Over 1.6 million Americans are residents of more than
18,000 nursing homes located
in this country. Nursing homes can either be permanent residences for people who
are too frail or sick to live at home or temporary facilities for use during the
recovery period from illness or injury. When a family member needs a
nursing home, it can often be challenging to find the right facility. The
following questions can help you evaluate nursing homes to find the best fit for
your situation.
First of all, is the nursing home Medicare- or Medicaid-certified? Does it
provide the level of care required for your family member? Is the facility
accepting new residents?
Is the location of the facility convenient for family members and friends?
What is your impression of the physical environment? Is the facility
clean, well-lit, with safe and comfortable furnishings? Is the home smoke-free,
or is smoking restricted to certain areas? Is the building free of unpleasant
smells? Are the surroundings peaceful and quiet?
Is there a licensed physician on staff? Is the doctor there every day? If
not, is he or she easily reachable in case of need? Can residents see their
personal doctors if they wish or are they required to be treated by the house
physician?
Does the nursing home perform background checks on staff members?
Tips for Caregivers of a Person with Alzheimer's Disease
Caring for a person with Alzheimer's disease at home is a difficult task and can become overwhelming at times. Each day brings new challenges as the caregiver copes with changing levels of ability and new patterns of behavior. Research has shown that caregivers themselves often are at increased risk for
depression and illness, especially if they do not receive adequate support from family, friends, and the community.
One of the biggest struggles caregivers face is dealing with the difficult behaviors of the person they are caring for. Dressing, bathing, eating—basic activities of daily living—often become difficult to manage for both the person with Alzheimer's and the caregiver. Having a plan for getting through the day can help caregivers cope. Many caregivers have found it helpful to use strategies for dealing with difficult behaviors and stressful situations. Through trial and error you will find that some of the following tips work, while others do not. Each person with Alzheimer's is unique and will respond differently, and each person changes over the course of the disease. Do the best you can, and remind yourself to take breaks.
Dealing with the Diagnosis of Alzheimer's Disease
Finding out that a loved one has Alzheimer's disease can be stressful,
frightening, and overwhelming. As you begin to take stock of the situation, here
are some tips that may help:
Ask the doctor any questions you have about Alzheimer's disease. Find out
what treatments might work best to alleviate symptoms or address behavior
problems.
Contact organizations such as the Alzheimer's Association and the
Alzheimer's Disease Education and Referral (ADEAR) Center for more information
about the disease, treatment options, and
caregiving resources. Some community
groups may offer classes to teach caregiving, problem-solving, and management
skills. See "For More Information" below to contact the ADEAR Center and a
variety of other helpful organizations.
Find a support group where you can share your feelings and concerns.
Members of support groups often have helpful ideas or know of useful resources
based on their own experiences. Online support groups make it possible for
caregivers to receive support without having to leave home. The Alzheimer's
Association and other organizations sponsor support groups.
Study your day to see if you can develop a routine that makes things go
more smoothly. If there are times of day when the person with Alzheimer's is
less confused or more cooperative, plan your routine to make the most of those
moments. Keep in mind that the way the person functions may change from day to
day, so try to be flexible and adapt your routine as needed.
Consider using adult day care or respite services to ease the day-to-day
demands of caregiving. These services allow you to have a break while knowing
that the person with Alzheimer's is being well cared for.
Begin to plan for the future. This may include getting financial and legal
documents in order, investigating long-term care options, and determining what
services are covered by health insurance and Medicare.
Anxiety is a feeling of apprehension and fear characterized by physical symptoms. Anxiety disorders are serious medical illnesses that affect approximately 19 million American adults.
Dehydration is the excessive loss of body water. There are a number of causes of dehydration including heat exposure, prolonged vigorous exercise, and some diseases of the gastrointestinal tract. The best way to treat dehydration is to prevent it from occurring.
Dementia is a significant loss of intellectual abilities such as memory capacity, severe enough to interfere with social or occupational functioning. There are different criteria classification schemes for dementias such as cortical, subcortical, progressive, primary, and secondary dementias. Other conditions and medication reactions can also cause dementia. Dementia is diagnosed based on a certain set of criteria. Treatment for dementia is generally focused on the symptoms of the disease.
Stress occurs when forces from the outside world impinge on the individual. Stress is a normal part of life. However, over-stress, can be harmful. There is now speculation, as well as some evidence, that points to the abnormal stress responses as being involved in causing various diseases or conditions.
Depression is an illness that involves the body, mood, and thoughts and affects the way a person eats and sleeps, the way one feels about oneself, and the way one thinks about things. The principal types of depression are major depression, dysthymia, and bipolar disease (also called manic-depressive disease).
Dysphagia or difficulty in swallowing, swallowing problems. Dysphagia is due to problems in nerve or muscle control. It is common, for example, after a stroke. Dysphagia compromises nutrition and hydration and may lead to aspiration pneumonia and dehydration.
Alzheimer's disease is a common cause of dementia. Symptoms and warning signs of Alzheimer's disease include memory loss, difficulty performing familiar tasks, disorientation to time and place, misplacing things, and more. The biggest risk factor for Alzheimer's disease is increased age. Treatment for Alzheimer's is often targeted toward decreasing the symptoms and progression of the disease.
A number of vital tasks carried out during sleep help maintain good health and enable people to function at their best. Sleep needs vary from individual to individual and change throughout your life. Not getting enough sleep can hurt memory performance, health, and your mood.
Hypothermia is having a body core temperature of less than 35 C or 95 F. Most causes of hypothermia are preventable. Risk factors for hypothermia include age, mental status, medical conditions, and medications. Symptoms of hypothermia generally depend upon the severity of the condition. Treatment depends upon the severity of hypothermia. If not treated early, hypothermia can lead to cardiac arrest, coma, or death.
Stress may be considered as any physical, chemical, or emotional factor that causes bodily or mental unrest and that may be a factor in disease causation. An important goal for those under stress is the management of stress in our lives. Elimination of stress is unrealistic, since stress is a part of normal life. We can however, learn to manage stress through techniques such as exercise, relaxation, meditation, time management, and support systems so that we have control over our stress and its effects on our physical and mental health.
Insomnia is difficulty in falling or staying asleep, the absence of restful sleep, or poor quality of sleep. Insomnia is a symptom and not a disease. The most common causes of insomnia are medications, psychological conditions, environmental changes and stressful events. Treatments may include non-drug treatments, over-the-counter medicines, and/or prescription medications.
Brain lesions (lesions on the brain) are caused by trauma, inflammation, autoimmune diseases, cancers, other diseases, stroke, bleeding, pituitary adenomas, and cerebral palsy. Symptoms of brain lesions include headache, nausea, fever, neck pain and stiffness, affected vision and speech, weakness or paralysis to one side of the body. Diagnosis of brain lesions is generally with imaging studies like CT or MRI scans. Treatment and prognosis of brain lesions depends on the cause of the lesion.
Regular physical activity can reduce the risk of disease. Regular exercise can also reduce the symptoms of stress and anxiety. There are fitness programs that fit any age or lifestyle.
Bowel or fecal incontinence refers to the loss of voluntary control of stool, or bowel movements. The condition can include partial incontinence, in which a person loses only a small amount of liquid waste, to complete incontinence, in which the entire bowel movement cannot be controlled. Diet changes and elimination of certain medications can help patients to regain bowel control. Treatment involves a combination of medication, biofeedback, and exercise.
Millions of women suffer from urinary incontinence (UI). UI occurs twice as often in women as in men. There are many types of urinary incontinence: stress incontinence, urge incontinence, overactive bladder, functional incontinence, overflow incontinence, transient incontinence, and mixed incontinence.
Most often, caregivers take care of other adults who are ill or disabled. Less often, caregivers are grandparents raising their grandchildren. The majority of caregivers are middle-aged women. Caregiving can be very stressful, so it's important to recognize when it's putting to much strain on you and to take steps to prevent/relieve stress.
Depression in the elderly is very common. That doesn't mean, though, it's normal. Treatment may involve antidepressants, psychotherapy, or electroconvulsive therapy.
Alzheimer's disease can be not only mentally devastating to an indivdiual and family, it can also be emotionally devastating. Preparing financially for someone with Alzheimer's disease is an important task to complete so that bills get paid and the best coverage is provided. Learn what Medicade and Medicare will provide for a patient.
Stress is simply a fact of nature -- forces from the inside or outside world affecting the individual. The individual responds to stress in ways that affect the individual as well as their environment. Because of the overabundance of stress in our modern lives, we usually think of stress as a negative experience, but from a biological point of view, stress can be a neutral, negative, or positive experience.
In general, stress is related to both external and internal factors. External factors include the physical environment, including your job, your relationships with others, your home, and all the situations, challenges, difficulties, and expectations you're confronted with on a daily basis. Internal factors determine your body's ability to respond to, and deal with, the external stress-inducing factors. Internal factors which influence your ability to handle stress include your nutritional status, overall health and fitness levels, emotional w...
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