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1 AnswerAnthony Cirillo , Geriatric Medicine, answered
Surprisingly, residents tend to be admitted more for the chronic diseases - like heart disease, chronic obstructive pulmonary disease (COPD), diabetes - than for slips and falls and hip problems. There are an increasing number of patients being admitted more for depression than dementia. Some of these diagnoses are preventable if we start taking better care of ourselves. -
4 AnswersDr. Eric Pfeiffer , Psychiatry, answeredSee All 4 Answers
Assisted Living Facilities, or ALFs, are residential facilities that provide basic food and shelter for people who are no longer able to provide these for themselves. Care in ALFs is not covered by Medicare or Medicaid, but is specifically covered by some long-term care insurance policies. Some ALFs only provide assistance with basic self-care while others may additionally provide medication administration and medical monitoring, such as blood pressure measurements or blood sugar testing. -
1 AnswerAnthony Cirillo , Geriatric Medicine, answeredThe cost of assisted living may be tax-deductible on federal income tax returns. The IRS has certain guidelines to determine eligibility.
The cost of housing and meals and certain personal care services may be deductible; the determining factor is generally the inability to perform at least two activities of daily living without assistance. These daily functions include such activities as eating, going to the bathroom, transferring, medication assistance, dressing, and bathing. A doctor must certify in writing that the patient has been unable to perform these activities for at least 90 days.
If you are paying for a resident to be in an assisted living care facility for the reasons above, you may be eligible for a deduction on your itemized tax return. The resident must qualify by meeting the criteria, and must be related to the payer or have lived as a member of their household for an entire year. A parent must also be a citizen or resident of the United States, Mexico, or Canada, and the child must have paid over 50% of his or her support for the year.
The deduction may also be taken in the case of certain cognitive diseases such as Alzheimer's disease or dementia-related diagnoses.
Consult with your tax professional to determine your eligibility for this deduction. -
2 AnswersSee All 2 AnswersThere are many different types of services available for seniors who are fairly independent, ranging from in-home help to social activities with other seniors. If a person needs help with basic chores such as shopping, laundry or housework there are many local non-medical senior home service companies for hire, but be aware that most of these services are not covered by insurance. Most local communities have a senior center that offers free or low-cost services such as social activities, seminars or access to volunteers who want to help seniors.
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2 AnswersSharine Forbes , Geriatric Medicine, answeredSee All 2 Answers
No, all nursing homes are not the same. There are some nursing homes that specialize in certain type of care. Additionally, there are nursing homes that can be considered to be five-star resorts while others may not have as many amenities. It is important to select a nursing home that can meet your needs as well as your budget.
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2 AnswersDr. Philip Lisagor, MD , Thoracic Surgery (Cardiothoracic Vascular), answered on behalf of The Rest of Your Life (ROYL)See All 2 AnswersContinuing care retirement communities, or CCRCs, are an increasingly popular, but often complex, retirement living choice among retirees. It is suited for those who are independent today but want to plan ahead for their future housing and healthcare needs. With proper planning, moving to a CCRC should be the last residency decision a person ever has to make, regardless of unforeseen health situations.
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2 AnswersDr. Karen L. Gorton, PhD, MS, RN , Emergency Room Nursing, answered on behalf of Honor Society of Nursing (STTI)See All 2 Answers
There are several things you can do to remain close to your partner who is in a nursing home.
- First, see if you can eat meals together. Many times, facilities encourage this and some may have the ability to work with your schedule.
- Second, determine how much time you can be together each day. If there are times when rest is needed, therapy is scheduled or activities are occurring, try to work around this also. All of these can be important to the person who is in the nursing home.
- Third, understand that home visits are very difficult to arrange and may not be allowed due to the level of care that your partner needs.
- Fourth, try to bring important family events to your partner in the facility. Many places have a room that family gatherings can occur in.
- Fifth, ask your partner what their expectations are. Communication is key.
- Sixth, maintain a healthy balance for both of you. This can be difficult, but it is important as you need to maintain your health.
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2 AnswersSharine Forbes , Geriatric Medicine, answeredSee All 2 Answers
There are many factors that should go into selecting an assisted living facility that best suits you. It is best to start looking and visit several locations before making a decision. Upon visiting the locations you should have a check-list of things that are important to you. Also, you should do research on the facility in order to ensure they meet all of the state’s regulations and have no major violations. A suggested site to use to check for complaints would be the Better Business Bureau.
Furthermore, here is a list of questions to consider:
- Is it clean?
- Is the staff friendly and knowledgeable?
- Is the environment welcoming?
- Is the food tasty?
- Do they have an array of activities and events available?
- What is the nurse to patient ratio?
- Do they have an emergency preparedness plan available?
Of course these questions should only serve as a guideline as there are other things to consider such as cost and location.
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1 AnswerAnthony Cirillo , Geriatric Medicine, answered
Before choosing a care facility find out about staffing:
- How many aides per patient are there?
- How many licensed practical nurses (LPN's) and registered nurses (RN's) per patient are there?
- How long has staff been on board?
- What is the turnover rate?
- Are temporary people used?
- Is management stable?
- Is management experienced in long-term care?
- Are there geriatric nurse specialists and others specially trained to care for older adults?
- Does a facility conduct criminal background checks?
- What are the responsibilities of individual staff members?
- Who supervises them?
- What is the duration and frequency of services? Experts say to only consider a home that is providing at least two hours of direct care to the resident a day.
- Find out how the staff is treated. Are they adequately trained? How are they valued and recognized?
- Observe how the staff interacts with residents.
Facilities with staff that have been in place a long time are facilities that provide better care because they have experience. The facility must be treating its employees with respect if they stay.
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3 AnswersSee All 3 Answers
Long-term care facilities have long been places where it was thought people went to die. Somber places that feel like a hospital, where no one really cares about you except that you receive your medications, and you never go home.
That is beginning to change. Many long term care facilities are changing into personal communities, not wards or wings. They are staffed by care givers who are there to help their residents as they live lives of meaning, value and joy. They have private spaces and family places and a chance to continue to live life with some measure of independence and responsibility.
These communities provide the best personal, health and medical services to their residents will need. They also ensure it feels like home. Many long term care facilities or communities have adopted the Eden program where there are street names, pets and a home like atmosphere.