Making The Right Move
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Gillian Eades Telford. Making The Right Move
MAKING THE RIGHT MOVE: Housing Options for Seniors
Introduction: Making an Informed Choice
About This Book
Who This Book Is For
Underlying Principles
Language
Aging in place
Definition of health
Client centeredness
Conclusion
Part 1. CHOOSING THE CARE THAT IS RIGHT FOR YOU
1. Aging Successfully
Making the Choice to Age Successfully
Dealing with the Physical Effects of Aging
How to enhance your physical well-being
Dealing with the Mental Effects of Aging
Dealing with the Spiritual Effects of Aging
2. The Health Care System
The Health Care System in the United States
The Health Care System in Canada
Supportive Health Care Services
Case management services
In-home support homemaker services
Residential care services
Shared supportive living services
Adult day-care programs
Special support services
How to Get in Touch with Health Care Services
3. Assessment Levels
Personal Care
Intermediate Care Level 1
Intermediate Care Level 2
Intermediate Care Level 3 (Special Care)
Extended Care
Special Care
The Care Plan
4. Options for Living Independently
Supportive Housing
Retirement Villages or Communities
Congregate or Subsidized Senior Housing
Abbeyfield Housing
Home Sharing
Granny Flats/Accessory Dwelling Units (ADUs)
Smart Houses
Program of All-Inclusive Care for the Elderly (PACE)
5. Supportive Housing Options With Care
Family Care/Adult Family Homes
Personal Care/Board and Group Homes
Assisted Living Facilities/Intermediate Care Homes
Skilled Nursing Facilities (US)
Special/Dementia Care Unit
Extended Care Facilities
Specialized Facilities
Subacute Care Facilities
Private Hospitals
Hospice
Multilevel Care Facilities/Continuing Care Retirement Communities (CCRCs)
Part 2. FINDING THE HOME THAT IS RIGHT FOR YOU
6. Getting Quality Care
Client-Centered Care
Elder-Friendly Environments
Accreditation in the United States
Accreditation in Canada
7. Who Will Be Caring for You
Administrator
Director of Care
Registered Nurses
Nurse Practitioners
Clinical Nurse Specialist
Resident Care Aides
Dietician
Cook
Maintenance Director
Receptionist
Physician
Pharmacist
Social Worker
Recreation Therapist
Other Staff
8. Choosing a Nursing Home
How to Use the Questionnaires
Location
Outdoor Environment
Indoor Environment: The Facility
Indoor Environment: Individual Rooms
Care Aspects
Special Care Aspects
Questionnaire 1: Choosing a Nursing Home
9. How to Rate the Care
Accessibility, Type, and Cost of Rooms
External Environment
Internal Environment: Care Components
Meals
Physical care
Emotional care
Services, equipment, and programs
Policies
Procedures
Staff policies
Questionnaire 2: Rating the Care
Questionnaire 3: Staff Ratios
10. How to Be Admitted to a Nursing Home
Determining Eligibility
Getting on the Wait List
Being Admitted
Making the Move
Settling In
11. Legal Matters and Decisions
Who Will Make Decisions for You If You Become Incapacitated?
Power of Attorney
Advance Directives for Health Care
Wills
12. Making Complaints and Dealing With Abuse
How to Complain in a Nursing Home
Dealing with Elder Abuse
Physical abuse
Financial abuse
Psychological and emotional abuse
Sexual abuse
Medication abuse
Violation of civil and human rights
Use of Restraints in Nursing Homes
Least-Restraint Policy
Choices and Risk
Appendix: Resources
Acknowledgments
Dedication
About the Author
Notice to Readers
Self-Counsel Press thanks you for purchasing this ebook
Contents
Отрывок из книги
Today’s elders are more concerned than ever about the quality of care in nursing homes. Health Canada studies show that more than 80 percent of elders consider the availability of chronic, extended care, or nursing home beds for those who need them to be “very important.” Unfortunately, many people are forced to make the decision to move to a nursing home when they are in a crisis or are sick and cannot bear to cope any longer in their present setting. At times like these, moving becomes imperative, and a decision made quickly may be uninformed.
Making the Right Move is designed to help you make good, informed choices about your health and the places where you will live. It will encourage and empower you to consider your options before you are in a crisis so that you are aware of all the factors that can affect this important decision.
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Assistive devices
During her recovery, Mrs. Martino was in a lot of pain. Her physician changed the type of painkillers she was on and also suggested she use some assistive devices. An assistive (or adaptive) device is a piece of equipment that assists the user in the operation of self-care, work, or leisure activities. Eyeglasses can be considered an assistive device. If an assistive device is deemed medically necessary, some insurers will cover the cost. For example, Medicare will pay for some medical equipment as long as the equipment —
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