Choosing-Nursing-Home Archives - Alzheimers Support

Age in Place: Are nursing homes really a safe place for seniors?

There comes a time when your parents, grandparents or other relatives, and close ones who reach their senior age need special care and professionals that can provide it, due to various medical conditions or just for the specific needs a senior citizen has. Placing your relative in a nursing home can be a difficult decision to make, as many of us are concerned with the quality of life our loved ones will receive and find it hard to put them in the hands of strangers. This decision must be analyzed objectively and ultimately be in the best interest of our senior relatives and the whole family.

Choose a nursing home with a reputation

Safety is most often the primary concern of the family, as there are very unfortunate cases where nursing homes failed to deliver that and were not professional. These cases were addressed and sanctioned, but it’s best to make sure the nursing home you choose is recommended by other people, that the staff communicates openly and the residents are happy. Do your best to visit the relatives you have in a nursing home as often as you can, check on their emotional and physical health and living conditions.

Nursing homes should provide safe living conditions for aging parents

For patients with chronic illnesses, being in a nursing home is much safer than being at home by themselves. Even if you do take the time to visit them regularly and provide basic care…

=> the relative with no medical training and the need to take care of their own lives will find themselves in a very difficult situation. <=

Not having enough time, dealing with overwhelming situations or not identifying underlying problems in time can be very stressful on both the patient and the caregiver. Unless you can provide around-the-clock medical home assistance, a nursing home is your best option.

In a nursing home, your loved one has around-the-clock professional assistance. Providing that it’s not understaffed, a home will make sure the shifts are reasonable for the employees, so that they are rested and able to provide all the care needed. Someone will always be there in the case of a fall or emergency and will know what to do in that situation. More so, in case of an unexpected situation, more members of the staff can intervene, it’s not just one person who takes care of everything.

Professional staff personnel

Another advantage of nursing homes in terms of safety is that all good nursing homes are very careful when hiring their staff and perform background checks on them: any disciplinary issue in their past will be taken into consideration when they are evaluated. Also, a lot of nursing homes require their employees to report any misconduct of their colleagues and keep the environment safe and professional.

Think about the well being of your parent, and if they can’t live happily on their own anymore, you should consider safer living environments. It’s not a decision you will make in a day or two, so before making a final decision assess the pros and cons.

Ultimately, choose a nursing home that is entirely dedicated to taking care of the elders and there are many ways in which it provides more things than you could provide at home. The enclosure is designed to monitor all the people that go in or out and know at all times when a resident is visited. For residents with Alzheimer’s, making sure you know at all times where they are is crucial, as often they might wander off and get into dangerous situations. Good nursing homes have discreet security technology that does not make the environment feel restrictive, but keeps residents safe without alarming or bothering them.

One should also think about the less obvious benefits a senior citizen has when being a resident of a care home. Trained members of staff not only have the medical knowledge to intervene physically, but can also manage agitated or scared residents and calm them down. Experienced nurses know everything there is to know about patients with dementia or Alzheimer’s disease. They will make sure your parents are in good hands, and that their needs and wants are carefully attended.

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Two Part Series – Choosing a Nursing Home or Group Home

Part II – Choosing a “Group Home” for Alzheimer’s – Dementia Patient

To find all the “Group Homes” in your area may require more than the yellow pages in the phone book, as I did for Nursing Homes. When I was searching for a Group Home for my Mom, I also searched the internet, entering my own state and city. I called Elder Care facilities listed in the government pages of the phone book along with the Alzheimer’s Association Chapter in my community.

It may be an unusual source, but I learned of several “Group Homes” in my own neighborhood from my regular USPS Mail Man. He often chatted with my mom while she swept the front porch and he delivered our mail, then he asked about her when the mesquite pods stacked up after Mom moved to the Group Home. Mom is only a half mile from my house, but the mailman said I could have done much better. Surprisingly, he gave me addresses of 3 Group Homes within walking distance of my home. I hadn’t found a single one of these three Group Homes during my numerous searches through the phone books or internet.

Later, I learned that a one year waiting list is considered standard for any of these three Group Homes. Since they seldom solicit new residents, there existence goes under the radar. So check in your neighborhood; ask your mailman, milkman, neighborhood-watch person. The vacancies in a good Group Home go quickly.

What I liked about the Group Home versus the regular Nursing Home was the low population and high ratio of staff to resident. Counting Mom, there were only 9 residents, each with their own room and some with attached bath. The Manager (a registered nurse stayed at the facility all day.) Besides the manager, during the day there were 3 staff members that took care of patient needs only. 2 Staff members who worked in the kitchen, but also tended to patient needs between scheduled meal-times. There was one male staff member who tended the Landscape, Shop, Service area (Accepting shipments of medical equipment, oxygen, etc.). He was also an all-around handy-man. If we needed a nail in a wall for a brand new framed photo, or a heavy dresser moved from one place to another, we called him.

I loved the dynamics of this group. They were family to Mom, and to Me.

Though they each had assigned duties, they could swap tasks easily and often did. The manager had managed Group Homes for many years before she purchased this Home. Soon after the purchase she re-modeled, adding her own specific requirements to every detail. I must admit, it was ideal. I feel very fortunate to have found this particular Group Home.

If you’re searching for a Group Home, many of the same questions you’d ask of a Nursing Home would also apply to a Group Home.

Do they accept Alzheimer’s and Dementia patients?

What are their fees?

How many patients do they have at any given time, and how many staff members?

Is there a physician available at all times, or easily reached by phone?

Are there safety lock-down procedures for the Dementia patient who wanders?

Do patients have full assistance with hygiene?

Do they offer Day Care? What hours are visitors allowed?

As with a Nursing Home, a walk-through examination of a Group Home will give you a view of the residents and the dynamics of the home. Are patients freely walking around? Do they appear sedated or groggy?

At one point my Mom had to be sedated slightly due to crying spells and begging to “go home,” a fairly common occurrence for some Alzheimer’s patients when “home” represents their “childhood home” and their own Mother. After notifying Mom’s physician of her worsening depression, he wrote a prescription.

When I gave it to the manager, she objected that the dosage was too strong for Mom’s needs and would keep her sleeping all the time. The manager phoned the physician and had the dosage reduced and mother recovered from that spell of depression while she remained an active member of the Group Home family.I don’t believe I would have found such “individualized” treatment or concern in a conventional nursing home.

Activities of a Group Home:

These are just some of the activities that happened at Mom’s Group Home. It may give you some ideas about what to ask and what to look for in a nice, busy, and happy Group Home.

Since all the residents of the Group Home where Mom stayed were female, it did offer some distinct benefits. A beautician visited once a month and if I wasn’t busy, I always visited at least part of this day for the sheer fun of it. The ladies giggled and laughed and took turns in the chair, getting new hair styles, colors, and perms. It was always a playful and enjoyable day for most, all but the bedridden, of these elderly women. Throughout the day they giggled like teenagers at a slumber party.

School children visited once a month and each spent time with their favorite resident.

A local band came every Thursday and took requests from the ladies, playing songs from their era as they sang along.

Their all-time favorite activity, though it did spur arguments, was to fold the linen while it was till warm from the dryer. When it was folding time, they all gathered in their assigned chairs in the large family room. These women could hardly sit still until the laundry baskets arrived and the constant bickering began, “It’s my turn for wash rags today,” “Oh no, it’s my turn. It was your turn yesterday.” “No, I haven’t had washrags in a week. It’s my turn.” “I want bath towels. They’re warm!” and on it goes until the laundry arrives.

This Group Home had a wall-sized television in the family room but you seldom saw the patients in front of it unless it was the (quiet time) right before bedtime.

Each patient had an assigned recliner, which had a parking space for their wheelchair or rolling-walker right beside it. These women were enthusiastic about decorating their space; their chairs, their walkers, the bedroom doors. Name tags hung by colorful ribbons on each door, walker, wheelchair or recliner. Especially for the purpose of remembering names, sometimes their own, though most of the time names weren’t very important anyway. –I do remember one elderly Alzheimer’s Patient who told everyone who visited, “I don’t really live here, I just come here for my vacations because it’s so much fun.” I thought that was quite appropriate.

I suppose my best description of the Group Home where my Mom spent the last 2 years of her life would be “Homey.” It was “homey” for Mom and for me. They loved my Mom and took good care of her.

Wherever you decide to call “home” for your loved one, I hope you have as wonderful an experience as I had with the Group Home I chose.

PART I of this SERIES can be found here —>Choosing a Nursing Home Part I

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