Nursing Homes|Nursing Home Abuse|Assisted Living Facilities

Most people don't like the idea of living in an assisted living home for the fact that they feel their losing their own independent way of life. So the elderly sometimes go for years without checking themselves into an assisted living facility. However many assisted living facilities offer a very independent style of living. Some facilities offer a group of small size homes for that independent lifestyle one needs. Other communities have club houses where you'll find many activities to become involved with.

It's nice to have independent living while having more activities to take part in. Finding the right community is one of the most important decisions a senior nearing retirement must make. Each senior living facility has its own living options, pros and cons. It's important to research all options so you may choose a community that's right for you.

Retired Seniors must take into consideration their current and future needs. Assisted living facilities can provide seniors a vast amount of support such as housekeeping, activities, laundry, exercise and also healthcare monitoring. Choosing the right care facility can be a challenge when looking for a home that will provide and maintain the same quality of life as life before retirement. With the right amount of research, you may find a home that offers a similar or better quality of living.

One thing that a senior care facility can eliminate is loneliness and boredom through its activities and daily tasks shared with other peers. Over the years senior living facilities have greatly improved by providing the active lifestyle and several other options and amenities.

Before choosing assisted living, always determine the level of care you will need for years to come and be sure to make a visit to the facility in advance. It's nice to spend some time around a few facilities in order to become comfortable with the senior community environment.

Caregiving for elderly parents is an increasingly searched topic on the Internet. Many of us seniors are caring for our elderly parents, some in their own homes, and some in senior living residences such as assisted living and nursing homes. No matter the living accommodations, we have the same issues to consider as we care for our loved ones. 'Loved ones' means we may be talking about our parent(s), extended elderly family members (aunts and uncles) or close elderly friends for whom we have accepted care and responsibility in their last years.

The gamut of decision making options is available to you and others with whom you may share caregiving.. How do you decide how decision-making is handled? How much to you control, and how much does the elderly parent/relative control?

These are some guidelines that you may find helpful as you continue on this journey:

• Always include the elder in as much decision-making as is possible given their unique situation with regard to cognitive functioning, safety issues, emotional state, physical condition, economics and practicality.


• Dad may want to make a 1500 mile road trip, but at 94, he can't find the wind shield wipers in the car. So you try to help him understand why he cannot make the trip, and explore other possibilities for going where he wants to go.


• Mother may want to cook three meals a day, but her shoulder injury from a recent fall prohibits her from being able to lift a pan from the cupboard to the stove. So you talk with her about options for meals including a delivery service (e.g., Meals on Wheels or a private in-home delivery service, depending upon economics).


• Aunt Isabel was found walking along side a country road over a mile from her farm house. It was raining. The sheriff deputy knew her and you, and she called you to come get your Aunt. Her Alzheimer's had progressed to the point that you finally had to make the decision to place her in a Memory Care Unit in the local Assisted Living Facility. She needed care and couldn't make the decision for herself. It was up to you to decide on her behalf because she could not participate.


• During your weekly visit with your father, in his own home, he tells you he wants only a private family burial service when he dies. He does not want a church service, nor anything in the funeral home. Although he has serious dementia, you believe he has thought this through and this is his choice. You honor his choice when he dies.


• Your aunt and uncle, ages 92 and 91, are still driving. You are aware of the safety issues as well as their need to remain as independent as possible. You talk with them about both safety and independence, and try to strike a bargain with them offering to drive them to appointments, grocery shopping and other transport needs. If economics allow and if they agree, you hire a private driving service if you are unable to do the driving for them. If economics do not allow, and if they agree, you strike agreements with two or three other family members to take turns driving for them. If they do not agree, you may need the assistance of a physician (neurologist?) to determine whether or not safe driving is still an option-particularly if you have reason to believe they are not safe driving.

The operative thought here is to include the elder in as much decision-making as is reasonable and possible given their unique set of life circumstances.

As people grow older, a typical concern is the ability to stay independent and enjoy living at home. Unfortunately, aging bodies and minds can lead to tragic accidents, and known medical conditions may make seniors feel particularly vulnerable when on their own. A classic solution to the many potential problems of living alone as a senior is relocation to a relative's house or to an assisted living facility, but leaving home may be an unwanted and emotional experience for some. Thankfully, today's seniors and their families have an effective and sensible alternative: medical alarm systems. With a few simple components and an ease of use that makes systems virtually fool-proof, it's possible to keep reliable help on stand-by twenty four hours a day, all while retaining independence and enjoying the comfort and familiarity of home.

Medical alarm systems are useful for seniors with a wide variety of medical concerns or who face numerous health hazards, but some conditions are particularly well-suited to an alarm system. Those with heart problems or who are at high risk for heart attacks and other cardiovascular concerns can take comfort in knowing that fast help will always be on call, and seniors who experience debilitating events such as seizures or stroke can take advantage of a medical alarm system with minimal effort or physical exertion. Medical alarm systems are also great for accidents involving falls or other situations in which getting to a phone may be impossible.

The basic operation of a medical alarm system is simple and allows nearly everyone to take advantage of round-the-clock-assistance. A small device similar to an answering machine is connected both to a phone line and an electrical outlet, and a corresponding beacon device is worn by the user. Typically no larger than a book of matches, this wearable device can be hung around the neck or strung over the wrist as a bracelet, and features a button. When pressed, this button signals the in-home alarm device, and an operator is quickly connected to the home. Through the use of a loud speaker and highly sensitive microphone, the operator and user are able to communicate, and if needed, emergency first responders and family members or friends can be called. In cases where users cannot be heard or understood, a medical alarm service is likely to call paramedics to ensure the user's safety.

Most medical alarm systems operate in a similar fashion, however different models and different services are bound to vary slightly in their offerings. In particular, the policies governing how a service will respond to an emergency are likely to be distinct from one service to the next, and going over these policies before purchase is a wise choice. Users with special needs or concerns should discuss any potential issues with a system salesperson, and family members of friends should make sure the user understands exactly how their system works. When chosen wisely and used effectively, medical alarm systems can cut down on emergency response time significantly and can prove life-saving in circumstances preventing access to a phone or other method of getting help.

Of course, one of the most remarkable benefits of a medical alarm system is the peace of mind it can deliver both to users and anyone concerned about the health and safety of elderly loved ones. When seniors live on their own, the prospect of falling and breaking a hip or experiencing a serious medical emergency can detract from everyday enjoyment, and may even contribute to debilitating anxiety. Friends and family members, too, may worry about the welfare of seniors living on their own, and may struggle with finding satisfying solutions such as periodically checking in. With the help of a medical alarm system, there's no need to worry about not having access to help, making it easier for everyone to go about their business and feel secure.

Medical alarm systems are also more affordable than paying for a monitored residence in a senior care center or other facility. Buyers can expect to pay an up-front fee for the necessary equipment, and a monthly charge that covers the emergency response service itself. Discerning whether any contract periods are necessary is essential during the buying process, as users may want to discontinue service and work with a different company or solution in the future.

Achieving independent living later in life requires dedication and courage, but with the help of solutions like a medical alarm system, staying safe and feeling confident at home are far easier goals. These devices may be small, but the comfort and assurance they can provide both to the elderly and to their family and friends is considerable. With a medical alarm system, getting immediate help is never further away than the push of a button.

Making the decision as to where to live depends on many things including health, move-ability and finances. We just recently went through this experience with my father-in-law. After my mother-in-law passed away two years ago, he was able to stay in his house and take care of things. He quickly deteriorated out of loneliness and age and it was soon apparent he wouldn't be able to stay in his own home. Unfortunately before anything was done about it he fell and broke his hip forcing the family to find better living conditions for him. After surgery he was moved to an assisted living center where he found companionship, activities, and decent meals three times a day. He did stay in his room for much of the time but came out for meals and a few activities.

This worked well for about five weeks and then he became restless and unhappy. We moved him to a very nice retirement home that was beautiful, a real resort. He had amazing food, a swimming pool, exercise classes, art classes, physical therapy even church was held in the facility. We thought he would thrive there, but sadly he didn't. We thought he would enjoy peers, friendship and companionship but all he wanted to do was go home. After many family meetings and much deliberation it was decided my father-in-law would move in with his daughter. He has taken advantage of services for assisted living in New Bern and has thrived for the first time since his wife passed on.

Every senior has different need, different financial concerns and different personalities. He didn't need all the social activities, he just wanted to be with family in a familiar place. He just wanted to be home and that is a great place to be.

Everyone knows that at one point or another in their lives, there will be a time where they will need some type of assistance with some of their most personal duties. It doesn't matter how old you are, it is important for you to have some type of plan in place if that day arrives unexpectedly. Many older people tend to need help with bathing, walking, and with other personal habits in order to make it through the day. It can be hard to find the right kind of help when everyone else has other obligations to handle on a daily basis. If this is the case, now is the perfect time for you to start looking at assisted living facilities.

There are several different kinds of assisted living homes available. Depending on your health needs and mental state, you can choose from places that offer very minimal supervision and assistance to one that offers individualized and personalized supervision and assistance. You may be tempted to choose a place based off how enticing it looks on paper and on television, however, it would be best if you make an appointment and visit each facility. Get to know some of the current residents and find out how much they enjoy living there. Check up on the staff and their credentials. Find out how well each assisted living facility measures up with the guidelines that the state has in place. Also, find out how well the home ranks against the others in the area.

One area that many people tend to forget about until after they have chosen a particular assisted living home is the financial aspect. You don't want to make the mistake of picking a home that you feel is a great fit only to find out you can't afford it. Don't assume that Medicare or some other public health insurance is going to cover your stay at a private home. Before you choose anywhere, you need to find out what you have coverage for and what you can afford. You may want to find out what other financial arrangements can be made. Find out if payment arrangements or other financing are options are available. If you have some type of life insurance policy, contact your agent and find out if there is a provision in it for assisted living care.

When you go to visit different nursing homes, take someone with you whose opinion you trust. Find out what activities are provided and make sure you learn what the nursing staff to resident ratio is. Try to choose a place where you know that you will receive the care and attention you need. Keep in mind that the more prepared you are when it comes time to make the transition to a nursing home, the easier it will be for you to continue on living and doing things without missing a beat. This may already be a stressful time in your life and it doesn't have to be as burdensome if you are prepared.

It is never too late to find love. Just because you are 65 or older doesn't mean you cannot date and find a meaningful relationship. In fact, by going out there and finding that special someone, you are doing a great deal of good for yourself. You don't have to stop having fun because of your age! Now is just as good a time as any to go out and meet new people and rekindle your love life.

Finding other singles

If you take the time to look, there are plenty of ways to meet fellow single seniors in your community or elsewhere. Community centers generally organize socials for seniors to get together and mingle. What are your hobbies? By joining groups or clubs that bring people together with similar interests, you can potentially find a fellow member who you could end up going out with for a cup of coffee.

But your community isn't the only resource you have for finding a date. If you are reading this article, chances are you know your way around a computer. Nowadays there are plenty of online dating websites where you can browse fellow singles and fellow singles can browse you, allowing you to ensure compatibility even before you meet up in person. Don't be afraid to give it a shot - the internet, when used properly, is a great resource for getting in touch with people you could see yourself forming a wonderful relationship with.

The dating scene

Let's face it - no matter what your age, no matter how experienced you are with the dating scene, it is never easy to escape the first-date jitters, especially if you haven't done it in years. So try and put your first date in an environment that will ease the tension between the two of you. Lunches are generally better than dinners as dinners tend to be more intimate settings. If the two of you have a shared interest, try and involve that in what you plan on doing. Both book fans? Go to a public reading. Music lovers? An outdoor concert or a jazz club can be nice. Don't be afraid to be interesting with the setting of your first date. If you make it interesting you are more likely to stimulate some conversation between the two of you. Consider suggesting a group date, too - by involving more people you may be more familiar with, conversation can run smoothly.

Also be sure to have an exit strategy. There is no need to continue a date if your date makes you feel uncomfortable. Have a friend know where you are and make sure he or she will pick up their phone if you want to leave and need someone to pick you up.

Taking the first step in senior dating is not always easy. It is something people might typically shy away from. But remember that there is no need to be shy. It's your life, and if you want to be happy and find a meaningful relationship, it's up to you to make it happen.

Nestled in the center of Boise, Idaho, the new community of Englefield Green is for those age 55+ and offers patio homes (town homes) for sale. This is a small development with just 84 homes, and construction began in 2007. In addition to the town homes, Englefield Green is planning an onsite assisted living section and a memory care section and just broke ground on the new 85-unit assisted living building in September, 2009. Homebuyers in Englefield Green do not have a direct connection to the onsite medical-related facilities, but they are close by if needed down the road.

Englefield Green offers five floor plans, and all homes are Energy-Star efficient. Each residence is built on one level (although some homes have a second story bonus room) and comes with an oversized, two car garage and a private patio. Current resale homes start at $179,900 and have two bedrooms, two baths and 1,320 sq. ft. The most expensive home for sale is priced at $339,900 and has a modified English Tutor design, along with three bedrooms, two baths and 2,430 sq. ft.

Open floor plans, 9 ft. to 11 ft. ceilings, gas fireplaces, large living rooms, a security system, plush carpeting, door level handles and kitchens with center islands are standard. Hardwood floors, granite tile in the baths and kitchen and upgraded lighting packages are found in the higher end properties. All residences are fully landscaped with a front yard and a backyard that is maintained by Englefield Green.??

Monthly HOA fees are very reasonable, just $92, and include the lawn maintenance, snow and ice removal and access to the clubhouse. The developer, Thompson Homes, is a family enterprise with 39 years of experience building homes in Idaho.?? Amenities are not overwhelming, but there is a new clubhouse with a community kitchen, a business center and a fitness center. A pond and walking paths create a pleasant outdoor setting.

As Englefield Green is built out, and the assisted living section is completed, there will be access to an aquatic center, and scheduled transportation and a meals plan will be offered (for a membership fee that is to be determined). There is no activities director, so residents have to keep themselves entertained.

Boise (population 585,000 in the surrounding metro area) is a growing city in southwest Idaho. Over the last few years, it has attracted more retirees, and today 30% of the population is age 46 or better. This is a safe city and has won national recognition as a place with a high quality of life. Its overall cost of living meets the national average.

Mountains are to the east, but Boise sits on a flat, high plain (2,700 ft. elevation) and has four distinct seasons. Summers can get hot with temperatures in the 90s (and very little humidity), and winter temperatures can dip into the teens, 20s and 30s. Snowfall averages roughly 2 feet per year.

In an Assisted Living facility, support is provided to individuals that still wish to live as independently as possible but also need a hand with certain daily life activities. Housekeeping, dressing, laundry, transportation and taking medications are a few examples; there are many ways in which assistance is generally provided. Prepare a list of specific daily life activities that you would like assistance with and inquire about the services offered by each residence that you are considering.

Do an Online Search
The term 'Assisted Living' refers more to the type of care than the type of facility and for that reason, a website search will be helpful in the process of narrowing down your options. Assisted Living facilities may be available in a single family home or an apartment building or an entire community. There are many online databases that you may use to search by location, city, province or postal code.

Quality of Care and Level of Service
The provinces vary in the level of services provided under the Assisted Living umbrella so look into whether the provincial government has established regulation or if there is a standard that assisted living providers are accountable to.

In the province of Ontario, look for ORCA - Ontario Retirement Communities Association. In the absence of government regulation, ORCA has set standards of excellence in order to receive accreditation as an ORCA residence. In being accredited the facility demonstrates their commitment to providing a high quality of service to residents, staff and the public. Complete information may be found on the ORCA website.

British Columbia is the first province in Canada to regulate assisted living residences and an Assisted Living Registrar protects the health and safety of seniors in Assisted Living residences under the Community Care and Assisted Living Act. More information about the Assisted Living Act may be found on the BC Government website.

Location and Amenities
Location will be important when choosing an Assisted Living residence and in your web search you will see many community planners have already thought of that with regard to amenities. You may want to be in the heart of the city where you're close to dining and shopping or you may rather live in a quiet community in a more rural setting. Being close to family may also be important to you so make a list of your location preferences to help in your decision-making process.

Visiting and Questions to Ask
Most seniors' communities welcome visitors; look beyond the physical structure and esthetics and arrange to visit for an afternoon or even as an overnight guest. In doing so, you'll get a better feel for the community and have the opportunity to ask questions. Take a list of questions with you on your visit; here are some suggestions of things to keep in mind:

• Talk with the residents about their feelings and opinions of the community and collect references from them as well; you may want to call family members for their feedback.

• Arrange for a dinnertime visit and ask for a tour of the kitchen and also for a menu.

• Inquire about safety standards and look at stairwells and less traveled areas of the building for maintenance and cleanliness.

• Ask about the activities available and whether there's a social director on staff, ask for a calendar or a newsletter that you can take with you.

• Ask about admission requirements and application paperwork.

• Ask about the daily or monthly rates and whether there are costs for additional services like cable and telephone.

• Inquire about the average rates over the last 5-year period and about how frequently they expect to increase the rates. How much advance notice must you
give if you decide to move?

Consider Hiring an Advisor or Consultant
There are many things to consider in making the move to an Assisted Living community and an advisor or consultant can help in covering all bases. This is a big step and the most important consideration should be given to ensuring your comfort and safety. Gather all the information you can with the focus on making this period of transition as smooth as possible.

Pennsylvania residents, if you are an active senior citizen you should know about the benefits that go along with Independent Living in PA. Independent Living facilities in Pennsylvania have become so much more then "life care" communities, or facilities that provide health care, security, housekeeping services, and dining services. The best Independent Housing communities provide all those services and more, excelling when it comes to creating the "lifestyle" their residents want. This includes superior dining services with flexible hours, a wealth of services and amenities that encourage residents to lead an active and healthy lifestyle with fitness and exercise, as well as educational programs, tennis and golf, and other group activities as well.

Seniors enjoy Independent Living in PA communities, as they grant the freedom from certain responsibilities and provide the option of travel, and increased leisure time to take courses or volunteering wherever one may wish. You can enjoy longer fitness workouts, pursue activities at leisure, and live your life as independently as desired. Independent Housing ensures that residents have time enjoy the lifestyle they want- lawns are mown, snow is shoveled, and housekeeping tasks are taken care of, with security services around the clock to ensure the well being and safety of residents. Whether you need someone to turn a mattress, hang a picture, or change a light bulb, someone is available to help you out.

Independent Living Facilities in PA provide exceptional medical care. They offer Brain fitness training programs (think faster, focus better, and remember more), an Electronic Medical Records System, and Smart Med Charts to keep residents in the best health. Properly trained staff and a warm family atmosphere indicate a quality retirement community for those who choose independent housing. Independent Living means that there are minimal rules and policies affecting residents- far fewer then retirement communities and assisted living facilities. Visitors are welcome all the time, and the only rules in place are those that the majority of residents desire.

Many Independent housing communities are available for seniors who wish to live in their own apartment or private housing and enjoy the freedom to do as they wish while enjoying a active lifestyle- but at the same time know that in the event of an emergency, they will receive the treatment and help necessary. Independent Living gives you the option to live in your own apartment and enjoy as much social interaction with other close by residents, while maintaining your own schedule and coming and going as you wish. Independent housing apartments and residences also ensure you are part of a safe community-you can live your life as you wish but feel secure as you go about your day. Learn more about Independent Living and other upscale retirement communities.

Monitoring systems for the elderly became the punch line to several bad jokes in the 1980s when a commercial with arguably poor acting debuted. An elderly woman falls, presses a button and says, "Help. I've fallen and can't get up." Generally, these sentences should be written with exclamation points, but the commercial conveyed little to no excitement generated by the act of falling. Instead, the poor woman was made fun of.

Unfortunately falling down when one is alone is no laughing matter. It is scary enough losing control over one's own body, but losing control over one's own body and not having anyone around who can help to rectify the situation is absolutely terrifying.

Whether we recognize it or not, we are all dependent on someone to provide us with the things we need. Unfortunately, the idea of independence is deeply ingrained in the American culture that no one really stops to question what it costs us to believe in independence when we no longer have it.

One way to prolong independence for those who are older is with the use of monitoring systems for the elderly. These systems are a convenient way to make sure that those who are older can enjoy their freedom for a little longer. It also provides Peace of mind for the children involved in the elderly parents' life who may want to make sure that they are safe and able to live in their own home for as long as possible.

Many seniors have a difficult time in giving up their freedom of living in their own home and moving to an assisted living facility or needing to have home health care. Having a system that they can depend on to push a button for emergency response crews can save their life. If there is an emergency problem such as a heart attack or falling down the stairs, the difference between a 5 minute response from emergency crews and 2 hours from a child that stops by to check on their parents could save their life.

Some people only have contact with the outside world once a week or less often. A broken leg or broken hip may signal that person's demise. With no way to get to a phone and no way to call for help, the person could lie on the floor in pain for several days before succumbing to a lack of water or food.

Monitoring systems for the elderly can save that person from the agony and the psychological problems such as fall and the time spent on the floor in an effort to stand. With the press of a button, help could be sent to get that person to the hospital and ultimately, back on his or her feet again.

There are many different systems that a person may choose from. Some prefer the simple push-button system that will alert emergency crews while others can choose a cell-phone type device that not only aids with emergency response but can program in reminders for medications and other things.

It is important to look at all of the benefits and features of the different systems to find the one that is right for you or for your loved one. Working together can make it easier for both parties to address their concerns. For a loved one that is starting to have memory problems, using a device that alerts for medications and an alert if a door is open is a great idea. If your loved one is past this point in mental decline, you may need to speak about a more advanced monitoring system to help them stay safe. Protecting your loved one and providing them with the independence to live at home is what a quality monitoring system will be able to offer.

I work with elderly people in an assisted living facility. Each time I see a particular resident, the experience is new. I try to comprehend how it must feel to age, to change and become more and more dependent. The result is, I'm dumbfounded... I just don't understand.

I talk with residents who tell me about their former careers, amazing vacations they've been on, achievements throughout life, etc. They even relate to where I am at in my life right now. "When my first son was born, I was so terrified, yet excited," one resident recalled. "He wouldn't sleep until I bounced him so long I developed a constant twitch." That's right, I would think... That's what I have to do. Then ten minutes later, the resident would ask me how my baby was and recap her experience, "When my first son was born, I was so terrified, yet excited." My heart sinks each time. Will that be me when I get "OLD?"

Then I talk with another woman who just celebrated her 101st birthday! She tells me to come into her room where she is sitting with her newspaper sprawled out and her magnifying glass in hand. "Can you believe what a jerk that Madoff guy is? He deserves everything that's being handed to him," she states with a grimace. Then she talks about our current economy and the Great Depression and how our country is so mismanaged. "Will we ever get it right," she asks rhetorically as I look at her in amazement. How can a woman who is so old be so with it? Will THAT me be when I get "OLD?"

I then cross the hall where I see little Tracy trying to get out of bed with twisted hands and feet from years of arthritis eating at her joints. She looks at me with frustration and says, "It sucks being old. Don't ever do it!" I chuckle, yet empathetically also want to cry. Tracy's mind is as sharp as the 101 year-old, but her young, 74 year-old body is failing. Will that be me when I get OLD? "

Each day I am humbled and curious about life. If I eat right, will my body be healthy and strong when I'm 80? If I read a lot and do crossword puzzles, will I bypass Alzheimer's Disease? Who knows the answer to these questions, scientific experts? What "controlled" study will they come up next? Probably one that claims green tea and tomatoes are the cure all, oh wait, it's that little yellow pill passed down from Big Pharma.

The one point I am certain about that people can control is attitude. I see young, healthy individuals complaining about how life stinks and they've been handed the raw end of the deal. Then I see someone like Tracy struggling to get out of bed and making jokes about being old. She smiles everyday and has a little skip in her crippled, walker-aided step. Tracy loves life and makes the best of her situation. Hmm, why the difference in attitude? Is it experience or the understanding that life could be much worse? Or are the younger generations just spoiled with an overindulgent sense of entitlement? Just a little something to ponder.

I, personally, am humbled everyday by the elderly people of this community. They each have their own struggles and issues, but they are alive and continue to thrive. I just hope younger generations appreciate where they are at in life and realize that one day they, too, will be "OLD." No matter what body part fails or how bad the memory declines, it's attitude and relationships that are the difference and make life worth the struggle!

Trisha Kellogg

Seniors who are able to age in place at home positively impact their general outlook and mental health. Being able to maintain their freedom and independence is a major factor for this. When asked, the vast majority of seniors would prefer to stay in their own home and live independently for as long as possible.

As living completely independent becomes more difficult, many children of seniors begin assisting by providing home health care to their aging parents. While this initially is a workable arrangement, there are limits to what family can provide ongoing. Baby Boomers' lives are so hectic that they eventually run out of hours in the day to juggle work, their own children, and now their parents' growing needs. What usually gets neglected are their own needs and health. As the children of seniors find themselves spread too thin, they tend to feel guilty that they aren't able to provide everything their aging parents need. Finding the right kind of assistance for aging parents doesn't need to leave you feeling guilty.

The idea of placing an aging parent in a nursing home, while sometimes necessary, tends to seem so "final" which only makes you feel guiltier. Assisted Living facilities offer the aging senior a safe place to reside while also offering assistance with personal care, access to medical care, prepared meals in a dining room setting, and a variety of social activities for residents to stay engaged throughout the day. But many seniors resist the idea of having to give up the home they have lived in for 40-50 years or more.

Home Care has become a popular option for many children when they can't provide all the care their parents need and they want to allow their aging parents the opportunity to remain in their own home. Home care workers generally provide personal care with activities of daily living (ADL) such as bathing, dressing, grooming, and toileting. But this option alone doesn't provide that socialization component that an assisted living facility offers to help seniors thrive versus merely existing.

Sometimes finding respite care a day or two per week is all you need. A respite caregiver is someone who comes in to assist a family, thereby allowing the primary caregiver(s) a break from the daily routine and stress. If you need more than respite care, but less than a nursing home, and you don't want to force your parents to move out the their home, home care that provides a component that focuses on enrichment activities may be the answer. Finally, a way to provide care for aging parents without the guilt.

For more information, visit http://www.assistedlivinginhomecare.com

Families of persons who have been diagnosed with Alzheimer's disease or a related dementia will be somewhat relieved to learn that more and more assisted living for memory care facilities have become available in recent years. For so long, the illness was simply diagnosed as senile dementia in seniors and left to progress as a natural part of aging. Today, many seniors are able to live in assisted living facilities specifically designed for those with memory impairment. For many, caring for a loved one with progressed dementia is not a viable option in the home setting and a good alternative is an Alzheimer's care facility.

Alzheimer's care facilities

Similar to an assisted living community, a legitimate dementia facility will have the same or expanded licensing requirements through their state governing body. Full-time, 24-hour staff of dementia specifically trained care givers is required in the facility. Some also have the oversight of licensed nurses and visiting physicians. Many contract services for an added medical benefit from home health and/or hospice companies. It is advisable to research the licensure requirements of each state to confirm that a facility meets these requirements. With licensing requirements have been established, several facilities located near the family should be reviewed and visited to find the best community meeting the families needs.

Staffing, services and amenities

With an understanding of staffing requirements, know that some states will structure personnel requirements based on the number of patients residing in the facility. The staff should have the states required training in caring for Alzheimer's patients. An attitude of compassion and kindness should be present amongst all of the staff. Because some Alzheimer's patients can display episodes of frustration, the staff should also know how to redirect to change the current behavior. Many times the family has experienced behavioral challenges with their loved one and they begin to realize that their family member would be better cared for in a dementia facility, where staff is trained to handle difficult situations.

Services will include personal care, assistance with activities of daily living - bathing, dressing, grooming, toileting, continence management, medication management and more. 24-hour staff is on site to provide such supervision. Patients are also offered 3 meals per day, snacks and hydration. Housekeeping, laundry and maintenance services are provided. Daily programming through a scheduled activities program helps to manage behaviors and offer a daily routine, enhancing quality of life.

It is vital that a robust and diverse social program be in place to help patients retain as much social contact and busy activity as possible. Entertainment, games and exercise should be part of the social programming. Along with these activities, visits and continued relationships from family members are important to the Alzheimer's patient.

With this information, the preference for selection will be a family decision after visits to qualified Alzheimer's care facilities have been accomplished. You should also engage your physician in the decision making process.

Many people don't know what all of these are, and, with my experience in health care field and consulting for legal services, I thought I'd elaborate on the differences and needs. Wills, also known as last will and testaments, are VERY different than living wills and health care power of attorneys. The main similarity is they all have to do with what YOU want under difficult circumstances. They all let family know what you want, as well as hospitals, courts, etc. know your desires.

To begin with, a will is a legal document stating what you want happening to your assets and children after you die. This document is very involved and having the help of an attorney is definitely preferable to doing it yourself, especially if you can get it done at low cost or no cost. For parents, having a will is essential especially so you can have one of your most precious responsibilities accounted for. Since all of us will die at some point, having a will is crucial to ensuring that your desires are enforced. The last will and testament is a way to voice your opinions when you no longer have a voice to let others know what you want.

Secondly, a living will is most recently known as advanced directive. This is a legal document to let your family know what you want while you are still living. What do I mean? If you are only able to breathe with a machine, do you want to live on a ventilator, or do you want them to pull the plug? Personally, after working with people on ventilators, I would choose to live on one, but many people do not, since it can cost $30,000 a month. Many family members struggle with pulling the plug, feeling that if they do, they killed their loved one. However, if they know that's what you wanted, in many cases it would be an easier decision for them to make. There are also things called full code and DNR. If you want to be full code, that means that you want health care professionals to do anything they need to in order to keep you alive. DNR, Do Not Resuscitate, means that if you are not breathing and don't have a pulse, you don't want health professionals to try to continue to keep you alive. These are very different interests and family members need to know what YOU want.

The last of the three I will explain is a Health Care Power of Attorney. This is the person you want deciding where you go if you can no longer make the decision. The health care power of attorney will decide whether you need to stay with a family member, go to a nursing home, assisted living facility, have home health come to take care of you, have a live-in caregiver live with you or the like. The good news is that you can choose a person you trust to make these decisions for you should your health drastically decline. This is a hard decision to make but one that, if you can, you should tell family what you want if you cannot decide anymore.

There are many choices that are yours to make regarding your care toward the end of your life and after you are gone. You get to choose how you want things, while you're still healthy. However, you don't have to do it alone. You can get help from attorneys to help you know the pros and cons to each decision you make regarding legal matters. If you don't know what choices to make, get informed to know what you want. Find help to help you make the best choice for your family by letting them know what you want or not.

Cancer is an expensive illness. Millions of people suffer from it and are treated each year for the disease, but what impact does it really have upon the economy? The answer to this question is actually quite surprising. Cancer is not cheap to treat, but it takes a toll on much more than the healthcare costs, too. Things like worker productivity and the expenses that relatives might have in order to compensate for their family member's illness are also major factor that contribute to the economic impact of cancer.

When someone has cancer, they need to go through a whole lot of tests and treatments. These are expensive and time intensive procedures. The impact of the cost of healthcare is pretty easy to determine, but there are so many other variables that go along with this illness that it is hard to say just what kind of economic impact it has. Europe recently conducted a study to try and estimate the social and financial impact of cancer up the society. If you look at a nation like Germany, the average cost for treating cancer is over 160 Euros per individual residing within the nation. This is the equivalent of about $200 per person per year. This is obviously a huge economic factor and impacts almost everyone within the nation somehow.

Perhaps the hardest part about cancer is that when the disease is advanced, caregivers are often required. This presents a double whammy in many instances. For example, if you have a family member caring for you, that family member's money making ability becomes significantly lower. Caring for a family member is a noble task, but it has a definite economic drain upon families.

This is where getting help can be a big advantage for your family. If you have an elderly loved one with cancer, you should consider having an assisted living facility watch them. People need to work to make a living, and if you are unable to make a living, your entire family will suffer. Assisted living is not free, but in many cases, you will be able to offset the cost of assisted living while you work.

There's no reason to feel that this is giving up or giving in. Assisted living provides an extremely valuable service and it is certainly not a concession upon your behalf. If you want, you can visit your loved one every day while they are in assisted living. For the family to function at its best, this might become a necessary step for you. No one wants to have to put a family member in an assisted living facility, but it can be extremely beneficial, not just from a financial standpoint, but for their own wellbeing, too.

Veterans, here's some important information you didn't learn in boot camp.

If you are a veteran who is over 65 or disabled, you may be eligible for V.A. benefits to cover assisted living, at-home care or nursing home care expenses -- even if your disability did not occur as a result of your military service. Veterans widows may be eligible for benefits, too. In my Florida Elder Law Practice I advise many veterans and families who are struggling to pay for the long-term care assistance they need, but who are completely unaware of the existence of these V.A. aid and attendance benefits!

To get benefits, you'll have to meet certain income and asset criteria... which leads me to another set of little-known but important facts for veterans: Although the V.A. does not have a lookback period when it assesses your assets, Medicaid - which many elderly veterans will want to apply for after applying for Veterans benefits - does. Knowing this distinction could make the difference between losing your nest egg to nursing home expenses or saving a significant portion of your assets. Let's illustrate with an example.

Veteran and Florida resident Bill needs help caring for himself at home. His income and unreimbursed medical expenses qualify him for veterans aideand attendance benefits that cover some of the cost. But with $200,000 in savings, he is over the asset limit ($80,000 limit at this writing on 4/26/10). So Bill transfers his assets to his children. They next day, he applies for V.A. aid and attendance benefits and is approved. So far, so good -- but read on.

Bill's health continues to deteriorate, and two years later, he needs full-time custodial nursing home care. Facing astronomical expenses, Bill applies to Medicaid for long-term care benefits. Bill is surprised to learn that unlike the V.A., Medicaid has a lookback period and examines his prior asset transfers. Medicaid deems Bill ineligible for a penalty period and he now faces paying those enormous nursing home bills out of pocket. It's going to cost the family dearly.

The V.A. and Medicaid are separate agencies. They don't "work together." The V.A. won't tell you about Medicaid's requirements, and Medicaid won't tell you about the V.A.'s requirements. Yet for Florida veterans who want to preserve assets and protect themselves against the crushing costs of long-term care, both types of benefits must be considered together. Veterans benefits and Medicaid benefits are two pieces of the same complex puzzle. For help putting those pieces together, consult a Florida certified elder law attorney with experience in this area.

Retirement is one of life's most anticipated milestones but it may also come with a daunting to-do list of decisions that need to be made. You've probably already given much thought to location and whether you want to remain where you are or relocate, and then there's the question of where to relocate to!

In considering Victoria, BC as a place to spend your retirement, you probably already know that the climate is as close to 'Mediterranean' as it gets in Western Canada. Temperatures are rarely hotter than 30C in summer and dip to -5C an average of less than 5 nights per year. Researching and settling on a community you would like to be a part of is another major consideration.

Buying retirement homes in Victoria

Single Family Home
If you're considering purchasing a retirement residence in Victoria BC, the Realty Times website has some stats that will help you know where prices are at right now. Posted on September 1, 2011 - the average price of a single-family home in Greater Victoria in August was $652,841 and that's up from $581,117 in July. The median price increased to $547,000 while the six-month average increased to $621,960.

Condo and Town-home Average Price
The average price of condominiums in August declined to $271,500 and the average price of town-homes sold last month increased to $437,079 from $412,178 in July. The median price increased to $416,700 while the six-month average also increased to $446,135. MLS sales last month included 307 single-family homes, 128 condominiums 68 town-homes and 15 manufactured homes.

Victoria Real Estate Board President noted in the post on the Realty Times website, that the increase in market activity is positive news as it reflects ongoing stability in the real estate market.

Renting a retirement residence in Victoria

There's a strong demand for rental accommodation in Victoria BC and even though rents have gone up they're still low in comparison to other major centers across the country, says Travis Archibald, senior market analyst for the Canadian Mortgage and Housing Corporation in a comment to Trans-Canada Rentals. Regarding Victoria specifically, Archibald commented that according to recent numbers from a Spring 2011 survey, rents are up 1.2 percent from April 2010 to 2011 and the provincial average rose by 1.5 percent.

With specific attention given to senior living in Victoria, located centrally on Blanshard Street in Victoria, the Wellesley was originally designed for Independent Living but in recent years Assisted Living suites have been added, enabling residents to receive the assistance required to remain independent. Care services include assistance with daily living activities, housekeeping, laundry service, meals, transportation services and 24-hour supervision. The minimum monthly rate being $2150

Another featured property in Victoria BC is The Victorian at McKenzie. Located on beautifully landscaped grounds in sunny Victoria, you'll fall in love with the quiet elegance and serenity of The Victorian at McKenzie. Since 2002, we've served Victoria-area seniors with outstanding independent senior living. Our residents enjoy a safe, carefree and all-inclusive lifestyle in a community that feels like home. Residents appreciate the convenience of being just minutes from shopping, restaurants and excellent healthcare. If you're in the mood for adventure, you won't want to miss exploring Fort Rodd Hill and Fisgard Lighthouse, Canada's oldest Chinatown, the Historic Fairmont Empress Hotel and the Galloping Goose Nature Trail. Friendly live-in managers are waiting to greet you and conduct your personal tour. Care type categories are: Independent Living, Home Care, Residential Care Homes, Retirement Homes. The Minimum Monthly Rate: $1995

What is an old, single person to do, when their health is failing, income is limited, and they cannot afford to stay in their apartment or house any longer? They find themselves in a very difficult position which makes them dependent on others for their care. These are some of the people who can fall through the cracks of the "system", because they have no one to advocate for the as they navigate the system.

I have three questions that I find very difficult to answer.

1) Who are these single people?
Single people are all over the place and often we never think about them. They are the widows, widowers, divorced men and women who never remarry, and the men and women who never married. Often times they live very quite and unassuming lives. Invisible to many of us because, for the most part, they never bring attention to themselves. They go about their business not wanting to draw attention, always paid their bills, worked for years, probably at the same company. For years single people have been vital members of our community, paid rent, taxes, and never wanted to be a burden on anyone.

Then all of a sudden they find themselves old! There income is limited and fixed. Retired with either a little pension or no pension, most live from month to month on their social security. Any savings they might have are slowly being used to keep up with monthly expenses that their social security does not cover. Health insurance is minimal and not always the best quality. Rent, food, medicine and daily cost of living exceeds what they receive on a monthly basis.

The lucky single senior have a family who are close by and are active in their lives. These families can be advocates for them and assist them to navigate the bureaucracy. Ensuring that they receive the services that are available for them, and when necessary the family members will assist the single senior financially, in order to help keep the senior living in the quality of life they deserve and want.

2) What happens to the single old person who have no family to watch over them?
They tend to become invisible. Disappearing from the main stream of life, buried in their apartments and homes, until one day there is a medical emergency. When that happens they come on the radar screen, a case number, and someones' responsibility to deal with them. Usually that someone is overworked and bogged down in a maze of rules and regulations that guide their every action. Very rarely do they get to know their clients as the person they were before they became old and ill. They are only looking at the current facts

These singles, are passed through the system and unless they are physically and mentally capable of standing up for themselves they just exist. They will more than likely need to move from their homes into public senior housing. Living day to day, going in and out of hospitals until the end of their life. What a sad existence.

3) How can this happen in the United States?
These people are our responsibility. Why should they be warehoused in dreary public senior housing? Why is their no housing vouchers available for seniors to live in pleasant and airy assisted living facilities? They have lived and work their whole lives and this is not the rewards they deserve. Congregate and shared housing is a viable possibility for single seniors. There has to be a reasonable and more pleasant living arrangement that can be made for people in this situation.

The problem is here and now, and the solutions available at this time are not really acceptable. The challenge for the Baby Boomers and the X and Y Generation is to come up with a cost effective housing arrangement to accommodate all seniors no matter what their economic situation is in life. We are all entitle have a clean and pleasant home to live and be cared with dignity and grace.

Do you need help finding senior housing, care or support services for your mom, dad or loved one? Referral Agencies provide information and assistance to seniors, families and professionals, typically free of charge. Referral Agency professionals are experts in senior housing and care options, and related supportive services. Working exclusively with trusted partners, experts ensure clients receive information and referrals to quality providers.

Agency experts begin with a comprehensive client assessment, considering a client's:

• personal interests and desires


• geographical preferences


• budget (long term financial picture)


• care needs or supportive service needs

Taking a client's assessment into consideration, information is provided on resources, care providers, and/or communities that best meet the client's requirements. If needed, assistance will be provided arranging tours and appointments. Agency experts are also available to provide solutions during crisis.

Referral Agency may provide information and referral regarding:

• Independent Living Communities


• Retirement Communities


• Home Care/Home Health & Hospice Services


• Assisted Living Communities


• Memory Care Communities


• Nursing Homes


• Elder Law Attorneys


• Financial Advisors and Estate Planners


• Geriatric Care Managers


• Senior Relocation Experts


• SRES Realtors (senior specialists)


• Local, State and Federal Funding Programs


• Assistance with Veterans Aid & Attendance Benefit


• Long Term Care Insurance Representatives

Referral Agency experts spare clients costly mistakes:

• Establishing the appropriate level of care, ensuring the correct services and providers are suggested (independent living, home care/home health/hospice, residential care apartment community, community based residential facility, memory care, skilled nursing facility).


• Determine how care will be paid for long term, uncover supplemental payment sources.


• Determine which services are compatible with available payment sources (private pay, long term care insurance, Veterans Aid & Attendance Benefit, Family Care, Medicaid).


• Continuous quality review of all service provider partners.


• Serve as liaison between client and service provider.


• Evaluate client's current providers; if appropriate suggest other or additional options to maximize well being.

Referral Agency experts can save clients time and money as they guide clients to the services that best suit their needs. Traditionally, this comes at no cost to the client or family, as Referral Agencies are funded by the numerous service providers (partners) within their trusted network.

Making life changing decision is never easy. Agency experts are here to support you, guiding you from your initial call, throughout the touring and decision making process, and into your new lifestyle.

Activity Professionals are presented with new and old therapeutic modalities on a constant basis. Each therapeutic intervention is designed to enhace the quality of life for the client. Today there are a variety of therapies such as pet therapy, music therapy, aromatherapy and vaildation therapy. Each one is well known and used by activity professionals throughout the nation however, there is an under utilized therapuetic technique which is referred to as remotivation therapy that provides a wonderful opportunity for one to explore.

Remotivation therapy is defined by the National Remotivation Therapy Org. Inc. (N.R.T.O.) as "Remotivation is a small group therapeutic modality innature, desinge to help clients by promoting self-esteem, awareness and socialization." (Remotivation.com) Those who facilitate these groups are referred to as Remotivation therapists. The N.R.T.O. Inc defines a Remotivation therapist as one who uses Remotivation therapy to reach the "unwounded" areas of the patient's personality to get them to think about reality. This is different from other therapies because it doesn't focus on the patient's disabilities. Instead Remotivation therapy focuses on the abilities that the client's have.

The beauty of Remotivation therapy is that anyone can do this therapeutic intervention. This modality occurs in Long term Care, Assisted Living and Adult Day Care settings which can be provided by Social Workers, nurses, chaplains and volunteers. Our clients deal with an interdisclinary team when it comes to their care. If this technique is used it will enhance the quality of life for the clients.

Remotivation therapy is provided in a one to one or in a small group setting. Considering that we have a diverse set of clients in LTC it benefits those who have dementia, need more sensory stimulation and are independent, also clients who are physically and cognitively able to participate but choose not to or choose to do so. Remotivation therapy is a tool that can reach non responsive individuals. This tool aids others with their resocialization skills. This same technique will assist the client in maintaining or improving his physical and cognitive abilities.

A Remotivation therapy session is designed to create fun. The session consists of five structured steps.

STEP I Climate of Acceptance: the therapist greets each member of the group. The facilitator says something positive to each person.
STEP II The Bridge to the Real World: In this step, the facilitator utilizes bounce questions to lead the group to the topic for the day.
STEP III Sharing the world We Live In: this is where a discussion on the topic is held in the everyday world.
STEP IV An Appreciation of the Work of the World: In this step, a discussion is held on the work aspect of the topic.
STEP V Climate of Appreciation: The facilitator individually thanks the clients for attending his/her session. The next meeting is announced.

The Remotivation therapist creates an environment where the client feels safe. In this environment whatever the client says is accepted by the Remotivation therapist in a non-judgmental manner. Thereby a trusting relationship is established between the client and the Remotivation therapist. The Remotivation therapists accepts and appreciated what the client provides. It could be actively paticipating in the session or reaming silent through out the session. It is the gift of their presence that the Remotivation therapist acknowledges.

Remotivation therapy is a wonderful tool to use for the clients. It is a five step process that deals with the client's unwounded part of the brain. The clients do not dwell onthe emotional aspect of the topic because it is objective in nature. As the sessions progress one will see the change in the cleint. Today, I utilize Remotivation therapy in all of my programs in my facility. This increases their self-esteem and socialization, which provides the opportunity for the individual to focus on something other than their illness. After a few sessions the clients are more social and talkative. Remotivation therapy is a wonderful tool which Activity professionals would benefit from because it would enhance the quality of life of our clients.

NRTO Policy & Procedure Manual, 1995, p. 3