Mom’s memory is getting worse; isn’t it dangerous for her to live alone?”
“With Dad’s broken hip, he can’t get around very well. How is he going to take care of himself?”
“The doctor says that I should put my brother in a nursing home because of his paralysis. But he is only 32 and he doesn’t want to be with strangers. Can I manage taking care of him at home?”
These are increasingly familiar questions. Ordinary people with families, jobs, credit bills, busy lives are faced with questions like these every day. They wonder how they can protect their loved ones and give them the assistance they need while managing their own schedules, homes and finances.
There is no one answer that fits every situation. Families are wise to deliberate carefully when deciding how to help their loved ones. For adults who must assume the authority to make decisions for elderly parents, the role reversal can be particularly uncomfortable and difficult for both parties. While everyone’s situation is unique, there are common and practical approaches that others have used successfully to ensure that their loved ones receive the care they need. The ten most common choices are examined here for their potentially positive and negative impacts on families.
1. Skilled Nursing or Full-Care Facility / Nursing Home / Convalescent Home
These full-care facilities, regardless of what they choose to call themselves, provide 24-hour care to their residents. They typically have at least one registered nurse on staff and a handful of certified nursing assistants and unskilled labor. These facilities oversee the administration of doctor-prescribed medications and provide assistance with the necessities of daily living that include meals, bathing, dressing, and some additional needs. They act as contact points for physicians, family members, insurance companies and others. หาคนดูแล
Pros: Facilities must operate under federal guidelines to qualify for Medicare and Medicaid billing, so certain standards of care must be maintained to stay in operation. There is always someone on duty since they are 24-hour, full-care facilities and they normally have both a physician and registered nurse on staff and available during normal working hours. Some facilities have well-planned activities on a regular basis for residents to enjoy.
Cons: Even if the facility is fully staffed, there is little time for one-on-one interaction between the residents and their caregivers. For people with special needs (such as dementia, mobility issues or difficulties communicating), the limited access to staff members may be frustrating and detrimental, if not dangerous. Residents of these full-care facilities often suffer from loneliness, lack of stimulation, and depression.
2. Assisted Living Facility
These facilities offer apartment-style living to those who do not require assistance with the routine activities of daily life, but with amenities that may include: secured access, daily means in a common area, activity programs, management staff on premises, transportation, and personal services in or nearby the facility.
Pros: Seniors enjoy the conveniences and camaraderie that is often present in these facilities. They often build fulfilling relationships with fellow residents and enjoy the social aspect of assisted living. They maintain their independence and privacy, but have access to people who are close enough to help when needed, or to just keep an eye on them.