Doctor insights on:
What's The Minimum Age To Put A Person In A Nursing Home
Not if it's durable: A durable power of attny does not expire until either the patient or poa dies. That being said, you will need to checck with the new state to see if your poa applies. It remains in effect in the grantiing state until the patient or poa dies and there is not another person mentioned. ...Read more
Nursing Homes: No, elderly people have many alternatives in where to live. These decisions should be made in their entirety taking into multiple factors. ...Read more
Yes: Nursing homes must have registered nurses supervising lpns or licensed practical nurses. Some nursing homes have physical therapists if they provide rehabilitation. There are many organizations that regulate these places for quality control issues. In my state of florida the regulations are : https://www. Flrules. Org/gateway/chapterhome. Asp? Chapter=59a-4. ...Read more
Not if they get care: If you can't provide for their care yourself, a care center is the next best option. Make sure that they get good care there. Visit them often, and if you are able take them out on pass and let them go places and do other things. You should not feel regret if you know they are receiving good care and stay active with activities. ...Read more
I think I have a ringworm. I work at a nursing home. Its my first time ever with it. Should I go to work? I just put peroxide on it til I get crem
Cover it: These can be spread by spores that can shed from the skin. If you cover it and practice good hygienic patient contact skills it should not be a problem. You may want to get confirmation that it is not something more worrisome by seeing your doc if it doesn't respond to topical tinactin or similar antifungal within a few days. Peroxide does nothing. ...Read more
Just moved from daughter's house to nursing home. I like it but was put in double due to lack of spaces on short notice. Is that a good sign or bad?
Should be fine: Just make sure your roommate doesn't have anything contagious (ask the staff). If you want a private room, let the staff know and they'll let you know when one will be available and how you can be accommodated. Unfortunately, most nursing homes are usually full. ...Read more
Is it possible to keep living independently with age-related macular degeneration? I've just been diagnosed with wet macular degeneration. I'm only 50, and don't want to have to move into assisted living or a nursing home any time soon. How long can I rea
You are a bit young for a diagnoses of the typical macular degeneration, but does happen. You are fortunate it is 2012 and that we have outstanding treatments available (i would expect even better treatments to emerge during your lifetime as well).
As you know, macular degeneration can impact the central vision. This is what we use for reading - this is the type of vision that one also needs for driving (one needs 20/40 in one eye to drive with an unrestricted license. One usually needs 20/70 in one eye for daytime privileges).
While macular degeneration can move vision to less than 20/70 in some patients, I virtually see no patients with it who cannot care for themselves and live independently. Remain optimistic and see your eye doctor if you note vision changes. ...Read more
My grandfather was diagnosed with a bowel obstruction is too sick to operate on they put him on comfort measures and sent him to the nursing home a dr?
Compassion & Care: It sounds like the doctors involved in your grandfather's care are providing compassion in not subjecting him to a painful operation that could have multiple complications, prolonged hospitalization, multiple procedures, and make his final days miserable. Sometimes the best choice is to give people pain medication, a quiet comfortable atmosphere, and time to be with their loved ones; this is good. ...Read more
Sis put mom in nursing home, was sent form for flu shot, not sure whether to sign. I suggested inactivated 2012-3 one per cdc. Why do they even ask?
Protacols: The agencies that certify nursing homes require strict adherence to rules about obtaining informed consent for what could be an invasive or optional procedures. If your mom is not considered capable of understanding & giving consent, it will fall to whoever has medical power of attorney. ...Read more
No.: Bed sores are from unrelieved pressure, often in elderly, debilitated, or paralyzed individuals. Whirlpool therapy helps clean out infected pressure sore tissues; proper electrolytes in the water can be more gentle (iso-osmotic) than water alone, but there is nothing "special" in dead sea or any other salt that helps wounds heal faster than good wound care and pressure relief! ...Read more
My 87 year old mom has dementia. They want to put feeding tube in because she is inspirating food. Lives in nursing home, doesn't talk. Should we?
Agree w/ Dr. Chastine: This is a very difficult decision and made more difficult by misinformation (feeding tubes prevent aspiration) and pressure family may feel from doctors and nurses. Often people who mean well, will try and pursuade you based on their biases and values. Decreased food intake is part of the progression of dementia. The best question is what would your mom have wanted if she knew this would happen? ...Read more
See below: There is a growing trend for young people into the nursing home. Financial issues are the key factor due to complex medical and pyschiatric condition. When entering to the nursing home, majority are elderly and there are conflicting issues on how to care for the younger ones such as dietary requirement, activities, level of care, behavioral management and inappropriate interaction with staff. ...Read more
Needs to be clarifed: Each nursing home patient has one attending physician. Each nursing home has own policy and procedure about the role of attending physician for accepting or rejecting recommendations from podiatrist, specialists, dentist or others. Some attending physicians prefer working together with pyschiatrist or rehab physician. Please ask for unit manager nurse about the role of attending physcian. ...Read more
What happens to an elderly person in a nursing home after all of their money is gone? Are they moved to county facility?
Possibly: It depends on what you have worked out with the facility. Some facilities only accept insurance other than medicare or they do not accept medicaid and in that case, the person would have to go to another facility. In some other facilities, when medicare is exhausted, the facility accepts the residents medicare. ...Read more
Depends: A person leaves nursing home in the following situation: violations for smoking/drug/alcohol policy, harrassment, inappropriate sexual contact within staff or resident, unacceptable behavioral problems despite rights to refuse medications and dangers to others. There are other reasons but it needs to be resolved first before leaving the place. Safety and accountability are the key. ...Read more
Talk to the staff: I would discuss this with the staff at the home. ...Read more
Closest person: Most likely the nh resident will be found by a cna. Of course every nh has protocols for residents that have fallen or are found on the floor. Generally the floor rn will be notified as well as the dir of nursing (don). The attending physician will also be notified, even if there seems to be no injury. Falls are taken very seriously in the elderly in every care location. ...Read more
If person in nursing home with c difficile occasionally uses mum's toilet and sink, is there a risk to her?
C difficile: Yes, there is a risk to your mother in this instance. ...Read more
Depends: The number of strokes does not dictate return to a nursing home. The level of function and the need with assistance with activity of daily living does. ...Read more
How risky is it to move an elderly person 3-4 times from indep to 2 different assisted living centers then to skilled nursing home?
Not a podiatry?: Talk to your family doctor.Get a more detailed answer ›
I work at a nursing home. I was changing a resident's brief and the person farted in my face. Is there any kind of preventative action I should take?
Face masks: If you are going to be working around bodily fluids/waste you need to be wearing gloves, gown, mask with clear plastic eye shield. I have had the privilege of seeing airborne fecal material at work. It really does happen. In the meantime, watch for flu-like or URI symptoms over the next week or so. Viruses and bacteria can infect both sites. ...Read more
Yes: SNF = skilled nursing facility. Key word is nursing which means nurses have to be available around the clock. Assisted living facilities don't require presence of nurse at all times. BTW, we mean RN or LPN when referring to nurses. Check out http://www. Diffen. Com/difference/Assisted_Living_vs_Nursing_Home as a starting point. ...Read more
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
Skilled Nursing: Facilities (snf) have nursing home level of care within their building. For example, one wing of the snf or certain rooms are dedicated to people receiving short term rehabilitation services (those who will not be living there once therapy is complete) and those who stay long term. People who live there are under custodial care, or the same level of care as a nursing home. ...Read more
Anything: Bad nursing home reputation, failed annual inspections, loss of independence, change of environmental or cultural settings, uncooperative residents, unprofessional staffing, fire safety, aging building, inner city location, falls resulting fractures, infections among other residents, food poisoning and fear of institutionalization. ...Read more
A caring staff: A good nursing home has a caring staff and physicians who are available and willing to meet with family members. These two characteristics are not easy to discern. I recommend that you visit any nursing home you are considering for yourself or a family member. Walk around, and talk to visitors and family members of patients. Don't go by what the admissiions folks tell you - they are in sales. ...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
Research: Visit nursing homes, research facilities, use word of mouth. There are many considerations including what additional services are provided like assisted living options, rehab, etc. ...Read more
1 where U feel good: You should find a home that makes you feel good about where he is living. A facility where you would be comfortable staying yourself. A place where there is adequate room for activities and there is stimulation for him. ...Read more
Keep contact: Keep a lot of physical contact (daily and for several hours if possible)with him. Pay attention to how he feels & how he is treated at that place. Make sure you explored other possibilities first. ...Read more
Ask for help: Most common danger is falls. Never try to do dangerous maneuvers without asking for help. Early morning in the bathroom is often the most dangerous. Stairs are another. Eat well and sleep well and keep up a good exercise routine. Talk with anyone who will listen and read and watch news shows and keep your brain active. As soon as you start to feel ill, ask for help and get a checkup. ...Read more
See it first hand: First, ask for a tour of the facility. If the answer is you cannot, then you have a lot of information already. Ask the facility liason who their regulatory agency is. Check with that agency. The local better business bureau may have comments. Try and talk to families of other people who live there. In my experience, most nh try really hard to provide good care. ...Read more
Talk to the staff: I would discuss this with the staff at the home. ...Read more
Not a podiatry?: I would recommend you check them out and talk to your family doctor and the management staff at the home. ...Read more
Visit facility, ask about ratio of patients to nurses, cnas; look at rooms -- see if they're private, semi-private, etc. Compare nursing homes by rating-- medicare website is one of them: http://www. Medicare. Gov/quality-care-finder/#nursing-home-compare
also, when a nursing home has been surveyed by a state oversight agency, it should have the results of survey readily available for you to look. ...Read more
OK to opt out: In a skilled nursing facility they provide activites to help relieve boredom and to help you engage with other people. Generally you are not required to participate but encouraged. Common activites are bingo, cards, crafts, sing-alongs. . ...Read more