Advantages and Disadvantages of Long Term Care Insurance

Should You Buy Long Term Care Insurance?

Most people start thinking about the possibility of needing nursing care asf they hit middle age. Many have family or family who needed home health care, assisted living, or a nursing home. At this time, people learn about the high cost of long term care, and they wonder how it gets paid for.

Consider this. Full time nursing homes can cost $50,000 a year or more. Home health care may not be that much less, depending upon the amount of services needed. Assisted living facilities cost less, but may still be a lot more than it costs to live on your own. And the government estimates that 40% of people who turn 65 will need some sort of nursing care during retirement years.

How does this get paid for? Medicare, the federal health insurance for seniors and disabled people, only pays for short term care. Medicaid does pay for nursing homes, and in fact pays for half of all of thee costs in the US. But in order to qualify for Medicaid, a person has to deplete most of their assets.

So some people purchase a long term care insurance (LTCi) policy because they want to protect their savings in case they need to go to a nursing home. There are also alternative ways to plan for this which other choose. And many people have not done any planning at all.

Disadvantages of Long Term Care Insurance

Who do some people choose LTCi alternatives? Why do many people do nothing? Look at some things that they may consider.

Insurance exists to manage risks. When you purchase an auto insurance policy, you hope you will not have to use it. With most LTC policies, it is the same. You could pay premiums for years, never need it, and get nothing out of your policy except the security of knowing you have it. Some LTC policies may have a return of premium feature but it is not common.

LTCi policies are complicated, and there are many different types. Some are more useful and flexible than others. So some types of coverage may not help you for the particular situation you are in. For instance, you may have purchased a policy that only covers a nursing home. But an illness may only require adult day care or home health care. Again, some policies will cover different types of care so you, or your family, can make a choice when the time comes.

Premiums are lower for younger and healthier people, but can go up over time. If you cannot afford to pay premiums when you get older, it will not do you any good if you have to discontinue coverage. You have to make sure that you can afford the policy.

Advantages of Long Term Care Insurance

Of course, a lot of people do think LTCi is a great choice to make sure they have protected their assets.. And some features may even help them before they ever need to use it.

Some policies are tax deductible. Tax qualified plans can be deducted when you file taxes now. This makes the real cost of premiums lower than the price a company charges.

Assets are protected. If you want to preserve a lifetime of savings for yourself, your spouse, or your heirs, long term care is one obvious way to do this. With the right policy, you will not be forced to spend down your entire estate before you qualify for Medicaid.

You will have choices. Not every nursing facility or provider accepts Medicaid. You will be able to choose your private nursing home, assisted living facility, or home health care provider without worrying if they accept Medicaid payments. Some policies even offset the cost of care that is provided by family members.

How to Shop For Long Term Care Policies

It is important to understand how various policies work, how much they will cost, and which one will be the best plan for you. An experienced insurance agent can help you. You can also start looking by using a convenient online long term care insurance quote form. This will allow you to see competitive policies that are sold in your own local area.

Sundowning and Seniors With Alzheimer's

Understanding my own Grandmother's absentmindedness in the beginning stages of her dementia was relatively easy. When she began to hallucinate is when things started to turn for the worse. I was walking with her in her assisted living facility when she told me about a recent hallucination.

"The other day, late in the afternoon, perhaps it was early evening, 3 people came into my room asking if they could share my bed and live with me," she said. "They had to ask Nancy (the admittance lady) first but I told them we couldn't all fit and they could not stay. I saw them as clear as day and then they vanished! It was then I recognized that perhaps they weren't real. But it sure seemed it was."

No wanting to upset my Grandmother, I said "I'm glad you recognized that!" Grandma said she agreed.

Those afternoon hallucinations marked the beginning of sundowning- early evening or late afternoon confusion in individuals with memory impairment or dementia. Regrettably, sundowning is not just hallucinations, it can be irrational ideas, agitation, wandering, and confusing dreams and reality. At times, people sundowning may become upset, suspicious, demanding, or disoriented.

My Grandmother did have a number of these behaviors. At one point she began to think people were robbing her room in the middle of the night while she slept. She began to forget names and people she'd known for years. She also began to shadowing me when I came to visit on a few occasions. She followed me so close that I almost tripped over her a few times, and telling some of the same stories again and again. So, what are some causes of sundowning?

Mental and physical exhaustion are two primary causes, in accordance to the Alzheimer's Association. Poor indoor and diminishing afternoon day light also contributes to sundowning. Another found cause are daytime naps.

LOOK OVER MEDICATION. A physician should review the medications as some may lead to sundowning. They also may prescribe a medication for sleep in order to prevent sundowning.

NAPPING IS DISCOURAGED. Daytime naps should be replaced with walking, group activities or some pet-therapy. After my Grandmother was unable to read she was still delighted listening to them read. One reader read a suspense-thriller. "I can't remember the title," my Grandmother said, "but it's got me on the edge of my seat."

STAY AWAY FROM CAFFEINE. Individuals with memory disease should abstain from caffeine. They also should not drink alcohol.

IMPROVE THE LIGHTING. People walking around the halls may be searching for the restroom, so be certain that all hallways have plenty of light. Night-lights also help the residents safely find the restroom.

LOWER AMBIANCE NOISE. Loud TVs, a blaring radio, and the noise of lots of people talking, can very well disturb and upset people with memory disease. Radios and TVs can be substituted with soothing CD music. Some facilities have a volunteer who comes in to play music and sing for residents.

REASSURE SECURITY. If the individual is concerned and upset about the hallucinations, be sure to assure them that they are in a secure and safe place where they are loved.

What Constitutes Nursing Home Abuse

It is a federal, criminal offense to deprive nursing home residents of their freedom from abuse, neglect and misappropriation of property or funds. The laws apply to visitors, facility staff, volunteers, family
members, guardians and other residents.

The Nursing Home Reform Act of 1987 entitles residents to live in an environment that improves or maintains their physical and mental health.

What is Abuse?

Nursing home abuse is any act that causes intentional harm or pain and can include psychological, physical or sexual attacks. Also included are intimidation, seclusion and corporal punishment (hitting, slapping, etc.).

Mental, psychological or emotional abuse may include berating, ridiculing, cursing, threatening, ignoring or deprivation of food, activities or visitors.

Physical abuse can result in both pain and visible injuries as a result of slapping, scratching, hitting, shoving, pinching, rough handling, unnecessary immobilization, or substandard care.

Rough handling may occur while administering medication, moving the patient or during other types of care such as bathing.

Substandard care often results in pressure sores, also known as bed sores, depression, incontinence or dehydration. In severe cases, more than one of these conditions are present.

Sexual abuse can occur as coercion to perform a sexual act, rape, improper touching or being forced to watch a sexual act.

What Qualifies as Neglect?

Nursing home neglect doesn't need to be intentional. It's the failure to provide the appropriate level of care, including the failure to react to any situation that can result in the resident's harm, such as failure to:

Promptly change disposable briefs or provide access to bed pan/toilet

Assist with eating, drinking, walking, bathing

Answer cries for help or call bells

Help resident participate in activities

Correctly position the resident in bed

Reporting an Incident

Your report should be in writing and dated. Keep a copy! Include every detail including the resident's name and age, facility name, employee(s), what, where, when, and all signs of abuse or neglect.

Start your complaint with the director of nursing, social worker and the facility's administrator. Ask them what, if any, other steps must be taken to have the incident investigated.

If a serious physical injury has occurred, contact law enforcement.

If the situation remains unresolved, contact your state ombudsman, local adult protective services agency and the state licensing agency.

Follow-up with the resident and all people or agencies investigating the incident. If possible, obtain written copies of the results of all investigations.

Movie Review - Detachment (2012) (Not Rated)

Desperation and Despondency as a Wakeup Call

I had no idea how ill prepared I was to experience Detachment. Here is a film that plunges headfirst into the depths of disillusionment, despair, and failure and almost never resurfaces for air. You will experience emotions normally repressed during movie watching. You will be saddened, shocked, and above all, angered. You will see things you wouldn't ever want to see and hear things that should never be heard. You will wade through a sea of bleakness, desperately searching for some small shred of hope to cling on to. At the end of it all, you will be so psychologically drained that, for a time, it may seem as if you will never be happy again. At the same time, you will also get to thinking, and that's exactly why I'm recommending this movie so highly.

A few months ago, I snubbed my nose at the critically acclaimed thriller The Grey, an equally hopeless and depressing but also nihilistic story about men who must fight against wolves, and themselves, in the snowy Alaskan wilderness. Unlike that film, which reduced its compelling ideas into a cheap and shallow thriller, Detachment uses its desperation and despondency to make a point. I don't see it as a movie so much as a wakeup call, a way for audiences to understand not just the world but themselves as well. At its essence, it's an examination of behaviors that are perpetuated by people that have the power to stop it. It might not seem like they have the power. In fact, it might seem like absolutely everything is working against them. There's no question that rising above adversity is a challenge. Nevertheless, it's one that must be faced.

The main setting is an inner city public high school, one that exemplifies with horrifying detail the failure of the No Child Left Behind act of 2001. Most of the students are poorly educated, violent, and foulmouthed. They have no respect for others, but more to the point, they have no respect for themselves. They have, in fact, degenerated into pure apathy. This has rubbed off on the faculty, for they know that all their years of teaching and guidance haven't made the slightest difference. They're constantly berated by furious parents for being so lousy at their jobs. It's almost as if they have relinquished themselves of the responsibility of actually raising their own children. Is your son or daughter a problem? Don't take the necessary steps of working towards a solution - simply dump them off at school and let the teachers do the dirty work.

Bearing witness to all of this is a substitute teacher Henry Barthes (Adrien Brody). He struggles to make a difference, all the while knowing that he's failing miserably. He sees nothing but people who have given up, and he's within of inch of giving up on himself. His personal life is a mess; his grandfather (Louis Zorich), in the advances states of some kind of dementia, languishes in a nursing home staffed by people who simply don't care. He has flashbacks of a childhood scarred by the absence of a father, an alcoholic mother, and a deep tragedy. He eventually takes in an underage prostitute named Erica (Sami Gayle). He's saddened by her situation and even helps her in a few important regards, but he doesn't coddle her like a frightened puppy. He wants to get through to her that she has value as a person, that she's so much better than giving oral sex to men on the bus. He's also tortured by the fact that their arrangement can't last forever.

Several distinguished actors make appearances in this film, mostly as faculty members. These would include Marcia Gay Harden, Tim Blake Nelson, James Caan, Lucy Liu, Blythe Danner, Christina Hendricks, Isiah Whitlock, Jr., Bryan Cranston, and William Petersen. All are in various stages of professional and personal breakdown; Nelson plays a teacher who isn't noticed by anyone, Caan plays an administrator who can only get through the day on medication and biting wit, and Harden plays a woman who knows that the end is near. In one of the best scenes, Liu lashes out at a student for her disrespect and indifference at her own future. She gets nothing but kids like this day in and day out. What is the point of pointing out their academic shortcomings when they obviously won't take the steps to better themselves?

Of all the actors that appeared in the film, the most compelling is Betty Kaye as a student named Meredith, who observes the school through the lens of her camera. She creates dark collages with her photos. Her creativity is labeled by her unseen but clearly heard father as unnecessary teen angst. Believing only beautiful people are worthy of attention, he cruelly harps on her about her overeating, the way she dresses, and her social isolation. Meredith, an intelligent young woman, makes a connection with Barthes. Unfortunately, her self-esteem is so low that she misinterprets his encouragement as personal affection.

The film intercuts linear scenes with multiple narrative techniques, none more resonant than Barthes' documentary-style confessionals. The final scene begins with him reading the opening sentences from Edgar Allan Poe's "The Fall of the House of Usher," which should already tell you everything you need to know. The message of Detachment is simply one of responsibility and caring. If you're a parent, nurture your children and allow them to be themselves. Don't expect a school system to raise them for you - as they say, education begins at home. Before you point out someone else's flaws, first recognize your own. Understand that you're not perfect. Be thoughtful of others. And above all, know that you matter. There is no tragedy deeper than giving up on yourself.

Permanent Jobs For People Taking Care Of The Old Folk

With more people than ever surviving well past the ubiquitous three score years and ten (70), it has become apparent that not all of these people will be able to care for themselves full-time. Centers which cater only for older people are many, so this is possibly a good choice for a career. Nursing home jobs are nearly always being advertised and once someone has tried this out, they often go on to get more qualifications to enhance their career. A nursing home job could be just about anything, although the one thing that they have in common is that they will have close contact with the elderly.

Although the doctors and nurses employed by these places will take care of the medical needs of the inhabitants, there are many other positions which have to be filled to make sure that their lives are comfortable. Cleaners and housekeepers will keep the environment in good order while receptionists and social workers will ensure that the guests get all the information that they need. Visitors too will need some guidance and all of these jobs are available for those who just want to work around the older folk.

Nutritionists have a very important role to play of course, since the elderly often have a bad appetite or an inability to take certain foods, it is important that anything they eat is packed with nutrients enough to suffice their daily needs. Making it attractive and tempting too is also an art which should see them wanting to eat whatever is put in front of them. The nutritionist will certainly have a bachelors' degree in dietetics before they get a license to practice so this could take some time to achieve. Clever people start working in a home and study in their spare time so that they can achieve this important goal. Of course, this should make it much easier for them because they will get an insight into what an older person is like.

Social workers, on the other hand, ensure that the person is getting the care and treatment that they should have. Abuse is known to rear its ugly head in some places so the social worker is really an advocate for the elderly. They must have a masters' degree to fill this kind of position but once they have it, the salary is not so bad.

The one thing about working in a place like this is that the older person usually has a lot to impart to the younger generation. Stories of the past are like a living history of where we all came from and can be very interesting if they are given the opportunity to let everyone know.

As long as they are treated like human beings, and not some nuisance that is being kept just until they pass on, these people should be able to live out their lives peacefully and comfortably. With the help of all the ancillary workers, they should now be treated with respect for the last days of their lives.

Advantages of Assisted Living Homes

Everyone needs some kind of help at one point or another in their lives. Taking that help can be somewhat of a shot in the arm when it comes to pride. Assisted living homes allow the elder adult to keep their pride while accepting the help that they need.

There are tons of advantages to living in assisted living homes. There are several different models to choose from that are ideally situated to all personality types.

Companionship - Number One Advantage of Living Assisted

The truth of the matter is that with aging comes loneliness. Elderly people sometimes feel isolated and alone. Their children have long ago moved away and now have children and sometimes grandchildren of their own. Many older people simply feel forgotten in the busy lives of their families. By far the greatest advantage of living in one of the assisted living homes is companionship. This can literally make or break the quality of life. Having folks that have similar memories and histories living nearby or in the same home can really bolster the quality of life.

Making friends at any age and feeling like you are part of a group is sure to promote a thriving atmosphere. In addition to the friendships that are forged there is of course staff that is ever present that can provide advice, companionship, medication supervision and provide a doorway to an active lifestyle. Knowing that someone is there is a big part of the assisted living lifestyle.

Activities and Services

Assisted living homes usually have a full itinerary of activities that are available for participation. Of course the participation is not mandatory but many folks are geared up and ready to have some fun. Many elder adults can no longer drive, and one of the great features of living in assisted environment is the ability to be shuttled around, instead of waiting for a friend or relative to stop by for running errands, shopping, and visiting the doctor.

No one likes to be a burden; living in an assisted living environment removes that feeling of burdening someone else. It is all part of the agreement. Getting to the doctors when you need to get there is taken care of. Getting to the hair dresser or the barber shop is also taken care of.

Many homes plan day trips and some even offer extended trips. There are usually classes that are offered and exercise programs. Things that most elder adults would never venture to do on their own suddenly seem very possible in the group home environment.

Supervision

In some cases supervision is really needed. Adult group homes offer supervision without intrusion. This is an ideal situation for folks that really want to remain independence but can use a little overseeing.

There are so many advantages to living in one of the many adult group homes. They can really provide the perfect answer for the elder adult that can use a little help in life.

Assisted Living: Facing the Choice

There may come a time in your life when you will want to or have to care for an elderly parent or loved one at home. In moments like these, a senior's health can be uncertain and can turn downward quickly and deteriorate. You may not be able to manage the amount of care and attention that's now needed. That's when you will be at a crossroad not knowing which direction to take. Do you continue caring for them or do you find them an assisted living facility? When facing the choice where to move their loved one into an assisted living facility or skilled nursing facility certainly isn't a decision that should be made hastily. Because there is no certain age criteria, one must look at the actual their physical and emotional health of the person in consideration.

What Is an Assisted Living Facility?

The Department of Public Health in California licenses all assisted living facilities, also commonly known and licensed as Residential Care Facilities for the Elderly. Most of these assisted living facilities provide 24-hour guardian care and attention. Some facilities may have a certified RN nurse that can offer skilled nursing when and if needed. In many cases these facilities are Medi-Cal and are Medicare certified. Some only accept private funds.

Outside a medical facility, an assisted living facility offers the maximal level of care offered for elder adults. The staff assists the residents with meals, getting dressed, bathing, getting in and out of bed, as well as assistance with administering medication. The facilities often have a weekly calendar of planned activities and social gatherings.

Indicators of Possible Assisted Living Admission

If your loved one is moving out of their home for the first time, it can be very traumatic to the individual relocating. In either case, expect some opposition especially if there are some distinguished "warning signs" that it's time to consider the move. Please note that only a doctor can detect the correct indications of an assisted living facility. When uncertain, contact their primary physician right away:

• Disability: Seniors whom are physically disabled will benefit from this type of support. Ones who have limited mobility or that are utilizing wheelchairs will have more difficulty performing even simple tasks. Staff can help with taking care of personal needs, moving from one place to another and assist with walking without risking injury.


• Ill health: Frequent hospitalizations or requiring constant observation because of an affliction, then consider a skilled nursing facility rather than an assisted living facility. Other life-threatening health problems such as a stroke, heart attack or hip fracture are also indicators that your loved one needs the care available from a nursing home staff.


• Dementia and Alzheimer's Disease: a resident with Advanced stages of Alzheimer's Disease or type of dementia is better accommodated and at times, safer in a skilled nursing facility. Some of these "red flags" and warning signs may include; no longer being able to remember simple information or communicate clearly, unable to care for oneself, or the refusal to take prescribed medication.

In the end, you may not have a choice but to find a "home" for your senior. But as you can see, there are many benefits to choosing the best assisted living facility. Finding the "best" or actually the "right" facility doesn't come as an easy task. That's when Elder Care Referral agencies and services such as We Know A Place are useful resources. By finding an agency local to you, they will be familiar with the surrounding facilities. Once they have assessed the level of care needed, they in turn will help you determine which assisted living facility is the "best" one.

Old Age Home - A Safe Place for Old People

Increasing number of old people is a growing issue in today's world. Due to the nuclear family concept, the number of younger people decreases and the number of old people increases. As a result, the number of people who need to take care old people decreases. Nowadays a family has maximum one or two children and they may be working at different places. So they cannot take care their old parents as they are not available at family. It is not wise to leave their jobs in current recession period to care old people. So who will take care these old people? Is there anyone who can care them like their children? These are two important questions we need to answer.

Old people need more care and love. In current world it is impossible for their children to care their parents much. It may result in depression. In addition to this, old people need others help to go out and full fill their personal needs. In the absence of their children, it will be very difficult for them to maintain their daily routine. In addition to this they may feel loneliness by sitting idle at their home. It is because of their lack of mobility. It affect their relationships with others and things get worst. Their past friends may be moved or passed away and they are not able to generate more friends due to their physical incapability. So in old age every one needs more attention and care.

Old age home concepts started as a solution to the problems of old people. The traditional elderly care is now transferred from family members to organizations. Many organizations are in elder care service with enough facilities to care old people. Now many people enjoy this facility to make sure their parents are in right hands and well protected. In old age homes elderly people have the chances to maintain their relationships with similar aged people.

Federal Student Loan Forgiveness Initiatives Designed for Nurses

All students have a difficult time finding the funding required to complete their education, and even when employment opportunities seem safe, the task of repaying them is equally difficult. For nurses, for example, the weight of college debt can extremely difficult to manage, which is why federal student loan forgiveness is so welcome.

However, to avail of any of the alternative repayment options provided through these forgiveness programs, it is necessary to qualify. Nurses need to show they are contributing to more than just general health centers, and instead are bringing something to communities in real need. Once this is established, repaying student loans becomes much easier.

Eligibility for Forgiveness

Benefiting from any federal student loan forgiveness program depends on two things: firstly, that the nurse is properly qualified, and secondly, that they have utilized one of a set selection of loans. These measures are to ensure that nurses who benefit are dedicated to their vocation and not simply anyone can take advantage of the program.

Nurses must be registered and licensed by a state, thereby proving their education was completely and their standard of nursing is confirmed. In fact, nurses must have received at least a nursing diploma to be registered, but can advance to a graduate degree. All must be conferred by a recognized and accredited nursing school in the US to benefit from this alternative repayment option.

Also, nurses should be employed full time with a minimum of 32 hours worked every week before clearing student loans can be possible. But there is a preference for nurses who make a contribution to healthcare, like those who are employed at non-profit clinic or a school of nursing.

Wellness Assistance Rural Programs

Reducing the overall debt that qualified nurses face can be achieved if nurses agree to sign up to a wellness assistance program in their state. There are several types available, each of which are designed to provide an increase in the level of health care in rural areas, while also acting as part of the federal student loan forgiveness initiative.

For example, the Indian Wellness Assistance program provides an alternative repayment option to those nurses who commit to providing their expertise at Indian Wellness Centers around the country. This means that the quality of health care to native Americans is increased. Similar programs exist to benefit native Hawaiians and other minority populations.

Other such plans include the New York Office of Non-Urban Wellness, which will wipe up to $6,750 off student loans for each season that a qualified nurse commits to serving rural communities in the state. Some hospitals, nursing homes and home health agencies are also part of the initiative.

Final Loan Balance Forgiveness

Through the 2007 College Cost Reduction and Access Act, it is possible for qualified nurses to have their student loan debt wiped out completely, but there is a set of criteria that must be satisfied before this break can be granted. This differs a little from typical federal student loan forgiveness programs in that the opportunity is not available to recently graduated students.

In fact, qualified nurses need to already have worked full-time in the healthcare industry, and have made a minimum of 120 monthly repayments while being employed. This effectively means that they need to have worked for 10 years before being able to benefit from the initiative, but it is still a viable alternative repayment option.

This is because the reward is a final settlement of the remaining student loan balance. While the majority of the debt will already have been paid, it brings a welcome end to the repayment ordeal.

Home Safety Checklist for Seniors - How Seniors Can Stay Safe in Their Homes Longer

Seniors are living longer, and many more seniors are choosing to stay in their own homes, and not go to senior living facilities, or nursing homes. This is better for seniors, because they are staying in familiar surroundings, and they remain much happier.

Seniors are much safer in a one-story home or apartment. However, there are times when they have a multi-floor home, and extra precautions need to be taken.

Home Safety Checklists for Seniors - What you Need to Implement

Here is a home safety checklist for seniors. This is only a shortlist, but it gives you some good ideas of what you need to plan.

* Keep Flammables Away from Furnace and Stove - Many accidents start in the kitchen. Stoves are convenient to cook your food, but can also cause fires when flammable material is kept too close.

The same can be said for a furnace. The heat produced by furnaces can cause combustible items to explode if they are too close, and can start fires with other material.

* Move Cords and other Obstructions - Many serious injuries to seniors are caused by accidentally tripping over cords and other debris on the floor. Always make certain that seniors have clear pathways where they can move around. It only takes one fall to break a hip and cause serious injuries.

* Smoke Detectors - Make sure that smoke detectors are installed in bedrooms, kitchens and other rooms in your house. You never know when an accidental fire could start, and the smoke can also be deadly. It is not enough to have a smoke detector installed. You also need to test them regularly to make sure they are working, and make sure the batteries are charged.

* Hide Your Valuables - A home safety checklist for seniors should include protection against theft. Did you know that most seniors leave their valuables in plain sight? Did you also know that the first place most burglars go is straight to your bedroom and look on top of your dresser, or in the top dresser drawers? This is because they know that it is the place most seniors keep their expensive goods and cash.

Always keep anything of value out of plain view, and put them in a lock box, safe, or even a safety deposit box if they are extremely valuable.

* Install Handrails - Handrails should be installed on steps in your house, and you should also have them in the bathroom to easily get in and out of the tub, and up and down when using the toilet.

* Don't Overload Electrical Outlets - Home safety checklists for seniors should also have a listing for overloaded electrical outlets.

Overloading outlets can cause sparks, which can start fires. It's estimated that someone dies of a home fire approximately every three and a half hours in the U.S. Some of these fires are caused by overloaded electrical outlets.

* Water Temperature - You should have your hot water adjusted to less than 120 degrees to avoid scalding.

* Emergency Phone Numbers - Emergency numbers should be added to every home safety checklist for seniors. Important numbers can be held magnetically on the refrigerator, and a few other copies of this list should be placed near the telephone, and perhaps in the senior's bedroom.

Home Safety Checklist Conclusion:

Seniors should try and do everything they can to make their homes safe from accidents and theft. A home safety checklist for seniors should be your first step in that direction.

Senior Assisted Living: Consider the Options Before You Choose

If you have older relatives that are still rather independent but should not live alone, you should look into senior assisted living. This is perfect for those who do not need to go to a nursing home, but should not or do not want to continue to stay in their own home alone. Before you decide whether this kind of atmosphere is best for your loved one, consider the options available from most such homes.

The type of building that the senior assisted living center is in often varies. Usually, each person gets his or her own apartment unit, though some locations are in a large building with separate bedrooms and shared community areas. Consult with your relative to find out their preference, and also consider how comfortable you would be with the arrangement based on their health and daily needs.

Most senior assisted living homes provide multiple services to make the lives of their residents a bit easier. This may include maid services for their room or apartment unit, prepared meals, assistance bathing or getting dressed. Of course, not everyone needs these services, but they are nice to have access to as one ages. In fact, older residents may need to eventually move into a nursing home, so finding a center associated with one works best to make the transition easy.

Some seniors still drive, but most senior assisted living locations help arrange transportation if necessary. This may include help getting to doctor appointments, the grocery store, or other necessary duties. It may also include getting around the area to visit family and friends. You can usually choose the level of assistance needed every month, and pay accordingly.

Many homes provide plenty of activities for seniors to do in order to encourage them to stay active and busy. Some centers feature community activities to help seniors meet other people, such as dances and general social gatherings. Some may even offer classes, especially if there is a gym available on the premises, as this encourages seniors to stay active and healthy.

You and your loved one should go over the available options near you before choosing the best senior assisted living home. Make sure that you both understand the level of independence needed by your relative, as well as the amount of assistance. Selecting the right center after lots of thought will ensure that he or she is content with their new residence, and that you have some peace of mind that you made the right choice.

Senior Care Franchises: A Growing Industry

The enormous generation that is referred to as the baby boomers was the largest generation ever born in the U.S. That generation has meant an aging current U.S. population and a boom in senior care franchises. The increasing life expectancy is also adding to the number of seniors and for the need for senior care services. In fact, seniors are the fastest-growing age demographic all over the world. About 12 percent of the U.S. population is 65 or older, providing an enormous customer pool for the businesses that cater to that age group.

Senior care franchises aren't likely to slow down, either. The number of seniors is increasing every year and is projected to continue increasing through at least 2050. That makes a franchise that focuses on seniors part of a growth industry that will always be in demand.

As seniors get older, they have all new needs that senior franchises can profit from fulfilling. Some of these needs include the need for seniors to stay in their homes with some assistance, special health care needs and being able to use assisted living facilities that care for those who can no longer live independently. All of these franchise types provide valuable services that are increasingly needed by our parents, grandparents and great grandparents.

Some senior care franchises provide medical help to those who need it, but not all of these businesses are medical in nature. Some simply provide useful services that seniors need to keep their independence or to make life a little easier. Personal care and companion services to seniors who need a little help around the house are becoming popular as more and more people want to make sure that their parents safe and comfortable in their homes.

The number of retirees is growing each year, with the 65+ age range growing by more than 300,000 a year. Worldwide, there will be almost a billion seniors in the world by 2030. There are now almost 40 million people in that age range in the U.S., providing an enormous market for senior care franchises. There is room for these business types in virtually every community in the country, from large urban areas to the smallest rural town.

Because of the great demand for these types of services, the supply of senior care businesses has not yet met the demand. Many areas are finding that their growing senior populations have put a strain on the few local resources available to them. This makes now the perfect time to get involved with senior care franchises.

Senior franchise businesses often focus on particular aspects of senior care that have proven to be needed in a number of senior households. Different franchises cater to different senior needs, with some providing medical staff for seniors who need constant care in their homes. Other businesses provide care just a few hours a day or provide on-call services to seniors who need special care. Entrepreneurs have an array of franchise options to choose from if they want to enter the much-needed senior care industry.

When is a Nursing Home Appropriate for the Alzheimer's Patient?

Caring for an Alzheimer's patient can be a huge burden. When it becomes too hard and too time consuming for you to take care of your loved one, it may be time to look for a nursing home.

When you feel comfortable, then you can start planning ahead which will help avoid crisis situations later. You may not ever need a nursing home, but act in a proactive manner just in case the day comes. It is well known that making decisions in a crisis situation can be very difficult and stressful on everyone, so make sure you plan ahead of time.

You may find information and a list of nursing homes in your area from your local Alzheimer's Association, or an elder law firm. They are most likely to have a list of facilities that offer dementia care or at least a dementia unit.

When you find the nursing home that will be the most appropriate for your loved one with Alzheimer's, make sure you check the following:

• What is its appearance? When was their license accredited?
  
  


• Is the facility location convenient for you and your family for frequent visits?
  
  


• How does the staff react to questions -- are their greetings warm and welcoming, do they interact with your loved one?
  
  


• How well do the resident participants socialize with other people?
  
  


• Are visits allowed and are they encouraged?
  
  


• What is the staff ratio per patient? It should be at least 1 staff member for 8 persons.
  
  


• Is it possible to take a tour of the facility and the rooms?
  
  


• If there is a waiting list, how long will it take before your loved one can be accepted?
  
  


• Do they have a single room or do they share with another patient?
  
  


• Are these rooms furnished or unfurnished? If unfurnished, you will be able to bring your own furniture and decorate your room as wanted.
  
  


• Are there elevators? What kind of emergency plan do they have if a patient needs to be evacuated promptly?
  
  


• How do they handle patients that wander and what kind of security do they have?
  
  

These are some of the questions you can ask on your first visit. You can always come back later or give them a call later if you have other questions.

Another aspect of the nursing home to take into consideration is the financial issue. Most insurance companies will not cover these costs. When your loved one is being admitted in the nursing home you selected, the admittance staff will be able to assist you and discuss the payment options with you.

Make sure to ask what is included in the fees or contract:

• Is there an ongoing process for assessing a resident's need for services and how often are those needs evaluated?
  
  


• What additional services and staff are available if the resident's needs change?
  
  


• Is there an agreement available which discloses healthcare, accommodations, personal care and supportive services, all fees, and admission and discharge provisions, emergency services if necessary?
  
  


• Is there any government or other programs available that may help covering the costs?
  
  


• What happens if funds are used up and full payments can no longer be made. Does the facility accept Medicaid?
  
  

You want as well to have a good knowledge of the environment and the type of healthcare your loved one is going to receive:

• What type of healthcare and personal care are available? Do they have routine exams available, like vision and dental?
  
  


• What is the qualification of the staff members?
  
  


• Is the staff available to assist residents who experience memory loss or disorientation, and how do they handle it?
  
  


• Does the staff take care of the doctor's appointments? Do they drive them over there and wait for them?
  
  

There is one more thing to consider when deciding if the nursing home is appropriate for your loved one with Alzheimer's. Will he/she be happier than at home? Many people do quite well in nursing homes.

Once your loved one enters the nursing home, he/she can still leave for short trips to sleep over at family and friends. If he/she is unhappy, a transfer to another facility or a return home with assisted living may be an option.

You may also doubt how beneficial a dementia care unit can be for your loved one who has Alzheimer's. If the dementia unit is developed and staffed correctly, it can be very valuable. The idea of a dementia care unit is to provide specialized care. This includes staff training specifically for dementia, smaller units to ease feelings of being overwhelmed, a quieter environment to prevent over-stimulation, and a locked unit safe for wandering and pacing. Wandering and pacing are symptoms that most Alzheimer's patients experience. Instead of trying to stop them from this behavior, dementia units let them continue it in safe surroundings. Most facilities for Alzheimer's care have their own activity director and many times the direct care staff are also trained to participate in activities with the residents with dementia.

To obtain more information on facilities in your area that offer dementia care units for Alzheimer's patients, contact your state's Department on Aging.

Choosing the Appropriate Senior Care Facility For Your Loved One

Does the responsibility of finding the ideal type of care for an elderly parent rest on your shoulders? If it does, it may seem to be a daunting task. You have to work through the horror stories about nursing home care, the innumerable different types of facilities available, and the cost. When you're working and have your own family to think about, there may not be enough hours in the day to decide on the appropriate care option. Each facility you consider needs to be researched and interviewed in order to determine where your parent would receive the best care and be the happiest. Even then, you're bound to have some doubts. Knowing what to look for will help simplify the situation for you.

Care services need to be adequate to give your loved one the specialized care that is needed. For instance, some centers have staff who are trained to care for someone with Alzheimer's or dementia. The training they have received has emphasized the need for patience and compassion while teaching them how best to care for those who have failing cognitive senses. Make sure that any facility your are considering has licensed, insured personnel, including registered nurses who are available 24 hours a day. A home that doesn't offer requisite services can be crossed off of your list.

Seniors today have a number of care options that weren't available until recent years. Assisted living facilities have been available to the well-to-do for a long time, but now many more people can afford to live in them and avail themselves of the services. Not every senior needs actual nursing care. Assisted living offers each person exactly what they need. Many older folks don't need care at all, but it gives them peace of mind to know that help is available if they experience problems. These centers offer them companionship with people their own age as well as a variety of social activities designed to help them build friendships. It is an ideal situation for many senior citizens.

Other types of shared housing include an independent living community, a skilled nursing facility, or a residential care home. All of these options are based on the concept of shared housing, and if you think about it, it makes a lot of sense. Moving from a house into one of them means that the senior no longer has to worry about such things as lawn upkeep, snow removal, navigating stairs, and routine home maintenance. Although most of the people who live there need little special care, just removing some of these responsibilities from them can make them feel much more carefree again. In addition, there is no need for your loved one to feel lonely when living in an active community such as these offer.

Emotional Abuse in Nursing Homes

Despite what the brochures and pamphlets say, nursing homes are not all about sipping lemonade and playing shuffleboard. In fact, there are a lot of serious issues to contend with to make a nursing home run.

Nurses and administrators of homes need to be mindful at all times of the unique needs of all of their patients. They need to do their best to make sure everyone is happy, properly medicated, and satisfied with the facility. As you might imagine, this can be difficult with sometimes ornery patients and even more ornery families.

Therein lies one of the more subtle causes of nursing home abuse - the emotional mistreatment of patients. It's can become evident when a nurse or practitioner falls out of line and starts hitting or abusing a patient. But what about emotional abuse? How can we tell if our elderly loved ones are actually being abused or just deciding to be (for lack of a better term) "grouchy"?

The truth is there is no exact line. Emotional abuse works in nuance and it is the duty of the family to pay close attention to changes in their loved ones. It also helps to be properly educated regarding what kinds of emotional abuse can happen and what the symptoms can be. Finally, it's critical that the family know when and how to pursue legal recourse should they think it necessary.

Types of Emotional Abuse:

It's tough to understand emotional abuse without giving some categories and descriptions. The following are not prescriptive or all inclusive, but mainly to help you in identifying potential problems.

• 
  Verbal Harassment. This constitutes a stream of insults, put downs, and slights. The patient is made to feel like a lesser person and can be made hyper-aware of their age and illnesses.


• 
  Threat of Punishment. Sometimes physical abuse is never reported because it is never needed. The nurse or practitioner could simply threaten, yell, and scare the patient into compliance.


• 
  Humiliation. Humiliation comes in many varieties, both public and private.


• 
  Deprivation. Deprivation blurs the line between physical and emotional abuse. Much less physically obvious, deprivation can be  withholding of medication, food, water, or even attention.


• 
  Abandonment. Successful living in a retirement home is more than just satisfying base needs. Mature adults require interaction and a feeling of fulfillment. Abandonment is an utter lack for these concerns.


• 
  Intimidation. Much like verbal harassment, intimidation is the use of coercion and threats to gain compliance.

Signs of Emotional Abuse:

Part of figuring out if abuse is occurring is paying attention to certain signs and symptoms. Consider the following:

• 
  Direct Reports of Abuse. First, and most obviously, is direct reports of abuse from your loved one. Whether they make the complaint to the home administrators or directly you, this is the best way to get a sense of what's happening. Unfortunately, due to physical/mental handicaps or just 'not wanting to make a fuss', direct reports or much less prevalent than one might think.


• 
  Emotional Withdrawal/Non-communicative. If your loved one is normally openly communicative and you see a sharp drop in that, it could be because they are having problems they don't want to burden you with.


• 
  Self Abuse or Deprecation. Some individuals begin to internalize the abuse and believe it. Watch for drastic  changes in levels of self confidence.


• 
  Emotional Sensitivity. When abuse is occurring, there is often an increase in agitation and suspicion. Be especially aware of this if your loved one has a naturally positive demeanor.


• 
  Unusual Changes in Personality. Adjusting to different surroundings can be difficult, but they shouldn't result in drastic personality changes.

Legal Recourse
It's important for people to know that criminal statutes exist for nursing home abuse. Often there are particular regulations in place regarding emotional abuse specifically. You should never feel like emotional abuse is simply something 'made up' or without precedent.

To figure out if you have legal recourse for emotional abuse in a nursing home, first do your best to assess the situation. Don't jump to unsubstantiated conclusions and understand the complexities of home living. But if you believe there is definite trouble, find and contact a specialist attorney in your area. With intangible factors such as emotion and mental state, it's critical to have representation who knows how to handle those factors.

Become a Certified Nursing Assistant With Free CNA Training!

Free CNA training for those looking to become Certified Nursing Assistants can often be found through employers, such as hospitals, through local vocational training organizations, and through online training. It should be noted that becoming a Certified Nurse requires taking and passing a state exam, which may not be covered by online CNA training. CNA training "classes" are different than training "courses".

The classes usually include hands-on clinical learning and practice, while courses are usually in the form of printed or online courseware. Depending on where you live, hospitals or nursing homes may hold free CNA training in exchange for you working for them. The best way to check is to get your local phone book and call them up. Look up long term care centers and call them up and ask.

Some hospitals have contracts with local community colleges and offer their courses free to the student. There are also CNA/HHA Scholarship Programs, which sponsor free CNA and HHA training for qualified individuals who would like to become Certified Nurse Assistants and/or Home Health Aides (HHAs) and work in long term care. These programs often cover the full cost of training, including the CNA state certification exam. They are usually administered and funded by the states Department of Public Health.

The Armed Services also offer various training programs. Through the Air Force Aid Society Spouse Employment Program, some facilities were recently approved to offer the Certified Nursing Assistant Program in partnership with Spectrum Medical Services. Through this program, the Air Force Aid Society will pay for 10 spouses of active- duty military to become certified nurse assistants. If you are a spouse of an active-duty military member and are interested in becoming a CNA, call the Airman and Family Readiness Center at the AFB.

Going beyond free CNA training, if you're already a Certified Nursing Assistant and have been working in the same facility for some time, particularly if your employer has paid for your CNA classes, they may also be willing to send you back to school to get your RN certification.

Affording a Good Nursing Home

Last year, the world's only Titanic survivor faced a quandary. Millvina Dean was only two months old when the great ship sunk, in 2008 she was in her mid-nineties and needed money to pay for a nursing home to live out the rest of her days in relative comfort. What to do?

Well, like many people the world over, Miss Dean took a long look at her assets - and decided to sell them. More precisely, she decided to sell the mementos she still had of the disaster, a suitcase full of clothes her family was given to help them begin a new life. The auction of the wicker case and clothes, along with rare prints of the ocean liner and letters her mother received from the Titanic Relief Fund, raised almost $54,000 - ten times more than she thought it would.

It's official: getting old is expensive. If you are lucky enough to live a long life, chances are you'll eventually be paying for it by the nose. Many people end up having to finance their own care near the end of their days, and it can cost a fortune. In fact, the New York Times reckons that an independent-living facility can cost up to $9,000 a month - that's about what a a New York penthouse could cost!

If you are looking into a nursing home - defined as a home that provides 24/7 care as well as administers medicines and even some medical procedures - for you or a loved one, here are some ways to pay...

Reverse Mortgage. This is a mortgage that allows homeowners to convert part of their assets into cash. Kind of like a home equity loan. Ask for professional advice if you are interested in going down this route, and only deal with a reputable lender. Be aware that the loan must be paid in full if you fail to have the home as your primary residence for one year or more, ie, if you stay in a nursing home for more than 12 months.

Long-Term Care Insurance. Most people do not have this type of insurance, but it can be very helpful if you do. The earlier you start to pay the more you will accrue - and the less you will pay initially. It is advised to take this route only to avoid burdening family members with bills for your care, and not if paying the premiums could become insurmountable. And remember you will not be sold a policy if you already have a health condition such as Parkinson's Disease or Alzheimer's.

Medicare or Medicaid. It's estimated that about 45 percent of all spending on long-term health care is covered by Medicaid, while about 11 percent is covered by Medicare and Social Security. The rest is paid for by the individual, by and large. Medicaid is both federal and state funded, and there are strict rules regarding who qualifies.

Win the Lottery. What could be better? Don't forget you need to buy a ticket first. And keep in mind that statistically, you have a better chance of walking up to a complete stranger and correctly guessing their telephone number than you have of winning any lottery at all. Still, every week there are winners!
繚Inherit a Fortune. Easy and simple, this is a fantastic way to afford a nursing home - as well as a new Porsche, a vacation in the Bahamas and a college education for all the grandkids. Great if you can get it. Most of us can't - even if we hire a treasure hunter to find out if we are a long-lost heir to some incredibly rich dead soul.

Check Into a Veterans' Nursing Home. In theory, all veterans should have a place waiting for them when they need it. In practice, so many people need places that people on the lowest incomes usually get first priority. Check to see if you qualify before counting on this option.

Get Help from Other Family Members. Often family members will club together and pay what they can to insure that their parents or aging relatives are cared for when they need it most. Unfortunately, in many case family members simply don't have the funds - or have them earmarked for other priorities, such as Junior's college fund and Barb's new house in the 'burbs. Don't make the mistake of expecting a cash gift - you may be greatly disappointed. It's better to have an open talk in advance to learn whether any funds will be forthcoming, however uncomfortable this may be.

Top Tips for Paying for Care

Affordable long-term care will be a priority for many of us, but protecting our assets and savings should be a top priority as well. Here are some tips to do just that...

Don't give away all your assets. Remember the government can look back five years - if you gave away money that could make you ineligible to receive Medicaid for a period of time.

Avoid what is known as "spousal impoverishment," when the spouse who is left at home can also be left destitute as his or her assets are used to pay for the other person's nursing home care. You are allowed to opt out of having your assets count against you.

Read the fine print. It may sound like a fab idea to have a home equity loan or the equivalent, but know what you are getting into before you sign on the dotted line.

Hire a good, honest lawyer - if you can find one. Someone who specializes in Elder Law will be your best bet, as he or she will have years of experience in this type of thing.

Sadly, Millvina Dean died this May at the ripe old age of 97, in a private nursing home in the town of Ashurst, Hampshire in England. As the last survivor of the Titanic, her death was a memorable event. Three years earlier she had broken her hip and needed specialist care, and the sale of her historical memorabilia helped her through the most difficult times. We should all be so lucky!

Hospital Workplace Violence - Self Defense Training For Nurses Includes Many Non-Combative Options

Workplace violence in the healthcare sector has hit an all-time high! Statistics show that, typically, the average nurse is assaulted on the job 1 to 3 times a year and very few facilities have anything more than a "shell" policy to address this problem and prevent injury to it's staff.

Are you concerned about the problem of workplace violence effecting nurses and other medical professionals? Well, you're not alone.

In fact, the healthcare industry has awakened to this very real problem in the past few years. Administrators have found that previous assumptions and policies about workplace violence, as it relates to hospitals and the medical industry in general, have done little to deter or prevent the countless injuries to nurses and caregivers. In fact, the problem has escalated to the point where the healthcare profession is ranked third among all non-law enforcement and security occupations in the number of incidents which occur!

Third! Among all other professions!

And, the sad fact is that medical professionals are not being targeted by their own co-workers - but by their patients - the very people that they are trying to help!

Many leaders, as-well-as staff-duty nurses who work with patients everyday, are calling for more workplace violence self-defense training geared toward nurses and patient care professionals. Unfortunately, most administrators confuse self defense with fighting and therefore are concerned about the possibility of more violence if their nurses and staff members were trained in self defense tactics.

As a way to show the difference between fighting and actual defensive tactics training geared toward workplace violence prevention, here are 4 areas of workplace violence defensive tactics training that have absolutely nothing to do with fighting - and everything to do with empowering doctors and nurses to avoid, evade, and prevent a dangerous workplace violence attack from hurting them or others that they are responsible for.

• 
  1) Strategic Positioning. This is similar to what police officers are taught when knocking on doors, interacting with drivers during a traffic stop, etc. Nurses can be taught to adjust where they stand or position themselves relative to their patients to make it difficult for the person to hurt them if they lashed out and became violent.
  
  


• 
  2) Body language. By becoming more aware of the conscious and unconscious interpretations that we can have when we see different body language cues, the caregiver can learn to avoid those that might trigger a negative response - while also choosing cues that can easily and effectively defuse a potentially hostile workplace violence situation.
  
  


• 
  3) Vocal skills. This is the same as body language but where we can consciously and deliberately control the use of our voice. Speech patterns, rhythm, and vocal intonation can all be powerful tools for defending yourself in a workplace violence encounter.
  
  


• 
  4) Environmental Control. Often, caregivers are trapped in a violent situation because of the layout of the clinic in which they work. Simple changes to your work environment - from exam rooms to customer service counters - can be made that will aid in avoidance, evasion, and escape tactics, while also serving to control the flow of action should a physical workplace violence attack occur.

As you can see, if you're really looking for viable solutions to helping your nursing staff to be able to employ self defense tactics to deal with violence in the workplace, there are many more options available than merely teaching them how to fight!

What if you could get this type of training while also saving your organization from the financial and other losses from lost-time, employee turn-over, legal liability, and negative PR that often arise out of incidents involving violence in the workplace? How? By instituting defensive training tactics that both keeps your staff safe AND maintains a high level of professionalism and liability control!

Home Health Care: Choose Wisely

Many people don't think about it until it's too late, but home health care is something that you should consider before hospitals or nursing homes become your only option. Realistically, wouldn't you want your children to keep you around after you are unable to take care of yourself, in the comfort of your own home?

If you have not run across the idea of home health care yet in your travels, it combines the best of many worlds of care. The same quality of care a patient would get in a hospital is transferred to a private residence, where the patient is the sole focus of a trained professional on hand.

The person will be trained in many basic and advanced parts of the treatment process, including having knowledge of nutrition, IV's, patient and caregiver processes, occupational and dietary therapy, and a consistent knowledge of anything medically related that specific person needs to be health and safe in the home environment.

If medical agencies are smart, they always have an arm of their service that includes the ability of their staff to go on home health care assignments. This is because is can be beneficial to all parties involved, as the correct utilization of resources saves everyone time and money, and people use that to their advantage.

If you are worried about certain conditions for your parent, here are some things that home health care deals with as well - helping them eat and drink properly, basic cooking and cleaning, checking temperature and breathing, if they need assistance getting into and out of bed, if they need a helping hand with things like bathing or using the bathroom.

One of the first things that you should discuss is the plan of care. That is a document that details all of the daily, short term, and long term aspects of the care, from who is going to take care of what, to the types of medical equipment that needs to be on hand, to deciding which treatments are going to take how long and when results should be seen.

Staff should always be determined to improve their service as well. If you have noticed that your home health care provided has become lazy or does not take as much interest in the client as they should, you should immediately start shopping around for a better place to hire from. Improvement is always the key.

It's not an easy decision sending a loved one to a hospital or nursing home, so make the right choice and instead have the hospital come to you. The service can be excellent, and you'll feel more connected instead of guilty as time goes by and your parents are still happy.

Create a Wheelchair Friendly Home

It's too bad home planners of the past never gave a thought to designing an easily accessible 'wheelchair friendly' home. Sure, fitting as many rooms as possible within the least amount of square footage saved on the overall purchase price of a house, but tight bathrooms, narrow doorways, and sunken living rooms pose a real problem if a family member is confined to a wheelchair.

Many homeowners are now faced with the dilemma of remodeling their existing home to accommodate a wheelchair, or seek out assisted living facilities or nursing homes for a disabled loved one. Depending on the nature of the disability, most people fare much better if they remain in their home among familiar surroundings, but changes will need to be made to both the interior and exterior of the home for easy mobility.

Install Ramps

Install wheelchair ramps wherever possible at outside entrances and walkways. These can be made from wood, concrete, or the newer aluminum types, which are often portable. Thresholds should be kept to a minimum to allow the wheelchair to roll over them easily, and can sometimes be made smoother by placing a mat or rug over them. Just be sure the rug is big enough and securely held down so it doesn't slide. Handrails or grab bars along the ramps and thresholds are another good feature, so a wheelchair can be propelled along manually with the upper body and helped over the rough spots.

Widen Doorways Wherever Possible

Many older homes were built with narrow doorways, especially bathroom entrances. The doors are usually only twenty four inches wide, and need to be at least thirty two inches in order to fit most wheelchairs. Door frames can be widened easily enough, but even simply replacing old hinges with an expandable offset hinge will add two inches of clearance to any doorway.

Invest in a Wheelchair Lift

A wheelchair lift can greatly increase a disabled person's mobility within the home. Many homes are built on several levels, and that often limits a wheelchair to certain areas. There are many different styles and price options available today, and a reputable dealer will be able to help you find a solution to any accessibility problem you might have that can be solved with a wheelchair lift. In addition to your basic wall or floor mounted model, some units are portable, while some can be stowed beneath your vehicle to aid in getting in and out of the car.

And don't let the initial investment put you off - the cost of assisted living facilities has risen in the past few years, while the cost of a wheelchair lift has remained fairly steady in price and is well worth the investment.

While deciding whether or not you can remain in your home to accommodate a wheelchair can be a tough decision, just make sure you do the research and you will find many options available to help make your home 'wheelchair friendly.'

Absolute Truth About Rehabilitation and Care Centers and Nursing Homes

Have you ever really wondered what it is like to live inside of a nursing home? Have you considered it? Are you considering it now? Are you one of those people whose family is asking you to consider going into a nursing home? If you answer yes to any of these questions, then you have come to the right place. Right here, right now, you are going to get answers. Yes. I will give you answers to the questions you have asked or might have asked, any questions you have about nursing homes, living in nursing homes, visiting nursing homes and even yes, even observing in nursing homes.

Since this is such a broad topic, I will give the answers in a series of articles, not in this one article. This one article will be just the beginning of a series. So, settle down, get a piece of paper or a notebook handy so that you can make notes about things that interest you, and you will be all set to read the rest of the article.

First, a word of advice. If you feel this is going to be helpful to you, and I promise it will, put this article in your favorites or email it to yourself and email it to your family. This way, even if you lose the website or if your computer crashes, you will be able to go to your favorites and read it again and again and email it to others again. Later on in the month, I will come back to this article and actually put a link in here that will help you find this article and more related articles about health care and health care services.

Now, to begin. Say you want to visit a nursing home and just check it out --not stay, but just observe the home and see what it is like. Now that the parts of the nursing home that the person will show you will be the BEST parts of the nursing home, not the worst parts of it. If you need an appointment to get a tour of the place, then that should be a red flag. You should be able to see a nursing home as soon as possible, not to make an appointment to see it. After all, you just want to look, that is all. And what time can looking take?

So, first, you make your appointment if you have to. Ask others if they have been there or if they have lived there and ask their direct opinion about the place. Usually you will get honest answers. But beware of this. MOST employees, staff or private contractors that work inside or that volunteer inside of the place, most of them will give positive reports. Think about it. They are employed there and they have something, everything to lose if they say anything bad about the place. If they tell you that they have relatives in there and they are being treated fairly and good, know that the relatives of staff, of course, receive better and best treatment, so much more than the other residents receive. And if you think this is not true, then you are dreaming. It is a fact, that if a relative works in the nursing home where you are, you will or might receive more attention, better treatment. It just makes sense. But even then, depending on the place, you can still receive bad treatment inside of nursing homes that are not run properly.

So, you visit and you observe and you take everything with a grain of salt. What you need is the real honest opinions, thoughts and observations of those that have been inside of these places , for hours, days and even weeks, and then you will truly get an honest opinion. CATCH? You need this person to be not affiliated, not working and not volunteering there at the place. This is why you have come to the right place here.

I am not affiliated, not employed, not a volunteer with any nursing home or rehabilitation and care center, though I have spent many long hours, days, weeks and even months inside these places visiting, and observing, making mental notes about treatments and about what I saw inside there. So, you have a first hand report of what it is like to live inside of a nursing home or inside of a bad rehabilitation and care center.

Not only do I have that experience but I have the notes and emails and other thorough input from readers of my articles and from readers and authors of other books about nursing homes. So this is a good base for the series of these articles.

In my next article, I will give you a total inside look of your first day inside the home and we will progress from there.

Helping Seniors Transition to New Living Arrangements

Geriatric Care Managers often get requests to help senior adults find new housing. These requests may come from the seniors who are overwhelmed with their current situation, the adult children sandwiched between their immediate families and their parents, or concerned friends. There are many things to consider when looking at making a change to different living arrangements. Geriatric care managers are positioned well to assist in guiding these decisions because they typically have walked this road with other clients before you. The care manager will be able to give you much insight into community resources, living arrangements that might be most suitable for your needs, and options that are affordable for you.

When considering new living arrangements, there are many things to consider. Is now the time to consider moving closer to your children geographically? Many folks find that they would like to be closer to their families, while others feel that staying close to their lifelong friends and circles of activities are a better option. What is your budget? Do you have resources that you haven't yet tapped into such as VA benefits, Home and Community based programs, long term care insurance, or savings that you would like to use for housing? Do you have equity in your home that can be used for the next phase of your life? Your geriatric care manager can help you look at financing options and recommend a financial planner if needed.

What level of housing do you need? There are many differences in the levels of care available for seniors, including independent living apartments, service supported independent living, assisted living facilities, residential homes for the aged, and nursing homes. Do you want a complex that offers care across a continuum of levels? For example, there are complexes across America that offer independent living apartments, assisted living, and nursing home care all on the same campus. These are places that you can call home for the rest of your life, knowing that you'll always be able to get the care that you need.

Don't make any decision without thoroughly weighing all the options. Your geriatric care manager can help you with information that will set you on a clear path to the best decision for you individually. For help finding a professional, well qualified, geriatric care manager, I recommend www.caremanager.org.

4 Reasons to Consider an In-Home Caregiver

If you have an elderly loved one, you probably have many concerns about his or her well-being. There are various reasons to consider hiring an in-home caregiver to look after a relative, especially if he or she needs extensive care. In many cases, a caregiver is fully licensed and bonded or underwent proper training, leaving a relative in good hands.Agencies often provide a full list of qualified professionals, who can assist your family in a time of need.

Here are a few reasons to consider a caregiver.

You work full-time.

Being able to provide an elderly relative with continuous care can feel like a full-time or second job in itself, and can also get expensive. By hiring in-home assistance, you allow protection and peace of mind. An agency or individual may charge by the hour; with the former, the going rate may be a little higher, to cover insurance and taxes.

You live further away.

If your relative is in a distant city or state, but needs constant care, you may want to consider someone who can tend to him or her daily, or stay for an extended period. If you do not know anyone who lives nearby, consider an agency, which usually performs a background check of any potential applicants. This can help allay any fears or paranoia you may have.

Round the clock care.

Some family members may require extensive medical attention, whether it is in the middle of the night or during the afternoon. You and your family may need someone who can handle emergencies at all hours, which is where a live-in or at-home caregiver becomes a factor.

Professional assistance for relatives.

Caregivers are licensed and trained in cardiopulmonary resuscitation (CPR) and first aid. In the event of a medical emergency or more severe illness, you will want someone familiar with treating someone who is sick. A caregiver provides that efficiently.

When choosing a caregiver, be sure to provide detailed information. Nothing should be too specific when it comes to the health of your loved one. Include personal preferences or allergies to certain medications or food. Ask if the potential provider is qualified and comfortable handling extra tasks, and treat the process as you would a job interview. Be sure to also explain what may be required, such as extra chores or laundry. However, remember to also mention that he or she is also a companion for a relative, a friend. If your loved one likes to go outside, be sure to say so, but remind the applicant of any time constraints that may limit how much time can be spent outdoors, or how much exercise is too much.

How a Prize Wheel Can Make a Difference in a Nursing Home

Taking a job at a nursing home can be one of the most rewarding, or draining, experiences of one's life. It takes a very unique individual to perform the duties of a certified nurse's assistant, licensed practical nurse, activities director, or physical therapist without forgetting that the patient is a human being.

One of the most important experiences that a member of a nursing home's staff should undergo is team building exercises to improve communication and develop long-lasting bonds. Caretakers often must cooperate with a wide range of medical professionals on a regular basis. Without a healthy working relationship and strong communication between professionals, the healthcare of the patient will suffer.

A prize wheel can be the perfect complement to a healthy dose of compassion by injecting fun into one of the most draining, emotionally depressing workplaces in the country. By giving staff an opportunity to have fun and enjoy each others company, whether at an employee picnic or team building retreat, the door to strengthened interpersonal relationships can be opened and patients will directly benefit.

These amazing tools can even be used to complement speech therapy by providing patients an opportunity to practice their linguistic skills in identifying images placed in the slots around the spin wheel. Even for those residents with no cognitive impairments, a little prize wheel fun can help relieve suffering during difficult, often life changing experiences. Remember, not everyone in a nursing home is suffering from a form of dementia or preparing for the great beyond. Some unfortunate people find themselves sitting in a nursing home with debilitating injuries ranging from a severed spinal cord to severe head trauma. Often, these individuals are younger than forty years old.

An American made prize wheel can even be used to divide responsibilities amongst Certified Nursing Assistants (CNA) by placing each nursing assistant's name into a slot in the prize wheel and spinning the wheel each time a new task comes up. This application, however, should not be considered when urgent tasks present themselves. In a medical emergency, every second counts. Using a little common sense with one's prize wheel can go a long way.

Many staff members at nursing homes enjoy giving gifts to residents on birthdays and around the holidays. With a prize wheel, deciding which employee buys gifts for which resident can be fun and charitable at the same time! In fact, participating in such an activity can have powerful team building effects.

For those who believe that working at a nursing home is an opportunity to help others, a prize wheel and a little compassion can make all the difference.

Choosing the Best Nursing Facility For Your Loved One

There are three basic steps you must take in order to find the best nursing facility for your loved one. First, you must create a list of nursing facilities that you are interested in. You may choose to do this by asking friends and family for recommendations, talking to your doctor, or by researching facilities in your area. Next, you'll begin comparing the nursing facilities on your list. Some of these options will likely drop off the list as you delve deeper into your research. Finally, when you have a shortlist of nursing facilities that you are most interested in, arrange a visit to each one to help you make your final determination.

Nursing Home Compare

Nursing Home Compare is an online tool that helps you find and compare nursing facilities. It has a comprehensive database of all Medicare- and Medicaid-certified nursing homes in the U.S. You can search by name (if someone you know gave you a personal recommendation, for example) or geographic location.

Nursing Home Compare also enables you to compare the quality of individual nursing facilities. The tool details: how each nursing home scored on its most recent health inspection; nursing home staffing data; quality measures; and fire safety inspection results. Regular nursing facility inspections measure how a facility scores across many different areas, including nursing care. Understanding the inspection results can be confusing if you are not familiar with how nursing facility operate.

When a nursing facility does not meet one of the more than 150 regulatory standards set forth by Congress, the inspection team issues a deficiency citation. These regulations cover extensive ground ranging from food safety, to fire safety to nursing care practices. Deficiencies are not all equal. They are measured in terms of scope and severity-that is, how many residents were affected, and how great the harm was on a scale of one to four. Keep in mind that most nursing facilities receive deficiencies from time to time-the important things to know are whether the deficiency was egregious, causing harm or the potential for harm to residents, and how responsive the facility was in correcting the problem.

Medicare's 5-Star Quality Rating System

In 2008, in response to complaints that Nursing Home Compare was too technical for most consumers, Medicare instituted the 5-Star Quality Rating System to provide an "at-a-glance" feature designed to make the inspection results easier for consumers to understand. However, critics of the 5-Star Rating System say that it leans too far in the opposite direction, oversimplifying the nuanced inspection results. Here is how it works. On a scale of one to five, Medicare assigns stars to represent the facility's score across each category of inspection results. Sometimes the star ratings can be deceiving, as some deficiencies are minor and pose no risk to residents. Nevertheless, any deficiency can affect the facility's overall star ratings. So when you use Nursing Home Compare, be sure to read the entire inspection results for the nursing homes on your shortlist.

Visiting the Nursing Home & Making Your Decision

Your initial research will answer a lot of questions and help you narrow your nursing facility search significantly. However, it is imperative that you visit these facilities in person before making your decision. Visiting in person will answer a lot of questions, too. But before you go, make sure you know what to look for. Read Checklist for Visiting a Senior Care Home and Long-Term Care Facilities: How to Choose the Right One for more information.

If you are able to whittle your list down to a few choices and are still having trouble making a decision, it's not necessarily a bad thing. You might choose to make a list of pros and cons for each remaining option to move your decision forward. Talk to people whom you trust, such as family, friends, or your doctor, about your choices. Your local long-term care ombudsman is another great source for information on local nursing facilities.

Moving Elderly People

Moving always has the potential to be stressful, but it can be particularly challenging for the elderly, especially if they are moving from a home that they have lived in for most of their lives into a smaller living space or an assisted living facility. Here are some tips to help you make the move as easy and efficient as you possibly can:

Planning: Leave nothing to chance; it is important to plan every the move as thoroughly as possible to avoid causing any necessary stress or discomfort. A young family may be able to sleep on the floor of an empty house for a day or two if something goes wrong, but it is not right to put the elderly in such an uncomfortable or unhealthy situation.

Discuss the move with them: Even if your elderly family members are no longer able to live as independently as they were once accustomed to, they are adults and deserve to be treated as such. Discussing the move with them and explaining the importance and benefits of the move will make them more receptive to the idea. Be respectful of their opinions and try to genuinely address any concerns they may have.

Help them sort through their stuff: This will probably be the most emotional part of the moving process as seniors may have many belongings for which they hold a sentimentally attachment. Help them decide which items to keep and which to donate to charity or to give to other relatives. Again, it is important to be respectful rather than simply insist on throwing everything that away, even if you cannot appreciate the value of certain items.

Make a checklist: Stay organized by making a checklist of all the things that need to be done, such as filing a change of address form with the post office, finding a new physician, transferring prescription information, and obtaining all necessary documents.

Hire professional movers: Many people would have a hard time moving a sofa or TV themselves even in the prime of their life. For those who are getting on in years, it is best to hire a professional to handle all of the heavy lifting and other physical labor. Speak with the movers ahead of time and introduce them to the elderly person you are moving so that he or she can be included and can trust the movers.

On moving day: Make sure that the seniors you are moving are well rested and discourage them from trying to help out with the move. Make sure that you have their medications handy and that any prescriptions that may be running low have been filled.

After the move is complete, help them unpack and settle in. Show them around their new surroundings and do what you can to help them feel comfortable and more at home. Assisting the elderly with a move can be challenging, but with planning, patience and professional movers, you can reduce the stress significantly.

Helping Aging Parents Thrive

As your parents age, it can be difficult to maintain the same parent-child dynamic you've always had while increasingly taking on the role of caregiver. Whether your parents are enjoying an active retirement or are part of the community in a skilled nursing center or assisted living facility, these 8 tips can help you help them to thrive during this time of transition.

Encourage Them to Get Active

One of the best ways to improve your parents' state of mind as well as their physical health is to encourage them to stay active. This encouragement can take the form of a gym membership or home exercise equipment purchase, but a free and fun alternative is to exercise with them.

If your schedule allows it, make time to visit your parents and take a walk together. Allow them to set the pace, and chat together as you exercise. You could also enroll in water aerobics or take a yoga class. The shared time will provide just the incentive your parents need to get active, and you'll both strengthen your bond as you strengthen your muscles.

Improve Their Mental Health with Classes

Fitness classes aren't the only way to improve health. In fact, learning something new in the form of a community education class can help seniors stay sharp. You can encourage your parents to take exciting new classes by focusing on the activities that have interested them over the years. Brainstorm together by making a list of everything your parents have enjoyed. Then look through those items to identify what they have in common.

Once you've narrowed down the topics, get out the course catalog from your local community college, library or senior center. Make another list of the classes that match up, and present the options to your parents. If they seem reluctant, you might offer to take the class together.

Bring the Mental Exercise to Them

Another great way to maintain mental focus is to engage in tricky mental activities. Even if your parents are dealing with physical challenges that make it difficult for them to take a community education class, you can bring the mental exercise to them.

Pick up a selection of crossword puzzles, Sudoku books, and mind puzzlers and spend the afternoon together working through a few of the puzzles. Or involve them in a family game of Trivial Pursuit. Alternatively, if your parents aren't fans of these activities, drop off a great selection of books or surprise them with a subscription or two to an interesting magazine.

Help Them Pass on Their Life Lessons

Whether your parents are living independently or require assistance, feeling valued and useful are important for their emotional health. In addition, many people can benefit from the knowledge and wisdom they have gained over the years. Try some of these ideas to help them to pass on some of their life lessons and experiences:

• Encourage them to volunteer in the community. Whether they choose to mentor new entrepreneurs with a program like MicroMentor or work with school children learning to read, everyone benefits from the experience.


• Help them make a list of life lessons and print the list up in book form. Topics might include favorite recipes and cooking tips, parenting advice, or other useful tidbits.


• Work with your parents to record their stories. You can do this in the form of a book or audio tape, or you could work with a professional to create something very special. Whatever method you choose, you and your parents will both be glad that you took the time to preserve their life stories.

Give Them a Social Outlet

While frequent visits and phone calls to your parents are sure to be appreciated, research suggests that having positive friendships actually may be even more important for longevity than regular contact with family. Whether your parents are living independently or with help, encourage them to interact with friends as much as possible.

If your parents are living independently, you might persuade them to start a book club or join a band. Regular card games, dance classes, and senior center activities can also be great places to establish and further cement positive friendships.

For those who have limited mobility, being social may be even more important. While most facilities have extensive social programs, getting involved can seem overwhelming to some seniors. Work with your parents to pick a few activities that interest them, and these can provide a great social outlet.

Get in Touch with a Support Group

Although your role in your parents' lives is changing, you still may find that you cannot provide all the emotional support they need. The retirement years can be challenging for several reasons, including the loss of loved ones, financial challenges, significant life changes, and health concerns.

Listening to your parents can help them navigate these challenges, but many people also need the help of a support group or therapist. These resources may be available in your parents' skilled nursing or assisted living facility. If not or if your parents are living independently, you can encourage them to find a support group or therapist through their local senior center or through a hospital.

Provide a Change of Scenery

No matter what your parents' living situation is like, a change of scenery can be extremely helpful in making the world feel like a bigger, better place. If your parents are healthy, travel is a great way to boost mood and see some amazing sites. Work with them to set up a dream vacation to Europe or a short jaunt to a nearby city.

For those with limited mobility, a change of scenery may mean an outing to a favorite restaurant or a night at the movies. Pick activities your parents will enjoy and coordinate your efforts with the nursing facility or assisted living center where they live. These facilities may be able to provide transportation if your parents need help.

Encourage Them to Practice Mindfulness

One key to helping your parents stay positive and enjoy their retirement years is to encourage them to notice and be present in the moment. When they were raising a family or building a career, they were likely rushing from one task to the next. Now they have a chance to slow down and see the beauty in the world.

You can encourage mindfulness by asking your parents to make a note of or take pictures of something beautiful every day. Then, at the end of the week, take some time to look through what they've created. This activity will boost their moods and yours, and it will also provide an opportunity to bond.

Take Care of Yourself

It's easy to get caught up in the very important role you now fill in your parents' lives. However, remember to take some time for yourself as well. Maintaining balance in your own life will make you a better caregiver, and that will go a long way toward enhancing your parents' retirement years as well.

The Ever Increasing Demand For Healthcare Workers

The need for healthcare encompasses the need for professionals in their field, as well as people who can provide administrative support. There are thousands of healthcare practitioners in Western countries and other parts of the globe. But the need to fill in their staff and experts seem endless.

One of the main reasons why healthcare jobs are still on the rise is because the number of patients is also rising. The need for nurses, doctors, medical technologists, and other professionals are always high due to the number of patients contracting diseases from various sources. The number of aging individuals is also another concern for institutions such as nursing homes.

Lifestyle change is another major factor that affects the demand for healthcare practitioners. To put it simply, many people are suffering diseases and ailments caused by poor diet, bad habits, and lack of physical activity. If you'll look at the rise of people with hypertension, diabetes, cancer, and obesity, you will understand why more and more healthcare jobs are being opened across the globe.

As much as possible, there should be only one person per patient or elderly individual in order for the healthcare provider to give quality care and assistance. In reality, this can be achieved but with consequences such as working long hours or doing part-time jobs in other institutions, hospitals, or private homes.

What positions are in demand?

Nurses, physicians, and surgeons are highly in demand in various hospitals. And as the healthcare sector grows, the demand for it will also increase.

Medical technologists [in various fields] are also on the rise due to the demands in many institutions such as hospitals. These specialists are also needed in homes and private clinics especially if they know how to administer EEG, ECG, lab testing, and many others.

Nutritionists and dieticians are highly in demand because of the rise in health problems connected to food intake and poor diet. These experts are always searching for ways and strategies to improve the health and diet of those inflicted with diseases caused by poor nutrition.

Technical tasks such as those required in hospitals will definitely need the expertise of such staff. Dental, ophthalmic, and clinical laboratory techs are sought-after for their skill and experience.

Therapists, psychologists, and health insurance experts are also needed badly in many major hospitals around the world. They provide specialized services typical of their fields of study. In the case of health care insurance experts, their jobs require medical billing, claims analysis, and reimbursement.

Chemists and pharmacists are also in demand these days due to the same reasons. The need to properly schedule, maintain, and dispense medicines are all part of the daily routines in hospitals, clinics, and similar institutions.