Nursefriendly.com: Practical Advice for Caregivers

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Sunday, April 10, 2011

Dealing with Death and Dying | Myths of Coping with Death | Caring.com

By Paula Spencer, Caring.com senior editor

People often adhere to a code of conduct about the end of life that's just not rooted in common sense or reality -- especially when it comes to how to talk to someone who's dying, in their final days or hours. Hospice nurse Maggie Callanan, who has attended more than 2,000 deaths, wrote her book Final Journeys: A Practical Guide for Bringing Care and Comfort at the End of Life in order to take on these myths:
Myth: Don't cry in front of the dying.
They know you're sad. Having the courage to bare your emotions gives the dying person permission to be candid about his or her own feelings. Your tears are evidence of your love. And they can also be a relief to the person, telegraphing that you understand what's happening.
Myth: Keep the children away.
People often steer kids away from death so they'll remember the person in a good light and not be frightened. But most kids do well with simple explanations of what's happening; facts are usually less scary than their vivid imaginations. By cordoning off a child from a natural part of life, you also deprive the dying person of a beloved, comforting presence.

via caring.com

Wednesday, April 6, 2011

Accountable Care Organizations: Improving Care Coordination for People with Medicare | HealthCare.gov

The Affordable Care Act includes a number of policies to help physicians, hospitals, and other caregivers improve the safety and quality of patient care and make health care more affordable. By focusing on the needs of patients and linking payments to outcomes, these delivery system reforms will help improve the health of individuals and communities and slow cost growth.
On March 31, 2011, the Department of Health and Human Services (HHS) released proposed new rules to help doctors, hospitals, and other providers better coordinate care for Medicare patients through Accountable Care Organizations (ACOs). ACOs create incentives for health care providers to work together to treat an individual patient across care settings – including doctor’s offices, hospitals, and long-term care facilities. The Medicare Shared Savings Program will reward ACOs that lower growth in health care costs while meeting performance standards on quality of care and putting patients first. Patient and provider participation in an ACO is purely voluntary.

via healthcare.gov

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Andrew Lopez, RN
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Monday, April 4, 2011

Certified Nursing Assistants, CNA, Nursing & Healthcare Jobs on: The Nurse Friendly

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Related Sections:
Are good CNA jobs that hard to find?, Nursingdiscussions.com:
Care Givers, Caregiving, Ten Commandments of Care

New
Tracy McClelland, RN, MSN, Ycarte Health Career Center, Georgia Nursing Entrepreneurs:"Opening doors to the Nursing Profession is our primary concern. We are a nursing tutorial facility designed to assist our community by training healthcare professions with the most updated nursing information and training equipment. We focus on assisting individuals who want to advance in the healthcare profession, or begin with an entry level into healthcare. Our goal is to bring education to you in a comfortable non-threatening environment that allows for learning. Whether you are new to healthcare or desire to advance in this profession, we can provide you with the training you need."
Tracy McClelland, RN, MSN, Ycarte Health Career Center
North Pointe Plaza
1214 North Peterson Ave. Suite P
Douglas, GA 31533
Phone: (912) 384-8680
Fax: (912) 384-4390
info@ycartehealth.org
http://www.nursingentrepreneurs.com/mcclelland
Categories: ACLS (Advanced Cardiac Life Support)
Adult Critical Care Nursing
BLS (Basic Life Support)
Career Alternatives For Nurses
Certification for Nurse Aid Students
Certification Program for Nurses
Continuing Education Provider
Critical Care Nurses
EKG Technician (New Class)
ER
Georgia Nurse Entrepreneurs, Nurse Owned Businesses
Geriatrics Nurses
Intensive Care Unit (ICU)
Masters Prepared Nurses
Medical/Surgical Nursing
Motivational speaker
Motivational Workshops
NCLEX-Reviews for RN's & LPNs
Neonatal Intensive Care Unit (NICU) Nurses
Nurse Aid Training Provider
Nursing Education
Nursing Entrepreneur
Nursing Educators
Nursing Educators
Nursing Workshops for CE hours
Operating Room (OR)
Pediatric Intensive Care Unit (PICU) Nursing
Pediatrics Nurses
Professional Nurse
Public Speaker
Remediation NCLEX Review (One- on- One)
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February 12, 2009: The stressed out life of a nursing assistant:"This morning I got a call from a supervisor of a nursing facility. This supervisor was beyond frustration. Stressed, disappointed and between a rock and a hard place. The supervisor had three nursing assistants call out of work for the day shift on a Saturday. Unfortunately, more people call off work on the weekends than on weekdays."
http://www.delmarvanow.com/article/20090212/DCP05/902120371
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Nursing Malpractice Case Studies: http://www.nursingcasestudy.com
September 26, 1999: Nursing Assistants Leave Client Alone, Patient Receives Second Degree Burns During Bath.
Registered and Licensed Practical Nurses frequently delegate responsibilities and tasks to Certified Nursing Assistants and Unlicensed Assistive Personnel. It is clearly recognized that they are responsible for the actions/inactions of those they supervise. In this case, two nursing assistants recognized injuries to a patient while giving a bath. When they failed to notify the nurse of the injuries, they would be reported and lose their certifications.
http://www.nursefriendly.com/nursing/clinical.cases/092699.htm
Nursing Assistant Resources:
Caregiver's Beacon newsletter:"The Caregiver's Beacon newsletter is a free service to family caregivers. It is formerly known as The ElderCare Beacon and Keepin' Up With ALZwell. Simply enter your e-mail address in the box and click "Subscribe." Twice each month we will send you a supportive and informative newsletter that includes feature articles, caregiving tips, book reviews, hot topics, community updates and our chat schedule."
http://www.ec-online.net/Knowledge/Newsletters/subscribe.htm
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Certified Nursing Assistants, Typical Workday:"This, is a typical workday schedule of Duties, for 6-2 shifts in a Nursing Home Environment. SCENARIO is 2 Nursing Assistants, Floor has 20 people, each CNA has about 10 each of residents."
http://members.tripod.com/~CNA_MUNCHKIN/shari2doc3.htm
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ceus-r-ez.comHello, and welcome to ceus-r-ez.com! This site is designed to help long-term care administrators, assisted-living administrators and managers, certified nursing assistants, personal care assistants, group-home caregivers, and residential aides obtain continuing education units easily and inexpensively."
http://www.ceus-r-ez.com/
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CNA FORUM Frequently Asked Questions/ Making Change Count
http://www.network54.com/Forum/11252?achk=1
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CNA Message Board:"Welcome to the CNA Message Board, a companion site to the Certified Nursing Assistants Website at http://pages.ivillage.com/bostonality This forum is provided for the benefit of professional caregivers as a place to come together for discussion, encouragement, information and friendship. We were originally located at Community Zero and we had almost 900 members! I hope you will decide to join in. Registration is simple, free and all are welcome!
http://www.hostboard.com/cgi-bin/ultimatebb.cgi?ubb=forum&f=3386
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CNA-Secrets.com, CNA Training Site:"If you'd like to know more about the resources necessary for a Certified Nursing Assistant career, then this site is for you. CNA's offer a wide range of essential healthcare services to patients in a variety of healthcare settings. In addition, CNA's are a part of the healthcare team. CNA's can be referred to a geriatric aides, rehab aides, nursing assistants and nursing aides. CNA's can either make or break a patient's perception of a facility. The job of a CNA is both tough and rewarding. In fact, over 2 million jobs are held by nursing assistants and home health aides across America."
MO Media LLC
3827 Phelan #179 Beaumont, TX 77707
http://www.cna-secrets.com/
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CNA Today:"CNA Today is a quarterly magazine published by the National Association of Geriatric Nursing Assistants (NAGNA) for and about certified nursing assistants and their role in long term care. It is a special magazine, a publication virtually every person in the long term care industry will want to read. With a circulation of well over 20,000, we reach CNAs, Directors of Nursing, facility Administrators, nursing home residents, and their families, product manufacturers, policy makers, and other health care associations. The first issue debuted June 2001 and was unveiled at the NAGNA National Convention. CNA Today will prove to be a remarkable resource for information on long term care."
CNA Today
PO Box 375 Joplin, MO 64802
800-784-6049 fax-417-623-2230
Editorial Content ctrendel@cnatoday.com
http://www.cnatoday.com
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Diary of the Certified Nurse Assistant, A day in the life of:"This is where YOU should begin a daily diary of your day, whether good or bad, once you create a diary of your feelings you will notice alot about the LTC, the residents, the co workers, your own self worth and what may lie in the feelings of others you work with."
http://members.tripod.com/~CNA_MUNCHKIN/shari4.htm
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Direct Care Alliance:"Nationwide, we face a critical shortage of high-quality direct-care workers — home health aides, certified nursing assistants, and personal care attendants — who can meet the needs of our country's long-term care consumers — people who are elderly, chronically ill, or living with disabilities. Direct-care workers provide the vast majority of hands-on care within our long-term care health system. Consumers rely on these workers to provide them with comfort, companionship, and care in an atmosphere that preserves their dignity and well-being. As a result, consumers consistently cite the quality of their relationship with their paraprofessional workers as a primary determinant of their quality of life."
Direct Care Alliance
c/o Paraprofessional Healthcare Institute
349 East 149th Street, 10th Floor- Bronx, NY 10451
Phone: 718.402.7766 - Fax: 718.585.6852
email: info@directcarealliance.org
http://www.directcarealliance.org/
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ElderCare Online:"ElderCare Online is a beacon for people caring for aging loved ones. Whether you are caring for a spouse, parent, relative or neighbor, we are committed to providing an online community where supportive peers and professionals help you improve quality of life for yourself and your elder."
http://www.ec-online.net/
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Florida Certified Nursing Assistant Registry:"Welcome to the Florida Certified Nursing Assistant Registry. The Florida Certified Nursing Assistant certificate does not have an expiration date. Once certified the CNA must perform any nursing-related services for monetary compensation during the preceding 24 months to remain active; otherwise, the certificate will lapse and one must be re-certified to work as a CNA."
4052 Bald Cypress Way, Bin #C13
Tallahassee, Florida 32399-3252
Telephone: (850) 245-4567, Email: MQA_CNA@doh.state.fl.us
http://www.doh.state.fl.us/mqa/cna/index.html
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Institute for Caregiver Education:
Center for Advocacy for the Rights and Interests of the Elderly
100 North 17th Street, Suite 600 Philadelphia, PA 19103
(215) 545-5728 phone (215) 545-5372 fax
http://www.caregivereducation.org/
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In the Know, Inc.:"In the Know is a publishing company dedicated to developing quality paraprofessional inservice solutions for health care organizations. The company was founded in North Carolina in 1998 by Linda Leekley, a registered nurse with extensive experience in clinical education, staff development and both acute and long term care. At In the Know, we recognize that: Nursing paraprofessionals will continue to be the health care occupation most in demand as the U.S. population ages. Nursing assistants play a crucial role in a health care team. Nursing paraprofessionals have the least amount of pre-employment education of any clinical employees and therefore require effective ongoing on-the-job training. A serious difficulty exists in training and retaining a strong nurse aide staff."
In the Know, Inc.
306 Brandermill Drive Durham, NC 27713
lindaleekley@knowingmore.com
Phone: (877) 809-5515 (Toll Free, USA) (919)-403-8979 (Voice) (919) 490-4808 (FAX)
http://www.knowingmore.com/
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National Network of Career Nursing Assistants:"Career Nurse Assistants' Programs, Inc. is a non-profit, tax exempt, educational organization promoting recognition, education, research, advocacy and peer support development for nursing assistants in nursing homes and other long term care settings. (EIN # 34-1782518). The membership of CNAP is the National Network of Career Nursing Assistants."
3577 Easton Road Norton, OH 44203
Phone Number: 330 825-9342 Fax Number: 330 825-9378
Email Address: cnajeni@aol.com
http://www.cna-network.org/

Career Nursing Assistants Network of N. Carolina:"On August 30th,2001 Nursing Assistants gave birth to our own Association in North Carolina. We are a Chapter of the National Network of Career Nursing Assistant. Our focus is on reruitment, training, retention and career development. We are building a deverse membership base broad enough to influence decision-making in the health care community. We have a code of ethics for our membership. We have asked Career Nursing Assistants members the following two questions. What would help us become better Certified Nursing Assistants and how can we improve the quality of patients care? The answer was more leadership as a member of the care team and more respect from licensed staff."
Career Nursing Assistants of N. C.
2614 Harvard Ave. Durham, NC 27703
Contact Person: Melvin L. Whitley
Phone: (919) 957-0443
Email: telmelvin@nc.rr.com
http://www.cna-network.org/network/community/Career_Nursing_/

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National Association of Geriatric Nursing Assistants:"The National Association of Geriatric Nursing Assistants was formally established in 1995 by former certified nursing assistants Lori Porter and Lisa Cantrell. Initially working as CNAs, both moved up the nursing home management ladder, Lori eventually becoming a licensed nursing home administrator and Lisa a director of nursing. Throughout their careers, they remained focused on their years as CNAs, realizing that nursing assistants are both the backbone and the heart and soul of the nursing home profession."
National Association of Geriatric Nursing Assistants
2709 West 13th Street Joplin, Missouri 64801
Phone: 417-623-6049 • 800-784-6049 Fax: 417-623-2230
Email: info@nagna.org
http://www.nagna.org/
Categories: Alzheimers Disease, Dementia & Senility, http://www.4nursing.com/alzheimers/
Associations, Organizations, Patient Education, Healthcare, Medical, http://www.4nursing.com/healthcare
Care Givers, Caregiving, http://www.nursefriendly.com/caregivers/
Certified Nursing Assistants (CNAs), http://www.nursefriendly.com/cna/
Geriatrics Nurses, http://www.nursefriendly.com/geriatric/
Hospice, Death, Dying, End of Life, Palliative Care, http://www.4nursing.com/hospice/
Long Term Care Nurses, http://www.nursefriendly.com/ltc/
Missouri Nurses, http://www.4nursing.com/missouri/
Private Duty Nursing, http://www.nursefriendly.com/private/
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Linda Adams, CNA:"This Homepage is dedicated to: Certified Nursing Assistants, (CNA's) Plus Doctors, Nurses, and All Health Care Professionals."
Marshalltown, Iowa
netwits1@mchsi.com
http://lindafisher.tripod.com/
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NursingAssistant · Discussion for Nursing Assistants and others interested in the work of the CNA:"This is a community for Nursing Assistants- caregivers to the worlds elderly and disabled. Here CNA's will find support, shared ideas and concerns as well as humor. We are a professional group and all are welcome so long as respect is maintained. This is an active list with many participants and it is hoped that everyone will add to the conversations.
http://health.groups.yahoo.com/group/nursingassistant/
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Nurse Aides, Promissor:"We offer a variety of services for Nurse Aides. To review details and information about the program of interest to you, please make a selection from the choices below. You may also access documents and forms by visiting our Applications & Forms Page."
Promissor
1007 Church Street, 7th Floor
Evanston, IL 60201 USA
Phone: 847.866.2001 or toll free in the U.S. 800.255.1312
Fax: 847.866.2002
E-mail: marketing@promissor.com
http://www.asisvcs.com/indhome_fs.asp?CPCat=0000NURSE
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Our Mission As CNAs, The Guardian Angels:"Certified Nurses Assistants exist because of the demand: in general it is a position requiring knowledge of the changing needs of a patient or resident that is confined to a nursing home, Long Term Care facility (LTC) etc. It is not because the assistant has no education or lack of education. The life of a nurse assistant begins here."
http://members.tripod.com/~CNA_MUNCHKIN/shari2.htm
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What's It Like? Nursing Aides & Patient Care Technicians, Career Prospects in Virginia, University of Virginia:"In hospitals and nursing homes, patients need constant basic round-the-clock care. Someone has to help them do all the things they can't do for themselves--including dressing and bathing, eating and getting in and out of bed. Nursing aides are the people who provide these and other basic personal care services to patients in hospitals, nursing homes and long-term care facilities. Also called hospital attendants, and patient care or hospital assistants, nursing aides generally work under the supervision of nurses. Those with more training and advanced responsibilities often have the job title "technician" instead of "aide" or "assistant." Their role in any health care facility is vitally important, since nursing aides actually have more contact with patients than any other hospital staff."
Career Prospects project
Demographics & Workforce Section, Weldon Cooper Center,
University of Virginia, PO Box 400206 Charlottesville, VA 22904-4206.
Dr. Julia H. Martin Phone: 434-982-5581 Email: jhm3c@virginia.edu
http://www3.ccps.virginia.edu/career_prospects/briefs/K-O/NursingAides.shtml
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Certified Nursing Assistant Titles From Amazon.com
Advanced Concepts for Geriatric Nursing Assistants, by Carolyn A. McDonald:
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Assisting in Long-Term Care by Barbara R. Hegner, Esther Caldwell, Joan Fritsch Needham:"Practicing nursing assistants will love this revised edition to use as a reference tool. With its many new features like updated procedures the application of standard precautions cultural variations and an easier reading level Assisting in Long Term Care 3E is a must for any reference library."
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Being a Nursing Assistant (Being a Nursing Assistant, 7th Ed) by Francie Wolgin, Rose Schniedman:"Keeping pace with current developments and improvements in the health care field, this #1-rated resource and reference manual covers the basics of providing care to a variety of patients, and helps users understand and appreciate the scope of the work and duties they will be expected to master and perform within their specific job. Offers 35 detailed chapters on everything from the health care system to communication skills, infection control, safety, the patient's environment, emergency care, measuring vital signs, patient nutrition, specimen collection, care of the surgical patient, neonatal and pediatric care, long-term care, and much more."
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Care of the Older Person : A Handbook for Care Assistants by Christine McMahon (Editor), Ron Isaacs (Editor), Christine Macmahon:"Care of the Older Person has been written for all those caring for older people whether in hospitals, residential and nursing homes, or at home. This book provides the knowledge and skills necessary to understand and implement good caring practices. Taking a caring, practical approach, numerous descriptions of problems are included that may be encountered by the carer and suggestions given of how best to tackle them."
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Essentials for Today's Nursing Assistant by Peggy A. Grubbs:"Features a holistic, humanistic approach to caregiving, with a restorative focus that emphasizes the dignity of the patient. Covers the care of patients with HIV and Alzheimer's, surgical patients, children and new mothers, and patients with specialized equipment such as vetilators, pumps, and tracheostomy tubes. Includes Stamdard Precautions, and changes in isolation procedures. And, provides OBRA and OSHA guidelines. Training nursing assistants."
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The Long-Term Care Nursing Assistant Training Manual by Mary Ann Anderson (Editor), Karen W. Beaver (Editor), Kathleen R. Culliton (Editor):"Contains 34 modules for training nursing facility and home health care staff, describing key procedures for nursing assistants such as personal care, positioning, taking vital signs, observing residents on medication, preventing accidents, and charting and documenting work. Also covers care for residents with mental illness and dementia, younger residents, and residents with developmental disabilities. Includes questions and answers, b&w illustrations, and a glossary. Annotation c. by Book News, Inc., Portland, Or."
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Mosby's Textbook for Nursing Assistants by Sheila A. Sorrentino:"The dominant book in its subject area, the current edition was expanded and updated in keeping with today's needs and practices. OBRA standards are incorporated throughout. Full-color illustrations reflect today's emphasis on total patient care, and assist in comprehension of each procedure"
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Demay Honors Nursing Assistants:"Three nursing assistants from the DeMay Living Center at Newark-Wayne Community Hospital were honored recently at a Nursing Assistant Recognition Luncheon. Mary Caster of Newark, Jane Humbert of Clyde, and Diane Schram of Palmyra attended the luncheon which was sponsored by the Lifespan Long Term Care Ombudsman Program."
http://www.cgazette.com/towns/Clyde/common/news/1997/Sept97news/874783840912....
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Nursing Assistant Articles:
Mon, May. 02, 2005: Nursing aides focus on basic care:"Russell Britt is a patient care technician in the medical telemetry unit at Palmetto Baptist Hospital in Columbia. He performs three roles in this position: certified nursing assistant, monitor technician and unit secretary. Britt answered the following questions about being a certified nursing assistant. WHAT'S THE JOB? Certified nursing assistants aid health professionals in hospitals, clinics and nursing homes. They help provide patients with basic care and services. For example, they may help frail or disabled people get out of bed and transport them to different areas within the facility. The actual job title may vary from one facility to another. Added Britt, "I help nurses as much as I can with basic patient care, including vital signs, hygiene, feeding, straightening up the rooms and doing inputs and outputs."
http://www.thestate.com/mld/thestate/business/11541265.htm
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UsJobBoard.com: UsJobBoard.com, a career industry leader in online employment tools. Everyone needs a job at some point in their life! If you're a JobSeeker looking to make a career move or just wanting to "see what's out there" we invite you: POST YOUR RESUME for FREE to our resume database. Or, PERUSE the JOB LISTINGS from some of America's Top Employers and Recruitment Firms. When you're done there, we invite you to check out some of our great Career Resources in the USJobBoard.com Resource Center.
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Contact Andrew Lopez, RN with any Questions or Comments about our site.

Created on September 20, 1999

Last updated by Andrew Lopez, RN on Monday, January 31, 2011

This Page is Part of The Nursefriendly National Nursing A To Z & Consumer Health Directories
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Friday, April 1, 2011

‘A True Art’: Strategies for Feeding Patients with Dementia-Registered Nursing Blog – Info for Nurses

Feeding difficulties in people with dementia are common, but the way such difficulties manifest can vary widely, and there is no single, one-size-fits-all solution. Nurse researchers Chia-Chi Chang and Beverly L. Roberts open their April CE article, “Strategies for Feeding Patients with Dementia,” with some disturbing statistics that make clear the scope of the problem:

People with dementia constitute roughly 25% of hospital patients ages 65 and older and 47% of nursing home residents. And more than half of them lose some ability to feed themselves, which puts them at high risk for inadequate food intake and malnutrition. Patients who are unable to eat independently must rely on caregivers to assist them . . . Unfortunately, caregivers may be unable to identify the various types of feeding problems that accompany dementia or unaware of the feeding practices required to address them.

In an earlier literature review published in the Journal of Clinical Nursing, Chang and Roberts evaluated three tools used to assess feeding difficulties in people with dementia, then created a conceptual model depicting such difficulties, contributing factors, and outcomes. Now, in this CE article, the authors take their work a step further. They describe a range of assessment and intervention practices, matched to specific feeding difficulties and observed behaviors, that caregivers can try. For example:

if a patient refuses or displays an aversion toward food, as evidenced by pushing the feeder or the food away, spitting out food, or refusing to open her or his mouth,

then strategies might include feeding the patient at another time, seeking help from another nurse or nursing assistant, offering verbal encouragement, sitting down and making eye contact with the patient, and offering familiar foods.

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Nursing Entrepreneurs, Nurses In Business
http://nursingentrepreneurs.ning.com/

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http://nursefriendly.posterous.com

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Sincerely,

150,000 + Nurse-Reviewed & Approved Nursing Links

Thursday, March 31, 2011

My neighbor depends more on me for care than on her own family. Caring.com

By Carol O'Dell, Caring.com Contributing Writer

Last updated: March 30, 2011

My neighbor depends more on me for care than on her own family.

By Carol O'Dell, Caring.com Contributing Writer

My neighbor and I are both widows and have enjoyed several years of going out to dinner, sharing errands, and even taking a few weekend trips. Last fall she got lung cancer, which has spread. Since her daughter lives two hours away, I took it on myself to check on her daily, provide some meals, and even take her to chemotherapy and other appointments. I was glad to do this -- that's what friends and neighbors should do.

But it's now become a full-time job, and I have my own health concerns. My neighbor is starting to treat me differently, expecting that I take her places and getting upset if I have other plans. I've hinted to the daughter that I can't take on this much care. But now I feel stuck -- and guilty for not doing more.

How do I get her daughter to provide the care that family should give, so that I can go back to being a good neighbor and friend?

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Sunday, March 20, 2011

How to Say Goodbye | Saying Goodbye to a Dying Loved One | Caring.com

Here, those who've been through the experience of saying good-bye share what felt right to them -- and what they wish they'd done differently.

Lesson #1: Don't wait until the last minute

It's hard to say good-bye, but putting off meaningful conversations is perhaps the number-one source of regret. Time and again, families ask Massachusetts hospice nurse Maggie Callanan to tell them exactly when the final hour is approaching, so that they can time their good-byes. This is dangerous, she says, because it's impossible to predict the final breath. "Dying people have the uncanny ability to choose the moment of death, and it's not uncommon for them to spare those they love the most or feel protective of by waiting until those people leave the room," says the author of Final Journeys: A Practical Guide for Bringing Care and Comfort at the End of Life, who has witnessed more than 2,000 deaths.

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Wednesday, March 16, 2011

Broken Trust of the Elderly - NYTimes.com

A recent Congressional hearing and the poignant testimony of an unexpected victim — Mickey Rooney — have helped focus new attention on the abuse and exploitation of old people. Congress should seize the moment to help repair their threadbare web of protection.

The hearing of the Senate Special Committee on Aging, as well as several recent studies, make clear that elder abuse is a growing problem that far outmatches the resources available to fight it.
One national study estimated that in the last year 14 percent of older adults had been neglected, abused or exploited. The numbers could be far higher since the sample did not include people living in institutions or those with significant mental impairments. A 2009 study on financial exploitation estimated that elderly victims lost at least $2.6 billion a year to fraud and abuse.

via nytimes.com

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Sunday, March 13, 2011

Anticipatory Grief | Alzheimer's, Dementia & the Stages of Grieving

By Paula Spencer, Caring.com senior editor

What is anticipatory grief?
Anticipatory grief is the emotional pain of losing a loved one, felt in advance of the person's death. It's a common phenomenon among those who care for the terminally ill.
It may be experienced at any time by any one connected to someone with Alzheimer's, but it's especially common at the middle and late stages of the disease.
Why Alzheimer's caregivers are vulnerable to anticipatory grief
Good-byes are always painful, and Alzheimer's is the ultimate "long good-bye." Anticipatory grief is rampant, and perhaps inevitable, among Alzheimer's caregivers because of the slow, progressive, and incurable nature of the disease. University of Indianapolis researchers asked more than 400 caregivers the open-ended question, "What would you say is the biggest barrier you have faced as a caregiver?" The majority -- more than 80 percent -- referred to the loss of the person they used to know.
The friends and family of someone with dementia experience two difficult psychological states at once:
Anticipatory grief, coping with the very real feelings of loss for someone who is still alive
Ambiguous loss, interacting with someone who's not fully present socially or psychologically

via caring.com

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Saturday, March 12, 2011

Sending Out An Elder-Care SOS | cdaamerica

A growing number of websites, with names like CareCentral and Lotsa Helping Hands, are catering to such families. “It is the fastest-growing segment of our business,” says Jay Drayer, CEO of CareFlash, based in Austin, Texas, which services families with many types of health issues.

Like mainstream social-networking services, these sites make it possible for a caregiver to communicate with many people at once. Most allow families to post messages, blogs and photographs—and receive feedback from a supportive community. The services typically promise privacy and notify members when new information is added.

via cdaamerica.wordpress.com

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Thursday, March 10, 2011

NurseLine | Saint Luke's Health System, Kansas City, MO

NurseLine

Call 24 hours a day for physician referrals, appointments, class registration and health advice

Call Saint Luke's NurseLine at 816-932-6220 (or 800-932-6220 outside Kansas City) to find a Saint Luke's physician, make an appointment and more.

We offer personalized access, 24 hours a day, to referral specialists and registered nurses.

Call us:

When you need help finding a physician or specialist

When you need assistance finding a service at Saint Luke's Health System

When you'd like help registering for a Saint Luke's class

When your doctor's office is closed and you're not sure how to handle a non-emergency medical situation

When you need more information about a medication you're taking and your pharmacist is not available

When a family member is diagnosed with an illness and you have questions

Any time you have a health-related concern or question

Our nurses and referral specialists:

Help evaluate current symptoms and determine, if necessary, how quickly to access medical care.

Provide home care advice to ease your symptoms.

Answer your health care questions.

Provide customized physician referral, based on your requirements.

Make a physician appointment.

Register you for one of our many community education classes including fitness, nutrition, birth preparation and parenting.

Provide information about all of Saint Luke's Health System's facilities.

via saintlukeshealthsystem.org

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Thursday, February 24, 2011

Nearly 60% of paid home caregivers make medication errors, study finds - McKnight's Long Term Care News

One-third of paid caregivers who work for clients who live in their own homes had difficulty reading and understanding health-related information and instructions. Furthermore, 60% of them made medication errors involving their clients, according to Northwestern University researchers, who say the study is the first of its kind.

Investigators at the university recruited 100 paid, non-family caregivers in the Chicago area and evaluated their literacy with health-related tasks and knowledge. While researchers emphasized that the majority of caregivers are good people who are trying to support their families, medication-error levels are a serious cause of concern.

They found that most paid caregivers are women with an average age of 50 years old. Many are foreign born with limited schooling. They are usually paid about $9 an hour, though almost one-third earns less than minimum wage.

via mcknights.com

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Wednesday, February 23, 2011

Connected for Life Now Features Ask Mayo Clinic Nurse Line

Family Health Network is excited to announce that its Connected for Life^SM online program for caregivers of aging loved ones will now feature access to Ask Mayo Clinic nurse line. Seniors who are part of the program will now have 24/7 access to expert health advice from Ask Mayo Clinic registered nurses. This additional service further enriches the Connected for Life^SM online program which breaks down longstanding barriers to technology use by seniors and helps families stay in touch, monitor, and assist older family members who desire to live healthier and longer at home.
“Mayo Clinic is world renowned for being a leader in medical care, research and education,” said CEO of Family Health Network, Harry Bailes. “Now, in addition to connecting seniors with family members and caregivers, we can offer them access to Ask Mayo Clinic nurse line that represents one of an expanding list of additional resources available through membership in Connected for Life^SM

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Patients find plenty of health information on line, but not all of it is reliable

The Internet has no equal as an information storehouse. The trick is to know how to get right to a source of useful information and not waste time on Web sites that are biased, trying to sell you something or just plain wrong.

Marvin M. Lipman, Consumers Union's chief medical adviser, recalls having a patient who made a Google search and somehow settled on an abdominal aortic aneurysm (a worrisome bulge in the body's main blood vessel) as the logical explanation for his midback pain. No reassuring on Lipman's part eased the patient's apprehension. It took a sonogram to convince him he wasn't at death's door.

Lipman had another patient who was referred to him after her primary-care physician told her she had Graves' disease (an overactive thyroid). She arrived for her appointment armed with computer printouts of useful, accurate information and fully prepared to discuss the pros and cons of treatment options for her problem.

via washingtonpost.com

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Saturday, February 19, 2011

Caring For Elderly Parents: Top 10 Concerns | cdaamerica

Posted on February 15, 2011 by cdaamerica| Leave a comment

By AgingCare.com

Parents care for their children, to strengthen body and mind, and
nurture them forward to independence. Siblings, grandparents, aunts and uncles, cousins and even friends and neighbors often join in the family circle, helping to care for the kids. Such is what caregiving is all about, a nurturing,
supportive commitment by family and extended family members. Many of us have the opportunity to return that same level of commitment and support to Mom, Dad or both as they age.

It is time to return the favor, not just individually, but as a family, to
provide support where necessary and preserve your parents’ ability and
independence as long as possible. What are the 10 most important family concerns in caregiving for a parent? Consider:

1. Rally the Troops

Deborah Halpern, Communications Director for the non-profit National Family Caregiver’s Association, urges that caregiving your parent is not a one-person job or burden. Instead, you should have a family team that includes friends and neighbors, each with a role and responsibility in the caregiving process. There must be a ringleader, according to Halpern, who contacts each family member with the invitation or challenge to”step up to the plate and help.”

Consider the team concept as akin to hiring for different jobs in a company.
Everyone is good at something, while he or she may be inept or less than
qualified in another task or field. When several family members are involved,
even for just a few hours each week, the burden on the primary caregiver is
reduced significantly. Sharing responsibilities also brings more family members
into active contact, sharing, support, monitoring, understanding and visiting
with Mom or Dad.

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Friday, February 4, 2011

Asperger’s Syndrome: Struggling to Be Next to Normal « Fern Life Center

My oldest child, Cameron, who is now 21 years old, was diagnosed with Asperger’s Syndrome (AS) when he was in 5^th grade. He is graduating next semester with a four-year college degree and an intention to proceed to graduate school. Any parent with a child on the “Autistic Spectrum” will recognize the journey that we took to get to that diagnosis and to this place. I am writing this blog to help others out there who are teachers, caregivers, family members, friends, and/or healthcare providers of these very special kids. I say special not in a sense of somehow handicapped, but special as in unique and with something to offer the world that comes through a lens of rigorous authenticity. People with AS are known for their unrelenting honesty and inability to tell even the whitest of lies to please another. What a wonderful gift for society to receive; members who have integrity that is so deeply ingrained that it is actually almost impossible to lie.

The reason I had my child evaluated was because of a parent teacher conference gone bad. Cameron’s 5^th grade teacher felt I was too “enmeshed” with him and was milking the system for the individualized educational plan (IEP) he had in place. She felt that he would function just fine without my “interference”. His IEP stipulated he was to have someone sit next to him at the front of the room that didn’t fidget or interrupt in class. That particular 5^th grade class was full of boys who had been diagnosed with Attention Deficit with Hyperactivity Disorder (ADHD) and Cameron was falling through the cracks. There had never been such a distorted ratio of boys with ADHD and so few girls in this elementary school before and the teachers were at their wits’ end trying to teach them and maintain order. Kids with AS frequently sit in class and daydream of their latest passionate interest and can get lost in the river of education as a result. I had asked for one of the quiet, steady girls to sit next to him so he wouldn’t get distracted and come home not knowing what was discussed in class.

When the teacher told me I was the problem, I thought to myself, “maybe she’s right, maybe Cameron and I should both be tested and see what is going on. Let’s face it, I AM stressed that my son doesn’t pay attention in class, is distracted on the soccer field by an ant hill, hums quietly to himself at the dinner table, and doesn’t get invited to birthday parties. Maybe reading about birds of prey, building mobiles of birds of prey, going to the Museum of Natural History in Salt Lake City for the birds of prey exhibit EVERY WEEK, making masks that represent birds of prey, doing a hawk on his birthday cake, and generally immersing myself into the world of birds of prey with Cameron is a big mistake. (Birds of prey were his current passion and he could tell you EVERYTHING about the subtlest feature of each of the birds of prey in the wild you could possibly want…and much, much, more).

via fernlifecenter.com

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Sunday, April 10, 2011

By Paula Spencer, Caring.com senior editor

Wednesday, April 6, 2011

Monday, April 4, 2011

Other products and companies referred to herein are trademarks or registered trademarks of their respective companies or mark holders, and are not owned or affiliated with Nursefriendly, Inc. or any of it's affiliated companies.

Friday, April 1, 2011

Thursday, March 31, 2011

By Carol O'Dell, Caring.com Contributing Writer

My neighbor depends more on me for care than on her own family.

Sunday, March 20, 2011

Lesson #1: Don't wait until the last minute

Wednesday, March 16, 2011

Sunday, March 13, 2011

By Paula Spencer, Caring.com senior editor

What is anticipatory grief?

Why Alzheimer's caregivers are vulnerable to anticipatory grief

Saturday, March 12, 2011

Thursday, March 10, 2011

Thursday, February 24, 2011

Wednesday, February 23, 2011

Saturday, February 19, 2011

1. Rally the Troops

Friday, February 4, 2011

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