Posts Tagged ‘Assisted Living at Home’

Home Modifications to Support Aging In Place

November 21st, 2015 by Doris Bersing
gero technology TO LIVE AND age WELL

LIVING WELL PIONEER OF HIGH TECH IN HOME CARE

Aging in place is a term used to describe a person living in the residence of their choice, for as long as they are able, as they age. Most adults would prefer to age in place—that is, remain in their home of choice as long as possible. In fact, 90 percent of adults over the age of 65 report that they would prefer to stay in their current residence as they age.

The focus of aging in place is to help seniors ensure they can live where they choose and get any help they need for as long as they can. The goal of an elderly person (or anyone) wanting to age in place should be to maintain and/or improve their quality of life. In order to do that, a good plan that focuses on quality of life and covers your self, home, finances, care and other items should be created as early as possible. This plan should be maintained over time as your situation changes. This includes being able to have any services (or other support) they might need over time as their needs change, including safety monitoring, home care assistance, or home renovation, while maintaining their quality of life. Some examples of home modifications include: increased lighting, accessible switches at both ends of the stairs, additional railings, grab bars, nonskid flooring, a hand-held, flexible shower head, walk-in bathtubs, and the removal of throw rugs and clutter. In most cases, home modifications can be simple and cost-effective, while simultaneously offering substantial benefits to the individual.

We thank Liz Greene [1] for her ideas about home renovation. She proposes 5 home modifications to support aging in place. She said “…It’s not easy to choose which living arrangements will suit you later in life. So much depends on your health, mobility, and family situation. However, with the cost of senior living on the rise, many people are choosing to grow older in their own homes rather than moving into assisted living communities. Nonetheless, aging in place comes with a host of considerations, not the least of which is modifying your home http://www.ageinplace.org to accommodate your changing needs. If you’ve decided to stay in your home for the long haul, think about implementing some of the following modifications to make the transition easier.

Pull-Down and Pull-Out Shelving

Bending, stooping, reaching — these motions become harder on your joints as you age. Regular exercise can help alleviate pain and increase mobility, but it’s not a bad idea to eliminate situations where you’re putting more strain on your body than necessary. Installing pull-down and pull-out shelving in your closets and kitchen cabinets will allow you to reach out of the way items without having to strain or use a step stool. These devices are inexpensive, easy to install, and an almost effortless way to improve accessibility.

Grab Bars

Grab bars are an absolute must have if you plan to age in place. Install grab bars next to the toilet to provide balance while sitting down, give leverage when rising from a seated position, and help transfer from a wheelchair to the toilet seat and back. Place them next to the bathtub and in the shower to help maintain balance while standing or moving, assist in maneuvering into and out of the enclosure, and help reduce slips and falls. Put in floor to ceiling grab bars, or security poles, in the bedroom to assist in getting in and out of bed. While many grab bars tend to have an institutional look, some manufacturers are releasing newer models that are more aesthetically pleasing. This allows you to add stability and safety to your home without sacrificing personal style.

Walk in Tubs

Traditional bathtubs can be 20” or higher from the bathroom floor — clearly not designed for those who suffer from mobility problems. This is where walk in tubs come in. Walk in tubs offer a watertight door that opens so you can easily walk into and out of the tub. Most walk in tubs include a chair-height seat for a comfortable and secure bath and a non-skid floor to minimize slips and falls.

Curbless Showers

Curbless showers are designed to provide a safe and convenient alternative to traditional bathtubs. Curbless shower floors are flush with floors in adjoining spaces, allowing you to safely walk or roll a wheelchair into the shower without getting tripped up by a raised threshold. Curbless showers are a favorite in universal design as they are not only stylish, but friendly to users of all ages.

Sinks

Sinks can prove especially inaccessible to people in wheelchairs. Luckily there are accessible sink options for both the bathroom and kitchen. To provide space beneath a bathroom sink for wheelchairs and other mobility devices, install a wall-mounted sink. Wall-mounted sinks have no vanity cabinet or supporting legs underneath to get in the way. For the kitchen, consider a push-button, adjustable-height sink that gives each user a custom fit. The sink can be raised and lowered between 28 and 36 inches with the simple push of a button. This is ideal when you live with people with varied heights and mobility.

It takes some fore thought when designing your home to adapt to your needs as you age. However, if you do it right, you’ll find you’ll be able to live a happy, comfortable life in your own space, free of the cost and ordinances of retirement communities and assisted living centers.

[1] Liz Greene is a writer and former preschool teacher from Boise, Idaho. She’s a lover of all things geek and is happiest when cuddling with her dogs and catching up on the latest Marvel movies. You can follow her on Twitter @LizVGreene

Living at Home and Understanding Dementia Symptoms

April 23rd, 2015 by Doris Bersing

Understanding DementiaHaving a loved one diagnosed with dementia, including Alzheimer’s,  is a very hard circumstance and can be very challenging. Most of the times you want to keep them living at home, and provide the home care for the dementia or Alzheimer’s care they need. However, people get distanced from the one suffering from Dementia since they can barely recognize you; thus it is important to understand the symptoms of dementia and become a step closer to your elderly parents.

Nobody wants to see their aging parent struggle with dementia or Alzheimer’s. Sadly, there are things in life we can’t control, like incurable diseases that could materialize after a certain age. When someone gets dementia, their relationships, priorities, and perceptions on life take an unexpected turn. Nevertheless, certain forms of dementia can be kept under control, reversed and even treated if caught on time. If you have an aging parent, it’s only natural to become concerned with their wellbeing. Are they eating right? Are they becoming more forgetful? Are they in pain? These are questions most concerned children ask themselves on a daily basis.

A 70-year old parent may forget things from time to time, but if you notice that their memory loss becomes intense, then it might be a cause of cognitive decline. Dementia can be identified in many ways. First, you must understand the disease. The more you know the higher chances you have to save your parent and stop the health condition from advancing.

Understanding symptoms of dementia

Dementia is not a sole health condition but a collection of numerous symptoms, and some of the most common are changes in personality, memory loss, and impaired intellectual functions that could result from trauma or disease to the brain. These changes are not normal aging signs, and their side effects are severe enough to impact someone’s daily living, relationships and independence forever. Even though Alzheimer’s is one of the most widespread forms of dementia, there are many others, including mixed and vascular dementia.

If you suspect that your parent may suffer from this dreadful illness, then some of the changes will be noticeable. Remembering, communication, learning and problem solving will become difficult endeavors to accomplish. These are changes that can happen fast, or develop slowly in time. The outcome and progression of dementia differ, but are mainly determined by the form of dementia suffered and side of the brain affected. A specialist in the medical field will provide a complete diagnosis after the patient has undergone a series of tests, clinical exams, and brain scans.

What triggers dementia?

A healthy brain’s mass begins to decline in adulthood. However, this fascinating organ-machine of ours keeps forming vital connections even if we age, thus keeping us sane. When these connections are misplaced because of injury, inflammation, or disease, brain neurons begin to die. The result – dementia; it’s certainly traumatic to see a loved one go through such a horrifying disease. This is why it is important for adults to interfere as soon as the first signs materialize in their aging parent. The faster a doctor understands the cause, the better chances he has to recommend a treatment.

Caring for a parent with dementia

In the United States, there are roughly 10 million people who take care of a parent with dementia. Most of these at-home caregivers are women. It’s tough to do this job and at the same time have a family on your own. But since we’re talking about a parent, you wouldn’t want anyone else to take care of them.

Becoming a caregiver to a sick parent is tough. If you’re an adult and you have kids, you must accept that your aging parent may also have the behavior of a 5-year old. Given that dementia affects the brain, memory loss is not the only disturbing symptom. Many adults don’t want to move their loved one to a nursing home. In general, it’s not because they can’t afford the costs but because they’ve over protective.

Professional care can be good for an elderly suffering from dementia

The option of Home care or aging in pace and caring at home for people with dementia or Alzheimer’s is still an option for some. However, one size does not fit all. Living Well Assisted Living at Home in San Francisco and Marin County recognizes that home care for senior with dementia is an alternative but also, believe it or not, today’s healthcare facilities and nursing homes are no longer what they used to be. Some of these hospices provide exceptional comfort. They also feature all kinds of activities for patients, and they have professional personal taking care of your loved one 24/7. Making the decision and moving your parent to a facility is not something you want to do. But it is necessary.

Only an equipped facility can offer the best care for your loved one. At-home caregiving is great, but it’s still not enough to make the patient feel appreciated. A specialized facility comes with lots of programs, socializing sessions, and other therapies meant to stimulate your parent’s brain and ensure he remains in good physical health for as long as possible.

In collaboration with  Edward Francis and Foresthc.com!

Aging in Place versus Traditional Nursing Homes

August 5th, 2014 by Doris Bersing

Aging in PlaceShould a time arrive when you realize that you need help in continuing to provide a safe and joy-filled environment that ensures the physical, mental, and psychosocial well-being of your elderly loved one, you have several choices; two of these include: moving your loved one into a nursing home or securing the professional services of an aging in place or  assisted-living-at-home agency. As an article in the NY Times affirms, both of these options include the presence of new people in the life of your loved one on a daily basis; however, how that service is provided and when it’s provided makes all the difference between the two.

There are perks for each senior care scenario, but what’s important is to make the decision that gives the best care to what your elderly loved one needs most. Do they have physical pain and are prone to serious injury? What is their state of mental health and what would help improve or comfort that? How much attention do they really need and how capable are they to still do things themselves? All these questions are just the surface of what needs to be asked to make the right decision.

Individualized Care, Attention, & Focus

A traditional nursing home is required to have one RN on staff 7 days a week for 8 hours a day; the rest of the time a licensed LPN or RN must be on duty; in addition, the nursing home must employ a registered nurse for the full-time role of Director of Nursing. According to Elder Law Answers, there is no minimum requirement for the number of nurses’ aides during a shift. Since the aides are the workers who provide most of the personal day-to-day care for the residents, it’s not impractical to think that each individual resident at a nursing home is being provided with hours of focused, one-to-one care and attention.  The article goes on to share, “The important factor in improving the quality of care is the amount of nurse time each patient receives. If a nursing home met only the federal nurse staffing requirements…a resident would receive 20 minutes of nurse time per day.”

Quite the opposite is true with an assisted-living-at-home service. With this option, you and your loved one decide how much one-to-one care is required or desired. If you’re comfortable having a professional nurse or caregiver visit for 2 hours once a week, that is doable; however, if you want a compassionate, attentive, highly-trained caregiver to be with your loved one 24/7, that’s also possible. In fact, it’s not uncommon to create an open room for a caregiving to live at the senior resident’s home and be there in order to care for them at any time for any circumstance. There’s much more flexibility with in-home assisted living and the one-on-one time desired for your loved one.

On the same note, traditional care can also be a temporary option for those seeking some form of physical rehabilitation. If your loved one has undergone surgeries or have suffered from a stroke, fall, or head injury, only temporary traditional care may be needed. Short-term care specialists and therapists at senior rehabilitation centers like St. Anthony Cares state that sometimes for certain situations, physical therapy and rehabilitation are also just as crucial to bring residents back to optimum health and prevent such accidents from recurring. In some cases, opting for short-term care solely for rehabilitation from injuries can be the type of care needed so long as the resident can fully recover.

If you find that your loved one is a specialty case that needs round the clock medical attention, perhaps opting for traditional home care with certified specialists around 24/7 is more suitable. Not everyone can afford a professional medical setup in their own home and so traditional homes can fill in that void. So depending on your elderly loved one’s needs, traditional assisted living in a home may be better suited in order to give them the medical attention they will need to live more comfortably.

Individual People, Individualized Services

A nursing home environment has a set schedule for their meals, snacks, time to get dressed and out of bed, and activities. While at first this may seem appealing, the lack of flexibility often leads to nurses’ aides feeling rushed to get from room to room to ensure everyone is bathed and dressed – even when, perhaps, a resident feels like staying in bed for a few hours more. Further, if a resident misses a meal because he/she was visiting with family or dealing with a personal hygiene situation, it’s not uncommon for the person to go without the meal completely. The Ohio Department of Aging addresses this very real issue at nursing homes and advocates for de-institutionalizing nursing homes and transforming them into person-centered care facilities. Being on such a strict schedule can leave little room for the unexpected and patients not having a great day to begin with can be put in an even testier mood when forced to participate at times they don’t wish to. But don’t fret, not all traditional assisted living homes operate in this manner. If traditional senior homes are the route you and your elderly loved one are seeking, there are plenty of homes out available in most cities that offer much more flexible schedules and allow seniors to go about the property at their own leisure. Kitchens or cafeterias operate within certain hours or can postpone meals for particular residents that enjoy them later or earlier in the day. Snacks are on hand so long as the cafeteria is open and there are no set or mandatory activities or intermingling involved if the resident doesn’t want to participate.

With in-home assisted living, the resident is within their own property and are able to have their caregiver prepare meals or snacks whenever desired so long as it’s within their doctor’s recommended diet regimen. Each day can be different and the monotony of a daily routine doesn’t have to exist if the resident wants to do a different activity each day. Sleeping in isn’t an issue on days they are a little more tired than normal – there really isn’t a set schedule and if there is one provided by the caregiver from the doctor’s recommendations, it’s easy to move things around or find the time to ensure your senior doesn’t lose sight of the comfort provided within the boundaries of their own home. More and more families are looking deeper into in-home assisted living to provide maximum comfort for their loved ones with mental health issues. Depending on the severity and how the family is able to cope, providing your senior with a setting he/she is familiar with can lead to more good days than bad. Although the demand for taking on a role as a caregiver can be high for family members, opting for a professional to live in the home and be there to help assist them at any time of the day or night can do wonders. Those with unstable mental health may not do very well if they’re put on a daily schedule as they would find in a traditional nursing home whereas each day could be a different experience within the contentment offered by their own home they’re more familiar with.

Whichever you choose, ensure the decision is what’s best for your senior. Specialized nursing homes could be a great option if your elderly loved one can benefit from having around the clock care and can harmonize with other residents in the same scenario. Depending on their conditions and their state of health, short-term care may be what they need until they recover from previous injuries or pain and they can then continue on with normal life at home with the family. Or perhaps in-home assisted living is what’s needed for your loved one. Maybe they only need a specialist to visit once a day, twice a week, or perhaps they need someone around 24/7 and provide care from within the home at any accommodating time. There are many options out there that can cater to the medical needs and overall well-being of your loved one. We’re here to help you explore those options.

In collaboration with Amanda Kaestner.

 

Preparing for the Surge in Seniors and Senior Care Services

September 5th, 2013 by Doris Bersing

old man bow one's head on his wife shoulder

By 2060, the population of seniors is expected to double to 92 million aged 65 and over. That’s a big increase from the 2012 numbers of 43 million seniors, according to the most recent survey of older Americans by the United States Census Bureau. Over the next 50 years, our society will have to find new ways to care for our older population, whether in assisted living scenarios, extended family living or through alternative arrangements.

Post-WWII Population Accommodations

This shouldn’t surprise us: after all, our country was in some way affected by the accommodation of the large post-war populations. In The State of Aging and Health in America 2013 from the Centers for Disease Control and Prevention, the authors note that commercial baby food sales exploded in the 1940s-1950s to accommodate the massive increase in the post-WWII baby boom. As these babies grew into school children in the 1950s and 1960s, new school construction became necessary to meet their needs. And aging into the 1970s and 1980s, these adults soon helped fuel a large construction and economic boon that continued into the mid-2000s.

Today, our country will once again shift to tend to the needs of this aging population. This will impact not only our public resources, like health care, public health and social services, but also our own personal resources, like retirement funds, social security benefits and long-term care costs.

Insurance considerations for Seniors

Life insurance is relatively easy to buy (check these Statefarm.com life insurance quotes), and the premiums are easily managed. The premiums that you pay out monthly will be based on a variety of factors like senior age and overall health, how much coverage and the length of term coverage you need. Life insurance (combined with up-to-date Medicaid) will ideally help in managing any costs down the road in the event of an eventual passing, including funerals and other needs of the family.

At-home Long Term Care for Seniors

Many homeowners in their 50s and 60s now are starting to bring their older parents into the family home. This meets several needs. The older parents enjoy the camaraderie of one of their children and perhaps some grandchildren, while the child can keep a closer eye on the parent. This option is also a viable one when helping parents with dementia care

Other advantages of long-term care in the home include:

  • enabling other family members and family friends to assist in care-giving under your roof.
  • more one-on-one decision making between seniors and their children.

You can also choose with your parent a separate care location outside of the home. There may be many reasons for this, but it’s good to have this discussion before any major inbound moves are made. The AARP offers a long-term care calculator to check on costs on different kinds of care in nursing homes and similar in various areas of the country. Choose one that makes the most sense to both of you.

“IF I ever need to go to a nursing home, kill me first”

April 2nd, 2011 by Doris Bersing
You do not need to leave your home

Aging in Place: You do not need to leave your home!

Given that 89% of people do not want to leave their homes, this statement featured on the article The Technology for Monitoring Elderly Relatives on The New York Times (July 28, 2010) about new technologies to help people stay at their home, makes total sense.

The purpose of many of these technologies is to provide enough supervision to make it possible for elderly people to stay in their homes rather than move to an assisted-living facility or nursing home — a goal almost universally embraced as both emotionally and financially desirable.

Read More about it…

The Aging Brain

September 3rd, 2010 by Doris Bersing

brain-78440_640On Episode Six of the Charlie Rose Brain Series, a discussion of the Aging Brain with Brenda Milner of McGill University, Larry Squire of the University of California San Diego, John Hardy of University College London, and Scott Small of Columbia University. Co-hosted by Eric Kandel of Columbia University and the Howard Hughes Medical Institute, we find easy information for the laymen about what occurs in the aging memory related to memory loss and the developing of Alzheimer’s

See the program

Technologies Help Adult Children Monitor Aging Parents

July 29th, 2010 by Doris Bersing

89% of Americans do not want to leave their homes when they age. Most of these people will be live alone and receive support from a variety of health and community-based providers, family caregivers.  How will the long-term care system provide care to a growing number of seniors living in increasingly scattered locations? And more importantly, how can that system continue to provide quality care in the face of workforce shortages, rising care costs and decreasing resources? Technology has the potential to play a critical role in launching a new model of geriatric care that allows older people to live independently for as long as possible, supports family caregivers in the important work they do and gives health care providers the tools they need to deliver high-quality care at a reasonable cost. The just released article Technologies Help Adult Children Monitor Aging Parents on The New York Times, states that these technologies “…are godsends for families. But, as with any parent-child relationship, all loving intentions can be tempered by issues of control, role-reversal, guilt and a little deception — enough loaded stuff to fill a psychology syllabus. For just as the current population of adults in their 30s and 40s have built a reputation for being a generation of hyper-involved, hovering parents to their own children, they now have the tools to micro-manage their aging mothers and fathers as well…”

We, at Living Well Assisted Living at Home,  believe the provide a safety net for the elders, an option to stay at home while providing peace of mind to the adult children and family members.

Read the full article