How Do You Know When It Is Time.... by Theresa Maskrey

How do you know if mom or dad are getting good care in a nursing home or assisted living? Four out of ten Americans will spend an average of 835 days in a long- term facility. That is over two years. At a cost of over $90,000 per year with 37% private pay covered by families. It is important to know that you are getting the best possible care for your older loved one. How can you be sure of good care? Ask your loved one. Are you comfortable? Do you feel safe? Do you get help when you need it? Have you gotten to know the other residents? How much time do you spend in your room? Who is your favorite caregiver? Ask your loved ones caregivers? When is he/she up each morning? Are meals prepared according to your loved ones dietary needs? Is medication being given on time? (Timing of medications should be documented) Is there a reason to change medication? Is he/she moving? Are appropriate physical activities being offered? Is he/she social? How much time does your loved one spend in their room? Inspect surroundings. Get a feeling on your own about the overall environment. Is it homelike? Are personal cards and notes displayed? This means the staff took the time to do it. Look for safety hazards. Are bruises on your loved one caused by inappropriate lifting? Is the staff affectionate? Use your nose? Odor can be a sign of poor incontinence care. Listen. Do you hear music, laughter or birds? Or do you hear creaky floors and clanging pipes? Constant annoyance can affect a person’s mood and day –to- day demeanor. Does the care center meet federal and state patient care requirements? (Check CMS.gov for survey results in your area) How often should you check in? What if you can’t? Schedule care conferences with the staff If you live in another area ask for photos and videos. What does the caregiver need from you? Share personality quirks, interests and preferences of your loved one. Be respectful of caregiver’s time. Make sure caregiver knows how to reach you at all times. Being an advocate of your loved ones care can make a big difference in their life quality. Be there for them. Participate in caring for them as much as possible. Make sure those that care for your older loved ones know that you are grateful.