to any local destinations.

More than a necessity, in home help for the elderly is now a better choice for many who need assistance and help - instead of out of house home care facilities which are often overly crowded and competent healthcare professionals are usually in short supply.

In home aged care is more beneficial when compared to an institutional facility, and the following are some of the benefits of in home help for the elderly and for people with disabilities:

• In home aged care assures you of a help that is delivered right at your home. Almost everyone longs for the comfort of home when ill, and the same feeling is stronger for people with disabilities and the elderly. The feeling of familiarity and ease will surely help for fast recovery.

• Home carer's understand your need for independence, and can just be there to assist you in making your day-to-day living duties lighter, considering your age or medical condition. It is not uncommon that elderly people tend to weaken physically, emotionally, and mentally when being facilitated in nursing homes.

• A cost-effective and efficient means of providing home care and aged care. There are fewer resources needed when care is given at home than nursing home facilities and traditional hospitals.

• Proper care is given in a less stressful environment which is essential when one needs recovery and healing from medical conditions or just an in home help for elderly are required.

• Family bonding is strengthened without having to stop other members from their daily routines to take care of elderly or disabled family members.

Aside from the above mentioned benefits of in home care, one of the best things of these providers is respite care. Anyone who takes care of their elderly or disabled loved one can have a breather for a certain period of time to rest and recuperate, thus allowing the carer to gain strength for their loved ones. As the saying goes, there is no place like home and these in home carer's can give you aged care and disability care at home nothing less than professionally and compassionately.

Elder Neglect: When To Seek A Reputable Litigation Attorney


When the topic of elder abuse is introduced, physical wrongdoings are often first to come to mind. However, abuse comes in many different forms and levels of severity. Physical and emotional abuse, financial exploitation, and neglect are all common varieties that afflict the elderly. When it comes to elder abuse in America, more than half of all cases reported each year are instances of neglect - both passive and active. However, due to recent advances in elder law, these victims are protected under various state acts, and no longer have to suffer in silence. There are many reputable litigation attorneys who specialize in elder law and are willing to give a voice to thousands of elderly victims each year.

What Constitutes Neglect?

Neglect occurs when a caregiver fails to provide the food, water, medicine, clothing, shelter and personal hygiene assistance an older individual needs to survive and live a healthy life. Laws have been enacted across the country mandating that caregivers provide these basic living essentials to those elderly citizens who cannot perform such duties themselves.

Neglect of the elderly is categorized into two types: active (intentional) and passive (unintentional). In many cases, a caregiver may genuinely believe that an older family member needs less help than is actually required, resulting in an unintentional lack of adequate care. Although such instances are inadvertent, they are neglect nonetheless and require immediate attention. An example of such carelessness may be a caregiver failing to provide food or medication, or refusing to assist with bathing. While these types of situations do happen in nursing homes, it is far more prevalent in the home. Often, it is a family member committing the abuse. If you or a loved one has suffered from either active or passive negligence, a litigation attorney can educate you on local elder laws and advise you on possible actions to take.

How Can I Tell If My Loved One Needs Help?

The signs and symptoms of this prevalent form of abuse include, but are not limited to: extreme weight loss, malnutrition, dehydration, bedsores, multiple falls, and poor personal hygiene. Other signs can be found within the home, such as unsanitary and unsafe living conditions, bugs and other pests, and soiled bedding. If you notice any of these signs and symptoms around your loved one, talk to them immediately to find the source of the negligence. It may just be self-neglect as a result of diminishing cognition and ability to care for oneself; or it could be carelessness at the hands of a caregiver. If it is the latter, the advice of an experienced litigation attorney can be an important asset.

How Litigation Attorneys Can Help

It is estimated that for each case of elder abuse reported in the United States, there are as many as five cases that go unreported. With a myriad of laws enacted to protect victims, and many qualified litigation attorneys practicing elder law across the country, these statistics do not have to be. If you suspect that you, or an older family member, are suffering from negligence, a reputable litigation attorney in your area can help stop the abuse and lead you to safer and healthier living conditions.

You've Done Your CNA Training, What's Next?


No doubt that once you've fully completed your CNA training you'll want to find a job in your local area, so you're going to need to understand the employment options available to you. The good thing about being a CNA is that you can pretty much work any where you like in the health care setting you just need to find the right job for you.

The remainder of this CNA training article will aim to provide you with the facts relating the employment prospects of newly qualified Certified Nursing Assistants.

There are several employment options open to you as a newly qualified CNA, you just need to have a good look around the local health care providers in your area. When you're searching for a job consider that there are 4 main types of CNA employment on offer, these include the following:

  • Home care employment

  • Hospital employment

  • Long term care employment

  • Doctor's surgery employment

The first and also the most popular type of CNA employment is working within the clients home, more and more these days people want to stay in their own homes for as long as they can without having to go into long term care facilities, this is where the home based CNA comes in. The home healthcare CNA cares for someone in their own home, this means that the person can stay in their own home and maintain their own independence whilst still receiving the care and support they need. The duties of the home based CNA include things like shopping, cleaning, cooking, washing, assisting with personal hygiene needs and nutritional support.

The second type, and most commonly available type of CNA employment is that in the acute sector, I.e. within the hospital based setting. Within the acute care sector CNA's work directly alongside registered nurses and other registered practitioners, for this reason the role can be a lot more fast paced and challenging at times. The duties of the hospital based CNA are often a little more technical based, offering you the opportunity to care for patients who are undergoing surgery and medical intervention. Such patients require things like blood pressure, pulse, optometry, respiration and blood glucose monitoring, something which you don't do in patient homes.

The third type of CNA employment is that in the long term care setting, this includes nursing homes and residential care homes. Duties within the long term care facility can often be similar to those in the home setting, including things like washing, dressing, feeding and bathing. Working in a nursing home setting can be rewarding since you get to know the residents you're looking after, however it can also be emotionally demanding at times. One of the major positives of employment within the long term care setting is that the availability is growing slowly due to more and more people living longer.

The final type of CNA employment is that within a doctor's office or GP practice, this is one f the slowest paced jobs and is usually an option for those older CNAs who are looking for something a little less physically and emotionally demanding.

Whatever your choice, your CNA training will set you up for each of the above settings, however it will only be your own experience and time which will give you the true skills needed to succeed in each area.

Power of Attorney - Healthcare Warnings


Powers of attorney for healthcare decision making are a valuable tool to ensure that your medical wishes are carried out if you become incapacitated and unable to express your desires. However, these powers can be abused and cost you dearly - in terms of your personal well-being and even your finances.

Here's a real life story to illustrate:

Dad is 80 years old and suffers from dementia. While mentally incapacitated, his son manipulates Dad into signing powers of attorney for both finances and for healthcare.

Dad has enough money in various investments and bank accounts to pay for in-home caregiving services. These services are very expensive, but he, like most elderly individuals, would prefer to remain at home in a familiar and comfortable environment. If Dad was mentally capable of deciding where he would live and whether his savings should be used for his care, then he certainly would choose to remain at home.

Unfortunately, his son has different ideas. He views Dad as a cash cow, and sees no reason why Dad's money should be used for in-home care and deplete son's inheritance.

Therefore, son uses the power of attorney for healthcare (referred to as an Advance Health Care Directive in California) to have Dad permanently placed in a nursing home. Son also speaks with the nursing staff, and convinces them that Dad's other children intend to harm him, and that no one is to have any access or communication with Dad, unless son authorizes it.

Isolation is a key element in elder financial abuse. In order for son to carry out his plan, he must make sure that all outside contact with Dad is halted; otherwise, a family member or friend could visit Dad, ask questions of the nursing staff, and uncover son's devious plot of exploitation.

Now that Dad has been warehoused in a nursing home (via the healthcare power of attorney), son has free rein to use the financial power of attorney to access all of Dad's monies. Son can close accounts, open new accounts in son's name only, and transfer all of Dad's monies. Soon, Dad is broke and the nursing home bills will be paid for by the state.

Sounds incredible, but this is a true story. Fortunately, some help is available, but it requires someone to recognize that abuse is taking place and then step up to the plate and intervene.

In California, for example, nursing home personnel are mandated reporters. This means that the law requires that they report, to law enforcement or Adult Protective Services, any reasonable suspicion that elder abuse is occurring. The tip can be anonymous. Adult Protective Services would then interview Dad, the nursing staff, and son, and determine whether abuse is taking place and whether the matter needs to be referred to law enforcement.

An elder law attorney can also assist with civil litigation to freeze Dad's accounts, recover the monies wrongfully taken, and return Dad to his home with in-home health care assistance; provided, however, that son has not already spent most of Dad's money.

While a power of attorney for healthcare is an important tool, it can also be abused if placed into the hands of an unscrupulous person.

Alzheimer's and Music


A few years ago, I read an article that said people with Alzheimer's disease don't lose their memories- they just lose access to them. And that got me to wondering if there was any way to help them access their memories. In my work with Alzheimer's, I quickly noticed that those who rarely talked at all, would sing along with a song. Interestingly enough, they couldn't recall my name, but they could sing every single word of, "You Are My Sunshine." Aha! Music seemed to be an access to the memory.Familiar music also seemed to cause an array of emotions. Some music was stimulating, some calming, some causing happiness, and some even melancholy. So if some music was stimulating, I decided to use it at times when stimulation was needed. Take eating for example.

I noticed that lighthearted, upbeat music seemed to stimulate their appetites. Also, the same kind of music, kept them from napping, whereas quiet, soothing music appeared to be a sedative.It didn't take long for me to figure out that there should be music playing all the time. Yes, medication is necessary. But it's not the only means available to the caregiver. Find out what kind of music your loved one grew up listening to. Childhood songs are great, and believe it or not, sometimes even nursery rhymes brighten up their faces.....because they can remember them! Some of my residents enjoyed country music, while others like the Beatles. Remember: music can bridge the gap to their memory. Is there a particular song you hear that can take you right back in time, and you can remember exactly what you were doing when you heard it? If not for hearing that song, you probably would not have accessed that memory!Music is a tool in the management of Alzheimer's disease. Try it!

Wednesday, October 9, 2013

Elder Care and Old Folks Homes Considered


One of the toughest decisions a family can make is how to care for an older family member when they can no longer care for themselves. In days gone by the older folks in the family lived with future generations and everyone cared for everyone else. Unfortunately, our society has changed and things really do not work that way anymore, at least with some cultures in America.

A solution to this problem is to pay for a care facility and more the older member of the family into the location, where they can get the very best care to help them enjoy quality of life and dignity in their old age.

It's not easy to find a good old folks home or an assisted living center, but if you can find a good one it can often be a wonderful thing. Many assisted living centers are pushing $3,000 per month and they are not covered by Medicare or Medicaid.

One answer is to buy long-term care insurance, which most financial planners do recommend to their aging clientele. Sometimes it makes sense to check the state's health care facility registers for complaints, and the A-A-R-P's list of recommended facilities.

Many professional care consultants recommend asking around for referrals and they also recommend taking the time to check out the location, do a walk through, and talk with current care seniors already there. Elder Care Facilities and Old Folks Homes have changed a lot over the years and it's amazing how well they have advanced. Many elder seniors prefer facilities like this, where there are people their own age to socialize with.

Nursing Shortage in the US


The aging population of the United States and improvements in health care technology has created a drastic nursing shortage in the US. Other factors that have created an increased demand for nurses include the overall population growth experienced by the country and the resulting need for health care services and a decrease in the number of new nursing students currently in school.

The diminishing number of nurses has lead to the creation of good paying jobs that are difficult to find given the current economic conditions. Thanks to the dramatic improvements in medical technology in the past decade, there is a growing need for people who are both skilled and able to work in specialized positions such as managed care, hospice, skilled nursing, and home-care.

These issues, combined with the decrease in skilled nurses and growth in health care jobs means that hospitals, doctors' offices, nursing homes, and many other institutions are desperately seeking employees who are able to provide specialized care.

There is a large body of evidence that suggests that the shortage in the US is rapidly approaching a critical level. Recent research shows that the average age of RNs has increased to 42 between 1983 and 1998, and within ten years, almost half of working nurses will be over age fifty. As those nurses leave the work force, the supply of registered nurses is projected to be as much as twenty percent below demand in just ten years. The Bureau of Labor Statistics estimates that the available jobs for registered nurses will grow by more than twenty percent in the next two years, yet the number of new nursing students is steadily dropping.

So what does the nursing shortage in the US mean for those considering becoming nurses? In order to attract nurses, many health care facilities are offering significant benefits including large signing bonuses and larger than ever salaries for nurses qualified to work in specialty care areas. Even the government has recognized the potential effects of the nursing shortage, and has begun offering programs that make it more affordable than ever to complete a nursing degree.

As the nursing shortage continues to grow, the demand for nurses of all levels is likely to grow as well, raising the salaries of nurses as well. In fact, some areas of the country are seeing the salaries in specialty nursing fields such as Nurse Anesthetist and Psychiatric Nurse Practitioner rise to six figures- or more.

The demand for nurses, particularly those with skills in specialty fields, shows no sign of stopping. While many jobs are outsourced and most industries are experiencing layoffs and salary drops, the health care field continues to expand. A growing number of schools are increasing their offerings for nurses, providing more opportunities for continuing education and programs designed to meet the needs of working adults.

The nursing shortage has created jobs in one of the most personally and financially rewarding sectors of the economy, and those who enter the field now will likely see the most job security of any career in the country despite changes in the economy.

Selecting a Nursing Home - Your Guide to Finding the Right Long-Term Care Facility


The choice to place a loved one in a nursing home is often difficult, emotional, and not without misgivings. Unfortunately, once the decision has been made, the stress does not disappear. Choosing the right elder care facility is of paramount importance, and with more than 16,100 nursing homes in the country, finding the right one is a daunting task.

There is no magic formula for choosing the right long term care facility for a parent or grandparent, but following some basic steps can help make the task more manageable.

Step 1: Be Prepared
A large portion of nursing home admissions occur after a stay in the hospital, usually following an injury, surgery, or a medical scare. Because of this, you may only have 24-48 hours to find a long term care facility. This is not enough time. Being prepared and aware of your options before being placed in this situation will help to eliminate the stress, second guessing, and often overwhelming pressure. Do your research before you are forced to make a decision. A tip for the unprepared: You may be able to appeal a hospital discharge, buying you more time.

Step 2: Do Your Reading and Research
Before you make a list of nursing homes, before you visit any facilities, and before you have to choose a nursing home, you should do a little reading and research. For many, this step may be a luxury or seem unnecessary, but it is very important. Ideally in the early stages of your nursing home search, you will have time to read and review the wealth of literature, both on and off-line, about nursing homes and elder care. The American Association of Retired Persons and Medicare websites include numerous tools, articles, fact-sheets, check-lists and more. These reliable sources provide information about elder care facility inspections, the rights of nursing home residents, alternatives, payment options, and much more. Knowledge is your best tool.

Step 3: Making a List
Whether you have time to do preliminary research or not, you will need to compile a list of long term care facilities that are your options. While you may be tempted to Google nursing homes in your area, and this may be time efficient, it is not in your best interest, or the best interest of your loved one. There are a number of ways to compile a list, and rather than just using one, you should take what you find from all of them to make your final list. In terms of online tools, using Medicare's website is your best option for finding local long term care facilities. However, don't forget to ask hospital social workers or discharge planner for a list of local homes; providing this information is their job. One of your best sources for the names of nursing homes in your area is actually people that you know and trust: friends, family, doctors, or clergy. Ask for their input and consider their recommendations. Finally, you can call the Eldercare Locator (1-800-677-1116) for information about elder care facilities near you. Combining all these sources will help you come up with a list of viable nursing homes to choose from.

Step 4: Making the Visit
Before choosing a nursing home to send your loved one to, you should visit the home, more than once, to assess it in person. For your first visit, schedule a formal tour and go over basic details (what services they provide, what fees they charge). Ask to see a copy of the state's most recent inspection report. All facilities are required to provide these. Signs that the home may not be run well include the smell or urine or feces, unclean bathrooms, and residents wearing restraints. Your second visit should be on a different day, at a different time, and unannounced. Staffing often varies, and this will help you get a better picture of home the facility is operated. Asking to join the residents for a council meeting can also provide a window into their lives.

Step 5: The Choice and Beyond
Following the steps above should provide you with an accurate picture of your options. Based on the information you have gathered, the condition of the elder care facilities, the cost, proximity, etc, you should be able to make an informed decision. Here is the final, important tip: Keep visiting the elder care facility. Monitor the condition of the patient, make sure that the care plan is being followed, and let the staff know that you are an involved relative. While it may seem wrong, nursing home staff members know what residents receive regular visits, and these residents are likely to receive a little additional care, just to avoid the possibility of complaints.

An Alternative to Traditional Assisted Living


Assisted living facilities are a great resource for elderly folk in need of extra care, but they are certainly not designed for everyone. If you have an elderly loved one that is adamantly opposed to living in such a safe setting, make sure that they are aware of all of the benefits that come with assisted living. You cannot force someone strongly against assisted living into a home in the vast majority of cases, so it will benefit you to know that there are good alternatives to assisted living available. You just need to know where to go looking for this care.

One trend that is growing in the senior care community is continuing care retirement communities. This is only found in a handful of locations around the U.S., but basically, it is a way for seniors in need of assistance to get assisted living facility type help without having to leave their homes. This is a great tool for senior citizens and provides a lot more support than just basic in home care could provide. For example, your basic in home care is for only a few hours, five days per week. For many people, this is enough, but as we get older, we might end up needing a higher degree of help. If you have an untrained caregiver, this might turn out to be too overwhelming for them. Instead, make sure that your caregiver is fully trained and able to adapt to your changing needs.

Another benefit of these retirement communities is that if you are receiving in home care and your condition begins to warrant that you must move to an assisted living facility, in many cases, your caregiver can go with you. This might not seem like a big deal, but your first days in assisted living can be lonely and just plain scary. Having a familiar face there to help you through this tough transition time can make a world of difference in making you feel like you are at home.

Typical continuing care outfits can be extremely expensive. This does not need to be the case, though. Rather than living in a senior community with a lot of on-site amenities, you can remain in your own home and have a caregiver come to you, even if you don't live in a specially created senior living community. Senior living is a great concept, but again, it's not for everyone. Most people want to avoid moving as much as possible. This is why staying in the home until more intensive care is needed is a great option. This concept has been practiced for a while, but is starting to become more and more popular across the U.S.

Can I Make My Mom Happy?


I had an email once from a Jewish family whose elderly mother had moved from Brooklyn to Florida.

"Our mother doesn't seem to be enjoying Florida. Her former friends ignore her and won't spend time with her. She's very upset. We're thinking of bringing her to Israel to live in an assisted living home near us. Do you think she'll be happy here?"

The question of a parent's happiness is one that troubles good children. When they think about what would work for their mother or father in old age, they wonder about the happiness factor. That's because they're considerate adults who want happiness for that parent.

My answer to that email was to ask what capacity had their mother shown for happiness so far in her life. Being happy, or not, is only partially to do with circumstances. It tends also to be deeply connected with each person's generosity of spirit, lack of resentment and general willingness to deal with the difficulties of life.

If your elderly parent has shown a general tendency in life to embrace happiness, contentment, warm relationships with others and a non-blaming attitude, the chances are good that your good choices in care will help restore temporarily-disrupted happiness.

If your parent has tended not to be particularly happy in general throughout your life, this is likely to continue. In fact, perhaps unfairly, I tend to assume that when someone asks me if an action would make their parent happy, the answer is almost bound to be "No."

That's because asking that question suggests to me their parent habitually is not happy. So how do we choose a good setting for our parent's old age? Consider the following.

Five Home Possibilities:
1. Living with you;
2. Living next door to you;
3. Living in independent-yet-sheltered housing;
4. Living elsewhere, with a care-manager or friend overseeing;
5. Living in assisted living.

Never feel guilty about not taking a parent home with you. Let's face it, you know how they are. So you know whether their presence helps your happiness, let alone theirs.

Don't make the mistake of taking a parent into your house but continuing to live a largely absent uninvolved lifestyle. That almost guarantees unhappiness, because they'll be lonely.

Besides which, frankly, you flatter yourself if you think your presence will be enough to keep your parents happy. No, they want a life like the life they want. It's probably slower. It involves a different culture, music, food, activities. Even if they like their grandchildren, they may not do well with their lifestyle all around them.

I'm not saying old people should live apart. Not at all. Over my years as a caregiver to elders, however, I have learned the comfort they get from their way of living. I was always pretty much against generational separation. Now I do see that there is a generational comfort level going on when people have shared similar times and similar history.

If you make the move to bring your parents into your own home, be sure they can mix with other elders and that you are clear about maintaining your own lifestyle. If that prospect doesn't lift your heart to think about, then don't even think about doing it.

Consider possibilities 3, 4 and 5 instead. Don't make your parents' happiness your goal. Make their safety, health and welfare your target.

Leave happiness to them to sort out. That is, after all, their responsibility.

Choosing Care Homes in Scotland - Edinburgh Care Homes


If you're looking for a care home in Scotland, you'll find plenty to choose from no matter which area you want to live in. This article looks at Edinburgh and some of the care homes in this attractive city.

Edinburgh, the capital of Scotland, is best-known for its historic Old Town, which includes its most famous landmark, Edinburgh Castle, on the Royal Mile. Much of Edinburgh has been designated a UNESCO World Heritage Site, because of its historical significance, but it also has excellent contemporary amenities including shops, restaurants, cafes and cinemas. The city is also famous for its annual Edinburgh Festival, which attracts world-class comedians, dancers, musicians and authors, and also includes the Military Tattoo.

You'll find many different types of care home to choose from in Edinburgh including residential care homes, care homes with nursing and specialist care homes. Care Homes in Edinburgh

Edinburgh has a wide range of residential care homes. Clermiston House (93 Parkgrove Terrace, Edinburgh) is a large residential home, operated by the City of Edinburgh Council. This five-story, purpose-built care home offers single rooms which have their own washbasins, but residents share bathrooms. There are a number of communal rooms and Clermiston House also incorporates a day center.

There are plenty of activities on offer in the care home and day-trips are also arranged. A hairdresser visits the home twice each week and a mobile library services also makes regular visits.

Edinburgh also has some excellent nursing homes. Ashley Court (33 Craighouse Terrace, Edinburgh), for example, is a 60-bedded care home with nursing, located in the residential district of Morningside in the south-west of Edinburgh.

This nursing home, operated by the Randolph Hill Group, is purpose-built and has 50 single and 5 double bedrooms, all of which are en-suite. There are communal lounges and three dining rooms, and residents can also enjoy the home's private, landscaped gardens. There is a varied program of activities, and the home organizes regular outings in the company minibus.

The home is staffed by qualified nurses and carers, who are available 24 hours a day, and all bedrooms have a nurse call system for peace of mind.

Specialist care homes in Edinburgh include: * CIC Drummond Place (40/1, 40/2, 40/3 Drummond Place, Edinburgh) - a small facility in a town house which has been divided into 3 flats for 8 people with learning difficulties, autism and epilepsy. Carers are available 24 hours per day.

* Leonard Cheshire (161 - 163 Newhaven Road, Edinburgh) - a 7-bedded care home for adults with physical disabilities. The care home is operated by Leonard Cheshire Services and is located in a residential area of the city.

* Barony House (13a/13b Dublin Street, Edinburgh) - a 9-bedded care home for adults with mental health problems. Carers are available 24 hours per day and the home is operated by the Barony Housing Association.

Tuesday, October 8, 2013

10 Ways to Stay Mentally Active


I decided to write this article after an experience I had when I went home for Thanksgiving. I'm a Licensed Nursing Home Administrator with a passion for taking care of the elderly...both at work and at home... both strangers and family.

My mom, who is approaching 60, has left her keys in the keyhole on the outside of the door to her condo several times... Overnight Even!! Scary, huh?

When I went home for Thanksgiving, I noticed she has written "KEYS" on a piece of tape and stuck it to the inside of the door at eye level. Of course, this will only be a reminder for a short period of time (evidenced by the fact that she left them on the outside while we were visiting!), because this tape will become part of the door, thereby causing her to no longer notice it.

Aging can be a frightening process for some. Some may see the downside to aging as less physical mobility, mental decline, and illnesses. As we all know, however, there is certainly an upside, which includes more financial stability, retirement, and grandchildren! There are several ways to ensure more pros than cons when it comes to aging. One way would be to...

Stay mentally active!

Your lifestyle may be the key to slowing cognitive decline. Studies have shown that older adults who are cognitively active were 2.6 times less likely to develop Alzheimer's Disease and Dementia than those who were not.

The following list spells out 10 ways to stay mentally active.

1. Crossword Puzzles: Stimulates the brain, which can cause us to grow more neurons

2. Attend Lectures: Forces the brain to do a different kind of mental processing by listening to very new information

3. Go to Plays: Forces the brain to do a different kind of mental processing by listening to and watching something very new

4. Read and Write Daily: Preserves cognitive function

5. Gardening: M.Vaccae, a harmless bacteria found in soil, activates brain cells to release mood-lifting chemicals

6. Board Games: Stimulates the brain, which can cause us to grow more neurons

7. Video Games: Stimulates the brain, which can cause us to grow more neurons

8. Stay Curious and Involved: Exposes you to the opportunity to learn something new, which will force the brain to do a different kind of mental processing

9. Enroll in a Course/Class: Forces the brain to do a different kind of mental processing by studying and applying a new skill

10. Remain Socially Active: Makes mental activity enjoyable and can reduce stress hormone levels, which helps maintain healthy connections among brain cells

All of these activities have a bonus effect besides brain stimulation: They are all confidence and self-esteem boosters. If nothing else is gained, you're sure to have fun!

Qualities Needed to Become a Nursing Assistant


Do you have an overwhelming desire to help people? Are you compassionate? If you answer yes to both questions then you have the perfect qualities to become a nurse assistant. The position of a nurse assistant is not easy but it is rewarding. When you first become an assistant you may feel overwhelmed by the amount of work you are expected to do and the fast pace you are expected to do it. However once the work is done you will always feel a satisfaction that will only motivate you to work harder and become more compassionate towards the people you are taking care of.

When you decide to become a nurses assistant you must be serious and zealous about your work. If you choose the job just because it is a well paid job, then it may not be for you. You can't accept the responsibly of the job and then be lazy or behave rudely to your patients just because you have to much work or you don't like the people assigned to you. When you do not do your job with satisfaction, unfortunately the ones who suffer are the patients, the people you are supposed to be helping to feel better.

If you are a hundred percent positive that you want to become a nursing assistant you must have an almost never ending supply of patience and maturity. Why is patient and maturity necessary? When you become a nurse assistant, everyday you will experience task that will put your patience and maturity level to the test. (When you work in hospitals or in nursing homes, you will often come face to face with patients that are verbally and physically abusive towards doctors, nurses, and nurse assistants.) Another important quality you must posses is strong communications skills and the ability to work well with others. Teamwork is a necessity in the medical field, therefore if you prefer working alone then unfortunately a career as a nurse assistant is not for you.

Know that you know all the qualities a nurse assistant must posses; let's discuss what you need to become a nurse assistant. The process of becoming a nurse assistant is different for every person; depending on the place you want to work (Hospitals, clinics, or nursing homes are the most common places.)

Often, healthcare facilities will advertise free paid train courses in newspapers, this means that you study and work at the same time. (Qualified candidates usually do not have any kind of experience in the medical field.) You can also attend classes on community colleges or the Red Cross. Wile this classes last longer and are more detailed you will have to pay anywhere from $300 to $600.

Once you find a suitable program for you, learn as much as possible. However, keep in mind that nurse assistants perfect there skills mostly through hands on care. (While you are doing the actual process.) If you read this article and decided you have what it takes, then don't waist any more time. There are hundreds of sick people you can help.

Senior Assistance - Identifying Needs While Maintaining Dignity, Independence and Participation


Discussing issues regarding assisted living or long-term care services, home safety, personal finances, personal hygiene requirements and funeral arrangements is not an easy conversation to have but it is an important one if you want to help your loved ones ease into successful retirement options. When implementing the changes it must leave your loved one feeling that their dignity is intact, they still have the freedom to make their own choices and are actively participating in the process.

These issues are becoming more and more relevant because Canada Statistics is showing the senior population is growing at a rapid pace with 25% of our population being in the 70+-age range by the year 2016. What this means is many of us will be finding ourselves in the position of dealing with these issues while balancing current workloads and family responsibilities.

In talking with seniors, they too feel the inadequacy of not being able to do as much as they used too. They recognize they have a hard time asking for assistance because they do not want to be a burden. They feel embarrassed about the betrayal of loss of their bodily functions and the awkwardness of receiving help in ways they used to do in raising their children. They know they need help but feel most uncomfortable asking for it. After all, they have been the leaders and doers for most of our lives and taking a step back is not easy to do. The fear of loss of dignity weighs heavy on the heart.

So how can you assist your loved one with the least amount of emotional turmoil and the greatest level of success? Remain focused on the importance of your loved ones need to maintain their dignity, independence, and need to participate when exploring the available options of home health care.

Ask your loved one what they think they need, how much they need and when they think they will be needing it in order to help them to retain their dignity. Great listening skills and repeating back what you have heard is a very important and a special gift you can give them. The rewards, in the long term, will be open lines of communication.

It is vital to understand that the moment we come out of the womb we embark on our life long road of independence. The aging process attempts to remove this from us creating emotions of depression and fear. Each of us gains our sense of self worth from the tasks and activities we are able to accomplish. Maintaining this, even on a small scale, is very important to good mental health and maintaining a semblance of dignity. Ask your loved ones what they feel they can still do, how much of it they can do, and what assistance they would feel comfortable with to maintain their independence. Add your own concerns, based upon observations, and work together on a plan to resolve all challenges in the most effective manner.

Finally, have your loved ones participate in the role of their own care to the level they can manage. They may not be able to make an entire meal but maybe they can still sit at a table and assist in the preparations. They may not be able to lift heavy boxes but they can still direct where they want the boxes to go. They may not be able to walk a marathon but maybe a walk in the park or simply up and down the driveway to retrieve the mail is still manageable.

Maintaining strong social interactions and the awareness in their own abilities is critical in maintaining strong mental health. Learning to do for our loved ones only what is needed, not what they can still do for themselves, removes their fear of loss of control. This will go a long way to helping loved ones in maintaining personal independence for as long a time as possible.

Where Do You Stand on the Breast Cancer Issue?


According to research, breast cancer is a hundred times more frequent in women than in men. In the US, is one of the most commonly diagnosed cancers among women. Male breast cancer is rare on the other hand. In fact, it only comprises about 1% of all cases. Considering the figures presented, this issue is something that we must not take for granted.

Symptoms vary. One of these includes the formation of a lump or a non-painful mass just below the nipple area. There are times some people experience pain and swelling of their breast. Changes in the skin may also take place in the areas around the nipple. This consists of the nipple's redness, scaling and retraction. Also, there could be instances of dark fluid/bloody discharge. When you think you are experiencing any one of these symptoms, it is best to undergo a breast cancer checkup. At present, there are many related examinations which could help correctly diagnose your condition. Although cancer is one of the leading causes of death, treatment is available.

As people get older, the possibility of getting breast cancer increases. In order to decrease the possibility of acquiring this kind of cancer, we have to undergo regular screening tests. Annual mammogram and breast examination enables early detection of any breast cancer sign. In addition to this, we should also understand our risk factors. Here are the groups of people who are more likely to acquire breast cancer.

1. People with personal or family history cancer should be more cautious. Even if a person is already cured, cancer cells may come back.
2. Can be inherited. A person is most likely to inherited through his genes.
3. Women who had their menstruation before the age of 12 and those who went through menopausal period after 55 have an increased possibilities . This is because they have been more exposed to ovarian hormones.
4. White women are more likely to have it than Latinas, Asians and Afro-Americans.
5. Women who never got pregnant and those who were able to have their first full term pregnancy over the age of 30 are more likely to have breast cancer. A full term pregnancy offers protection since it ceases menstruation for nine months.

These are some of the facts which can certainly increase your level of awareness regarding the breast cancer issue. It is always better to be well informed especially if it is regarding health matters. Being familiar with the early signs and symptoms can stop the cancer from developing. Also, when a person is aware of his chances of getting it, he may be able to adjust his lifestyle for his own good. This is also considered as a form of prevention. Through educating ourselves with these simple but important information, we may be able to save ourselves or our loved ones.

Why Money Worries Are Keeping Seniors Up at Night and Hurting Their Health


If you are feeling like Chicken Little, you have every right to feel this way. With seniors seeing all of their hard earned nest egg disappearing they are in a crisis and they are feel the pain? This article was taken from a noted person who deals with the senior's health issues on a Daily basis.

I want to thank them for bring this issue out so many can get the help they need. If and when you are felling like you have no options think about this. You work you entire life to pay for your home, let it pay you now and not worry about what you are going to leave your family. Think about how they will feel if you are financially doing well, and can afford to live without being a burden on them.

You can accomplish this by receiving a Reverse Mortgage. It often is at the moment when an elderly patient is about to be discharged from the hospital that he or she first faces the prospect of having to pay the total long-term expenses of either nursing-home or home care services.

This easily can come to $50,000 or more a year -- at a time when the primary objective for any patient and family should be excellent care and emotional support, not a desperate fight to preserve one's income and savings. It widely is known among older Americans, their families and their friends that a long-term illness could wipe out a patient's savings. Long-term care includes many different support services aimed at helping chronically ill patients either in their homes or in a nursing home.

Medicare does not pay for long-term care. The only government assistance for the expense of long-term care is the health insurance for the poor, Medicaid. Tragically, some families would rather risk substandard facilities for their loved ones rather than choose the Medicaid option. As a former investigator for the New York State Attorney General's Medicaid Fraud Control Unit, I have seen firsthand many victims of the system.

One elderly woman, who was not poor enough to qualify for Medicaid, was exhumed from her final resting place to determine whether she had been starved to death by the operator of an illegal nursing home whose monthly fees were less than half of its licensed competitors. Unfortunately, this case is not an isolated example of a family under duress resorting to underground providers of care to shield a loved one's assets. Long-term care, whether at home or in a nursing home, often can wipe out the life savings of a chronically ill patient in one year or less.

Under current eligibility rules for Medicaid coverage of long-term nursing care, a recipient usually may not have assets in excess of $2,000. This has led many Americans to manipulate the Medicaid system by transferring assets to heirs and beneficiaries in an effort to avoid spending their life savings on nursing-home care. Some Americans, desperate to preserve an estate, have taken extreme measures such as divorce or spousal refusal, whereby one spouse refuses to pay for the long-term care needs of the other.

Some have been able to use loopholes in the Medicaid system to transfer part of their life savings before they apply for Medicaid. Others have stopped saving and simply spend all of their income without regard for the future. In effect, some people are using Medicaid as their long-term care insurer, while others who do not game the system are systematically impoverished as they pay privately for their own care.

Then, having finally qualified, these people are reduced to a state of humiliating poverty and dependence on government support. Many cannot afford to pay the transportation costs of visits from their relatives or to upgrade their living quarters. This perverse system rewards deception and punishes law-abiding citizens. Financing long-term care is supposed to be the responsibility of the patient.

In reality, the burden falls on the taxpayer, because the payments for almost 70 percent of the long-term care needs of older patients are paid for by Medicare and Medicaid. Many hardworking and independent older Americans in need of long-term care have contributed a lifetime of energy and dedication to their communities and the country. These people and their families do not want to be on medical welfare. The optimal solution for improving long-term care is a dramatic increase in the number of private payers.

The Institute for Social Economic Studies has developed a proposal to solve this problem. Under the institute's plan, every dollar paid out by the patient would protect a dollar's worth of assets from the draconian requirements of Medicaid eligibility. For example, if a patient with life savings and property totaling $100,000 spent $50,000 for long-term care, the remaining $50,000 of assets would be protected from eligibility rules, providing the patient would otherwise qualify for Medicaid. Although some of a patient's assets would be protected, all of a patient's income would be used to pay for long-term care under this plan.

In addition, to further promote private funding, this plan would protect all of a patient's remaining assets (not income) after he or she pays for three years of nursing-home care or six years of full-time home care. Under this arrangement; elderly patient not their relatives would have control over their hard earned savings and could use them to purchase personal items and luxuries currently out of reach to many. The numbers of older Americans will more than double in the next 32 years. By year 2030, the elderly will account for 20 percent of the population and number more than 80 million. It is urgent that we develop a solution for long-term care now.

If we don't act, everyone -- workers, our children, our parents and our grandparents could pay a severe price. Let's avoid this tragedy while time is still on our side by older seniors who own homes receiving proceed from a Reverse Mortgage they can shield themselves from financial disaster.

Some are having trouble sleeping, she says, others are not eating well, and a few have taken up smoking again. But most say they no longer feel in control of their financial future and well-being after the wild market swings of the past few weeks. Constant news reports on home foreclosures, bank failures, the credit crunch, a $700 billion bailout for the financial industry and the steady erosion of retirement savings have jolted anxious and easygoing types alike. But for those nearer to retirement, or living on fixed incomes, the stakes are higher-and so are stress levels. According to an American Psychological Association (APA) poll released in October, the miserable economy "significantly stressed" a whopping 80 percent of Americans in September, up from 66 percent in April. The survey compared the stress levels of more than 2,500 adults nationwide.

Among the respondents, women reportedly felt more anguish about declining economic conditions than men did-84 percent compared with 75 percent. And those over age 63 reported more stress (86 percent) than boomers ages 44 to 62 (83 percent) and those ages 18 to 29 (71 percent). However, when it came to day-to-day pocketbook issues, the youngest age group (83 percent) reported being more worried than boomers (79 percent) and those 63-plus (73 percent). A separate survey of working adults, released Oct. 27, found that 92 percent said financial worries were keeping them up at night.

The poll of 1,137 people, conducted by Com Psych, a provider of employee assistance programs, said the biggest concern for respondents was the high cost of living (30 percent),credit card debt (29 percent), mortgage payments (14 percent) and declining retirement accounts (13 percent). Alan Keck, a psychologist in Altamonte Springs, Fla., says the mounting stress his clients are carrying has "complicated their treatment." He hears growing complaints about sleep disturbances, unintended weight loss, depressed mood and obsessive thoughts. "I can tell you that the economy has played havoc with the plans of a few of my clients-everything from delaying the completion of the divorce process because of inability to sell a jointly owned house, to full-blown anxiety and depression syndromes over threatened loss of retirement savings," he says.

For older workers, a declining portfolio can be enough to provoke fear and panic. One woman in her 60s, who is planning to retire in two years, says she gave in to that fear two weeks ago when she bailed out of the stock market and opted for safer investments in money market funds and CDs. "I was constantly worried that I might lose what I've built up," says the woman, a publishing industry professional who asked to remain anonymous. "I don't know if I did the right thing by pulling out of the market; we'll see how things shake out.

I just wanted to preserve what I had. Uncertainty when you're nearing retirement is very stressful." So in closing I want to again thank them for posting this article to help seniors around the world know that they are not alone. To find out how you can increase the money you need for retirement and how a Reverse Mortgage can help stabilize your future see the facts.