A report by federal health care inspectors in November said the U.S. nursing home industry overbills Medicare $1.5 billion a year for treatments patients don’t need or never receive.
Degenerative relationships are not uncommon among the elderly in even the happiest marriages, marriage therapists and geriatricians say. But that is small comfort to either the couple in the middle of the maelstrom, or the children who care for them, as evidenced by a number of postings on caregiver blogs. As some of the children have wondered there: “Why can’t we all just get along?”
When grown children see their parents fight, many want to run and hide. But those who are assuming an increased caregiving role often feel impelled to jump in and “fix” the problem, as they do with the other caregiving issues. If you are so inclined, experts speak with one loud voice to advise: Don’t!
Most clinicians have little or no formal training in managing the dying process or death. Many have neither watched someone die nor provided direct care during the last hours of life. Families usually have even less experience or knowledge about death and dying. Based on media dramatization and vivid imaginations, most people have developed an exaggerated sense of what dying and death are like. However, with appropriate management, it is possible to provide smooth passage and comfort for the patient and all those who are present.
Boston GlobeHospitals look to lower readmission ratesBoston GlobeDays after she was discharged to her Saugus home from Beth Israel Deaconess Medical Center after being treated for pneumonia, Carol Sewell got a call.
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Disrespect, Lucian Leape believes, is the elephant in the hospital.
According to the adjunct professor of health policy at the Harvard School of Public Health, disrespect is the reason why so many patients leave the E.R. feeling belittled or ignored. It’s why medical workers feel so “demoralized.” And it’s why—despite attempts at change in the last decade—we still see medical errors that cause needless suffering and even cost lives.
See on www.psmag.com
Nursing Home Health Care Delivery
As much as the industry would like it to be different, seniors are putting great effort and resources into growing oldat home. This means when they finally make the move to assisted living, they are older than would be ideal, from the perspective of the assisted living operators. The net effect is that assisted living stays are shorter and residents require more attention, which makes the financial proposition for the community less attractive.
The well-noted aging of the American population will continue long after the Baby Boomer generation crests, posing continuing economic challengesfor the country for decades to come, a new congressionally mandated report states
The journal Health Affairs has put together a special issue in the wake of the Supreme Court upholding the Affordable Care Act, looking specifically at hospitals that service the impoverished and the uninsured.
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The number of people providing senior care is expanding rapidly in relation to the current proportion of working adults in the U.S., with nearly one in five people in the workforce taking on some form of elder care responsibility, …
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Just a little reminder that long term care corporations are doing just fine.
Sunrise Senior Living (NYSE: SRZ) announced that it has entered into a definitive agreement to be acquired by Health Care REIT (NYSE: HCN). Existing shareholders will receive $14.50 per share — or a 62.4 percent …
See on www.benzinga.com
The Pioneer Network and other organizations that try to change the culture of long term care homes have been focused on dining and food choices for some years now.
There have certainly been some successes but read this story about an undercover reporter eating in an assisted living home and you will see why elder care advocates have been working on this issue.
In an editorial in the NYTimes Sunday Review (7/29/12), Thomas Friedman lays out the financial dilemma we face in long term care. The bottom line? A frightening percentage of Americans do not have the money to retire, much less pay for expensive long term care, and our government has no plan to address the problem.
How safe and conscientious are home health care agencies? As one might expect, there is a huge range. From a recent report in the American Geriatrics Society Journal however, far to many such agencies have poor hiring and screening practices for their paid caregivers. Consider these facts:
These statistics are in a report from the Feinberg School of Medicine at Northwestern University that studied 180 agencies in Arizona, Colorado, California, Florida, Illinois, Indiana, and Wisconsin.
Part of the problem is that most payment to home health agencies is private and since no federal or state agencies are involved there is no reliable source of accurate information on reputability.
Read more about this report from Judith Graham in The Old New Age Blog from the NYTimes. There you can find a list of questions to ask agencies to make sure you are hiring a quality organization. http://newoldage.blogs.nytimes.com/2012/07/19/whos-watching-mom/
and find the original report here. http://www.ncbi.nlm.nih.gov/pubmed/22724430
Futurist Jim Carroll looks at the next 10-20 years in elder care and considers both big trends and crazy ideas. The problem however is knowing which is which.
His most salient point is that innovation and creativity are as necessary in the world of elder care as they are in communications, politics, business, and medicine. Some of these ideas sound brilliant, some sound wacky, but in fact, that is how innovation works. Read more and watch a video as he discusses the coming transformative change in caring for the elderly.
If you have ever wondered why hospital interiors are so unattractive you will appreciate this video of the architect and designer Michael Graves talking about his frustrations with healthcare infrastructure after a serious illness led him to encounters with several hospitals and rehabilitation centers. His bottom line is that good design is both essential to recovery and affordable to create. His firm now focused on healthcare design and among other things he requires that his employees spend a week in a wheelchair to understand patient needs. That might be a valuable exercise for any healthcare professional.