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Elder CareTips:
Mastering The Eldercare Maze

April 8, 2008

Our first subject today may be a harbinger for things to come, and if so, Hallelujah! We medical "consumers" are finally being acknowledged as not being complete ignoramasus (ignoramasi? ignoramasususus)...hopelessly ignorant.

The powers that be at CMS (Medicare) actually think we can use information to make good decisions about our medical care, and they are adding to the information previously available. Now, if we could just get some of our doctors to treat us (and our elderly) the same way!

Compare Hospitals

How well do you know your local hospitals, or the ones in your parents' community? Evidence shows that sometimes we don't know our hospitals as well as we think we do. It's true that pretty private rooms and a nice view are worth a lot, but they aren't top of the list when it comes to critical medical care.

Medicare may make you nuts sometimes, but they are takingCompare quality markers of hospitals and medical centers some very welcome steps to open the curtains that surround many of our medical "closed societies." The latest is the addition of more comparative information about U.S. hospitals that treat Medicare patients.

Since hospitals that don't treat Medicare patients are few and far between, this equates to some good information available to consumers about most North American hospitals.

Continue >>>

 

One of the most difficult things to contend with in a hospital is the assumption on the part of the staff that because you have lost your gall bladder you have also lost your mind.
~Jean Kerr

Other "Medicare Compare" Resources

In addition to the new Hospital Compare information, Medicare offers the following comparisons:

  Nursing Homes

 
Home Health Agencies

 
End Stage Renal Disease Facilities

 
Medicare Advantage Plans

 
Medicare Prescription Drug Plans

While it might be overwhelming to try to use these sites as your single resource for making a selection, they do help greatly with weeding out the really poor performers. And that's really the whole idea.

Thoughts About Activities

We're often asked about ideas for senior activities. The notion of "activities" is just a little tricky, when you think about it.

Older people who may just be a bit more frail than they used to be resent being presented with "activities" that would be more appropriate for a toddler. Most still have the interests they always had, though they may now watch golf or cooking on the television rather than actively participate.

Most activity suggestion lists are targeted toward adults with dementia who live in group care. Pass the ball, name that tune, and sing-alongs do work to some degree in these environments. Talk to many of the residents, however, and you'll hear from the more alert that these activities are demeaning, degrading and juvenile. Many would give their eye teeth for something mentally challenging and novel to do, even only once a week or even monthly:

Out of the house senior activitiesA trip to the library... A real movie in a real theater with a bag of popcorn, a drink, and sticky stuff under the seat ... A jaunt to the hardware store, especially if there is an old-fashioned one in the area. Home Depot will do in a pinch ... When it's warm enough, a sub sandwich or an ice cream on a shady park bench ... A visit to the local farmers' market before it gets too hot/cold ... An unhurried hour in a hobby or fabric store (you might be surprised to see what craft or kit excites interest).

Notice that most of these things involve leaving the house. Our non-driving seniors are dying to get out to do something other than visit a doctor.

Think about your elder's history. What did he or she enjoy doing back when "health" wasn't yet the determining factor? Is there a way to give him or her a taste of that again?

We all know that sorting beads, folding the flat laundry and other such activities may be helpful busy work for the Alzheimer's patient. Yet the majority of our seniors have no dementia. They might need some physical help, but they are also dying to have a little bit of life, too. Even if you can only give them one afternoon a month, can you plan something "different" to do for a few hours? You may find that you have even more fun than your senior.

If getting around outside is problematic, a travel wheelchair makes these kinds of excursions much more fun. We've talked about travel chairs before. These small wheelchairs are quite inexpensive for the freedom they offer. They are lightweight and a whole lot easier to manage than a full size chair. I highly recommend having one.


Old boys have their playthings as well as young ones; the difference is only in the price.
 
~ Benjamin Franklin

Until next time,

PS: New articles since we last spoke:

When Pets Can't Go

An Accessible Kitchen

 

   
 


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