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2011年9月5日 星期一

Helping Seniors Stay Safe on Their Own

It is so interesting that as our parent's age we become the ones that start to parent them. Not only do I worry about them inside their home in regards to personal safety and safety due to mobility but I worry about them with outsiders. I have read many studies that show senior citizens are the least targeted group for crimes I still however worry that one day someone will realize a vulnerable senior loves in the neighborhood. I worry about a physical assault as well as any other. I know it is more likely they will be taken advantage of financially then physically. All this tends to worry me. I can take care of the aging in place needs like a wheelchair accessible ramp but how can I make sure they are safe from predators?

The first tip I have involving the safety of senior citizens involves the wheelchair accessible ramps. When a home has a ramp that is visible from the street it basically tells all the people that drive by that someone elderly or disabled lives in this home. This is not the message that you want to send to the crooked people that exist in our world. Instead of having wheelchair accessible ramps installed at the front of the house add one to the back or side yard. In the side yard it is easy enough to put up decorative fencing or tall hedges to camouflage the ramp which in turn does not allow predators to know that a person that has limited mobility lives in the home.

It is also important to use locks that include a steel stopper. Believe it or not deadbolt locks can still be broken through. If you add a metal stopper it is nearly impossible for the door to be kicked in. Alarm systems also help keep our loved ones safe. When looking into alarm systems for parents who are aging in place that notify police, fire and ambulatory services. Security lights should be installed at different angles of the home. This is also valuable for seniors to be able to see out into the yard in the evening hours. I would also recommend that all sliding doors have locks and extra security rods put into place.

Make sure that a trusted neighbor has an extra key to the house. Thieves know all the hiding spots for spare keys. Don't chance it. It is one hundred percent safer to leave a key with a neighbor in case of an emergency. I also really like the option of purchasing a realtor lock. This way if there is an emergency and entrance is needed a code could be given to EMS and they could obtain entry to your loved one.

Like my parents did to me when I was little I did to them now that they are aging. I sat them down and discussed the birds and bees of financial safety. I remind them that social security number and credit cards were something that should never be released to anyone over the phone or that comes to your door. In fact I have asked them not to open the door when they are not expecting visitors. Internet safety was something I addressed as well.

When my parents leave the house I always remind them to carry only one credit card and enough cash for their purchases. My dad has begun carrying his wallet in his front pocket and my mother is very careful to hold her purse close to her side. As they have aged there are limits on when they should be out verses home. My parents are home before dark so that it is easier for them to drive, park and enter the house again without problems. Using the handicap accessible ramp becomes difficult for my mom at night. When she is tired and has been going all day the level of strength she possesses has decreased and my dad does not have enough strength to help her.

For their safety and my piece of mind they allow me to help guide changes in their lives so that they can age in place instead of moving into assisted living. It seems to be a winning combination for us right now. As they continue to age and become less mobile we will discuss options but for now it works.

If you have enjoyed this article on wheelchair accessible ramps from Kevin Germain at CPS visit our website http://www.glennmillerthehomedoctor.com/ today where you will find useful information on installing wheelchair accessible ramps.

2011年9月2日 星期五

Seniors and Their Rights in Long-Term Care Facilities

At the skilled nursing facility where I work, we remind seniors that they all have rights. Their rights put them in charge of their experience in the facility and can direct their plan of treatment, as well as their personal way of living.

Well, we have a resident who prefers to wear only his underwear during the day. Yes, he's totally alert, and there's no trace of dementia. Of course, he has his rights, but sometimes resident's rights can get a bit tricky to interpret. There are boundaries and then there are dignity issues.

I often run into situations where residents will request or even do something outrageous. Though, I'm a little too shy to share some of those stories with you today (blush, blush).

If your senior parents have specific requests that may be out of the norm and you're worried about their rights, you should know that there are both state and federal regulations that protect them in long term care facilities.

Seniors who live in long-term care (LTC) facilities are definitely more vulnerable than seniors who live independently. In 1987, the U. S. Congress recognized this fact and passed The Nursing Home Reform Act that gave nursing home residents additional legal protections, including a set of Residents Rights.

In 1995, the Washington State Long-Term Care Ombudsman successfully persuaded the Washington legislature to extend Residents Rights to other LTC facilities such as assisted living facilities, adult family homes and state operated veterans' homes. The point was to advance consumer healthcare education and to empower older adults and their family members to make informed long-term care decisions.

To review the full list of 12 Residents Rights, go to http://www.ltcop.org/index.htm. It includes all aspects of long-term care stay starting from the day of admission, lasting throughout their stay to the day of their discharge.

Let's dig into 5 of them right now:

1. You can communicate with whom you choose.
This means that seniors can make decisions about all aspects of their daily living. So, the minute a senior wakes up in the morning, he can actually determine the time he wants to get up. Some residents believe that if they don't get up early for breakfast, they would miss their first meal. Not so.

2. Right to participate in and decide your plan of care.
Everyone has the right to refuse care. As health care professionals, we will explain the risks and benefits to you, just to make sure you understand the consequences. For example, nurses may run into the dilemma of a senior declining his medications. This is a tough one and a common one. I personally work with seniors who refuse to eat, every single day.

3. Right to information.
All healthcare professionals will document everything about you, even if you are misbehaving. And, you have the right to read all about it.

4. Right to privacy and respect.
You must be respected and the residents around you must also be respected. The underwear story fits into this one. Again, healthcare professionals will educate you on the risks or benefits of your decisions.

5. Right to hold resident and family meetings.

You have the right to participate in resident gatherings in the facility; lots of meetings are usually going on. And, if you like, you can call a meeting as often as you wish.

A Registered Dietitian and Senior Resource Diva, April Fan, RD, CD, Founder of SeniorResourceCentral.com, a finalist in SeniorHomes.com's "Best of the Web" 2011 and top honors winner in StartupNation.com's "Leading Moms in Business" 2011, is on a mission to educate baffled adult children who are currently caring for their own children as well as their aging parents. Her goal is to help these juggling caregivers discover how to take the confusion out of this daunting role. Tap into April's personal and clinical experiences, proven resources, handy tips and sane ideas at http://www.seniorresourcecentral.com/.