Tag Archives: Hospice

Las Vegas Hospice Service: Learn about the most cost effective hospice.-blog post.

HOSPICE-TIPS
Las Vegas Hospice Service: Learn about the most cost effective hospice.-blog post.

I just saw a must watch video.

Click this link for video: 
Learn about the most cost effective hospice

 

LEARN MORE BY CLICKING THE “SHOW MORE” BUTTON BELOW THE VIDEO.
Click the youtube url link above. Then look for and click the “show more” tab in the section under. That will bring up the rest of the description that reveals pre screened comments.

OTHER HOME CARE AND HOSPICE LINKS HERE

NATIONAL CANCER INSTITUTE HOSPICE CARE FACT SHEET: http://1.usa.gov/cCtWoe

GREAT HOSPICE RESOURCE PAGE: http://tlcsr.com/hospice-care.htm

I CARE, COMMITMENT, SERVICE REQUIRE RELATIONSHIPS, TRUST, AND SOCIAL INTERACTION IN ANY SERVICE ARENA INCLUDING SPORTS TEAMS, THE MILITARY, FAMILIES, BUSINESS, LAW AND IN HEALTH AND SENIOR CARE!

individual team members are needed for special skills sets on or in any team or organization but it is the team that endures over the long run. When you hear stay at home remember to look more broadly for the care team with the both skills, passion, and commitment to provide the physical and emotional care you want, need and expect to need in this last chapter of life.

VALUE THE FEELINGS OF THE CARE TEAM AND THEY WILL MOST LIKELY VALUE YOUR FEELINGS TOO !
Care and caring require knowing each other for the human element of caring to take hold, meet the care team you select for this final journey in the last chapter of life for a loved one and your entire extended family who will be impacted by this choice.
We believe seniors and their extended social systems sometimes focus on the more tangible building when choosing an Assisted Living or Senior Care setting instead of focusing on the care team who will do the direct work and solve problems. The care team, administrator and direct care givers, are the ones who can are the ones who will improve your emotional health. Often times people fear moving to a new place not because of the place but because of the loss of control they expect. They often times feel abandoned and fear the unknown of who they will have to interact with. Unfortunately these fears are often true. We all have heard of the nursing home where the nurse says stay in your chair, or the group home that says it is time for bed at 6pm, and many other examples where the staff do over use. What we believe seniors and their family are looking for is that cohesive Senior Care Team of administrator and direct caregivers that allow the senior as much control as possible over the remaining things they can control and a care team that empowers the senior to do as much as possible for themselves even if doing so takes the staff longer.
For example,when the staff allows the senior to walk to the bathroom to change a wet brief instead of changing it in bed they improve the emotional care and empower the senior to feel more in control of their bodies. Of course, they get more exercise and interaction with the staff also. There is no doubt the care team varies widely. However, we believe all will be rewarded with improved care and more in-kind services by making time to meet the entire care team.

WE BELIEVE THAT YOU NEED TO MEET THE ADMINISTRATOR, MANAGERS, DOCTORS AND CAREGIVERS TO KNOW WHO YOU ARE GETTING.

Knowing the management is essential since they set in general on the amount of staff. The owner and administrator also decide how much additional training and education the management provide to the caregivers. Many would be shocked at the minimum required training for most professions and it is the same for caregivers. Few seek out the the new sophomore college quarterback, instead they look for a team leader who is interested and able to work side by side with their team and to train them to be even better every day on or off the health care battelfield. In fact, an administrator is your point guard when it comes to coordinating the staff in the senior care setting. Then they have to describe those new medical or care suggestions to the family and their own teams, and finally assist in implementing the providers or other parties suggestions. That is what we view as the duties of a care team leader and is what we think you need to look for in any care setting you inquire about.

That individual could be nurse. We strongly recommend making sure that responsible party is on site and is active day to day with all of the care team including the resident and the residents family. If the leaders do not know the first names of each staff member it is likely that there will be missed opportunities for staff and manager to share small but needed details that could improve physical and emotional health. When you meet the leader who introduces his/her entire care team by name you can start to feel the difference between physical care and continuity of care or more complete care that includes attention to a seniors emotional health needs.

HERE ARE TWO EXAMPLES OF CARE SETTINGS WITH STRONG LEADERSHIP ARE SHOWN BELOW:

Tender Loving Care Senior Residence
And
Tender Loving Care Senior Residence, Costa Brava.

 

Visit to get an idea of what you might be looking for in all care settings when you face this expensive and difficult experience in the last chapter of life for one in your own social system.

WE HOPE WE HAVE OFFERED YOU SOME NEW THOUGHTS TO HELP YOU GET NEW IDEAS IN THIS LAST CHAPTER OF LIFE OF A FRIEND AND LOVED ONE:

1-BE SURE TO LIKE THE VIDEO ON YOUTUBE WHEN YOU CLICK THE LINK ABOVE AND WATCH IT. LIKE BUTTON IS ON THE TOP JUST BELOW THE VIDEO.
2-THANK YOU IN ADVANCE FOR SHARING THIS POST BELOW. SEE SHARE LINKS FOR FB, G+, TW BELOW. DR Shawn McGivney.

Las Vegas Reniew Journal Article “Alzheimer’s Rising Storm” 12 10 12

Comments on LVRJ Article “Alzheimer’s Rising Storm”  12 10 12, section D, 

Dont Despair, There are Many Senior Care Alternatives at many price points.

While the author notes a “Rising Storm”  and notes one care choice that costs 5K and a second choice to move out of state there are many high quality, small, personal, and COST EFFECTIVE care choices right here in Las Vegas.

People With Alzheimers often Face Leaving Home To Receive care LVRJ Article

I would direct Pual Harasim pharasim@reviewjournal.com  702 387 2908, that there are many less expensive Residential Care Homes that provide high level,  Assistance with Living and Dementia care, Alzheimer’s Care, Memory Care, and Hospice Care right here in Las Vegas.

There there are many small, cost effective, and currently available residential care homes that are Dementia endorsed and provide live in care, staff ratio of 1/6, and staff with Dementia Training for much less than the 5K dollar it costs at Prestigue Senior Living that George noted to him and he listed in his article.

As a more useful community resource would suggest readers check out Residential Care Homes and not the big institutional Memory care units of the Big Assisted Living Institutions.  Residential Care Homes offer care in a real, single family home.  They are not “home like” small studio apartments that tend to isolate seniors in their small room but instead offer  more personal, cost effective care ranging from $2,000-$4, 000.

The smaller places also have more hands on management from an Administrator that supervises 10 residents instead of 100 – 150 and owners who are often on site instead of unknown companies ceo’s who have no personal knowledge or the residents they serve.  Continuity of care from the top down matters in the care that is provided.

There is a wide range of service levels and prices within the list of Residential Care Homes attached.  In that list from HCQC there is a range of homes from the simple to the private senior estate home and with staffing that runs from the minimum required 1/6 and up all for less than the $5,000 dollar price tag quoted in this article.

Positive Resources 

We agree Finding Good, Caring, Assisted Senior Living and Care is difficult.  We applaud the LVRJ for raising awarness of the issues in senior care but we want to help readers with real, praticle, suggestions.  Here is one.  There are many Residential Care Home Beds that are cost effective, and AVAILABLE right now!!

See link to HCQC, (The Bureau of Health Care Quality and Compliance.)

This link is to a list of inspection reports for all facilities and shows their grades.
http://health.nv.gov/Deficiencies_Qry_AGC.asp
The second link is a facility locator you can use to find many places close to home. Try several local zip codes for best results.
http://dhhs.nv.gov/Health/hcqc/healthfacilitiesquery/FacilitiesSearch.aspx  ( for easy search list, just type in zip code)

As for sending people out of state I cant imagine that unless they have family out of state.  Indeed, at first blush that sounds at least unnecessary.   If they live her, their friends are here, why would they move out of state when there are many vacancies at places on the list of dementia endorsed facilities right here in Las Vegas.  To comment on that and not ask that question seems miss leading.

Summary
Like anything in life, you have to look a little to find what you want.  This Blog has many ideas that help all Journalists, Writers, Seniors, Family Members, Politicians, Doctors, and everyone to re evaluate what they want and need when it comes to Assisted Living and Assisted Senior Living.    We need your help to fill in the many blanks we have left out.  Comment on our blog  as we have done on the LVRJ article to help the discussion, understanding, and path to solutions grow.

Our Golden Rule – Meet the entire care giving team from the top down to the direct care givers and Medication Technicians.  We feel strongly that you have to meet the Administrator and Owner if you want to get the Best Quality of Care and Continuity of Care.  The Staff follow the plan given by the management. If the management focus only on paper work and the billing the staff are likely to do so as well.  If the Administrator and owner know each staff member and care giver by name, meet with them and talk to them weekly it is likely continuity of care for the residents and family will be maximized.  If the Administrator or owner has specialized knowledge and skills beyond getting the most billing possible and having the paper work prevent law suits they need to meet the resident and family to share that knowledge and skill.  Health care, and Senior Care is a Service and to provide that you really do need to meet the person.  of course, Delegated Care happens and does provide a very good, assembly line, approach to care. We believe, that residents and families need to look for and value care and caring more than that.  We hope that discussions like this will give families and Seniors more to evaluate and consider when they make this expensive and life changing decision.
The Golden Rule applies in all care Health Care Settings.  Assisted Living, Residential Care Home, Home Care, Hospice, and even Hospital, Nursing Homes.Trust the people you know.  Pets stay with you for life! By Shawn McGivney MD, RFA  

  

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