Tag Archives: Assisted Living Facilities

All Dementia Care and Assisted Living Facilities offer the same thing- Care!

smiling-nurse Dementia care and Assisted Living are services.
Each senior housing and senior living alternative offers assistance and elder care. Finding and coordinating individual on a care team including attention to team communication, social abilities, personality and interest for caregiving of a group of human beings is a very special task when it happens.

Assisted Living Services

We can only know WHO WE ARE HIRING by meeting each individual on the Assisted Living service team. When you choose any senior housing and care setting remember your focus is on WHO is supplying and coordinating the care you will need. Be sure to consider you are getting a service that can only be provided by a team of humans and is not provided by an assembly line.  More than renting a room or a hotel style Assisted Living resort you are buying a service and need to meet the individuals who will supply the assisted care and those managers, administrators, and owners who will be doing the problem solving for you.

residential-care-choices-kf Home care and Respite care

Before choosing the expensive, short term, less coordinated care, of home care or respite care consider the more permanent choice of a family style residential care home where you know the owner, administrator and caregivers and that care team can adjust and grow with you throughout the last chapter of life.

Look for a care team that can do the day to day care but also one with supervised training from a hands on administrator and owner who can deal with insurance issues, doctors order confusion, hospital and other discharges.  The health care system is so complex respite care and home care can’t hope to deal with these problems when they arise since they lack management and medical coordination of care.  Also consider that you need to be part of a custodial and complete care team that can grow with you and your loved one as the last chapter of life unfolds.   Residential care homes offer complete, permanent home care and respite care and high level coordination of care at a fraction of the cost of in-home care and respite care.

Dementia Care and Assisted Living care teams

When searching for any senior care setting focus more on the care team than the physical setting or setting label. The team requires you meet the administrator or captain of the ship who hires, trains, monitors the caregivers and medication techs.  The closer that relationship of administrator to staff caregivers the better the care and caring.

 

Please share comments below.    

Other educational links

Home care

AARP- caregiving resource center     

Tlcsr 

 

By Dr Shawn McGivney

Residential Care and Assisted Living Caregivers Tips (part 3 of 3)

assisted living caregiver Care givers come in all shapes and sizes and in all senior care settings including home care, Assisted Living Facilities, Residential Care Homes and most commonly traditional families who are lucky enough to be able to care for their loved ones at home.

When families and family caregivers don’t have the time, skills, and physical plant or house set up then we look to other care settings for paid caregiving services.  In those settings Tlcsr always advocates that you meet the entire care team to see if they operate as part of an extended team and to make sure the day to day care givers are working side by side and are on a first name basis with the owner, administrator, and mangers who are suppose to be guiding them, training them, and providing the complex back up and support they need. Never forget care giving is a team event be it in your own family caregiving system or in a paid caregiving system.  Moreover, senior caregiving is like the sports you follow on TV and all players roles matter for the best outcomes.  Since you need the doctor, administrator of the broader caregiving staff, and need emergency and problem solvers for the insurance claims, getting the medicines, transportation, and many other things you need to think about caregiving teams.

assisted living caregiver team

Part three: Both Paid Caregivers and Family Caregivers need to develop their care teams. 

Those who supervise you as a caregiver need to include you in the care process and visa verse. Trust and team connectedness are earned more than they are purchased. 

Work with your broad medical, administrative and extended care teams. Minimize tension and enhance the care you provide by enhancing communication with all other specialists’ physician, pharmacist, registered nurses, owners and administrators and other caretakers.

DISCOVER WAYS TO CONNECT WITH THE DOCTOR, PHARMACIST, AND INSURANCE BUSINESS AS AN INTEGRAL PART OF THE CARE TEAM.

Discover ways to connect with the physicians and other members of the care team the doctor directs. You belong to a group that begins with the physician and center administrator. You are not alone, ask concerns and rely on them for support. By doing so you can improve care and minimize your very own anxiety in looking after ill individuals who are going to have medical, social and financial problems that you can not resolve and treat. You need to be and feel like you are part of a team. Find out the best ways to communicate efficiently with doctors. Organize clinical information so it’s up to date and simple to find. Make sure legal files are in order. assisted living caregiver trust

 

 

 

Team building requires working together on a first name basis to know each other doctor, nurse, paid caregiver and extended family caregivers to earn each others trust.

Trust cant be purchased, just like caring can’t be purchased but is earned.  To enjoy work you need to trust and feel connected to your care team.  When the team feels connected the are will feel more like an extended family care team which is what every one should shoot for and look for.  You need to meet the team leaders and direct care staff to see and feel that connectedness, trust, and passion.

We applaud other writers for suggesting these facts too.

Caregiving is a skilled job and is not an unskilled one!

We suggest reading material from +Anne-Marie Botek on Agingcare.com who always discusses how difficult all forms of caregiving are from nursing to custodial care giving.  We all are caregivers to those we surround ourselves with at home and work.

For those trying to find caregiver jobs, they will be hired to participate in geriatric care, elder care, nursing home care and various medical related areas all of which are skills.

We suggest employers extend training to caregivers for all job listings to ensure the highest levels of elder care.

 

Care giving is a team job!

This article by Anne-Marie Botek starts to show the complexity of the care team in a nursing home or more institutional care setting with nurses, social workers, activity people and then the harder to find doctors and administrators.

Who’s Who in Skilled Nursing: Staff Caregivers Should Get To Know

What we want to suggest is that on that team you should look for a leader and a leader who knows the names of the care team you are buying or using. That is not easy. A big facility or institution operates on a business model and six sigma efficiency and if they don’t value taking time to know their own team members names or to meet what some describe as “low pay” or less skilled people it is likely the care will be more assembly line in style and not have what we call Family-style care with social connectedness.  While the opportunity for training is lost also I believe the emotional and social loss might be even more important.

Choosing the assisted living care team is a choice.

It is up to each of us to look for that family-style care team and then to value it and pay for it.  One way we can recognize the skilled caregivers is to pay at least minimum wage.  Yes, until 1/2015 caregivers often got not just less than but much less than minimum wage.  It is unimaginable that any person can be their best if you show with pay and words that they are somehow “less skilled”.  Just my view.  I value my care team and know each member by first name and hope that people can look for the same elsewhere.  I often compare any medical or assisted living care team to a professional sports team.  There are many members of the team with different complimentary skills but they realize you need all parts to win or in the case of Assisted Living Services provide the most family-like care possible.  My view is families know each other by name and share day to day simple experiences if your caregivers, team leaders are not doing that, the care might be less family-like and more assembly line.  Don’t be the next DVD player on the line, be yourself.

Summary

By doing all of these you can improve the care you provide, feel even better personally about what you are doing, and integrated a future as a calm, reputable caretaker for those families caretakers touch so personally every day.

Care giving

is not simply a paycheck but is a social service and there are numerous in-kind social and psychological benefits that are shared amongst the caregiver, homeowner and the many prolonged members of each person’s social system. We need to value those who care for us more in our own households and the extended family care teams we all connect with everyday in the health care system.

Residential Care alternatives to the Assisted Living and Nursing Home Rehab.   Many do not know that Residential care homes are the most cost effective care choice by far.  Tlcsr is a great example of high quality care and value. Tender Loving Care Senior Residence

Educational video links Family caregivers 

AARP- caregiving resource center    

LIKE AND SHARE IT.

Dr Shawn McGivney

Obama Care and Residential Care and Assisted Living Facilities.

Change-for-the-betterHow will Obama care and the disjointed care system that is the hospitalists not knowing your doctor, not calling your doctor, and communicating with the “chart” as if that was an all telling chart will likely continue as impediments to care in Residential Care Homes and Assisted Living Facilities until all parties, patients, doctor, society, and the government payers re value what health care is and how to value the relationship and duty of a primary care doctor.

The new direction and better changes are to value the relationship among and between one doctor and patient and to pay for, nurture that relationship especially for those who are older and have pre existing conditions. Society needs to wake up because they too will be at least old and needing chronic care services on day too.

The Los Angeles Times reports

” “Maria Berumen, a tax preparer in Downey, was uninsured for years because of preexisting conditions. The 53-year-old was thrilled to find coverage for herself and her husband for $148 a month after qualifying for a big government subsidy.

She jumped at the chance in early January to visit a primary-care doctor for long-running numbness in her arm and shoulder as a result of bone spurs on her spine. The doctor referred her to a specialist, and problems ensued. At least four doctors wouldn’t accept her health plan — even though the state exchange website and her insurer, Health Net Inc., list them as part of her HMO network.

“It’s a phantom network,” Berumen said.” ”

 What is the problem with care and what is the solution?

Society and Residential Care Homes and all that are involved with caring for the chronically ill and those with “preexisting” conditions at any age will have to finally understand that medicine is not an a-la-cart product but a service that REQUIRES AN ONGOING, MUTUALLY APPRECIATED RELATIONSHIP between / among Doctor, Patient and those needy members of society and the payment for that responsibility and duty.  Instead, the system as morphed based on all economic incentives to a disjointed, less relationship and duty driver system, to what we have now.  Indeed, this is not new, this is not only due to Obama Care but has been coming and evolving for decades.  Now the HMO and hospitalists are pretty close to “phantoms” when it comes to being responsible to deal with the outcomes of their advice day, weeks, and years after thy see you for that short in hospital hospitalist stay.  We all should want to use the same doctor for extended time frames and to pay for, value and nurture that relationship instead of allowing the government, the insurer to decide on who are doctor is practically speaking.

Only by re visiting continuity of care and paying for primary care as THE MOST VALUED PART OF MEDICAL CARE will this evolving medical and social / financial crises be addressed.

 

What do you think?  Share your views here.

Check out these fantastic Residential Care and Assisted Living Care Services that advertise and focus on that continuity of care as models of the care for all of us. 

Tender Loving Care Senior Residence

Or

Tender Loving Care Senior Residential Care, Costa Brava  –

 

OTHER EDUCATIONAL PAGES THAT DISCUSS CONTINUITY OF CARE.

http://www.tlcsr.com/wp-admin/post.php?post=1902&action=edit#titlediv

Educational video links

TLCSRLV youtube Channel.  Subscribe for free.

Assisted Living and Residential Care Home Video Tour.

Assisted Living and Residential Care Home Testimonial

 THANKS FOR LIKING AND SHARING 

Dr Shawn McGivney

 

Which is more home like – Residential Care or Assisted Living?

There is much confusion in the name of a case setting.  For example Assisted Living Facility implies this might be a more institutional care setting or facility while a Residential Care Home is more likely a smaller, more personal home with a family style care.  In fact that is generally true.  However, in all cases Assisted Living, Assisted Living Facilities, Residential Care, Residential Care Homes, Home Care, Hospice Care you do not know what you are getting until you know who you are getting to provide the direct care and day to day management.
residential-care-home

VS

assisted-living
Senior Care is a service and while many sales people promise what others will do the best promises or

the most reliable promises are those that come directly from the owners, administrators, care givers you meet personally

If you do not meet the administrator, ownwer, or care givers and shake their hand you risk loosing that personal comittment that comes with a handshake. value -the-handshake

The paper contract is needed for a minimum legal standard of care and priceing but that legal minimum standard is just that the minimum standard.  Look for the personal and professional contract of the handshake from the individuals you are hiring to get the best and most complete care.

Small is better and you can realistically meet and know the administrator, owners and all the caregivers you are hiring.  Check out these Residential Care homes.

Check out these fantastic Residential Care alternatives to the Assisted Living and Nursing Home Rehab.  Compare Family -Style care of a Residential Care Home to Nursing home and Assisted Living which are more institutional care models.

Residential care, Assisted Living, and Nursing Homes all offer custodial care but what varies is the care team you choose when you choose any care setting.  Who is doing the day to day training, supervision, and support of a hands-on management and who is doing the custodial care?   Look for the care team to get the best Assisted Living, Residential Care, Home Care, Retirement Community, Hospice Care, Dementia Care, Alzheimer’s Care and Memory Care in any care setting.  Look beyond the setting label and find out who you are getting before you buy.

Tender Loving Care Senior Residence

Or

Tender Loving Care Senior Residential Care, Costa Brava  –

Educational video links

TLCSRLV youtube Channel.  Subscribe for free.

Frustrated with Home Care Service? Get Home Care answers here! 
Best Assisted Living and Dementia Care Alternative – Welcome Video
Assisted Living, Memory Care, and Dementia Care Testimonial Collage
THANKS FOR LIKING AND SHARING 
Dr Shawn McGivney

Value your Residential Care Home or Assisted Living care team as treatment for chronic disease.

Value your Residential Care Home or Assisted Living care team as treatment for chronic disease.

Lifestyle is great preventative medicine. If you already have chronic disease Lifestyle alone is much less effective at reversing or making it better.

is an interesting article and I imagine Dr Katz book “Disease Proof”  is interesting too.  I just want to comment that for those who are already older, who already have chronic disease, there is less lifestyle can do and more medicine can do.  When I say medicine I include emotional health and the value of relationships with those around you, your doctor and the care team who will be with you in this difficult last chapter of life.  Even if the care team does nothing they are your access to whatever choice you make and if you trust them, your certainty of your choices, will be higher which will mean you are more at peace with what every you choose.

“Lifestyle as Medicine: At a Fork in the Road, Who’s Got a Spoon?”

While great works like the JAMA article from 1993

Actual causes of death in the United States.  

show how lifestyle affects our lives and death rates this is too simple an analysis.  Just like all medical studies have a control group to remove the “difficult to study” aspects of being human like: variations in income, social situations, culture, preferences, and the need to survive emotionally in this society, limit what medical studies can do.    I would argue that the single most practical approach is to work with a care team that can grow with you and provide medical, social, and emotional assistance in this last chapter of life.  Instead of focusing on what doctors can’t do, what studies don’t show, what might be if we did not like food,  I prefer to think of balance, working with the family and extended social system as a more flexible and practical plan in which you win no matter what the outcome.  Of course, we all want to live forever but that too has many meanings depending on who is staying it and where they are in life.  If you invest in those around you, your friends, family and care team you will age as well as possible given your unique circumstances.

value-code-principles

My favorite quote forms the movie Patch.  “If you treat the disease you win or lose but if you treat the person you win no matter what the outcome”.  That last phrase “no matter what the outcome” is where emotional health, feelings, and being part of the care team even in that last chapter of life are the treatment.   If you are tossed to another care team or a hospice care team and you never meet the doctor and you are changing care givers every few days it is likely that does not create as good a feeling of safety, being needed or wanted, as staying with a care team and doctor who have known you for decades.  Feelings and relationships do matter in life but we all need to invest in them especially when any member of our extended family or our team develops a chronic illness.  Yes, just getting old is a group of chronic illnesses and we all will get there some day, some way, no matter what we eat.

http://tlcsr.com/blog-dementia-care

http://tlcsr.com/blog-dementia-care

When any young, Lifestyle treated, person gets older they too will get some chronic diseases and they too will need help even if it is later in their life.  Then they too will need a medical care team that works with their friends, family and social system to balance hard medical treatments, pills and medical testing with the great therapy that are people, relationships and the interpersonal skills of the extended care team they choose including the medical and custodial care teams.

Check out these fantastic Residential Care alternatives to the Assisted Living and Nursing Home Rehab.  Compare Family -Style care of a Residential Care Home to Nursing home and Assisted living which are more institutional care models.

Residential care, Assisted Living, and Nursing Homes all offer custodial care but varies is the care team you choose when you choose any care setting.  Who is doing the day to day training, supervision, and support of a hands-on management and who is doing the custodial care?   Look for the care team to get the best Assisted Living, Residential Care, Home Care, Retirement Community, Hospice Care, Dementia Care, Alzheimer’s Care and Memory Care in any care setting.  Look beyond the setting label and find out who you are getting before you buy.

Tender Loving Care Senior Residence

Or

Tender Loving Care Senior Residence, Costa Brava  –

Educational video links

TLCSRLV youtube Channel.  Subscribe for free.

Frustrated with Home Care Service? Get Home Care answers here! 

 

Happy Holidays! 

IF YOU ENJOYED THIS POST – LIKE AND SHARE IT.

Thanks for the Like and Share

Dr Shawn McGivney

 

 

Your Choice-Big Assisted Living Institution or Small Residential Care Home.

Your Choice-Big, Assisted Living,  Institution or Small Residential Care Home. Feel the power of choosing!

Change is part of living! Feel Good that you took the time to look at several places and then made a choice instead of just accepting the first persons suggestion or suggestions of a person you may never see again.  
Big Institutions like Assisted Living Facilities or Nursing Home VS a Smaller, Single Family Home. While both Big and Small say they are Home-Like you have to decide how at home you feel in a small studio apt with a kitchenette VS a real house with a family of friends and the familiar set up you have lived in for your entire life.

http://www.tlcsr.com/blog/assisted-living-institution Assisted Living or Nursing Home Institutional Hall Way
Choose people over things when choosing Senior and Health Care.

http://www.tlcsr.com/blog/|assisted-living-house2

Food for Thought If the sales person promises work that will be done by someone else,  it is usually a good idea to meet the person who the sales person is promising for.   Health care, Senior Care are Personal Services and are not  sales of an inanimate object.  Services do require a relationship, social skills, and continuity of care.  Consider those when choosing any Health Care service including Assisted Senior Living Services.

Big Institutions like Assisted Living Facilities or Nursing Home VS a Smaller, Single Family Home. While both Big and Small say they are Home-Like you have to decide how at home you feel in a small studio apt with a kitchenette VS a real house with a family of friends and the familiar set up you have lived in for your entire life.

http://www.tlcsr.com/blog/|assisted-living-new-life                                http://www.tlcsr.com/blog/|assisted-living-wordhttp://www.tlcsr.com/blog/|assisted-living-change
http://www.tlcsr.com/blog/|assisted-living-househttp://www.tlcsr.com/blog/|assisted-living-nursing-home-pichttp://www.tlcsr.com/blog/assisted-living-man-staring-out

Nice furniture without a family of caregivers and other residents to interact with is a lonely place. Assistance, Care and Caring require a relationship for All people to feel needed and welcome. Take the time to find the best care team for you. Spend time meeting all the care team in any care setting.

How do you feel when you think of living in a studio apartment with a kitchenette, the standard setting in a Big Assisted Living Facility? Compare that to how you feel when living in a house, like the house you have lived in for your entire life, with the same private room but now access to the “house”. Which makes you feel safer, better, happier, more independent, more involved in day to day life?

http://www.tlcsr.com/blog/|assisted-living-house http:///www.tlcsr.com/blog/|assisted-living-med-home

IN ALL CASES “THE CARE” IN ANY  SETTING OF ASSISTED LIVING, NURSING HOME OR A SINGLE FAMILY HOME CARE COMES FROM THE PEOPLE YOU CHOOSE TO ASSIST YOU IN THAT SETTING.

While the idea of care in your old home is  a nice thought, consider  how likely it is that the caregiver takes over to some degree?  If you need assistance you might not be at your best, coordinating your care and that care giver.  Look for some management, with the in home care options, to ensure you will maintain as much control over your life as possible.
We recall a quote from Patch in the movie Patch. If you treat the disease you win or loose but if you treat the person you win no matter what the outcome. Believe, trust in, and develop relationships with those who you now live with and who help you day in and day out as friends and caregivers.

Senior Care and Health Care are services in any care setting Home Care, Hospital, Rehab, Assisted Living, Memory Care, Dementia Care, Alzheimer’s Care, Hospice care.  In all cases look beyond the furniture and the pills to see the care and people who are directly implementing the care and treatments.  For seniors cognitive care, depression, sense of loss, are present in all cases and one of the best treatments for that is to find the home like setting and family like staff.
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Dr Shawn McGivney