Elder Care Notebook

Hiring Privately - updated notes

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If you are looking for home care for your loved one, whether through an agency, personal referrals, or especially through advertisements ...

Safety 'Chair Rails'

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One client had an interesting idea for a chair rail.  Rather than putting up decorative trim, the client had a more functional rail made, wh...
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Helpful Furniture

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Sometimes the right furniture makes all the difference.      Caregivers may have clients who gradually have come to need a hospital bed or...

Rehab Facilities - National Rankings

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The US News and World Report has issued its listing of top rehabilitation hospitals.  The following rehab hospitals are in the top tier in t...

Nursing Home 'Honor Roll' listing

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US News & World Report has issued an updated list of 'best nursing homes ' based on government rankings. A few were designated a...

Disaster Preparedness

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Here in Florida we are concerned about hurricanes, but most parts of the country have their own natural disaster threats.  The county where ...
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The Caregiver's Notebook

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Imagine this.  A well credentialed caregiver shows up at a new client and is briefed at length by the previous caregiver, who is leaving. ...
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Expiration Dates

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When taking on any new home care case, don't forget to check expiration dates on all food as well as, of course, medicine.  This point w...

Nursing Home Selection Notes

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There are certainly plenty of guides and checklists published on the internet and elsewhere for selecting a nursing home. Medicare has an ...
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CNA Continuing Education

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As we know, CNA's have continuing education (CE) requirements similar to those of other licensed professionals. Self-employed CNA'...
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Men With Hammers

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A famous writer supposedly said, "to a man with a hammer, everything looks like a nail." That saying may be appropriate in the e...

CNA Report Card

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So often, impressions of caregiver performance are subjective. As with any medical provider, a home caregiver's bedside manner is impo...

Stretching your LTC claim dollars

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I sometimes work for clients who have Long Term Care insurance policies. Often, these policies have dollar limits to payouts, rather than ...
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Saw Horses and Quality of Care

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The Wisconsin technical colleges have a series of 80 training videos online (Lessons 1 - 80) that can be useful for caregivers. The series...

Hiring Privately

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By engaging a private caregiver, you can often get a highly qualified professional at affordable rates. With the latest developments in lic...

Finding that "Throat to Choke"

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A recent post by an elder care adviser: "Important point:With an agency- you have someone with money to sue if need be!" Seconde...

Agencies, Nurse Registries, Companions

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Florida has three kinds of licensed or registered home care companies. - Nurse Registries (recruiters) - Home companions (sitters an...

DNR's

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DNR, "do not resuscitate ". As some politicians have put it, this subject is above my pay grade. Or is it? As aides or family...
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CNA? or HHA?

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Certified Nursing Assistant or Home Health Aide ? Which is more appropriate? It depends. When I worked in home care in a different stat...
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Nursing Home "Honor Roll"

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US News & World Report's honor roll of nursing homes . Arkansas: St. Mary's Regional Califo...

Trust Your Nose

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If it doesn't smell right, it probably isn't. Faci lities When visiting care facilities, including acute care hospitals, nursing...

Hand washing

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Please excuse me if I seem upset about this. We've all see the headlines like "Inadequate hospital hand hygiene is spreading MRSA...
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Bedsores - Prevention Summary

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There are a number of things that can be done for prevention of sores: Help the person shift frequently, at least every couple of hours. ...

Bedsore prevention - lotions

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I recommend using the best cleansers and lotions you can get. These are often only available at medical supply stores or from online medica...

NIH's Wound (bedsore) Treatment Chart

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This chart from the NIH's website is just a reminder that the treatment of bedsores is not "do it yourself." Wound care is co...

When Bedsores are Discovered

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First, I should say that my experience is with prevention, and you should discuss any treatment with a doctor. Second, wound care is compl...

Bedsore prevention - high-end beds

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In my earlier post Bedsore Prevention Part 1 , I mentioned the importance of a good bed, and I used Hill-Rom as an example. The main reaso...

Trust but Verify

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This is a delicate subject. How often have heard that the staff in a particular rehab or long-term care facility is caring and loving, an...

Bedsore prevention - intro to beds

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The best cure for bedsores is prevention. Preventing sores takes a great deal of effort, but it is always worth it. There is one piece of...

Geriatric Care Hospitals - Top 10

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US News & World Report's Top 10 Geriatric Care Hospitals: Ronald Reagan UCLA Medical Center, Los Angeles Johns Hopkins Hospital, B...

Nursing Home Rating System

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Here is a link to the government ratings of individual nursing homes : HHS.gov ( http://www.medicare.gov/NHCompare/Include/DataSection/Que...

Roll pillows as foot bolsters

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These pillows make good bolsters for the feet. Not under the ankle, but between the client's foot and the bed's footboard. The foo...

Disaster Preparedness for Diabetics

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We don't want to wait until a natural disaster is at our doorstep to think about getting ourselves prepared. Here in Florida hurrican...
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Air conditioning ducts

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Air conditioning and heating ducts are easy to overlook.  When you are establishing a clean, safe environment for your clients, these should...

Natural alternatives

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We all know that honey has many health benefits. I always use honey in tea instead of sugar. A physician speaking at a recent conference...

Safety Tip - EMS and Fire Department

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If your client is confined to a wheel chair, or even just uses a walker, see your local Fire Department and EMS, and let them know. The emer...
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Air Ambulance

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I have traveled twice on trips by air ambulance. One was a lengthy trip that required a short refueling stop along the way. Small Lear je...

Concierge Advocate Service

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Here we are talking about the concierge medical service companies that have been featured in magazines and newspapers. These are not the c...

HBO Alzheimer's Project series, On-Line

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HBO's series of shows about Alzheimer's is available for on-line viewing. The five-part series is on the Alzheimer's Associati...

MRSA

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My apologies for the graphic picture. "Most MRSA infections occur in hospitals or other health care settings, such as nursing homes a...

CDC on Handwashing

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The following is a presentation prepared by the CDC: WHY IS HAND HYGIENE IMPORTANT? Infections are a serious problem in healthcare facili...

Northwestern Memorial, Chicago

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If you happen to go to Northwestern Memorial in Chicago as a visitor or with your client, I recommend asking for a tour. Many of the featu...

Range of Motion Exercise

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Don't forget to ask the doctor or physical therapist for the "range of motion" exercises that they prescribe for your client. ...

Foot massage?

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When is the last time your client had a really good foot massage? They will appreciate regular massage. I learned from the Art Riggs instru...

Dress Code

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If you are working for a hospital, the dress code is fairly simple. It's whatever you're told. With private care, there is certai...

First name basis?

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A useful guideline for addressing elderly clients is to assume that: 1. they were professionals or business owners before retirement, and ...
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