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Occupational Therapy for Caregivers

According to a report in 2016 by the National Academies of Science, Engineering, and Medicine (NASEM), at least 17.7 million individuals in the United States are family caregivers of someone aged 65 and older who has a significant impairment.

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Homecare Providers Tools and Objectives

 

The importance of being a home health care provider has risen in the past years – so much that in the next ten years, 1.1 million people will be working on it. Although it is assumed that only people in bed are cared for, homecare providers provide services to so many patients.

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Homecare Bathroom Safety Tips

Accidents happen all the time, but in-home accidents are one of the major causes of death for seniors. While a slip and fall accident can happen anywhere around the house, the bathroom is by far the most dangerous room for them. Considering slippery floors, showers that don’t have slip-resistant tiles, and don’t have a grab bar installed.

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Frailty, Vulnerability and Aging

The elderly, because of reasons of pride or because of mental impairment may not always state their problem or problems directly. Tolerance and patience may be required in teasing out the issues. Often a great deal of trust must be present before a frail elder will confide in a professional who may be caring for them.

Working with this group of older individuals simply takes more time to form a strong relationship to be effective. That relationship must also include a sincere and caring attitude. The older individual in return for that care may worry and want to give “gifts” of some sort to staff and caretakers. It is their way at an attempt of feeling less dependent and an attempt to have greater control over their situation.

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Belonging and Aging

In this article, I will be examining the concept of belonging, i.e. relationships with family, friends, and community as it relates to the aged individual.

There is a classic study by the researchers Lowenthal and Haven who qualify the importance of a caring relationship as a buffer against, what they declare “age-linked social losses.”

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The Potential of Music Therapy and Aging

Music therapy is an established, evidence-based concept that promotes the health goals within a therapeutic setting. Its benefits are recorded in numerous studies that recommend a personalized approach to conditions that include autism, brain injury, Alzheimer’s, pain management and more.

Music therapy benefits people of all ages, but especially the aged individual.

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Unlocking the Nursing Component Under the Patient-Driven Payment Model

Skilled nursing facilities (SNF) began operating under the Patient-Driven Payment Model (PDPM) on October 1, 2019. Many current SNF employees have only been exposed to the Resource Utilization Group (RUG) model that was retired on September 30, 2019. The RUG model included therapy groups that ultimately trumped almost anything clinical being treated in the SNF. This may have resulted in minimum data set (MDS) assessments under the RUG model that didn’t include all diagnosis, condition, and treatment information simply because it didn’t affect reimbursement.

The MDS assessment was originally created to assist SNFs with developing a comprehensive care plan for residents admitted to a SNF. In the 1990s, the MDS also became a payment tool under the RUG payment model. Consistent focus under the RUG model was on accuracy of therapy days and minutes captured on each MDS assessment. The number of days and minutes of physical and occupational therapy and speech-language pathology services was ultimately the deciding factor regarding RUG group and daily payment amount.

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Unlocking the Patient-Driven Payment Model’s Nontherapy Ancillary Component

Skilled nursing facilities (SNF) began operating under the Patient-Driven Payment Model (PDPM) on October 1, 2019. Many current SNF employees have only been exposed to the Resource Utilization Group (RUG) model that was retired on September 30, 2019. The RUG model included therapy groups that ultimately trumped almost anything clinical being treated in the SNF. This may have resulted in minimum data set (MDS) assessments under the RUG model that didn’t include all diagnosis, condition, and treatment information simply because it didn’t affect reimbursement.

The MDS assessment was originally created to assist SNFs with developing a comprehensive care plan for residents admitted to a SNF. In the 1990s, the MDS also became a payment tool under the RUG payment model. Consistent focus under the RUG model was on accuracy of therapy days and minutes captured on each MDS assessment. The number of days and minutes of physical and occupational therapy and speech-language pathology services was ultimately the deciding factor regarding RUG group and daily payment amount.

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Admitted to a Nursing Facility and Aging

The early days after admission to a skilled nursing facility are often critical to the newcomer. The anxiety surrounding the older person’s separation from his home, personal possessions and the dread of what may await him, may eventually intensify.

It is this time when a facility should be expressing their concern for this individual’s state of mind and how they plan to deal with it. Without a well thought out care plan there can be an unintentional disruption to the newcomer’s previous life that may leave him no opportunity of moving forward and settling into a new environment.

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Romance And Aging

Travel agencies try to persuade us that romance flourishes in the right setting. Advertisements barrage us with products that promise to make us sexy, glittering, powerful, desirable.

Although these messages are biased and superficial, they do touch upon the truth. There are circumstances that quicken our heartbeat and sharpen our appreciation for sensual possibilities. We feel good and want to share the feeling. We look good to each other and something very pleasant might well happen.

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The Caregiver’s Role and Aging

The role of the middle-aged offspring in caring for the elderly parent has been often described in social science research and popular magazines. Even as elders are being cared for, they are a source of support – emotionally, socially and financially – by providing living arrangements for the adult child who may be the caregiver.

The caregiver in an elderly couple is most frequently the wife, as women live longer than men and are usually younger than their spouses. If the woman is impaired, the husband will often become caregiver.

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The Well Elderly and Aging

The emergence of a population group identified as the well elderly is the result of social and demographic progress in the industrial world. More elderly people are living longer and poverty, frailty, and dependence are not necessarily the com­mon characteristics attributed to most old people.

The future portends a healthier well elderly population who are better educated and physically as well as emotionally prepared. Society has, at present, begun utilizing their capabilities for the foreseeable future, thus guaranteeing a potentially rich human resource.

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Learning New Things and Aging

Virtually everyone remains capable of learning throughout their lives. There is no known age at which the elderly lose their ability to learn new things although due to illness and other medical issues, many can and do experience increased difficulties in learning.

It may appear as if the elderly have failed to grasp any new ideas. This is not because they have been unable to learn, but because they may choose not to risk making mistakes and looking foolish – a caution which the old share with younger people.

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DEPRESSION: The Signs and Aging

We often mistake an old person’s quiet withdrawal and lack of complaint as philosophic acceptance when, in fact, she is putting her best possible face on a bitterly disappointing, humiliating or frightening situation.

Either assumption, that it is normal to be unhappy or that old people are somehow happy about being unhappy, obstructs our view of the person’s true state of mind. Signs of distress deserve attention in old age as much as at any point in the lifespan.

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Geriatric Nursing and Aging

“Professional education is acquired through the learning experience offered with courses preparing the student for the role of leader and teacher, and that can be implemented at a level of competency.” Eleanor C. Lambertsen, RN, Ed.D

Nurses play a critical role in caring for the sick and frail older adult, and in promoting healthy aging. Yet not only is there a general shortage of nurses in the United States, there are even fewer nurses who have specialized in geriatric skills. Of the 2.5 million registered nurses in the U.S., less than 15,000 are certified in geriatrics. And of the 111,000 advanced practice nurses, only 3,500 are geriatric nurse practitioners and/or clinical specialists.

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Overcoming Difficulties and Aging

We must realize that the comfort and well-being of an afflicted person can be improved even when a progressive disease process does exist. Environments can be adapted to allow for a measure of independence together with safety.

Instead of isolation, the person with a brain disease can be given the opportunity of continued social contact in a warm and friendly setting. I have personally seen women diagnosed with dementia, work confidently and competently in a kitchen provided for their use.

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In a World of Their Own and Aging

When a dying person senses that he is being abandoned and that others no longer feel he is worth their time and effort, he is likely to show very understandable mental and emotional reactions. He becomes demanding and agitated or more depressed. He thinks and talks in ways that may come across as peculiar to others.

For whenever patterns of communication deteriorate, it becomes increasingly difficult for an isolated person to speak logically. Unfortunately, reactions of this type often provoke responses that compound misery. Depressed because he feels abandoned, the terminally ill person may stop eating. Sensitive caregivers may recognize the psychosocial dynamics involved and increase their efforts to provide a sense of affection and security. Less sensitive people, however, may immediately resort to forced feeding through intravenous needles or gastrointestinal tubes. Or, they may decide the person is ready to die and let him go.

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Touch Deprivation and Aging

The following is a quote by the researcher, M. Schwab: “These early morning hours are terribly lonely…that’s when I have such a longing for someone who loves me to be there just to touch and hold me…and to talk to.”

Touch is the most important and neglected of our senses. An individual can survive without one or more of the other senses, but one cannot survive and live in any degree of comfort without the physical and emotional sense that touch is capable of offering.

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Therapeutic Touch and Aging

Western clinicians are beginning to embrace Eastern healing modalities more than ever, especially in regard to patients with unrelieved pain. According to Maureen Foye, an RN, employed at the in-patient pain management program at Spaulding Rehabilitation Hospital in Boston, “Many people don’t understand the role that Eastern healing can play in the management of pain.” Foye began working with patients in severe pain after being exposed to the principles of therapeutic touch. She has now come full circle by instructing other practitioners in the value of these principles with plans to conduct further research into the clinical effectiveness of energy healing and therapeutic touch associated with the field of pain management.

Many patients with chronic pain tend to isolate themselves. A major focus of the program is to therefore, create community among her patients.

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Ageism and Aging

Ageism and Aging are stereotyping and discriminating against individuals or groups on the basis of their age. The term was coined in 1971 by Robert Butler to describe discrimination against seniors, and patterned on sexism and racism. Butler defined “ageism” as a combination of three connected elements. They are prejudicial attitudes toward older people, old age, and the aging process. There are also other discriminatory practices against older people, such as institutional practices and policies that perpetuate stereotypes about older people.

Contrary to common and more obvious forms of stereotyping such as racism and sexism, ageism is more resistant to change. For instance, if a child believes in an ageist idea against the elderly with few people correcting him, then as a result, he will continue to grow into an adult believing in ageist ideas. In other words, ageism can become a self-fulfilling prophecy.

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