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Melanie J.D. Adair. Survival Manual for Elders: Encouraging Elders' Resiliency Potential
INTRODUCTION
AN OVERVIEW. Elders Have Value!
Elders Are Still the Same Person on the Inside!
A Person Not a Patient
STAYING AS INDEPENDENT AS POSSIBLE
The Wrong Kind of Help
Preventing Falls
Medications
COGNITIVE IMPAIRMENTS AND MEMORY LOSS. Cognitive Problems Caused By Prescription Drugs
Anticholinergics
Benzodiazepines
Opiates
Cognitive Problems Caused By Infections
Cognitive Impairment Caused By Dehydration
Cognitive Impairment Caused By Depression
Cognitive Impairment Caused By Hearing Loss
Cognitive Impairment Caused By Vision Loss
Cognitive Impairment Due to Vitamin B-12 Deficiency
Cognitive Impairment Caused By Neurological Damage
Cognitive Impairment Due To Dementia
HOSPITAL CARE – WHAT YOU NEED TO KNOW. Approach to Elder Care
Avoid Hospitalization If Possible
Have an Advocate
Here are some key things to know and watch out for:
Daily Care. Getting Out of Bed and Moving Around
Pressure Sores
Catheters
Eating
Here is what you need to know:
The July into Early Fall Problem of Limited Experience
Hospital Discharges
HOSPICE
People Are Admitted Who Are Not Dying
They Aggressively Market Their Services
Hospice Providers are Experts at Pain Management
PALLIATIVE CARE
ADVANCED DIRECTIVES
REHABILITATION
Rehabilitation Hospitals
Skilled Nursing and Rehabilitation Facilities
Outpatient Rehabilitation
Home Health Rehabilitation
MEDICARE AND OTHER INSURANCE
SENIOR LIVING SETTINGS
Assisted Living Facilities
Locked Memory Loss Units
Nursing Homes
Being Safe vs. Being Secure
An Alternative Model: SUMMIT VIEW
CONCLUSION
Selected References:
ABOUT SACFER
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A few years ago, a number of us started seeking a better approach for senior living and senior service delivery. We believed that a stronger emphasis on comprehensive rehabilitation would better enable older adults to bounce back from infirmities. That idea turned out to be accurate and very important. Our experience has now shown that a great many older adults can fully thrive, age in place and avoid ending their lives in an institution that is often dehumanizing and demoralizing. We have learned what it takes to greatly increase the likelihood that injuries or illnesses are just a “bump in the road” rather than the beginning of the end. Older people can and will “bounce back” if given the resources and the encouragement to do so. This is a concept widely known as “resilience.”
There are key concepts of resilience that impact a person’s ability to recover from challenging and often life-changing situations. The same concepts also are important in industries, services, communities, and nations in handling the need to respond to circumstances and changes that have the potential to permanently alter what they look like and how they work.
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•Inadequate care provided during hospital stays that focuses narrowly on a condition and not the entire person, leaving the person much more debilitated than they should be;
•Or, the difficulty in understanding Medicare coverage particularly when deciding between a privatized Medicare Advantage Plan and regular Medicare. Inadequate coverage can prevent the opportunity for rehabilitation provided in a skilled nursing rehabilitation setting or rehabilitation hospital. That may leave the only option as a long term care bed in a nursing home, with little hope of bouncing back.
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