Thursday, January 1, 2009

Senior Care-When the Choice is a Nursing Facility

Sometimes, even though families may want to continue caring for their loved one at home, it may be necessary to place them in a nursing facility. Since this decision most of the time is made because of a crisis situation and not a planned effort here are helpful tips to help you in assessing the facilities that you visit. First, ask your doctor for a list of nursing facilities in the area of interest. Also talk to your neighbors and friends to see if they already have a loved one in a nursing home. Bring a list of question to ask. Take notes so that you can remember the differences. First call each facility. How was your phone call answered? Was the person kind and considerate? Did they take their time with you, or were you rushed? Schedule an appointment for each facility. Try to make the appointment toward the afternoon. The residents should by then be well into their day. You can tell by the way they look the quality of care they are receiving. FIRST IMPRESSIONS COUNT! Forget the pretty wallpaper and decor. Do the residents look well groomed? Do their clothes look clean? Is there any odor in the air. If there is an odor present, the staff is not taking proper care of the residents. It is not the housekeeping. As you walk through each facility, take notice and count the people that work there. They should all be wearing uniforms and name tags so you will be able to spot them easily.. Write it down on your list. Do the staff member look happy to be there? Are they sitting around or attending to residents? Do they look tired? This might clue you in if there is adequate staff provided. Do the residents look happy? Does the facility look warm and inviting, reminding you of a home like setting or a hospital? Use the bathroom. Is there an odor? Does it look clean? Are there paper towels, soap and toilet paper? Do you feel rushed by the representative showing you the facility? Can they answer your questions easily? Change from home to a nursing home will be a difficult thing for mom or dad. How will the nursing home help in the transition of your loved one to life in a nursing home. Make a note of the answer, since this is important. This may be your loved one's home. How a nursing home helps in the transition will tell you how they may care for your loved one's emotional well-being. All nursing homes have a basic charge. Basic charges only cover room and board. Ask what those charges are and what services are extra? What about special needs? What if mom or dad has Alzheimer's Disease or Dementia? Most nursing home charge more in these cases. So make sure you find out the cost. What about the cost of a private room, or semi-private? Are personal hygiene products provided or is this an added expense? What about payment sources. Always ask for an itemized list of ALL charges. How often is the facility inspected? Ask to see the inspection report, that is your right. Are they licensed? Is the administrator licensed? What is the policy of the facility in regards to using restraints? Are all the staff members background screened, trained and qualified? Is the staff respectful, warm and caring towards the residents? Are they warm and respectful towards you? Are they willing to answer your questions? Do they say hello as you pass by? Is there enough privacy for your loved one? Is it a home like setting and can mom or dad decorate their room with personal belongings? How do they ensure safety of your loved one's belongings? Changing a person's routine can make things more difficult. If mom or dad is used to a certain routine, can they keep that routine to ensure an easy transition? If mom or dad likes milk and cookies before bed, can they still have that? What about hygiene? How often will mom or dad be able to shower or bathe? Does your loved one have to go outside the facility for grooming ( haircuts or salon visits) or is there a hair salon on- site? Being well-groomed helps the self-confidence and well-being of your loved one. How often does a doctor make visits? Don't assume a doctor visits regularly. Will assistance be provided by the same caregiver daily, or does the facility rotate the caregivers. This can also be difficult for your loved one. How are emergencies handled? Will you be notified immediately? Does the nursing facility provide dental check-ups? How many assistance are there for each resident? How many are there at night? What is the policy of moving residents to new rooms? Will you be consulted? How do they provide continuous stimulus for their residents? What activities are offered? What does the nursing home do to improve the quality of care for their residents? When you narrow down your list, make a second unscheduled visit to the nursing facility at different times. Once in the morning and once in the evening. The staff in the day may be different than at night. You will be able to notice if any staff are there in the evening as well as daytime meaning they are working double shifts. This may mean that the facility is understaffed. Participate. Have lunch or dinner. This will allow you to sample the food. Talk to other residents. Ask how they like the facility. Ask the residents if they receive enough portions. And what about if they would like more food, can they have a second helping? What about snacks? Are they provided and when? Ask the residents if the activities provided by the facility meet their interest. Can you or your family visit at anytime or only during designated visiting hours? What about laundry? If the facility provides laundry service is there an extra charge? Do the clothes smell fresh and clean? Are they free from wrinkles and stains? Always TAKE YOUR TIME and observe. You have that right. You have the right to ask any and as many questions to put your mind at ease. You have the right to visit more than once before making a decision. Always think as you walk through each facility, would I want to live here? Is this comparable to my loved one's home atmosphere? Can they provide the care that my loved one may need? Remember, you are representing the interest of your mom or dad. How do you think they would feel about the facility? Is this the facility that mom or dad would have chosen if they would have planned ahead? This is a very difficult decision so choose wisely. This may be your loved one's home. If you need any support, guidance or information visit us at http://www.heartsofgoldhomecare.com we will be more than happy to help.

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