Doctor insights on:
End Of Life Care Home Nursing
Can you weigh the benefits of in-patient and out-patient, hospital and home care for palliative care?
Many variables: There are many variables to consider when considering long-term care. Cost is affected by location & unit (1bdrm vs shared) as well as type of care required. Nursing homes are typically more expensive than assisted living b/c staffing requirements. Check out http://www.aarp.org/relationships/caregiving-resource-center/LTCC.html as starting point for comparison. ...Read more
It depends: It depends on the problems of the patient the nurse is asked to treat in the home. There are numerous chronic problems that are each treated somewhat differently. The nurse will make certain the patient is eating appropriately and living in a healthy environment.. ...Read moreSee 1 more doctor answer
It depends...: It depends on the hospital course. If the person was admitted for a condition and treated but worsened during the hospitalization to the point that death was imminent, comfort care or hospice care may occur in the hospital. However, most hospitals will try and transfer people home or to a skilled nursing facility with hospice care if the person has a little longer to live. ...Read moreSee 1 more doctor answer
Mother-in-law has serious dementia - what's the procedure for transitioning out of a nursing home into memory unit?
Wife: Great opportunity to have family conference with her prescribing physician to discuss her treatment and your concerns. ...Read more
Also: Subacute care in many skilled nursing facilities usually entails significant specialized care, like patients on long term ventilators. These patients are too stable for the hospital but because the tracheostomy & vent require constant monitoring and nursing care. If a pt can't be taken off the vent they are usualy transferred to a facility where this type of care is usual. ...Read moreSee 1 more doctor answer
Palliative/ Hospice: Hospice serves pts in their own homes, nursing homes, long-term care or assisted living facilities or hospitals. Pts receive palliative care to ease pain, and discomforting symptoms; psycho-social, and spiritual support. Hospice care is focused on maintaining dignity, increasing quality of life, and providing comfort , including pain and symptom management. Hospice gives best care at end of life ! ...Read more
See below: If your loved one has not received proper hygiene care, please contact either unit manager, supervisor of nursing or director of nursing. If not helping, please contact administrator. If you feel that the whole place is not helping for the loved ones, then you have the right to report to the state department of health for possible abuse/neglect. ...Read more
Palliative care: means that professionals keep the patient comfortable but do not focus on doing things to help the illness itself. It is often provided in end of life or hospice situations but can be used when no other alternative is available. None of us knows when we will die so please stay open to the way life unfolds. Prepare but live in the moment. Peace and good health. ...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
Bedsores neglect: The issue is whether all pressure ulcers are avoidable. Most professionals believe that there are unavoidable pressure ulcers. The issue of 'neglect' is a legal term used by the plaintiff attorneys. Some wounds are not preventable. One extreme example is a kennedy terminal ulcer (google the term). There are many risk factors that a patient can have that are'tcorrectable and that snfs cannot cure. ...Read moreSee 3 more doctor answers
Nursing home: The front line staff in a nursing home are the nursings assistants. This important position is front line because they are the ones who will spend most of the intimate time with you or your loved one. There is a certification process so they get the title cna or certified nursing assistant. This requires a training process and a test in the state of az. There are state to state variables. ...Read moreSee 1 more doctor answer
Yes & no: Health care proxy only gains power once your mom's physicians declare that she has lost capacity to make medical/legal/financial decisions for herself. The courts will decide whether she is competent or not, and who will become guardian if no legal framework has been established. But health care proxy cannot make anyone do anything as long as s/he is of sound mind. Incapacity may be temporary. ...Read more
Should the elderly be expected to pay for residential care out of their own social security or medicare?
Who pays?: Medicare does not pay for long term care, assisted living, home care, transportation. So , yes, unless you financially qualify for medicaide, you will need to pay for residential care or home care(unless there is a skilled nursing need, then medicare will pay for a while in rehab or home care). ...Read more
14mo boy- pneumonia in both lungs. Preparing to go home from hospital tmrow. I'm nervous about raking him home. Helpful care tips once we are home?
Most treated at home: If a kid is taking fluids well, eating some and capable of taking oral meds he can do well at home. He will need adequate rest when he tires, and simple balanced nutrition for a normal recovery. As long as he wets a diaper every 4-6 hours and appears to be regaining his pre-illness playfulness, his recovery is going well. ...Read more
Depends upon patient: Way too many variables to answer absolutely on general basis. Typically, we advocate for aging in place eg at home since it's more familiar and offers sense of place & community. But this assumes that one is healthy enough to do so and engaged enough in community. Also assumes enough resources. But often times, closest relative lives out of town so for frail elderly, institution may be better. ...Read more
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