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Aging Well
You and the Nursing Home Staff
Build a team approach to caring for your loved one
"No one enters a nursing home under happy conditions,” says Russell Rentler, M.D., geriatrician with Lehigh Valley Hospital and Health Network and medical director of several local nursing homes. “Typically, family members are exhausted, upset and sometimes feeling guilty that they can no longer care for Grandma.”
It’s a big transition—but it’s also an ideal opportunity for team-building. “Now is the time to create a good relationship with the nursing home staff,” Rentler says. “You can help them understand how best to care for your loved one, and that works to everyone’s advantage.”
Laying the groundwork Have a conference with the nursing home staff soon after your relative is admitted, says Rentler’s colleague, clinical nurse practitioner Heidi Singer. Bring a copy of the patient’s medical insurance information, living will (defining her wishes for end-of-life care), and durable medical power of attorney (giving another person the power to make medical decisions if she can’t).
At the conference, your goal is to gain a clear understanding of your relative’s diagnosis and treatment goals. “People often think the nursing home is the end of the line, but that’s not always true,” Singer says. While patients with progressive illnesses like Alzheimer’s need ongoing care, those recovering from a stroke, heart attack or surgery often can return home.
Keeping in touch During your ongoing visits to the nursing home, make an effort to get to know the care team. Ask the recreation director if Mom participated in today’s activity. Ask the aide who helps with meals if she ate well. Observe a physical therapy session to see her progress.
If she has specific likes or dislikes, tell the staff. Write out requests (“Please let Marie hold her rosary for a few minutes before she falls asleep.”) and post them in a visible place.
Between visits, the day-shift charge nurse can provide telephone updates. “Choose a family spokes-person to make and receive calls,” says Cara Scheetz, elder life specialist at Lehigh Valley Hospital and Health Network. “When nurses don’t have to talk with several siblings, they have more time for patient care.”
Addressing concerns If you’re concerned about some aspect of your loved one’s care, don’t be afraid to speak up as her advocate. Ask for a conference with the appropriate staff, and be specific without being accusatory. Caregivers should be willing to work with you to clear up misunderstandings and solve problems. “Nursing home staffs do the very best they can to care for their patients with respect and compassion,” Rentler says.
And remember—don’t just speak up when things aren’t going well. “It’s important to show appreciation for your loved one’s caregivers when she herself can no longer do so,” Scheetz says.
Want to Know More about elder care options offered in the Lehigh Valley ? Click above.
The Nursing Home Team Most nursing homes have these people on staff:
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Medical director — A physician specializing in care of the frail elderly who is responsible for monitoring the medical management of residents and who also may become your loved one’s primary doctor in the nursing home
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Attending physician — A physician you choose, from a group connected to the nursing home, to become your loved one’s primary doctor
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Nurse practitioner — Master’s-level nurse who provides medical care to residents
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Charge nurse — Supervises the staff of a unit or floor
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Care staff (nurses and aides) — Give medication, dress, feed and bathe patients
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Dietitian — Plans meals with patients’ dietary needs in mind
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Recreational director — Plans activities and events
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Social worker — Helps with adjustment problems and acts as liaison with community resources
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Financial counselor — Helps with insurance and payment issues
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Therapists (physical, occupational, speech/language) — Help patients regain movement and speech
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Chaplain — Provides spiritual counseling
This page last updated 2/12/08 04:08 PM
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January February 2006
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