Facility Use of Anti-Psychotic Drugs for Patients with Dementia

One of my top five pieces of advice to family members who have loved ones in a long term care facility (a nursing home, residential care facility for the elderly, or board and care)  is the following: question facilities who prescribe or administer anti-psychotic medications for alleged behavioral and psychological symptoms of dementia. Why? Because the therapeutic goal…

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Indwelling Urinary Catheters Should Not Be Used to Manage Incontinence

Unfortunately, it is all too common for skilled nursing facilities and hospitals to use indwelling urinary catheters to manage urinary incontinence. However, indwelling urinary catheters are the most common source of bacteremia. In fact, the federal Health Care Infection Control Practices Advisory Committee (HCICPAC) recommends minimizing urinary catheter use and duration of use in all patients. The…

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Nursing Home Neglect: When to Get An Attorney

Elder abuse can come in many forms: neglect, improper dispensing of medications, improper use of restraints or power, causation of emotional distress, or failure to provide care in a timely manner. The signs of elder abuse can be obvious or subtle and some find the idea of broaching the topic of possible abuse overwhelming, understandably…

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Choosing the Right Nursing Home Facility

Choosing a nursing home facility can be an emotional and stressful time. Frequently, we’re asked,  how to go about picking a facility for parents and we have several criteria that we think are important. 1. The first is picking out the facility that near your work or your home, so can visit your mom or dad frequently. The transition period…

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Signs of Nursing Home Abuse

The most common signs of neglect and abuse in a nursing home include bed sores, dehydration, big weight loss, multiple fractures, bruises. But one of the most common signs that we see most frequently is when you go in to visit your loved one and your loved one seems like he or she is drugged up,…

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Nursing Home Neglect Cases

The nursing home industry is big business and they’re putting profit over people. We’re seeing it in several forms. One is understaffing. They don’t have sufficient staff to give care to our loved ones. Or their staff don’t have the proper training or education to understand their medical conditions. But most importantly, the most disturbing…

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What is a Skilled Nursing Facility and Who Regulates Them?

Skilled nursing facilities are suitable for residents that require 24 hour a day care and often are moderately or fully unable to care for themselves, either due to an acute condition (e.g., recovering from hip surgery) or a chronic condition (e.g., stroke victim). Skilled nursing facilities are licensed by California Department of Public Health. They…

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What is Hospice and Should My Loved One Be Placed On Hospice?

Hospice care is not considered a type of treatment for sick patients, but rather a plan of care for terminally ill or dying patients who are assessed as having six months or less to live. However, hospice is not a death sentence and a patient’s health condition can improve such that they go off of…

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Are Sub-Acute Facilities Really that Different?

Sub-acute facilities are a relatively recent trend and are beginning to appear more and more. Why? It is simple: money. Recent reimbursement rates changes from Medicare make it such that a nursing home can get higher reimbursement rates for a resident that needs more specialized care (such as tracheotomy care, intravenous tube feeding and complex…

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What is an ALF/RCFE and Is It The Right Fit For Your Loved Ones?

Assisted living facilities are another form of RCFE (Residential Care Facility for the Elderly). Typically the primary difference between an assisted living facility and a board and care home is the size of the facility. While board and care homes tend to be smaller (less than 10 beds), assisted living facilities are generally larger communities…

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