Doctor insights on:
Can A Nursing Home Keep A Patient Without Her Consent
Yes: If a doctor has put a temporary emergency hold or the state has deemed the patient not competent to make his/her own decisions or the power of attorney (or legal guardian) has requested it (and the patient lacks capacity to make the decision at the time), then yes - a hospital or other medical facility like a nursing home can involuntarily hold a patient. ...Read more
No: Unless the person in nh lacks decision making capacity and the person is under the ward of a guardian. If so and the person is considered unsafe in another care environment, then yes they may be kept in nh against their will. ...Read more
I was wondering is a california nursing home contractually obligated to keep a patient for a certain amount of time?
No: However by state regulation under the federal guideline, each nursing home must provide the license for the total number of Medicare and Medicaid beds as well as for the private beds. So for example if the person paid privately but ran out of money and switched to Medicaid. Then depending on the number of Medicaid bed available, this person may have to move another one ...Read more
Talk to the staff: I would discuss this with the staff at the home. ...Read more
Residence for elder: Nursing home is a residence for elderly people who need some sort of assistance because they are not capable of living alone or take care of themselves. These places provide room and board( bed and food) also they procide medicines prescribed by the patient's dr. And rhey are administered to them. Some nh provide rehabilitation. Most nh have activities or enterteinment for their residents. ...Read moreSee 1 more doctor answer
Multiple criteria: Check out http://www.nursinghomefamilies.com/NH_web/Admission_to_a_Nursing_Home.html for criteria on admission to nursing home. Nursing home does more than just pass out meds. In general, patient has to have skilled nursing need that can be be met by federal/state regulated facility that accepts patient's method of payment ie insurance. Oh and physician has to assume care of patient upon admission ...Read more
Tough question: Hi HTom, Hard question to answer without more information. SVT represents a broad category of tachycardias with certain types being more benign than others. Certainly some forms of SVT can be triggered by exertion but not all types can evolve into a life threatening VT. I would recommend that you review your chart thoroughly with your physician to help make this determination. Hope this helps. ...Read more
Can an aide get into trouble for reporting to kids neglect and abuse to patients in a nursing home?
Reporting abuse: Any reports of potential or real abuse need to be reported and are 'protected'. If anyone, including a health aide, suspects abuse, they are required to report immediately to their supervisors and beyond. Reports of any type of abuse in the nursing home requires immediate analysis and reports to state authorities. ...Read more
What are pt aides? Are they formally trained? Pt signed off on nursing home patient and assigned to pt aide for exercise 3x/wk. Not sure what is done.
Aide-de-camp: Aide-de-camp = field assistant (french) is by definition a personal assistant, in this case a helper to the pt. The pt is responsible for assessing and assigning appropriate therapy for specific patient based on the patient's medical/physical need. Once the plan of care is set, an aide can simply follow the instructions and carry out the activities assigned for that patient. Good luck. ...Read more
I'm 3 mos s/p c6-7 acdfp. When can I return to work full-time as pt in nursing home? I do have to transfer and lift patients frail w/ and w/o dementia
Ask your doctors: The doctors who've been following your progress are much better equipped to answer your question than doctors who've never met you. Returning to work after such procedures depends on how you were before surgery, and how you're recovering. If you're working with a physical medicine ; rehab physician along with the surgeons who operated, those would be the ideal doctors to ask. ...Read more
Documentation: Bruises are very common in the elderly, due to fragile skine, and can occur spontaneously (someone on blood thinners) or with routine hands on care. Nursing homes are so well regulated now, the nursing staff is required to document all changes of a patients skin. Staff abuse is rarely a cause for bruising, however if this is suspected discuss with the administrator and the director of nursing. ...Read more
3 times: In am, about 3 hrs after meds and at bed time. ...Read more
Why do nursing homes care for their patients worse than police care for prisoners? Do you believe that nursing home patients should be treated better?
See details: The significant majority of nursing home provide excellent, conscientious care. There are always exceptions. ...Read more
Shouldnt a nursing home doctor see a 92 yo patient who has cognitive change and then falls? Offered to take her to office too. Got respite pass only
Of course.!: There should be a doctor assigned to your patient by the nursing home. You should talk to this doctor about your concerns. Some facilities have nurse practioners available everyday for assessments. ...Read more
Usually: A 'drop foot' can have many causes. Typically, patients with a drop foot can walk with an ankle foot orthosis (afo) and other assistive devices as needed. Occasionally, surgery is recommended for this problem. I recommend an evaluation by a physical medicine and rehabilitation physician or an orthopedic surgeon. ...Read moreSee 1 more doctor answer
Mrs. Rose is a hospice patient in the nursing home. She has gangrene of her foot. What can she do to cure it?
It depends: Depending on her current health status, whether the gangrene is wet/dry, if there is neuropathy (which may spare the patient pain), and prognosis are to all be considered. Hospice care is palliative in nature, so if intervention for the gangrene is to be considered, a change in her hospice status is necessary. ...Read moreSee 2 more doctor answers
When do you know its time for a dementia patient to go to a nursing home? Mother is 85 years old..Lives alone in apartment..Forgetful, but otherwise good health..Apartment is extremely clean and tidy, makes her own meals, walks independently. Siblings w
The : The basic reason for a person to live permanently at a nursing home is if they can not function without assistance. Can the person handle every day tasks of living such as brushing their teeth, washing themself, dressing themself? Does the person engage in unsafe behaviors such as forgetting to turn off the oven? Does the person have a medical condition that would make it unsafe to live alone such as falling often or seizures? Is the person depressed and isolating themself? I think that it is excellent that your mother continues to interact with others and that she maintains her own home and makes her own meals. Many elderly people who have difficulty with some of those activities of daily living, may still elect to live independently in their own home but might have some meals delivered or might have maid service. Sometimes relatives want their elders to be placed in nursing homes so that they will not worry about them. I think it is very important to ask the person what their desire is. ...Read moreSee 2 more doctor answers
Daughter reported to head doctor that nursing home staff didn't wash hands; worried since they care for c diff patient. Now staff wont cooperate w/ her?
Hand washing: Everyone should be washing hands before and after touching a patient, irrespective of the fact that they may have put on gloves. Using soap is mandatory when washing hands. This is true for staff and visitors. A friendly method of persuasion and education works best. ...Read moreSee 1 more doctor answer
Specialized services: A skilled nursing home offers more than custodial services. They also provide physical and occupational therapy, dietary services , and give services such as respite care, feeding tubes, continue IV therapy. Usually a doctor is assigned to patients and psychiatrist will also follow patients with psychotropic medications. ...Read more
No: By definition, skilled nursing facilities or nursing homes must have nurses eg RN/LPN available around-the-clock. Assisted living facilities do not. Memory care units are a secure subset of assisted living, w/greater staffing. Check out http://www.aplaceformom.com/alzheimers-care, http://www.seniorhomes.com/p/memory-care/ & http://assistedlivingtoday.com/p/memory-care/ for more info. ...Read more
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