When you think about nursing home food, what comes to mind? Candlelight dinners, menus you can vote on and Thanksgiving dinner on the patio? Probably not. But at a five-star skilled nursing facility, that’s exactly what you’ll get. When choosing a skilled nursing or rehabilitation facility for your loved one to recover in, it is always important to take a good look at the food. Read more
Archive for year: 2016
It was Henry Miller who once said, “It is a very limited concept of medicine that strives to understand disease, but not the needs of sick people.”
Nowhere is that need greater than the care of our elderly. Fortunately, the healthcare industry is taking steps toward recognizing the unique needs of our senior loved ones by providing specialized care that meets the healthcare needs of the patients as well as the emotional and supportive needs of those who love them.
Commonly known as “comfort care,” palliative care provides a team of specialists who cater to the varying healthcare needs of a patient. That team often includes a physician, nurse, pharmacist, a social worker, chaplain and volunteers. Read more
True or false: Midwives deliver babies at home without advanced medical care available.
The answer? A resounding false! While more than 90 percent of births in the U.S. are delivered by physicians, a growing minority of women rely on midwives to provide their prenatal care and delivery. These women use state-of-the-art technology and best practices in medicine combined with a patient-centric philosophy to give expecting mothers what they believe is the highest-quality healthcare with the best overall outcomes.
I had the opportunity to interview Diana Lee, a certified nurse midwife and a women’s health nurse practitioner at Revere Health to find out more. Read more
What do Loni Anderson, Christy Turlington, King Edward VII, Johnny Carson and more than 12 million Americans have in common? They have been diagnosed with chronic obstructive pulmonary disease, or COPD. Another 12 million have it but don’t know it. COPD is now the third leading cause of death in America, yet many people are unaware of COPD and its devastating effect on the lungs.
What’s the leading cause of injury in older adults? It’s not what you think…
If I were to ask you, “What is the most likely cause of injury death for older adults?” what would you say? Car accident? Bike accident? Yoga accident?
Falls are surprisingly the leading cause of injury death for adults ages 65 years and older. The Centers for Disease Control reports over 2.5 million older adults are treated in emergency rooms for fall injuries each year. Among those that fall, 20 to 30 percent suffer moderate to severe injuries, such as head trauma and fractures. Read more
More than one-third (34.9 percent) of American adults are obese, according to the 2011-2012 National Health and Nutrition Examination Survey. A person is clinically obese if their body mass index (BMI) level is 30 or more. Overweight and obesity have become pressing global health concerns. With a higher number of bariatric and aging patients comes an increased demand for skilled nursing and rehabilitation facilities that can accommodate their unique care needs. Historically, bariatric patients have faced challenges when trying to find long-term care. Skilled nursing facilities (SNFs) and assisted living facilities (ALFs) are having to innovate to accommodate these patients and provide high-quality care.
There are facilities that can accommodate obese patients and provide excellent care, but they may require a bit more effort and research to find. There are a few things to keep in mind when trying to locate a skilled nursing, rehab or assisted living care for a bariatric patient.
Specialized Equipment for Bariatric Patients
Ask if the facility has bariatric equipment. The Occupational Safety and Health Administration (OSHA) limits how much healthcare workers are allowed to lift, so if the patient needs help getting in and out of bed toileting or bathing, special equipment will be necessary. This can include larger beds (a standard hospital bed can only hold up to 350 pounds), chairs, wheelchairs and mobility aids, and shower and bath equipment, depending on you or your love one’s needs. A heavier individual may require an electric patient lift instead of manual equipment such as a classic Hoyer lift.
Because these items are extremely expensive, the number of beds available to accommodate heavier residents at any given location will be extremely limited. Waiting lists are typically quite long, since nursing facilities are not obligated to accept patients like hospitals are.
Patient transfers can be tricky and dangerous for individuals of an average weight, so great care must be taken when caregivers assist heavier residents. This is for the patient’s safety and that of the facility’s employees.
“The largest risk is the issue of injuring patients and caregivers from improper transfer,” says Jeff Oldroyd from Holladay Healthcare, a nursing home located in Salt Lake City, Utah. “We do give additional training in these specific transfers to our caregivers. This training is usually provided by experienced nurses and physical therapists.”
Do not be afraid to ask the facility about special training and experience requirements for any staffers who may be caring for you or your loved one. Frequent transfers and repositioning are crucial for proper hygiene and prevention of bedsores or compression ulcers.
Adequate Space in Living Areas
A larger room or apartment is ideal for larger patients in care facilities, but do not forget to inspect communal areas such as dining rooms and activity rooms as well. Isolation can be a real concern for these patients since their mobility is typically limited. Make sure there is enough space to maneuver a larger wheelchair in the facility so you or your loved one can interact with staff and other guests outside of their room. Creating opportunities for a patient to engage and participate in social and recreational activities will improve their quality of life and may even result in weight management or even weight loss.
While resident involvement is important, bariatric patients have specific health and activity needs. In many cases, “regular” exercise is not possible or safe for them. Make sure to ask the facility about modified activities for patients, especially if they have recently undergone surgery. This is especially important in a rehabilitation setting where a patient is working to heal and regain or improve their functional abilities. For instance, a facility with a pool and a water therapy program can provide activity options that are more conducive than typical weight-bearing and high-impact exercise programs. An experienced physical therapist will be able to adapt a PT regimen to make sure they meet their health care goals.
Overweight patients are likely accustomed to comments about weight and physical activity. But, beyond the equipment and therapy, it’s important to know that the staff will see a bariatric patient as more than just a number on the scale. It can be difficult for anyone to find placement in a facility, and you want to make sure any special needs will be taken care of.
Ask Your Physician
Physicians often have contacts at many skilled nursing, assisted living, and rehabilitation facilities in their area. In many cases, they may be your best resource when it comes to finding a reputable facility. Communication between the facility and a physician will be key for ongoing care, so receiving a referral from your doctor will be an added bonus.
“We do have additional communication with physicians for patients with specialized needs such as obesity,” said Mark Hymas from Copper Ridge Health Care, a SNF in West Jordan, Utah. “There are specific protocols for each diagnosis, and those symptoms are monitored and shared with physicians in real time. Physicians are then able to make determinations to monitor and adjust treatments.”
Patients of any size may encounter significant obstacles and frustrations related to their healthcare. Finding a facility with the proper equipment and training, adequate space, appropriate exercise and activity programs, and compassionate staff can be difficult. However, these important tips will help you select the right care setting for yourself or your loved one.
This article was originally published by AgingCare.com. It has been republished here with permission.