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Nursing Home checklist

Wednesday, February 08, 2012

Choosing the right nursing home can be difficult and overwhelming for many carers. You want to ensure that the nursing home you choose will provide the best care for your loved one. However, with so many nursing homes available, how do you compare them to ensure you make the right choice?

The first step to finding the right nursing home is to start searching for homes in your area. Once you have a list of potential nursing homes you should then visit each home to assess them.

The Australian Government Department of Health and Ageing has put together a Nursing Home checklist that will help you to compare each nursing home by asking the right questions.

Some of the questions on the Nursing home checklist are:

Staff

  • What was the attitude of the staff assisting you?
  • What training do the care staff have?
  • How many staff members provide overnight care?
  • What type of care or services cannot be provided?

Rooms

  • Are single rooms available or will your loved one have to share?
  • What arrangements are there to ensure privacy for residents?
  • What furnishings and personal items can your loved one bring and what is supplied?

Food

  • What are the meal arrangements?
  • Is there easy access to well-maintained outdoor areas?

Other

  • How can family and friends be involved in your loved one’s care?
  • What transport is accessible for visiting shops and family?
  • Can the nursing home meet your loved one’s medical and special needs?
  • Do you or your loved one understand the costs associated with care?

You can also prepare your own specific questions to add to the checklist and remember to take a new checklist to every nursing home you visit.

Feel free to conduct second or third visits to each nursing home to ensure you make the right choice.

Hopefully with a little bit of preparation and by asking the right questions you can find the best nursing home for your loved one.

Read the full checklist here.

Bed sores - the basics

Wednesday, January 25, 2012
Bed sores can be a common problem in elderly people, which can lead to pain and discomfort for your loved one. Bed sores are the result of prolonged pressure to the skin, which prevents a sufficient amount of blood flow and nutrients to the skin tissue. Ulcerations or sores then develop on the skin, typically over bony prominences.

Bedsores can develop if your loved one is bedridden or sitting for a prolonged period of time without being properly repositioned. Common areas for bed sores to look out for are hipbones, lower back, tail-bone, knees and shoulders. 

www.bedsores.org has provided some useful information on the risk factors for developing bedsores.

Confinement to bed, chair or wheelchair
If your loved one is unable to move themselves then they can develop bedsores in as little as 1-2 hours if the pressure is not relieved.

Loss of bowel or bladder control
Moisture on your loved ones skin from urine or perspiration can irritate the skin.

Poor nutrition or dehydration
If your loved one’s skin is not properly nourished bed sores can develop.

Carers must be aware of these risk factors when caring for their loved ones in order to prevent the unnecessary development of bed sores. Bedsores can be prevented if your loved one is repositioned frequently, bathed appropriately and any incontinence problems assessed and treated.

Remember that everyone is different and may have different risk factors and treatment options.

Read the full article here.

Tips to make the job of a caregiver easier

Wednesday, August 31, 2011

Many caregivers struggle with the role of providing care to their elderly parent, spouse, family member or friend. Common complaints are that there is not enough time in the day, or they feel frustrated with the difficulties of elderly care.

Aging Care has provided some tips to help you care for your loved one.

Remember the person inside: the process of aging changes people’s personalities – conditions such as deafness can cause anger and Alzheimer's affects memory. Keep in mind the person that you have always loved whenever you feel frustrated.

Arm yourself with knowledge: If your loved one has a medical condition, learn all you can about their ailments, symptoms and treatments. This will guide you and instil confidence, and will also help your loved one relax in your care.

Have humility: Don’t underestimate your loved one’s intelligence and knowledge. Embrace all you can learn from their experiences and don’t disregard their opinions. Respond to your loved one as the person they were before they became ‘the patient’.

Remember that it is natural to feel frustrated and overworked at times, but use these tips to make your role easier.

Read the full article here.

Tips for nursing home visits

Wednesday, June 15, 2011

When your loved one is moved into a nursing home it is important that they don’t feel abandoned and that their close relationships continue.

However, many people can become uncomfortable or distressed when visiting a nursing home. Aged Carer has given some helpful tips to create a more enjoyable and comfortable environment for when you visit your loved one.

  • If your loved one is immobile or cannot communicate, holding their hand, stroking their forehead or quietly talking to them will let them know you care.
  • Share a meal with your loved one in the dining room or order take away.
  • Bring a family pet to visit, go for a walk around the garden and show off the pet to other residents.
  • Bring a grandchild to visit. If they have a favourite book have them read it out loud to your loved one or if they play a musical instrument bring it along and put on a mini concert.

A short visit can break up your loved one’s daily routine and for many residents in an aged care facility a family visit is the highlight of their week. Making your loved one feel important and a part of the family is the best way to ensure your loved one is happy and content.

To read the full article, click here.

Everyday tips that will make your loved one’s home safer

Thursday, June 09, 2011

Creating a safe and comfortable home is a simple way to help reduce stress on you and your loved one. Not only will this improve their quality of life, it will also reduce the chances of your loved one becoming injured, anxious or confused. 

Caregiver.com has provided some simple tips to ensure that your loved one feels secure, comfortable and content.

Buy a small lightweight jug
Store the jug in a convenient place and keep it filled at all times. Reminding your loved one to keep hydrated can ward off a number of problems associated with dehydration such as headaches and sleepiness and is great for health and wellbeing.

Avoid lots of mirrors
Your loved one’s memory may start to become affected, and if this happens you may need to prevent your loved one from seeing their reflection. Mirrors can be confusing as your loved one might not recognise their own reflection.

Use large dials or number pads
If your loved one enjoys watching television, ensure the remote has large buttons to make it much easier to use. Installing digital clocks might make it easier for your loved one to read the time if analogue clocks are confusing or frustrating for your loved one.

Clothing
If you buy your loved one’s clothing, keep it simple and basic, this will make it easier for them to pick out their outfits. Organise their wardrobe into sections i.e. skirts, pants, shirts and dresses. This will make it easier for your loved one to find a certain garment they might be looking for.

Read the full article here.

10 Signs a Senior Relative May Be in Trouble

Friday, March 13, 2009
More than half (52%) of family members presently caring for an older relative started doing so because the senior had an injury, illness or medical condition that left him or her less able to function independently. However, there are other issues, such as depression, poor nutrition, death of a spouse, isolation or loneliness that can further compromise the older relative's physical and mental health in a short period of time.

Sometimes, the older person just needs company - someone to talk to or with whom to share their day. Below, the Home Instead Senior Care Advisory Board offers 10 signs that you're older relative may need assistance or additional companionship:

1. Household bills piling up
Seniors can feel overwhelmed by the simple task of opening and responding to daily mail, as well as balancing a checkbook, particularly if eye sight is deteriorating or if this was once the responsibility of a now-deceased spouse. This can result in overdue bills, bounced checks, utilities being turned off due to lack of payment and other creditor issues.

2. Reluctance to leave the house
Rather than ask for help, seniors who are having trouble, e.g. walking, remembering directions, seeing, or hearing, will slowly pull away from their community/friends and isolate themselves. This isolation can lead to loneliness and depression, as well as malnutrition and other health concerns, if left unresolved.

3. Losing interest in preparing/eating meals
Seniors who suddenly find themselves alone (after the death of a spouse/partner), who become lonely over time or are easily overwhelmed by cooking tend not to eat properly. One sign that poor eating habits are forming is improper selection of food in the house (not well-balanced), expired or rotten food in the refrigerator or signs of excessive weight loss (clothes much looser).

An aging person may eat enough calories to get by, but may suffer nutritionally, including increasing cholesterol and lowering vitamin intake. Studies have found that poor diet can increase the risk of dementia in seniors and weaken the immune system.

4. Declining personal hygiene
Changes in appearance are the most obvious sign that some assistance is needed. These signs can range from unkempt hair and body odor, to unshaven faces and wearing clothing that is unclean, unchanged for days or inappropriate for the weather. These changes may occur because doing the laundry or getting in an out of the tub has become too physically challenging. Many who live alone also fear slipping and falling in a shower or bathtub with no one to help him or her get up.

5. Decline in driving skills
Look for evidence of parking or speeding tickets, fender-benders, dents and scratches on the senior's car as signs that driving skills may be deteriorating. Decreased ability to see, poor sense of direction, inability to merge into traffic, driving way under the speed limit and slow reaction time is a recipe for disaster with senior driving.

6. Signs of scorched pots and pans
This may be a sign of short-term memory loss or even the onset of Alzheimer's, as pots used in cooking are forgotten on the open flame of the stove and burn. Besides the danger of falls, this is probably one of the greatest safety concerns (fire) that families of older relatives face.

7. Symptoms of depression
Depression causes marked changes in behavior and one's daily routine over time. Many seniors feel isolated, like prisoners in their own home, particularly if a health condition or the deaths of close friends or a spouse keeps them from going to the places they once enjoyed. Feelings of hopelessness or despair, increased listlessness, and not wanting to get dressed can all be indications of a problem. Other signs include decreased visits with family members and friends, change in sleeping patterns (sleeping long periods or not sleeping at all) and lack of interest in usual hobbies and activities.

8. Missed doctors' appointments and social engagements
While this can be a symptom of increased forgetfulness, it is often simply a result of not having transportation and not knowing how to access transportation options on their own.

9. Unkempt house
Changes in housekeeping may occur simply because it is too difficult or tiring. This is especially troubling if a parent used to keep the house neat and orderly or if a recently-deceased spouse was responsible for these duties. From dirty laundry to dirty dishes, these everyday tasks become too much to handle on their own.

10. Losing track of medications
Missed doses and medication mistakes (overdosing and running out of pills before the next prescription can be refilled) can lead to very serious medical complications. Older people often take multiple prescriptions for various health conditions, which can be overwhelming without assistance and reminders.

It is crucial that family members keep an eye out for their older loved ones and know how and when to assist them, even if the senior doesn't reach out and ask for the help directly. Source: http://www.caregiverstress.com/extrainfo.html

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"Lorraine, you became a part of my family, I thank you from the bottom of my heart for your wonderful caring attention for my Dad and to all of you guys on the ground floor and of course Ray upstairs, thank you so much every one of you. You all know who you are, we got to know each other very well."
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