Doctor insights on:
Wheelchair Exercises For Nursing Home Residents
Dad w/parkinsons and Lewy bodies.7 yrs.since dx.in nursing home.past 2 weeks he has to stay in recliner wheelchair.can't eat solids.fever.always sleep?
?infection: If he has ongoing fever, then an infection in the urinary tract or respiratory tract may be causing the letharuy and sleepiaess. I assume a neurologist is overseeing the treatment of the Parkinsonism and dementia, and that side effects from his medications are not factors in his declining alertness. Discuss these issues with his physician. ...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 a volunteer at a nursing home and I am now doing activities with seniors. I need some ideas for safe exercises in chairs?
Kee[p it simple: This is great thing to do. Just keep it simple. Reaching one arm at a time, forward, then upward, then out to the side. Repeat on the other side. Rotate head toward left shoulder, pause, then return to midline. And repeat to the other side. Now lean one ear towards the shoulder on the same side... Pause and return and repeat on the other side. Good luck. ...Read more
Ask her: Some options: 1. Ask her if she will do this. 2. Speak to the staff to see if they can encourage her more. 3. You could arrange to pick her up and take her out on pass, go somewhere where she will have to walk a short distance. Sometimes you can get them to "exercise" by using a little of subterfuge. ...Read more
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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
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
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 to 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
Talk to the staff: I would discuss this with the 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
$6753 is avg.:
National average cost per month in nursing home is $6753.
Many factors come into play including, location, services and facilities, state and local competitions. ...Read more
Research: First check out what facilities are in your area. Visit them and ask questions.... What is daily routine? How are emergencies handled? What is important to you and will those objectives be accomplished? If they are affiliated nationally, check out their ranking and reputation. You should feel comfortable with the care that is given. If you can ask other residents/families if they are happy. ...Read more
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