Tag Archives: Residential Care

Residential Care and Assisted Living Caregivers Tips part 2 of 3

son-caregiverThis is part two of Residential Care and Assisted Living Caregiver tips.  We all forget who the caregivers in our lives are, families and extended social system.  But we need to remember them, thank them and remember that they have emotional, social, and finanial needs also.  Money is often not the most important thing in life and in caregiving that is even more true. Mothers, Informal Caregivers of all types, and Senior caregivers are no exception.  Here is a recap of part one.

Part one Recap.  Take care of your self.

Part two: Use technology to maintain your own social and emotional health but do not use technology as a substitute for real, in person, human contact.  Technology supplements human contact and does not replace it.

Use technology to stay connected to your own friends and family, and social support system.

Be open to new technologies that can help you be even more connected for your residents but only after you take care of your own emotional needs.
daughter-caregiver

Recognize that care giving is a very skilled job.

Just like sales, being a knowedgable doctor, computer expert are skilled so too is being a care giver.  The skills are hard to obtain and are often mis valued.  Making other people feel improtant, in control, giving people hope, and allowing others the life experience to make choices and live with them without judgement or imposing your wishes, wants, and expectation is the skill.

You need to know about medical equipment and advanced communication techniques including how to reach many different people over many different methods including phone, phone messages, text, email, and fax.

Usage innovation to stay linked to your own friends and family, and social support system.  In Assisted Living or Residential Care Homes you often are under staffed and can use Skype, a cell phone or the internet to get some much needed emotional relaxation and social support from your own friends and age appropriate acquaintances.

Be open to new innovations that can assist you look after your loved one.

Acknowledge that care giving is a really knowledgeable task. You have to find out about clinical devices and advanced communication techniques consisting of ways to reach lots of different individuals over numerous different techniques consisting of phone, phone messages, text, email, and fax.

Lean how to use high tech equipment like baby monitors and other devices to view from a distance and afterwards blend that into regular personally contacts. These balancing acts are never ever easy, are always changing but those balancing acts of knowledge on all members of your group, social and emotional resources, and hands on contact are all parts of the innovative skills the best caretakers have.

Innovation cannot replace a social relationship since that is required by all human beings to feel for another person however it does assist, expand and supply balance to both homeowner and caregivers psychological needs.

Whether you are a paid caregiver like a hospice caregiver or a family caregiver you need to know and build your broader care team.

Tune in next time for Part 3 of 3.

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

Always meet the care team form administrator and owner to direct care giver’s before you buy or move in to know who and what you are getting.

Tender Loving Care Senior Residence

 

Educational video links

TLCSRLV youtube Channel.  Subscribe for free.

Home Care Info

Eden Project or Alternative 

 

THANKS FOR LIKING AND SHARING 

Dr Shawn McGivney

 

 

 

 

Residential Care Homes: Cost Saving Residential Care Solutions

residential-care-answers-ahead-kf

 Dealing with maturing parents is expensive and can cost $20,000-$40,000 $/ yr and many times is socially difficult for the entire household.

We have one-of-a-kind views to share with you.

Visit this site for solutions starting with Residential Care Homes and Residential Care. http://tlcsr.com/ResidentialCareHomes.html

Find out:

What alternatives there are to all care choices

including Assisted Living, Residential Care Homes, Home Care, Hospice Care, Dementia Care, Alzheimer’s Care, Memory Care, and Retirement Communities?

Find out how all of these care settings actually offer the same thing – Senior Care!  Learn how sub specializing in health care can have large costs in emotional health, continuity of care and the caring felt between and among patient, family, and all members of the care team.

Get practical, non-sales, information about each so you can better start to compare what you get, what you don’t get and at what prices.

Learn the single most important rule in choosing any senior care setting. 

No matter what the brochure, sales staff, or add says you need to meet the individuals in the entire care team to know who you are getting to know what you are getting.  Second, only by knowing who you are getting can you begin to compare prices and value.

Learn the most common mistakes in choosing Elder Care.

The most common mistake is to focus on the amenities and nice furniture and to undervalue the individuals, the care givers and care team, who will do the direct care and problem solving when it occurs.

The second most common mistake is to forget that if you need a little assistance today you will most likely need more assistance in the future.  In that case, most people forget to investigate the care team’s abilty to adapt and provide more care as you age.  In many cases forgetting to check that out will result in your being either forced out because the care setting can’t do the needed extra work when you need it or priced out when they raise the price for that extra care.  Indeed, some places charge 300 / day for a private duty care giver in an Assisted Living setting.  That is an extra $9,000 / mo. on top of the basic rate for room and board.

Reading this resource will help everyone get more care, better care, and save money when they need any amount of assistance with living. 
Check out these fantastic Residential Care alternatives to the less personal Assisted Living,  Nursing Home Rehab, and Home Care. 

Residential care, Assisted Living, Home Care, Hospice Care, Dementia Care, Alzheimer’s Care, Memory Care 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 and  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.

Assisted Living and Residential Care Home Video Tour.
Assisted Living and Residential Care Home Testimonial

http://tlcsr.com/ResidentialCareHomes.html

IF YOU ENJOYED THIS POST – LIKE AND SHARE IT.

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

Will Doctor Shortage affect Residential Care and Assisted Living?

Interesting article that discusses a possible doctor shortage.  They note that even if everyone gets insurance coverage that raises questions about how the new insurance programs might affect doctors, seniors and the care settings that rely on doctors including Residential Care Homes and Assisted Living Facilities.

The article points out that offering insurance that does not pay the doctor adequately might give access to more people and not encourage more doctors to participate in medicine, to  go into medicine or to accept Medicaid even if it is offered.

Medicaid Growth Could Aggravate Doctor Shortage.

doctors

http://www.nytimes.com/2013/11/29/us/lack-of-doctors-may-worsen-as-millions-join-medicaid-rolls.html?pagewanted=all&_r=0#!

balance-fairness

This is not a new issue.  While Medicaid pays 100% in most cases it pays 100% of 7-10 dollars or 7-10 dollars for a visit.  That is for a doctor’s office visit.  If you negotiate special rates like a hospital or the doctors in California the fee schedule might be more but in all cases the fees are less than it costs to provide the services unless there are other subsidies.  Hospitals get paid other ways and offer Medicaid covered patients care in their clinics.  I think of that as a lost leader but most doctors can’t do that so I see some truth in this article.  We need to ask how will expanding coverage increase the demand for doctor’s care and how will those services be divided or re apportioned.   Will Residential Care Homes and Assisted Living Facilities or other long term care settings be negatively affected?   Might doctors choose to care for younger healthy Medicaid patients with fewer needs if the same fee schedule is used for a doctor’s visit?  If so would fewer doctors opt to see the complex, sick, older patients?

I recall recently hearing that Medicaid pays for visiting nurse services just like Medicare does.  However, the compensation is so much less than Medicare pays that I could not find any visiting nurse companies that accepted what the covered Medicaid fee was for a visiting nurse visit.  While it was “covered” it was not available.  Has anyone experienced that or something similar?

Let’s start the discussion.

While Residential Care Homes and Assisted Living care settings are generally private pay and therefore won’t be directly affected from that aspect they will be affected in how difficult it is to get your doctor, see your doctor and not only seeing his assistant, and for the facilities to get the paper work they need.  Indeed, already the required electronic prescriptions cause issues for the Assisted Living and Residential Care homes who need the hard copy prescription for their files and often do not get it.

Time will tell how this plays out.  Let’s all help each other to learn and interact with these changes.

 Share your experience and comments here.

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

Residential care, Assisted Living, and Home Care 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.
Assisted Living and Residential Care Home Video Tour.
Assisted Living and Residential Care Home Testimonial
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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

 

 

Safe Harbor-Lesson in Assisted Living

Mom and Step mom were human.  The X- Wife, Susan Sarandon, was jealous of the younger, new wife, Julia Roberts, but in the end when her breast cancer was progressing, the mom, Susan Sarandon, wanted the best for everyone even her X husband, her kids and her rival the Step Mom, Julia Roberts.   That is the power of people, caring, and relationships.  That power is invaluable and hard to quantify in Dollars.  Look for that and you will get the best value for you Senior Care dollars.

Saw the movie Safe Harbor and wanted to share my Senior Moment

http://tlcsr.com/blog-Assisted Living-Happy-seniors

The Safe Harbor is another creative way to show that even when one is dead.  The Mother who guided the new wife to help her husband and kids still has value.  I see the similar values to families, society and seniors as they age.  Images of what was, is and can be continue to be powerful influences to families and society.  I know no simple dollar formula for love, hope, trust, feeling needed, wanted, productive and valued.  Likewise defining “safety” is hard for most seniors to swallow since the social worker, family, or individual defining “safety” for the senior often times is focused more on financial, legal, or physical safety than on emotional well-being, continuity of care and relationship building.

I see families faced with aging, loss as individuals who are aging and families who are losing large parts of who they are. In losing a senior, but in all cases they want to help each other.

Seniors know they are aging and they just want to be known, remembered, and to help if they can.

Feelings are the end point of all process.  Pain hurts less when you are holding your own new born or a grandchild.  The sum of all pains, pills, and Emotional and social therapies including continuity of care and relationship building is part of the treatment.  Complex and powerful therapies, and feelings like hope, trust, belief, faith, belonging, parenthood, creation, choice and empowered to choose, take time and social relationships to achieve.  Seniors and all of us know helping can mean getting others to provide the care so the Family can visit, email and carry on.  Pain and life have large emotional elements that doctors cannot study.  Indeed, few studies add in emotional health and wellbeing since you can’t “study” or quantify it and it varies so much person to person and day to day.  However, that does not mean we don’t value those things.  Indeed, those are the things we buy based on even if we do not know we are.
http://tlcsr.com/blog-Assisted-Living-Senor-safehousehttp://tlcsr.com/blog-Assisted Living-change

http://tlcsr.com/blog-Assisted Living-seniors
If you want to be “Safe”, have a “Safe Hospital Discharge”, “Safe transition to any Senior Care Setting” look for individuals, people, and care teams with

continuity of care.

Sub segmented systems based on business organizational flow sheets and financial payment models pale in comparison to Continuity of Care and Relationship building to make someone feel safe.  To feel safe you have to know and trust the individuals who provide the day to day care and who the problem solves or manager are.  They have to know your social system and visa a versa.  You have to respect what they do and value it also.   Then you can hope to feel safer in a process of transitioning to a senior care setting.

Aging and even dying are not bad they are expected.  What is bad is not having a care setting with caring and a relationship to allow physical care to be transcended to Family-style care we all want.

Two quotes from Patch Adams of the Movie, Patch, that show Caring is more than care.

  1.         Treat the most devastating problem of all indifference or apathy.
  2.        If you treat the disease you win or lose but if you treat the person you win no matter what the outcome.

http://tlcsr.com/blog-Assisted Living Grandkids
To me, even if you die, that is not as much of a loss if they had someone who was there, caring, respecting, all that that person has done and continues to do for the family.  That sets a social and family example of valuing people and not just disposing of them which helps each of us in the family, caregivers and all the people surrounding the senior.  I care for my dad and he helps me every day by giving me some space to work.  Yes, he comes in but he then let’s me finish work and that is helping.

http://tlcsr.com/blog-Assisted Living grandparents

Seniors who can find a safe haven or care setting with caring and continuity of care can help their social system and continue to enjoy family life.

Look for Continuity of care in any care setting Assisted Living, Home Care, Hospice Care, Residential Care, Dementia Care, and Alzheimer’s Care, Memory care, Respite Care, Elder Care, Nursing Home Care and any Senior Care setting.  Meet the entire care team and you can find caring with the physical care that all promise you.

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By Shawn McGivney