#Senior Nursing Care

[selwlsa]

Inglemoor Rehabilitation and Care Center provides top-notch skilled senior nursing care and senior living in Livingston, New Jersey. With a compassionate staff, personalized care plans, and a range of amenities. Inglemoor is committed to ensuring that every senior receives the highest level of care and comfort during their stay.

[wat3rm370n]

The Stigma of the Dark Ages.

What they’re talking about here is a society which has moved backwards, and is paying consequences already.

NPR - As the respiratory virus season approaches, where does the vaccination rate stand? November 27, 20244:47 AM ET Heard on Morning Edition By Rob Stein , Rob Schmitz Part of it is the lingering skepticism and outright hostility from the pandemic toward the COVID vaccine specifically and vaccines in general. Another factor is that people tend to underestimate how dangerous both viruses can be while overestimating vaccination risks. There's a lot of misinformation about how well the vaccines work and how safe they are. And finally, a lot of folks are just sick of vaccines because of all the shots they've gotten over the last few years. You know, put it all together and a lot of people are just feeling kind of done with vaccines. I talked about this with Dr. Gregory Poland. He's president of the Atria Academy of Science and Medicine in New York. GREGORY POLAND: “As a society right now, we're in a phase of rejecting expertise, of mistrust of any expert, whether it's science, meteorology, medicine, government - whatever it is.”

This is not unusual, there is no guarantee that society progresses forward. The Dark Ages happened, and that period was not the only time of regression on science.

MedPage Today - Nursing Homes Fell Behind on Vaccinating Patients for COVID — Billing complexities and patient skepticism partially to blame by Sarah Boden, KFF Health News December 5, 2024 Loveland has seen patients and coworkers at the nursing home where she works die from the viral disease. Now she has a new worry: bringing home the coronavirus and unwittingly infecting her infant daughter, Maya, born in May. Loveland's maternity leave ended in late June, when Maya wasn't yet 2 months old. Infants cannot be vaccinated against COVID until they are 6 months old. Children younger than that suffer the highest rates of hospitalization of any age group except people 75 or older. Between her patients' complex medical needs and their close proximity to one another, COVID continues to pose a grave threat to Loveland's nursing home -- and to the 15,000 other certified nursing homes in the U.S. where some 1.2 million people live. Despite this risk, a CDC report published in April found that just four in 10 nursing home residents in the U.S. received an updated COVID vaccine in the winter of 2023-24.

Going forward is a choice.

Public comment to CDC HICPAC committee November 2024 Infection control in healthcare. Chloe Humbert Nov 15, 2024 The Dark Ages was called that because society moved backwards from the technological advances that had come before. The fall of the Roman Empire was marked by elites who only cared about the status quo; they could’ve developed a steam engine as far back as Heron in 15 BC but didn’t bother. Going forward is a choice. In an article in the Journal of Infectious Diseases & Preventive Medicine there’s a description of what happened back then. “In medieval times, hospitals were hazardous places, Epidemic infections killed large numbers of hospital patients during this period. Hospital infection and death rates were high. When a sick person entered a hospital, his or her property was disposed of, and in some regions, a requiem mass was held, as if he or she had already died.” Going backward is a choice.

Stigma is part of a backward slide, and even if people don’t choose to go backward, we are all subject to community level leadership influences.

It’s called STIGMA. - wat3rm370n on tumblr - Oct 4th, 2024 When you hear that “people are tired of it” - that’s also part of stigma. And it’s not necessarily true that people are actually just sick of it - but they keep being told they should be. Informational learned helplessness can do that to us. Stigma is leveraged and reinforced on purpose by big money industry interests who think any reminder of danger at all is bad for business. So it’s to some degree manufactured stigma.

[thashining]

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[prince-liest]

Night shift in the hospital on Christmas week is so delightfully boring, hahaha. It's my first time covering nights on inpatient and I was relatively nervous about it at first because it involves covering nearly 30 patients alone (well, normally alone; this is a "practice" nights week for me so I have a senior with me)... but unlike day shift, you're not generally managing actual patient care at night, you're just fielding calls from the night nurses in case they need something that an MD/DO has to order. It's also generally day team's job to be like, "Hey, we anticipate X might happen with this patient. If that happens, do Y or Z."

So far it's been a couple of shifts and they've been quite delightfully boring, which is how I like it. Come in at 6pm, take signout from the two teams we're covering, admit anywhere from 0 to 3 patients and staff them with the night attending (admissions done by 10pm, he leaves at midnight), scour the emergency department tracking shell a few times to see if we're going to have to do any admissions after that (we're required to do admissions for any residency clinic patients - so far we haven't needed to), waffle around and finish our notes until it seems like a reasonable time to get a move on, have midnight lunch, and then retire to the call rooms until our alarms ring at 5:45am and we do sign out at 6.

Throughout this, we also get calls for things like "Can this patient have a melatonin?" and follow up on anything that was pending overnight (day team usually tries to make sure we don't need to but sometimes it can't be avoided - usually it's been trending troponins or hemoglobin), and on one occasion yesterday we went to a mildly funny rapid response that occurred because someone freaked out about a patient's pre-existing neurological deficits (she was super stable; not sure what the rapid team was, like, meant to do in that situation, lol).

Anyway, I've been sleeping from somewhere between midnight and 1am until 5:45am so far which has been great. The mattress in my call room is absolutely horrific, though, lol. It's like 4 inches thick and somehow has springs in there. Better me than my senior, though - she's got the slightly nicer mattress but still gets less sleep than me because I'm pretty good at just knocking out.

Today will be my first day taking calls independently, so fingers crossed it goes as boring as yesterday! I brought a couple fancy mini-bundt cakes for me and my senior because we both deserve something for working night shift on fucking Christmas, haha.

[obscureshipsandchips]

I saw your post about having a patient and I was wondering if you were a nurse too?? I’m trying to track down the nursing side of tumblr…

Yep 🫶

[rightcare]

خدمات الرعاية المنزلية في قطر - Home care services in Qatar

تتخصص مؤسستنا في تقديم خدمات التمريض المنزلي في قطر لكبار السن والأطفال حديثي الولادة من خلال ممرضينا المهرة وذوي الخبرة لضمان خدمات طبية عالية الجودة

هل أنت والد عامل متوتر بشأن مسؤوليات طفلك؟ لا داعي للشكر؛ قم بتوفير أفضل رعاية لطفلك من خلال خدماتنا الممتازة لرعاية الأطفال في قطر. نحن أفضل وكالة لرعاية الأطفال في قطر تضمن الانضباط الإيجابي والسلامة وبيئة الرعاية لأطفالك.

[epocheldercare]

Epoch Elder Care is India's leading expert in assisted living & Dementia care. It provides top-tier services for individuals suffering from Dementia across the country. With over a decade of experience, Epoch Elder Care is the most trusted name in the industry.

[courtyard01]

Best Luxury Senior Living Memory Care in Clinton, NJ - Courtyard Luxury Senior Living

Courtyard Luxury Senior Living in Clinton, NJ, offers unparalleled memory care services, blending luxury with compassionate support. With a focus on personalized attention and state-of-the-art amenities, residents receive exceptional care in a secure and nurturing environment, ensuring peace of mind for families.

[jennifermnhi]

Paul Vandersteen turns to the next chapter of his Hall of Fame coaching career [Video]

[olderandweirder]

Oh man wait until you hear about what happens in the forgotten old people warehouses nursing homes. Outright criminal activity. Neglect and fraud. Abuse and indifference. I saw a lot of horror during my clinical career, but some of the worst cases of human suffering, misery, neglect, and abuse came from nursing homes. Bedsores you could lose your wristwatch in. Skin tears the size of envelopes. Broken bones from falls. Diaper rash.

Sometimes, we’d get a Code Blue from the nursing homes. More than once the victim patient was already stiff and cold when EMS arrived to bring them to the ER, meaning they’d been dead for quite some time before anyone noticed.

A lot of these elders had nobody to care for them and ended up in shabby facilities through some machinations of fate; others were deliberately stashed there by families who didn’t want to deal with an old person. These families often show up at the hospital in a whirlwind of aggression and hate driven by guilt; they are often shocked at the decline in the elder’s health because they’ve been absent from their lives for years. We hide the aging and the dying because aging and death don’t fit the American narrative of being A Productive Person and we can’t have that! Acknowledging that people are people even when they’re not producing anything would undermine the capitalist hellsystem we’re all stuck in.

Apart from the human suffering of the elderly, the facilities themselves are understaffed to a criminal degree. I mean that literally. A nursing home in my town was recently fined and subsequently shut down by the state when it became clear that almost half of the staff on their payroll were not real people. The administrators literally just put fake names on their rosters and hoped nobody would notice and they got away with it for years.

The nurses and aides who work in these homes are, by and large, trying their level best with an impossible task. There are certainly some who are abusive or cruel on purpose; most of them, I suspect, are simply overwhelmed by impossible situations. When you have one (1) nurse and one (1) aide for 40 or 50 people, things are going to be missed. It is an impossible task.

And it is structured that way on purpose! This is done deliberately by administrators to maximize profit margins. Elder care in the United States is fundamentally an extractive industry: suck as much money out of grandpa as you can and when the well is dry abandon him at the hospital, where they have to take care of him. I worked at a long-term acute care hospital for a time and saw this in action literally every day. Oh, Smith is out of insurance days? Find an excuse to call an ambulance and send him to the ER and find someone new who has insurance days to fill the room. And once we bleed them dry, we’ll start it all over again.

OP is right that elder abuse is a massive and almost completely un-discussed issue in this country. It is shameful how we treat the elderly. It is shameful that we let this happen. We need to do better for our elderly.

there’s something so sad about how we treat old people nowadays. historically, humans have accomplished so many great things because we valued our elders, took care of them, and gave them meaningful retirement. meanwhile we have seniors aged 60+ working in retail just to survive. can you imagine working your entire life, just to work until you die? in fucking retail? 

old people are not useless, they’re not a drain on the economy, and theyre not all bigoted windbags. theyre people! people! who have lived their entire fucking lives under capitalism. they deserve to retire peacefully and pursue their interests during the final years of their lives. they deserve to be taken care of. they deserve to go with dignity. 

there’s a hundred things wrong with how society views old people, but i never see anyone talking about it.

[goldenagedentalcare]

Nursing Home Dental

Golden Age Dental Care is the oldest, most trusted provider of mobile dentistry for nursing homes in Southern California. For #NursingHomeDental, click: https://www.goldenagedentalcare.com/mobile-dentistry-for-nursing-homes/

[faithhomehealthcare]

Myth or Fact About Home Healthcare You Should Know

Think you know everything about home healthcare? 🤔 Let’s bust some common myths, uncover the facts, and explore how it’s revolutionizing care at home!💡

[hummingbirdhhc]

Hummingbird Home Health Care (HHC) provides a wide range of compassionate, personalized services to seniors in Vancouver, Surrey, and surrounding areas, ensuring expert care in the comfort of their homes. Our offerings include meal preparation, grocery shopping, companionship, light yard work, and housekeeping to maintain a clean and healthy living environment. We also assist with daily tasks like running errands, wellness checks, and reminders, alongside trusted respite care, transportation arrangements, and expert medical services such as injections, wound care, palliative care, and post-operation recovery. With specialized insulin training, medication management, and personal care services, Hummingbird HHC ensures the safety, dignity, and well-being of seniors. Our walking programs and wellness initiatives keep seniors active and engaged, promoting independence and a high quality of life. Contact us today for reliable, compassionate care tailored to your loved ones' needs.

Experience compassionate, professional personal care services in Vancouver. Book now to receive the support you need at home—your care, our priority!

[meilas]

I have been saying this for nearly ten years now, since I first worked in a nursing/assisted living home.

I worked at two different places, and the differences between them was insane. The first place was bigger, had a dining room for residents that could rival a small restaurant, and had a waitstaff and cooks. The assisted living, rehab, and and more intensive cate floors each had their own smaller dining rooms. I worked in dining services on the assisted living floor, which meant I brought a cart of food from the kitchen and served it to the 20 residents on the AL floor. (The memory care unit was split in two, and the nurses there would serve the food.) The IL (independent living) apartments had their own housekeeping staff. The entire facility had a gardening staff and regular bus runs. (My mom is currently a bus driver there. The residents love her.) This facility is pretty fancy, but not not as fancy as its counterpart campus on the other side of the city.

The second place I worked did not require a college degree to be part of the activities’ staff, which was my department. I was with the residents (about 20-30) for the majority of the day, and I would usually leave well after my shift ended because we the residents could not be left alone unless they were in their rooms. A lot of them were fall risks. There weren’t enough nurses to bring the residents back to their rooms so that I could actually leave on time. (During covid, I had to sit with one resident who had tested positive and make sure that she stayed in her room because she would wander otherwise, and there was no one else available to watch her, and I was the “safest” to watch her because I had just returned shortly before from having covid myself and I’d just received the first dose of the vaccine. (My mother was immunocompromised at the time because of chemo, so yeah this was not a good time for us.))

The pay was awful at both places, but I stayed because I liked my residents. I would occasionally stay after my shift (to help out at the second facility) or come in on my days off to visit with the residents (first facility.) I sometimes ended up playing waiter at resident parties (first facility) because 1. the activities’ staff could use the extra help with all the residents and 2. my residents (and my grandmother) got a kick out of me dashing around offering drinks and snacks to everyone. I don’t know that any of my coworkers did that. They had lives and second jobs and school. They couldn’t afford to spend their free time doing extra.

Good, quality care is stupidly expensive. My grandmother is lucky (and we’re fairly privileged enough) that she could afford to go to a decent place, and it’s near where we live so we can visit her! She has one of the smaller apartments at this facility (she’s independent) but it’s still a really nice apartment.

I had some residents who barely saw their families because they lived so far away and weren’t quite as close with their family.

At the second facility, which was much, much lower quality but still really expensive, all of the residents needed more care than the facility was able (or even supposed to be able) to provide. All of the residents came from much poorer backgrounds, and everyone was white.

Which brings me to another point. Nonwhite POC are less privileged and thus less able to access care. Nevermind quality care, I mean actual elder care. (There was one POC woman from the first nursing home but she was there for health rehab. I spent an evening talking with her about music. Her son is a singer in Las Vegas. But my point is that there was exactly one POC resident that I knew about!)

We need accessible elder care for all.

It feels taboo as a childfree person to admit this but I actually do have concerns about who is going to take care of me when I'm old. The elder care system in our nation relies A LOT on the unpaid care labor of adult children. I just don't think that's a good reason to have kids.

"But you'll have more money!" does not completely put this to rest for me. Neither does "Buy care insurance!" Even if I can afford direct personal care, who is going to advocate for me to get it? Who is going to navigate bureaucracy for me when I'm 80?

"If you do have kids, there's no GUARANTEE that they'll take care of you when your old!" That's true, but doesn't solve my problem.

I think childfree people get very defensive about this question because its used as a kind of "gotcha!" against us, but I actually do not feel we can afford to be in denial about this reality. Based on current trends of more people in their 30s stating they intend to be permanently childfree, we are going to see a huge wave of childfree adults hitting the eldercare system at once in a few decades. Childfree people in their 30s should be advocating around eldercare NOW.

[medicalweightloss100]

Preventing Injuries with Real-Time Wearable Technology

Real-time wearable technology is transforming injury prevention and patient care, offering unprecedented insights into human movement and health risks. These intelligent devices, equipped with advanced sensors and AI, continuously track biomechanical signals to help healthcare professionals anticipate and prevent potential injuries. One critical application is addressing pressure injuries—a persistent challenge that impacts patient quality of life and hospital costs.

Traditional preventive measures like frequent patient turning are often inconsistently followed due to the physical demands on nursing staff. Wearable technology sensors now emerge as a game-changing solution, providing continuous monitoring and proactive intervention strategies that traditional methods cannot match.

Key Findings:

1. Real-Time Interventions: Wearable technology sensors offer real-time feedback to ensure patients are turned on schedule. These devices monitor patient movement and positioning, alerting nursing staff immediately if a patient hasn’t been repositioned or if the turn angle isn’t sufficient to relieve pressure. This real-time capability enables prompt corrective actions, directly preventing injuries.

2. Enhanced Compliance: With sensors in place, compliance with turning protocols skyrockets. Studies show increases from as low as 15% to over 80%, reducing the manual effort of tracking patient repositioning.

3. Fewer Injuries: Real-time monitoring has led to a reduction in hospital-acquired pressure injuries (HAPIs) by up to 70%. Patients are safeguarded against severe complications like deep tissue damage.

4. Economic Benefits: Hospitals benefit financially, saving an estimated $6,621 per patient by avoiding pressure injuries. This makes wearable sensors a cost-effective addition to patient care.

5. Improved Teamwork: Sensors encourage better communication and collaboration among nursing staff. They distribute the responsibility of turning patients more evenly, fostering teamwork.

Hospitals Leading the Way

Several hospitals have successfully implemented wearable sensor technology, demonstrating its effectiveness:

Stanford Health Care: A trial in two intensive care units showed a 73% reduction in HAPIs and improved adherence to turning protocols.

A Magnet Hospital in California: Turning compliance jumped from 67% to 95%, and sacrococcygeal HAPIs were reduced by 84.6%.

A Long-Term Acute Care Hospital in New Jersey: Achieved an 85% reduction in sacrococcygeal HAPIs with an average adherence to turning protocols of 87.3%.

A Medical Center in Pennsylvania: Over a year, this facility nearly doubled the national average for turn protocol adherence (90%) and reduced HAPIs by 67%.

These examples highlight how wearable sensors are revolutionizing care across various healthcare settings.

Challenges and Opportunities:

While wearable technology sensors excel in ensuring timely interventions, they don’t automatically improve the quality of turns (e.g., the precise angle needed to relieve pressure). Additionally, nursing teams need adequate training to fully leverage this technology and integrate it seamlessly into care routines.

Real-Time Innovations in Action:

The real-time intervention capability of these sensors is their standout feature. By promptly notifying caregivers, the sensors ensure no patient is left at risk for extended periods. Some devices even provide visual or auditory cues to further reinforce timely actions, making them a proactive tool in patient safety.

The Way Forward:

Wearable sensors are not a stand-alone solution but a vital component of a comprehensive prevention program. When paired with strategies like regular skin assessments and nutritional support, these devices can revolutionize how hospitals address pressure injuries.

Real-time fall prevention is a critical priority for hospitals and nursing homes. Discover how OK2StandUP is transforming patient safety and making a meaningful impact. Visit us at www.ok2standup.com to learn more.

[keystonecare]

Activity calendar to know about activities for seniors in assisted living, senior independent living, skilled nursing home care for the elderly, elder care services.