Putting a loved one in a nursing home is a difficult decision regardless of the circumstances. In the case of Alzheimer’s, most research shows that at some point in the progression of the disease a nursing home becomes the right decision for the family in Somerset. According to the US Department of Health and Human Services, there are nearly 2 million people currently living in some form of nursing home. Over 90% of these residents are over 65 years old and most require 24 hour supervision due to some physical limitation or dementia.
Nursing Home Care and the Elderly - I Thought We Had a Contract
Alzheimer’s disease is an extremely sad and difficult condition to work with. This disease is very difficult on the family members in Somerset. Just thinking that as the days slip by your aging loved one will soon become more and more distant. This can be very depressing and an emotional time for most family caregivers. Besides the common emotion of depression, most family members often feel angry, frustrated, and even at a loss for words.
Preparing for Alzheimer's Care
Putting a loved one in a nursing home is a difficult decision regardless of the circumstances. In the case of Alzheimer's, most research shows that at some point in the progression of the disease a nursing home becomes the right decision for the family. According to the US Department of Health and Human Services, there are nearly 2 million people currently living in some form of nursing home. Over 90% of these residents are over 65 years old and most require 24 hour supervision due to some physical limitation or dementia. However, due to the increase in "familial Alzheimer's", aka Early On-Set Alzheimer's, there are many people in their 40's and 50's that are now requiring long term care.
A memory care facility is a specialized nursing home that provides - in addition to a room and food - full time medical (nursing) care and in-house rehabilitative services, along with close supervision to provide some measure of physical protection for the residents. The home will not be designed as an acute care facility, but the goal at an Alzheimer's care facility should be to help people maintain, as much as possible, their daily independent functioning.
It is obvious that when choosing a care facility or nursing home it is first necessary to consider the needs of the individual for whom you are providing Alzheimer's care. You must determine what special care needs the facility can provide. What type of therapy is available. Ask if these needs and therapy are handled by in-house staff or outside care. What are the qualifications of the individuals who provide these.
Before signing a contract for care at a specific facility you should fully review the contract and know your rights and responsibilities as the family and also those of your loved one as the resident. Review the admissions agreement carefully and have anything explained in detail that is not fully understood. Spend $150 or so to have an attorney review this for you if necessary. Do not sign any paperwork that has not been fully explained. The admissions contract should, at a minimum, contain the daily or monthly room and meals rate, any specific reasons for discharge or transfer from the facility (these items should apply to your family member if they do them or to anyone else in the facility if done to your loved one), and the policy regarding payment of the daily room rate if the resident goes to the hospital or the family brings the resident home for a short period of time. Is there a reduced or prorated rate or do you continue to pay full price to keep the room/space available?
You may question if you're really making the right decision to place your loved one in a facility at all. This is an agonizing decision that you will routinely question, but remember, you can do no more than your best. If you have done that, then you should not continue to ask more of yourself and know that you have done the best, as an Alzheimer's caregiver, for your family member.
How to Find the Best Live in Personal Care Agencies in Somerset,Somerset County?
Sometimes it is difficult to identify needed community resources to help with an elderly person's care. Professionals in related fields may find that caregiving resources grow and change quickly, and it can be difficult to keep up with these changes. Family members are even more confused as they try to discover and then access appropriate resources. Some of the confusion comes from not knowing what types of resources to research, and what payor sources are required.
A. Older Adult Services: The Big Picture
The "backbone" of community services for the elderly has been the Administration on Aging funded federal Title XX services for older adults authorized by the Older Americans Act.. The Older Americans Act, was initially passed in 1965, and reauthorized most recently in 2011. It establishes the federal Administration on Aging to oversee and fund older adult services. The law provides the policies, defines the services, and describes the funding parameters for older adults in every U.S. state and territory.
In 1973-1974, the federal Administration on Aging established Area Agencies on Aging and funding for social services for older adults through the states. In the early 1980s, the Administration on Aging was involved in nursing home reform through an omnibus reconciliation act. And, later, it dealt with the growing demand for and regulation of caregivers, discrimination against the elderly and elder rights.
I'll provide more information in later articles.