Making The Right Move

Making The Right Move
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Deciding on a nursing home for oneself or a family member is not simple and should not be done without knowing all the options and risks. Making the Right Move has been written both for seniors considering moving into a care facility and for anyone considering housing options for someone he or she loves.

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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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