Do you know about - Let's Get Serious About the Nursing Home Tour
Small Business Saturday! Again, for I know. Ready to share new things that are useful. You and your friends.
Before you tour your factory choices be sure you have done your homework. Go online and visit Medicare.gov. They have phenomenal resources available to you for free. They are user friendly. Please see the end of this record for details.
What I said. It isn't outcome that the real about Small Business Saturday. You read this article for information on anyone need to know is Small Business Saturday.How is Let's Get Serious About the Nursing Home Tour
To narrow down your choice in the middle of two or three nursing homes or just inspecting the only available nursing home to place your family member or friend, it takes two visits. Take person with you and if at all potential take the person who will be sharp into the nursing home.
Your first visit to the nursing home is what I call “Their Pitch”. Set it up for the morning anytime before 11:00 Am on a Saturday and plan to be there at least an hour. Get there 15 to 20 minutes early with a magazine or a newspaper and let the receptionist know you are there. Take a seat in the lobby and wait. This is not waisted time. Open up your newspaper or magazine and eaves drop without calling attention to yourself. Let your senses lead the way. Have you been offered refreshments? Does the factory smell? Does the interaction of others sound pleasant?
When you opened the front door into the nursing home did you smell urine, bowel movement, vomit or body odor? Did it to smell like flowers or antiseptic? Or like bad odors are being covered up by good odors. Broccoli, cabbage and brussels sprouts are the only offensive smells that come from the kitchen when they are being prepared.
After a short while close up your magazine or paper and reseptive to your visual surroundings. If there is person else sitting there try to start a conversation about the nursing home and find out what they think. Listen to the tone of their voice, watch facial expression and body language. By now the admissions coordinator or person is going to request you into their office or take you for a tour and give you “Their Pitch”.
When they take you into the office they are going to ask you questions. Names, name of potential resident, age, diagnosis, who their doctor is, where are they now, do they have Medicare, insurance, are you the health care power of attorney, do they have a living will, have you applied for assistance, how soon do you plan to place them here, etc. They are going to try to emotional join together with you as well. They are finding for potential problems too. Pleasantly sass their questions. If you have a few questions ask and be sure to ask if you can have a copy of an facts packet or pre-admission packet.
So on to the tour. The tour is about showing you the best of what they have to offer. They will introduce you to every person and show you the facility. Let “Their Pitch” happen and go along with it. Don’t ask too many questions now because you will distract yourself from observations that you need in order to make a sound choice.
During the tour you will be introduced to the dissimilar department managers and shown their offices. You won’t be staggering to remember names and it is more important how they sass and take an interest in you. Also, while this tour pay attention to the interaction in the middle of staff and residents in every area you are toured through. This is important.
Observe the residents. Are their clothes clean and in good repair? Are they wearing footwear? Do the men look clean and shaved? Does their hair look cared for or is it a mess? Do the women have accepted hairstyles (I have seen them put pigtails on top of balding 90 year olds)? Do they still have bibs on from their last meal? Does any one look cold and not have a sweater? Do you see a estimate of residents that are wet or smell of urine or Bm? Do the hands look clean especially under the nails? Do the wheel chairs look clean and cared for with no sharp edges or tatters? Do the residents in wheel chairs look comfortable? Are residents in wheel chairs being pushed too fast or backwards? Are residents that are being walked rushed or are they allowed to walk at their own pace? Is a resident yelling out the whole time you are there?
The flooring should be clean and free from any debris. The walls should be clean. The lighting should be good. Carpets free from spots. Ornamental items should look well kept. Drapery should be open to allow the natural sunlight in.
You will be taken to the nurse’s station. The nurses should be pleasant and responsive to the residents and family members. Listen to their tone and responsiveness in their voice. Watch their body language as they sass you or others at the nursing station. Is this representative of how you would like your loved one to be responded to?
One area you will be taken to, will be the recovery area where physical, occupational and speech therapies are provided. How are the therapists interacting with the residents? Are there residents in the area alone? Is privacy being respected? Is it busy with performance or is no one there? Listen to find out if they have at least a full-time corporal therapist and occupational therapist, it is important to know, as your loved one may want these services from time to time. Do they mention at least a part time speech-language pathologist? It is always good to have one available to screen your loved one if they ever begin to have speech problems or eating problems like swallowing.
Once at the Activities Department, search for what is going on each time you pass by. Make it a point to stop for a few minutes and search for residents and don’t be surprised if not every resident in the activities room, is not doing something. Are at least 25% of the residents doing something like reading, watching Tv, or doing the performance that is going on at the time? Ask to see or have a copy of the activities calendar. search for interactions.
The dining areas are a very important area to make observations. Check to see if they have more that one dining room or area? If the nursing home that you are at has 120 beds and is not specific to only Alzheimer’s/dementia residents, then there is a mix of residents functioning at dissimilar levels. There are ordinarily three functional levels of dining: residents that can dine independently, residents that want cueing, and residents that need to be fed. search for for the dissimilar types of dinning rooms or areas. If residents are dining search for for a few moments. Are they socializing, smiling, having a difficult time with the food? This is important because as your loved one’s functional capability may decline and they may need cueing or to be fed from time to time. What is the facilities course about reidents dining in their room?
The tour guide (admissions coordinator) will show you a few resident rooms. Most of the time they will show you the rooms of clean, fairly independent, and continent residents with good family support, a well decorated room, not the room they would be admitting your loved one into. Facilities are petite to the estimate of inexpressive rooms they have. Most of the rooms are semi inexpressive with a inexpressive bathroom for the two sharing the room or a bathroom that is shared with the adjoining room. Look in the bathroom if you can. There is much to consider.
During the tour they will hopefully show you outdoor areas for the residents. Is it shaded from the sun? Is it partially protected from the weather like rain, snow, and wind? Do they have an area outdoors for residents who smoke? Are there seating areas? Is it visually appealing?
This is ordinarily what happens during”Their.Pitch”. They ask you for facts and you ask questions and make observations. Just like when you are with a salesman they want you to get emotionally connected with their facility.
At the end be sure to thank them for their time and let them know that you will be in touch with them soon.
Before your second visit, try and read the facts connected specifically to the nursing home and what their expectations are of you and the resident from the facts packet or a pre-admission packet you received. Then make a list of questions for the next visit. If you can’t think of any questions, Medicare’s publication Guide to choosing a Nursing Home has questions on some pages that you can tear out and take along with you to what I call the “Your Q&A Visit”.
Try to make “Your Q&A Visit” unexpected on a weekday. Ask to speak to the admissions coordinator or some one who can sass some questions that came up. I will just tell you now, that if they sass timely to you at this visit that’s how you will be responded to if your family member was in the nursing home. This is your opportunity to get your questions answered and to get any additional facts that will help you make the best choice.
If you live in a small town this nursing home may be your only choice and you will learn to be a good advocate. However, if you live in a large town or metropolitan area you will have a choice of some nursing homes, pick the one that suits your loved ones needs and not your convenience. I wish you the best of luck on your search. Thank you.
Here are the important resource Links that I promised. Just click on the title.
Nursing Home collate – Will provide you data about a nursing homes most new search for and collate it with other nursing homes you select for free.
http://www.medicare.gov/Nhcompare/Include/DataSection/Questions/SearchCriteria.asp
Home health collate – Will provide you data about home health agencies most new search for and collate it to others you select for free.
http://www.medicare.gov/Hhcompare/Home.asp
Long-Term Care consultant – Will help you make a estimation of the type care and where the care can best be provided for you or for some that needs help or supervision.
[http://www.medicare.gov/LongTermCare/Static/Ltccounselor.asp]
Publications - Guide to choosing a Nursing Home, Medicare and You 2004, and Medicare Coverage & Skilled Nursing factory Care
http://www.medicare.gov/Publications/Search/SearchCriteria.asp
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