It goes without saying that nobody wants to end in a nursing home. It's the only worst scenario in the imagination of most people. Would it be an exaggeration to say that it is "a destiny worse than death"? Do not worry, it's avoided and I'll tell you how. But first let's explore some ideas and define what a nursing home is.
First of all, you should know that on a particular day in the United States, 1 in 4 people over 65 years in a nursing home are temporarily. The chances for you, your parent or spouse spend some time in a nursing home at some point in your life are also 25%. Right high right? But keep in mind that there is a big difference in spending some days getting away from a hospital stay before going home, and lives in a nursing home. Let me clarify it for you.
There are several synonymous names for a nursing home: S.N.F. (pronounced "sniff") otherwise known as a skilled nursing facility, convalescent hospital, rehab, rehabilitation hospital, even sanitarium. "A rose with a different name …" right? Today, if an elderly person has a stay at the hospital, they still need some recovery time before they can safely return home. It can be a hip fracture, broken arm or even an infection or pneumonia; Nevertheless, they should spend a couple of days or a couple of weeks before they are allowed to go home. These days, hospitals release people "sickers and faster" because of the Medicare Reimbursement Plans. Several years ago, in order to save money, the Medicare system went through every possible cause of hospitalization and gave it a value of x-number of sick days and then told hospitals "that's what we pay you … period. And now it's a life situation that nursing homes are an important player in the Medicare system because they are cheaper than hospitals. So unless you are scheduled for surgery or you are in the ICU, you will be sent out ASAP to a proper nursing.
But on a given At the time there is a large percentage of patients in nursing homes there for the rest of their lives. They are considered to be in "care", they never go home. They are usually people who are going to be on "machines" 39, or just lose money and Medicaid is next to the bill. But the chances are for most of them, it could have been avoided.
So how do you avoid ending your days in a nursing home? Compromise . I will tell you that the best Way to avoid an ursing home is to move into a board and care or an assisted living before you get so sick that you lose all your options. It's like this: many older adults refuse to consider living until it's too late and then ends in a nursing home, sometimes for 5 or 6 years. And that was avoided. That's why: There are some weird rules in the licensing of aided community that makes it easy to "age in place" if you already live there when you begin to fall.
But the same rules make it very difficult to move into an assisted lifestyle if you are seriously chronically ill and try to move in for the first time.
For example, imagine two people who are very chronically ill, the one who moved into the assisted living early is allowed to stay, even go to hospice for the rest of their days, but the other who living at home when their health got worse will probably have a very difficult time moving into the AL community. The reason is the most assisted livings, which usually do not want to take someone who will drain their resources, and / or the licensor will not allow home access because of the severity of their illness. And if you have a limited income – forget it. Assisted Livings and board and nursing homes are only private wages. Medicare and Medicaid will not contribute a dime to make you living at home (even if it is cheaper for them). Why is another article, let's just say that Medicare and Medicaid pay for medical problems and that living aid is considered a social problem. The much longer explanation is found on public websites, or you can check out the places mentioned in my bio.
But to be honest, most people struggling to live alone should not hesitate to move into aided society! Unfortunately, many people believe that they maintain their "independence" by fighting alone at home when they are actually far from independence. And this is a big mistake because most older adults living alone are isolated, they rarely go out, they do not eat well, they can not keep up with cleaning, let alone basic housekeeping. They are often depressed because, in most cases, they have lived alone for years with only one company to television and most of their friends have moved on or moved away. But they continue to stay home alone without proper care, nutrition or socialization. Against all logic and argument about the opposite, they stubbornly depend on their error of independence.
Let me paint a picture for you. A step to a living living community is like a combination of moving into an apartment and going on an Alaskan cruise. Forgive my overgeneralization, but imagine this: At home you have an apartment-style suite that includes meals, household and lots of socialization and activities. A typical day consists of getting up and going for breakfast in a restaurant setting, and while you're out, the housekeeper comes and makes your bed (once a week, she changes all your lines). After breakfast you can go to the exercise class or library or just go and watch tv. When lunchtime rolls around you, go down to the dining room and have a nutritious meal and move on to the next activity or take a nap before you know its dinner. And after dinner there is a movie in the theater before going to bed. Sounds great? Remember never to shop for groceries, cook or wash a single bowl. You have not paid the utilities, maintain a car or even do your laundry. Every moment of the day is yours to do as you please. Now tell me who is really the "independent" person? Best of all, you are able to "age in place". You will develop new friendships and want an emotional support structure that stays with you indefinitely. Most people who are going to help are quite healthy with the usual range of aging-related problems, but as they grow older they will need more help: Assisted Living offers things like medical management, bathing aid, laundry services, transportation, household , meals, incontinence care and even dedicated one-on-one care. But few people need even half of these services when they enter. That's what we mean by aging.
In order to look at, most board and nursing homes and home-based communities must be licensed; a person can stay in an assisted life, no matter how bad they are; even until they qualify for hospice and end of life. (There are some insurmountable conditions, but they are so serious, you can not imagine them in other than a clinical setting like feed pipes and respirators). So if you're willing to compromise your "independence" a little early, spend the last couple of years in a supportive apartment complex setting and guarantee that you never never end up in "19459007" nursing care "in a nursing home.