Wednesday, February 18, 2015

Generation X: Welcome To The Ranks of The Elderly Beginning In 2015

Did you know . . . the Baby Boomer generation began in 1946 and is said to extend through the birth year of 1964?

Generation X came along about 1965.  
HAPPY SENIOR BIRTHDAY, GEN X. 
You cross the line into being a Senior this year.

You are officially OLD. You are offically past your prime even if 50 is the new 40 as Baby Boomers have been known to say. 

You have a little longer to bask in the sunlight of "acceptable" ages as some famous Hollywood personalities are working hard night and day to tuck, trim and use their millions to "look" and "act" as though 60 was the new 40.


Welcome To The Ranks of Old Age and all its negativity; where time passes quicker and you move into becoming a member of the "forgotten generation" -- passed over, set aside and too many members becoming a strain on society if it notices and cares.


Old saying "Too much powder and too much paint makes a little lady what she ain't."

New aging rendition: "Without powder and without paint the marks of time regenerate."

Men can "get away" with aging physically much easier than women. Grey hair and wrinkles are distinguishing and even "sexy" -- on a man, that is.


What's interesting about the different "generational segments" is how closely their lives intercept and overlap as the years pass. 


What's challenging is how they don't notice this relationship until they cross so many timelines and by that time their power and their voices become less strong, less viable.


I find the fact of the "melding generations"  amusing because I have a niece who was the flower girl in my wedding and just four years old at the time is actually in the same generation, The Baby Boomers, as I am. 


Of course we're at different ends of the spectrum of the group, but we're still "in it together" and affected by all the challenges it brings.


I'm almost positive she doesn't find that amusing because each generation, until the years rapidly pass by, don't give a thought to their own place in the time cycle, the generations cycle, and how it actually relates to others.


Tick Tock. She's going to be 51 this year. Wonder how becoming 50 felt to her? 

Wonder how she felt when she received that greeting from AARP to join their ranks?

Imagine she felt a lot like I did. 

Five decades. 
Where did the time go? 
Measuring by the children's ages and our marriage. 
Looking back but still looking forward seeing possibilities and opportunities. 
Thinking of grandchildren and other positive pleasures even for those who married late and began families later as she did.

Suddenly, another decade passes. A warning light appears.


Sixty. Retirement, if it's not happened or happening (by choice, hopefully) is looming. 


Admittedly, some savor the possibilities and have active lives. Some, however, are headed for the challenges of choices they made in life or potential medical challenges they had no warning would occur and put a quick end to all their plans, hopes and dreams.


From the word "senior" comes the word "seniority". Once a valued and highly sought after position and reference.  


Today, that reference often puts the worker in a position to be the first up for dismissal or "early retirement". No wonder people don't want to age, don't want to climb the ladder too high and often find ways to sidestep or avoid having "seniority".


Funny/Sad -- we all want the Google positive definition and positiveness of the word:

sen·ior·i·ty
sēnˈyôrədi/
noun
  1. 1.
    the fact or state of being older or higher in position or status than someone else.
    "one by one, in order of seniority, employees' names were called"
    synonyms:rank, superiority, standing, primacy, precedence, priority; More
  2. 2.
    a privileged position earned by reason of longer service or higher rank.
    "pay and benefits rise with seniority"

Marking the years on a calendar from birth to whatever day it is, the reality is, we get this definition from Widkipedia of SENIOR, the base of the word "seniority"


Senior may refer to:

  • Senior citizen, a common polite designation for an elderly person in both UK and US English

INTERESTING:  "a common polite designation"  WHOA!  Guess we all know how many not polite, how many derogatory, designations are given to "seniors".

Most importantly, we all eventually gain that designation, thanks to the popular movement of the "Senior" Organizations who build their businesses on this base and so have moved the bar down to the age of 50 .... FIFTY!?!

What exactly does that do to the ages of 70, 80, 90 and beyond?

WE ALL WANT TO LIVE TO BE AT LEAST A HUNDRED, RIGHT? 
That would mean we'd spend half our lives being SENIORS.
Actually, that would make fifty MIDDLE AGED if you divide the years equally.

Google provides this more common definition of senior tagging on the "title" citizen:

sen·ior cit·i·zen
noun
  1. an elderly person, especially one who is retired and living on a pension.

  2. LIVING ON A PENSION?  
  3. Well, maybe a private pension but who can live on Social Security alone today?  

  4. Very few can exist let alone actually live in a society that demands we pay higher and more taxes, mandate significant additional costs esp Insurance, doesn't give adequate tax breaks to Seniors living in homes they've spent years paying for and high taxes long after they had children in school or used many of the services or facilities constantly added to the "base" of the tax.

  5. LOOK. LISTEN. LEARN.  We become what we see, what we feel, what we decide to listen to and apply:

    THE POWER OF SUGGESTION RAISES ITS UGLY HEAD WHEN WORDS ARE GROUPED TOGETHER TO FORM A CONCEPT, THOUGHT OR PAINT A PICTURE AS IN THIS GOOGLE SEARCH ENTRY:

eld·er·ly
ˈeldərlē/
adjective
  1. (of a person) old or aging.
    "she was elderly and silver-haired"
    synonyms:aged, old, advanced in years, aging, long in the tooth, past one's prime;More
    • (of a machine or similar object) showing signs of age.
      "a couple of elderly cars"

PAST ONE'S PRIME         AGED            OLD           ADVANCED IN YEARS      AGING  

I love the one Google uses that says LONG IN THE TOOTH -- thought this was a time in life when many lost teeth?

PAST ONE'S PRIME.

It's like we have an expiration label. 
Like a can of green beans or a frozen bag of some meat or vegetables.

WHAT PICTURE DO YOU SEE NOW?  

Withered?  Smelly?  Nonflexible?  

WHAT DO YOU THINK OF DOING WITH SOMETHING DESCRIBED LIKE THIS?

Give it away?  Throw it away?  Never want to look at it again?  

IS IT A WONDER, DEAR BLOG READERS -- We give so little value to those who have given us to much of their lives, their blood, their sweat and their tears?

THE GREATEST GENERATION aka The Silent Generation
BABY BOOMERS
GENERATION X a title once bestowed on the young people of the 1950's but it didn't stick
MILLENNIALS

LOOK OUT, GEN X'ERS   Very rough and tough times ahead. 

For some reason, some "authorities" have categorized this group into a smaller span of years, 16 instead of 20. 

Could it be they want to give less voice by reducing the number due to the challenges faced when they have to deal with the large population of the Baby Boomers raising their voices for change? 

And, isn't this the group that "sprung from" The Baby Boomers and thus would be a "formidable force" in numbers if grouped into the usual twenty year span?

Think about it: 

Gen X was the first really ENTITLED generation. 

First to look at a car, their own TV and other objects as their "needing" and "must have";
beginning to be tech saavy and require the equipment; 
believing life "owed them" rather than they "contributed"; 
that college and a job were a given right of passage;
and that alcohol and drugs were just "entertainment" used by many who were trying to escape what their parents and society saw as "their responsibilities". 

Not all, of course, but a larger majority than any generation before them.

Is it really a wonder the powers that be are reducing the masses to a more manageable figure of SENIORS? 

GenXers are reaching SENIORITY as some begin that jump into their fifties THIS YEAR!

WELCOME TO THE RANKS OF THE ELDERLY, GENERATION X.  

You enter the ranks of the soon to be forgotten and set aside as of 2015.

UNLESS, OF COURSE, you heed the warnings and begin to take up the banner alongside The Greatest Generation and The Baby Boomers .

Raise your voices, GenXers, use your techonology saavy and parts of your current income (while it's still there coming in regularly) to advocate and be seen as making changes in how others and eventually you will live on a daily basis.

Monday, February 16, 2015

Who Cares, Anyway? I Do. You Should, Too.

What difference does it make. Any of it. Who cares? Just walk away and don't look back.

Visit occasionally. Smile. Check your watch or phone for the time. Get on with your life.

After all, what else can you do? Why beat your head against a brick wall?

You're so busy with your own life. You have your own problems. Besides, all old people complain and they're often "out of it" and so what they say probably exaggerates what really happens.

Are you willing to have someone else make all your decisions?

Can you eat, sleep and move as you want when you want -- with some restrictions but still when you decide and when you choose?

Can you lock the door to your bedroom if you want?  

Do you live with someone you never met before, didn't ask to join you, has habits you find disturbing and disruptive, goes through your things and you have no way to stop them,  who just walks in and takes over a part of your everyday life?

When you need to go to the bathroom, do you have to wait for someone to put you into a wheelchair or use a Hoyer lift to move you from one place to another?

How much of life do you live depending on someone else? 

SUBORDINATION.  SUBJUGATION. SUBLIMINAL SUGGESTION.

Teach them a lesson. Let them wait. After all, you're busy, you only have two hands, you can only do so much. I only work here because this is the only job I can get. I'm overworked and underpaid. I do all the dirty work. I'm always pushed to do more in less time. 

I'm afraid. I have to operate this equipment by myself and the man/woman is twice my weight and can't stand without my help. I'm supposed to use this standing lift but he/she is like a rag doll or doesn't like the lift and so struggles and fights me when I try to use it.

This is the way I have to do this procedure. He/she screams and sometimes fights me. I have no choice. If I don't do it this way, I'm written up and could  lose my job.

I'm exhausted and I have a two hour bus ride after my shift. This is my second job; with minimum wage and the responsibilities of paying all the bills and my kids needs, I can't afford to quit.

SUBORDINATION. SUBJUGATION. SUBLIMINAL SUGGESTION.

Skilled Nursing Centers, especially in large metropolitan areas, change staff as frequently as they change bedding in resident's rooms and often use Staffing Services where there is little current and accurate knowledge of the resident and no real interest.

But whose problem is this, anyway?  NOT MINE many say. WHY BOTHER others add.

Average stay in Skilled Nursing Center is about three years . . . that's a short time...they're dying anyway...the facility does the best it can.....I can't afford to pay anymore so I have to take what I'm given.....

THE UNITED STATES OF AMERICA.  Billions spent on programs to explore space -- billions spent each day on coffee beverages and hamburgers....entertainers paid for a gig or performance more than the total cost of the three years of average residence in a Skilled Nursing Center ... causes for children, pets and "select" diseases raising millions and billions and making some progress but constantly needing more and more.

LEGISLATION FOR BETTER LIVING CONDITIONS FOR CHICKENS.  LAWS ENACTED FOR HUMANE TREATMENT OF ANIMALS. 

ELDER CARE IS A MULTI BILLION DOLLAR BUSINESS. 
ITS PROFITABILITY IS BASED ON CUTTING CORNERS AND REDUCING SERVICES.

We have more disclosure of ingredients in our food than we do what's happening behind closed doors in Senior Residential Communities.

You can make the difference. Write about your concerns, observations, violations you've witnessed.

Make a Senior's Life Better Today --- Raise your voice on the internet, call those Elder Abuse and Neglect Hotlines -- Write, Call, Send Email.

We have YouTube and Blogs and networks always available -- USE THEM.

Tuesday, February 10, 2015

Ireland Puts A Dollar Sign In Front of 60+ Contributions To Their Economy

In the United States, we pride ourselves on many things: democracy, home and land ownership, clean water and abundant food, etc.

However, the United States is behind many other countries in our care providing for Seniors and our practical and provided services to ensure the safety and well being of our aging population -- even Ireland, a small country, with a big heart, values its aging population and cites statistics to show the benefits of the aging population.

Here's an excerpt from a great resource you should bookmark: The International Association of Homes and Services for the Ageing

Northern Ireland Reports on "Appreciating Age"

On November 18, the Northern Ireland Assembly presented a report estimating £25 billion in economic contributions from people 60 and older over the next 50 years.
The Commissioner for Older People for Northern Ireland entitled the report “Appreciating Age” and recognizes older adults as a socially vibrant and economically powerful cohort of the Ireland community. The importance of this report can be attributed to the fact that Ireland, similar to many other countries, has shown a 20% increase in people 65 and older during the past 10 years, and projects a 64% increase in adults 65+ between 2012 and 2032. As the country continues to see demographic shifts, the Assembly believes it is important to shape the conversation around aging to be positive and cognizant of the contributions older adults provide to the community.
Too often the discourse around aging is one of loss and financial burden. Ageism, which is prevalent throughout the world, isolates older adults and relegates them to that of dependents who are often ignored and invisible. In contrast, this report highlights a perspective of aging to be one of inclusion, contribution and value. Several Northern Ireland Assembly representatives reflected on this point, mentioning that the report is a step toward “challenging the one-dimensional view” of aging “by telling the untold story of the positive ways older people contribute to our society”.
The announcement of the report comes on the heels of recent whistleblower allegations regarding the management and treatment of patients in aging care homes which has spurred a review into the regulation of these care homes.

We see an economic gain in "severing ties" and expanding into separate places to live; of starting "new" lives and "cutting away" from the old ones.

As the article above states:  AGEISM is prevelant throughout the world.

Personal Opinion: It's more prevalent in "progressive economies" who value consumption or who are moving forward into a higher level of world economic standards of living. 

After all, economic status depends on purchasing: homes, food, clothing, entertainment, etc. And, multigenerational living, for example, cuts back significantly into some of the biggest ticket items -- like shelter and food. And the older population usually isn't feeding a family or building "status" through purchases of the newest, the latest, the best or the better.

As a group, we become ambivalent in many ways to the needs and to the lives of our aging men and women primarily because we are focused every day on concentrating on personal consumption and personal benefit.

It's time we realized the benefits as so clearly outlined in this article, brought about as noted by recent "whistleblower allegations" regarding the management and treatment of patients in ageing care homes.


READERS:  Are we who live in supposedly the "greatest nation on earth" going to trail behind Ireland and other countries in how we care for and ensure those who have given so much of themselves for so long to build, develop, support and protect our United States of America? 

Will we continue to sit back and wait until we have no more time to be the activators, the action makers and takers?

THE CHOICE IS IN EACH OF OUR HANDS AS TO WHAT WE ALLOW, WHAT WE DO.

Monday, February 2, 2015

Our Loss Can Be Your Gain: Save Our Seniors -- A Movement

The Haves and The Have Nots or Have Less

If you have the ways and means you may avoid or at least minimize the challenges and even the atrocities --neglect, abuse and other ways and means of jeopardizing the lives of residents of Skilled Nursing Centers/Long Term Care Facilities.

If, like us, you don’t, you may endure a life of hell on earth trying to survive what “THE SYSTEM” does to you and to your loved one.

Please don’t think it can’t happen to you. You may have Long Term Care Insurance; savings accumulated; a strong family unit. You believe you’re “safe” and have “planned for” the future, the inevitable, whatever.

Join the line of people I’ve talked with who had these and more and still found:

·        LTC Insurance declined coverage of many items and they assumed the burden of paying or not getting needed services

·        Savings ran out; lifespan miscalculated or term of insurance not enough or coverage didn’t pay rising costs

·        Family members were supportive in the beginning but conflicts arose, or people living at a distance couldn’t provide their “share” of support or some other lessening of ability to help

·        Once in the Medicaid System, which all were forced to enter, their “loved ones” were considered “on the dole” and those services so widely advertised as available were reduced due to cutbacks or running out of funding.

·        They tried diligently to work to support themselves and their own families only to find the “support” from the DHSS and other agencies was limited to directing them to websites and other local agencies that told them they didn’t qualify or their loved one could receive one hour a month of “help”.


ARE WE TO ABANDON THOSE WE LOVE BECAUSE THEY LIVED, SURVIVED AND NOW NEED SUPPORT?

Read the next entry about legislation giving United States Chickens better living conditions. 

Ever read about United States Senior Citizens in Facilities being given better living conditions?    SAVE OUR SENIORS -- a movement we need to start

Saturday, January 31, 2015

New Term for Senior Care: A Wonderful Concept

As I walk this life journey, I give thanks for the directions I move into and through bringing enlightenment and possibilities to others.

Here's a site I've found about a way of life for Seniors I didn't know about and as with so much in life, depends on "stumbling over". It's about "The Green House Project"

It's wonderful to discover there's someone else out there who's been able to use their time, talent and has the finances to positively provide for Seniors who deserve and need to be valued and honored for all the days of their lives and for what they have given to all of us.

Click though and check out this amazing concept and movement:

Move Over Nursing Homes....There's Something Different  

YOU CAN HAVE A POSITIVE INFLUENCE. Speak up. Speak out. Tell your friends and family about what you read. The good and the not so good. 

Start the Serving Our Seniors Movement by speaking out, writing, spreading the word.

The concept of the Shahbaz -- someone who actually, truly cares about their life's work; caring for Seniors.  Read this interesting story about the Legend of Shahbaz:

The Green House Project:  Proven Tools, Resources & Partnerships
  The Legend of Schabaz   Adapted from What Are Old People For? How Elders Will Save the World by William H. Thomas, M.D. Reprinted by permission of VanderWyk & Burnham, Acton Mass. Copyright 2004 by William H. Thomas.

Sunday, January 18, 2015

LEFT BEHIND: Loss of Talent, Ability and Mentoring

Baby Boomers Unite!  Let’s demand, as we did when we started the “revolution” more rights, more inclusions and more recognition as we go forward into needing the support of society.

What has happened to us? We were so vocal about issues and causes. 

We still raise our voices and many of us are actively involved in change, but as a whole, our voices are much quieter and raised more singularly than when we were in our teens and twenties.

There are, of course, exceptions and their aging faces and graying hair are visible (ladies tend to cover that feature more than men although those products have greatly grown in popularity with the "graying" of America) and seen even on LinkedIn.

What's needed is to ensure that when our bodies become more limited through the passage of time, when we are more limited to where we can go and even where we can live, society doesn't see this as "the end" and treat us as though we barely exist.

Long ago we realized people can work from home, they can commute across time and place and work far into decades that were previously considered "mandated retirement".

The tools we have and the opportunities we're given result in what we can and will do.

It's no different for the aging and the aged than it is for our youth.

I admit, I wasn't a picketer and didn't carry signs or write messages and distribute them when I was younger (that came along much later in life). I was more of a conformist working behind the scenes for change in society.

Let's get our communities and the Senior Centers and Senior Organizations to recognize our talents, abilities and contributions still viable and vital to society and to ensure this message is delivered and distributed to all ages and stages of life.

Let's "reactivate" and find our voices and raise them for our brothers and sisters, some of whom are our age and others who are from the generations before us. 

We have precious abilities only time can teach and experience can "hone" -- yes, we're like a great tool and like that tool, keeping us "sharp" and "in repair" benefits our habitat, our surroundings, life itself.

LET'S NOT GO QUIETLY INTO THE NIGHT.

This means:  Please realize many of us are NOT INTO Bingo, board games or puzzles. If you're going to offer computer technology, recognize there are many of us far ahead of the "beginner" or even "familiar and interested in learning more" stages. 

We want to learn specific programs to create and to stimulate; our brains need the exercise and expansion and not to just duplicate what we've known and done for years on end or have no interest in learning or participating in.

We need mind stimulation. We are, after all, the first largest demongraphic group where college education became "the norm" for a large percentage of high school graduates. 

Our generation was in high school when man landed on the moon. We had parents who were scientists and teachers and other professionals who steered us on paths involving science, math, engineering, business. And even if they only graduated from eighth grade, they had open minds, loved to learn and were our examples of dedication and perseverance.

We Did Overcome -- to some degree:

We were told men were wanted in various positions but it was our generation that fought and won and got that high heeled foot and body into the doors -- sometimes later than others -- of major corporations and into the C Suite.

The Pill changed our lives. Our focuses on growing ourselves as well as our families and supporting our husband and his job changed society as a whole. And he didn't have to worry about so many mouths to feed as his father before him; but then he didn't need those hands, either, to work the land or help to feed the family.

We were born into a world of "separate but equal" and we opened the doors and windows for future generations to walk through and see through.

WAKE UP AMERICA:  You wait for us to come to you. You offer us centers with “activities” ranging from Bingo to cards and maybe some “dancing” – which for many of us is a turn away because we lost our spouse and don’t feel like joining the “stag line” as we did in our teens waiting and hoping for someone to ask us to dance.

You plan all activities during the day as though we have nothing to do with our time and that’s the only time we can or will attend. And, what about weekends?

I guess you see "other groups" as occupying our time: church, grandchildren and family, educational opportunities through a myriad of places: library, local colleges and even on line. All obtainable by reaching out, taking that first step and, quite honestly, wanting to stay within a basic "safety zone".

And then there are those of us like so many I've met in these last few weeks who are "still working" because where we worked and for whom we worked didn't provide a pension, didn't have "retirement programs" or who have found life circumstances of medical or other debt from the huge economic challenges we've faced every decade since the 1970's have eaten away and basically destroyed "our golden years".

What's puzzling is how we manage to compete, to stand resolute and to continue to make our own way when:
  • You “put us out to pasture” long before we’re ready and long before we want.
  • You categorize us as not being capable of learning, adjusting, being tech saavy; we can run rings around you given the exposure and the disposable income of those younger and we do when we have those abilities.
Why? Because we have the experience, a higher level of judgment and a knowledge beyond many, those of us who have successfully weathered storms and made decisions others face and “hope and pray” no one will realize they are making a decision based on trial and error.

CHARACTERIZATION.  Focus on the weaknesses and that's what you see. 

Yes, there are those in the 50+ range -- that's the range "Senior" organizations like AARP and OASIS start at, or the 60+ which encompasses the State Run Senior Centers, who are vibrant, active, many still working full time jobs and even more in part time and highly responsible volunteer positions. There are those with limitations -- but not always the limitations the most vocal in our society want us to believe and see a specific, and only one specific, way.

LIMITATIONS.  Society starts culling around the age of 40 now. 

What's concerning is my daughter's generation, the Millennials, are having such difficulty getting jobs that by the time they're just getting to be "ripe" and "seasoned" in the outside world, it will be their time to be "put out to pasture".

Guess we should be glad we're in the United States and not in Spain where the outlook for the Millenial generation is even bleaker at 55% of the population of this age group unemployed.

SCARY!  If the young are unemployed and underemployed what does this say for the future and for the "next" generation coming up the ladder?

Friday, January 16, 2015

The Whole Person Needs Primary Care

When someone you care for or about has medical challenges, you wish there was more you could do.

We visit, call, write and often feel our hands are tied as we wait.

Some of us serve as direct caregivers and walk alongside wondering where we're headed and when we'll get there. The same questions we always ask when we embark on a journey and don't know the distance or the path.

The closer the person is to us, the more challenging our vigil is.

What's needed is insight and overview from more than a "medical" perspective. Training, experience and knowledge can provide insight and possibilities but it's the individual that will determine the outcome.

What's missing or what's not seen is often where the person is and how to come alongside.

Medications and treatments are aids; finding ways to bring quality of life to illness is as important as bringing quality of life to everyday life only with adjustments.

Understand that this time is special. It will not come again in the same way. 

To be beside this person is a gift only you can provide.

Vigilance is part of keeping vigil. 
Watching the person and watching all that surrounds them.

There can be some who come alongside, who proport to bring assistance, relief, comfort bringing instead their own needs and wants above all else.

Remember, too, the person you serve is there beneath the challenge, inside the difficulties and wanting out as much as you want them to be.

Measure the road ahead with a ruler and the road traveled with a yardstick.

Weigh the hour in ounces and the days shared in tons.

Simply be there. Simply let them know you are there. 

Listen to what others say with kindness but listen to the person who's being talked about through their life and their time with you.

Lives aren't written in stone until they become epitaphs. Change can always happen.

See the flicker of light in deepest darkness;know tomorrow will surely follow today.

Above all, know the person who you keep vigil over values what you do.

Wednesday, January 14, 2015

The Numbers Game: Facility Approved Dr’s Have Captive Audience

How many Dr’s does your loved one’s facility have listed as “approved” to practice inside their location?  

What's the population, the average occupancy and usage of this number of doctors per month and per year?

Facilities must retain records; should know which Dr sees what patient. If using the computer at minimal functioning ability this information should be easy to access.

How many Dr’s are currently accepting “new” patients in case your loved one decides they or their representative are not satisfied with the medical care being provided?

We wanted to change. We couldn't get a “current” list; the Director of the Facility didn't have one and neither did the Nurse Administrator, the only RN required by the State of Missouri. 

It took three weeks. Why? Good question. First we were given a “couple” of names: one no longer worked for the facility and one was not taking new patients. Next “offering” produced two names not accepting new patients. Finally received ONE NAME possible; new Dr accepted by facility.

Do you have the full information on the Doctor who attends you as resident/the person you’re responsible for in a Long Term Care Facility?

Is this information available in the room of the resident posted on the back of the bathroom door or some other “safe” but visible place for those needing to know? At the Nurse’s Station or on the computer?

And, above all, have you checked to make sure your resident’s records are current? When we once checked ours, the facility had “failed” to update and still listed the old Dr on Mom’s personal record.

Yes, it is important to “follow behind” and ask for an updated printout of the main sheet of your loved one’s general file, the one they send with the resident when they leave for an outside Dr apt or ER or other medical appointment/transfer.

Do you have a complete list of all Dr’s currently accepting new patients at your/your loved one’s facility?

A list dated and including name, type of Dr (MD or DO), specialization(s), office(s) location, name of practice, office telephone number, exchange number, emergency number.

You should not be dependent on a facility to provide this information or make it available to you or your representative when you can “meet with” or “get through to” the person or persons with the “authority” to distribute this information. This was the case in Mom’s facility. And it changed. We never knew who did what, who was responsible for what and who to ask for what. 

Another entry; another time. Understanding the “politics” and “titles” at Long Term Care/Nursing Faciliites.

Critically Important Take Aways from this blog entry:

You are giving up rights currently held by individuals outside of Senior Long Term Care/Nursing Facilities TO CHOOSE YOUR OWN DOCTOR when you do not have this information. You should not have to ask for this information; it should be readily available to all residents and their representatives. See below re computer accessibility.

This is, in my belief, against the rights of people with disabilities to treat them differently from others, to NOT provide the ways and means for those who cannot be transferred or for personal/medical reasons are incapable of being transferred, to a Doctor outside of a Long Term Care/Nursing Facility -- current and accurate contact information on an individual basis, placed directly in the hands and at the immediate reference of residents and their representatives for all medical personnel, Dr’s, approved to practice at a facility.

SOAPBOX TIME:  Let’s have it put online! The list of Doctors affiliated with each LTC/Nursing Home facilitiy.

TRANSPARENCY. SUNSHINE LAW. AVAILABLE TO ALL CONSIDERING A FACILITY.

Shouldn’t you have the ability to check out the Dr’s practicing at a facility as easily as you can check out a Dr “on the outside” through the many on site resources to see their medical records, malpractice suits, etc. etc.?

You and your loved one are making a substantial financial and time commitment. You’re entrusting your LIFE to their medical personnel, their Dr’s. Even if you have an outside Dr, you may still “employ” the facility Dr.

AND THAT’S THE KEY, dear blog readers, YOU ARE THE CONSUMER. You have rights!

CONCERNS YOU SHOULD BE VOICING TO YOUR DHSS AND LEGISLATORS:

  • Long Term Care/Nursing Facilities have taken away the Dr/Patient relationship by coming between the two and relaying all requests and concerns without including the patient or the patient’s legal representative directly with the Doctor.
  • Most facilities do not have scheduled days/dates/times for Dr’s to visit. They come when they want to. The facility isn’t on a system of “rounds” and they are not truly “on call”.
  • Representatives of residents appointed or with Durable Power of Atty for Healthcare should have the ability to find out when the Dr will be visiting the resident. There should be appointments for the DHSS mandated visit interims (if there is such a thing; must check).
  • Residents and their representatives deserve medical updates especially test results provided directly to them following receipt of results. If a second test is usual, this step should not be excluded and all responsible parties should be advised of this procedure when the first test is done and the results when the second test is completed and results received by the facility.
BTW, if your resident misses a Dr’s “visit” to the facility, they wait until the Dr “comes again”. How can this happen? If the resident isn’t “on the floor” the Dr may not include them in their “rounds”. They have no responsibility to ensure the resident is located to ensure they are seen “this time”. Unfortunately, this is now some diagnosis are not made, some minor problems become major issues.

My second son thought that a Dr on call at his Grandmother’s facility meant if she or a resident became very sick that Dr on call would make a personal visit to the facility. NO, meant he/she could be reached by telephone for consultation by the facility.

WE ARE IN THE COMPUTER AGE.
  • Facilities have websites if they’re any type of business wanting to stay in business.
  • There should be resident/representative specific information available on Permission Level pages

Monday, January 12, 2015

Facility Deaths Seldom Investigated

When a baby, for no apparent reason, dies in their crib, we mourn.

When a Senior dies in a facility, we simply say it was "their time" and go on.

How many autopsies are performed on Seniors who pass while living in a Long Term Care/Nursing Home facility?

As usual, another question and my fingers begin searching for an answer.

A question brought about thinking back to our not being told about several of Mom's falls, about the real extent of her injuries and about the real reason the fall happened.

Not being told about many of Mom's illnesses until they were so advanced and the "medical facility", the Long Term Care/Nursing Home, was unable through the services they "chose" to provide, could not control progress that was controllable and we had to once again, RUSH Mom via ambulance to the ER.

I see medical incompetence, negligence or abuse. 
But then, I'm just a family member.

And, because of the horrible journey we were forced to go through with Mom preceding her death and during her final journey, her final days.

Once again, what I find is not only shocking but information we never see unless we happen to "run across it" in our busy lives. 

Yet, every day we're entrusting our loved ones to facilities, signing contracts, making commitments. 

Many walk away totally entrusting the life and death of those we care deeply about to people who are continuously hiding inappropriate behaviors and actions.

"An array of systemic flaws has led to case after case being overlooked:

When treating physicians report that a death is natural, coroners and medical examiners almost never investigate. But doctors often get it wrong. 

In one 2008 study, nearly half the doctors surveyed failed to identify the correct cause of death for an elderly patient with a brain injury caused by a fall.

In most states, doctors can fill out a death certificate without ever seeing the body. 

That explains how a Pennsylvania physician said her 83-year-old patient had died of natural causes when, in fact, he'd been beaten to death by an aide. 

The doctor never saw the 16-inch bruise that covered the man's left side.

Autopsies of seniors have become increasingly rare even as the population age 65 or older has grown. 

Between 1972 and 2007, a government analysis found, the share of U.S. autopsies performed on seniors dropped from 37 percent to 17 percent."

So what difference does it make, cause of death?
Look back to Point #1 -- cause was brain injury from a fall.”

But elderly people fall all the time, right?
Not all elderly people and not all falls are inevitable.

However, a fall in a facility reported as a cause of death would lead to another State investigation and that would be a "double inconvenience".

It might also prevent the neglect provided by low staffing, inept training and poor supervision.

Point #2: "In most states, doctors can fill out a death certificate without ever seeing the body."

Makes sense, they prescribe medications by phone on request from LPN's and often these are medications with serious side effects that are NOT fully explained to the resident and/or the responsible representative.

Mom's Dr didn't see her as she lay dying. We called upset because Mom was not being given any food or water. 

The facility had seen Mom as "dying" so they simply didn't provide any and provided absolutely no consultation or advice to us as to how or what to do including taking a damp cloth and wetting her lips. NOTHING.  

The Dr didn’t bother to “drop by” just to check on one of her patients? THIS IS LONG TERM “CARE”?  MEDICAL CARE?

Two days we went through this. On the third day, she finally passed. We have no idea how long she had not had food or water and if this could possibly have been the "cause of death".

We do know she looked dehydrated and as though she'd lost considerable weight.

When you're "run through the wringer" as we had been for so long, you function as best you can.
 

You try to think and reason and act at the highest level but you ENTRUSTED your loved one TO THIS MEDICAL FACILITY and surely they will act, will provide, will ensure medical services are provided.

Once again I feel guilt. Did I do the right thing? 

Was she actually dying? 

Or was it what we did, what we went through with her the way we did that brought about her life's end before its time? 

We mourn the child because of the life that never was. 

We mourn the Senior because of the life that ended in ways that should not have been.