HOW IS SKILLED NURSING AT A LIFE PLAN COMMUNITY DIFFERENT THAN A NURSING

Physical activity helps your brain, but did you know even some sedentary activities can ward off cognitive decline? Creative crafts, reading, and puzzles such as Sudoku or Scrabble keep your brain mentally stimulated. Try word and number games rather than TV or gaming. So, when you rest your body, make sure you're still engaging your brain. Summary: New research highlights that some sedentary activities, like reading or crafting, are better for brain health than others, such as watching TV or gaming. A study of 397 older adults found that mentally stimulating and socially engaging activities support memory and thinking abilities, while passive screen time is linked to cognitive decline.This insight is crucial, as 45% of dementia cases are linked to modifiable lifestyle factors. Researchers suggest swapping passive activities for more engaging ones to protect brain health, even during indulgent holiday marathons.Key FactsCognitive Benefits: Reading and social engagement improve brain function, unlike passive screen time.Preventable Risk: 45% of dementia cases could be reduced through lifestyle changes.Healthy Swaps: Small activity changes, like breaking up TV time with reading or movement, benefit the brain.Source: University of South AustraliaIts that time of the year when most of us get the chance to sit back and enjoy some well-deserved down time. But whether you reach for the TV controller, or a favourite book, your choice could have implications for your long-term brain health, say researchers at the University of South Australia.Assessing the 24-hour activity patterns of 397 older adults (aged 60+), researchers found that the context or type of activity that you engage in, matters when it comes to brain health. And specifically, that some sedentary (or sitting) behaviours are better for cognitive function than others.When looking at different sedentary behaviours, they found that social or mentally stimulating activities such as reading, listening to music, praying, crafting, playing a musical instrument, or chatting with others are beneficial for memory and thinking abilities. Yet watching TV or playing video games are detrimental.Researchers believe that there is likely a hierarchy of how sedentary behaviours relate to cognitive function, in that some have positive effects while others have negative effects.Its a valuable insight that could help reduce risks of cognitive impairment, particularly when at least 45% of dementia cases could be prevented through modifiable lifestyle factors.In Australia, about 411,100 people (or one in every 1000 people) are living with dementia. Nearly two-thirds are women. Globally, the World Health Organization estimates that more than 55 million people have dementia with nearly 10 million new cases each year.UniSA researcher Dr Maddison Mellow says that not all sedentary behaviours are equal when it comes to memory and thinking ability.In this research, we found that the context of an activity alters how it relates to cognitive function, with different activities providing varying levels of cognitive stimulation and social engagement, Dr Mellow says.We already know that physical activity is a strong protector against dementia risk, and this should certainly be prioritised if you are trying to improve your brain health. But until now, we hadnt directly explored whether we can benefit our brain health by swapping one sedentary behaviour for another.We found that sedentary behaviours which promote mental stimulation or social engagement such as reading or talking with friends are beneficial for cognitive function, whereas others like watching TV or gaming have a negative effect. So, the type of activity is important.And, while the move more, sit less message certainly holds true for cardiometabolic and brain health, our research shows that a more nuanced approach is needed when it comes to thinking about the link between sedentary behaviours and cognitive function.Now, as the Christmas holidays roll around, what advice do researchers have for those who really want to indulge in a myriad of Christmas movies or a marathon of Modern Family?To achieve the best brain health and physical health benefits, you should prioritise movement thats enjoyable and gets the heart rate up, as this has benefits for all aspects of health, Dr Mellow says.But even small five-minute time swaps can have benefits. So, if youre dead set on having a Christmas movie marathon, try to break up that time with some physical activity or a more cognitively engaged seated activity, like reading, at some point. That way you can slowly build up healthier habits.This research was conducted by a team of UniSA researchers including: Dr Maddison Mellow, Prof Dot Dumuid, Dr Alexandra Wade, Prof Tim Olds, Dr Ty Stanford, Prof Hannah Keage, and Assoc Prof Ashleigh Smith; with researchers from the University of Leicester, and the University of Newcastle.Author: Annabel MansfieldSource: University of South AustraliaContact: Annabel Mansfield University of South AustraliaImage: The image is credited to Neuroscience NewsOriginal Research: Open access.Should We Work Smarter or Harder for Our Health? A Comparison of Intensity and Domain-Based Time-Use Compositions and Their Associations With Cognitive and Cardiometabolic Health by Maddison Mellow et al. Journals of Gerontology Series A

Rehabilitation Services Provided in Skilled Nursing FacilitiesRehabilitation services are a cornerstone of skilled nursing facilities (SNFs), designed to help individuals recover from illnesses, injuries, or surgeries and regain their independence. Heres a closer look at the rehabilitation services offered in skilled nursing facilities and their benefits.1. Physical TherapyPhysical therapy is a critical component of rehabilitation in skilled nursing facilities. It focuses on helping residents restore strength, mobility, and physical function after surgery, injury, or a medical event such as a stroke. Key aspects of physical therapy include: Strength Training: Exercises to rebuild muscle strength and endurance. Balance and Coordination: Techniques to prevent falls and improve stability. Mobility Exercises: Activities designed to improve range of motion, walking ability, and the use of mobility aids such as walkers or wheelchairs. By working closely with licensed physical therapists, residents can achieve improved independence and a better quality of life.2. Occupational TherapyOccupational therapy in SNFs is designed to help residents regain the skills needed for daily living. This therapy focuses on enhancing a persons ability to perform activities of daily living (ADLs) such as dressing, grooming, eating, and bathing. Specific interventions include: Adaptive Techniques: Teaching residents how to use assistive devices or modify tasks to suit their abilities. Fine Motor Skills Training: Improving dexterity for tasks like buttoning clothes or holding utensils. Energy Conservation Strategies: Helping residents manage fatigue and perform tasks more efficiently. Occupational therapists work with residents to restore independence and adapt to new physical or cognitive limitations.3. Speech TherapySpeech therapy addresses communication and swallowing difficulties that may result from strokes, neurological disorders, or other medical conditions. Speech-language pathologists (SLPs) in skilled nursing facilities focus on: Swallowing Therapy: Treating dysphagia (difficulty swallowing) to prevent complications like choking or aspiration pneumonia. Communication Training: Helping residents regain or improve their ability to speak, understand language, or use alternative communication methods. Cognitive Therapy: Assisting residents with memory, problem-solving, and organizational skills. Speech therapy improves both safety and quality of life by enabling residents to eat, communicate, and engage with others effectively.4. Specialized Rehabilitation ProgramsSkilled nursing facilities often provide rehabilitation programs tailored to specific conditions, including: Post-Stroke Rehabilitation: Combining physical, occupational, and speech therapies to address the multifaceted challenges of stroke recovery. Orthopedic Recovery: Rehabilitation for individuals recovering from joint replacement surgeries, fractures, or other musculoskeletal injuries. Cardiac Rehabilitation: Programs focused on improving heart health and endurance following heart attacks or surgeries. Neurological Rehabilitation: Care for residents with conditions such as Parkinsons disease, multiple sclerosis, or traumatic brain injuries. These specialized programs ensure that residents receive targeted care to address their unique recovery goals.5. Benefits of Rehabilitation Services in Skilled Nursing FacilitiesRehabilitation services in skilled nursing facilities offer numerous benefits, including: Faster Recovery: Access to expert care and tailored therapies helps residents recover more quickly. Enhanced Mobility and Independence: Therapy restores physical function and confidence, enabling residents to perform tasks on their own. Improved Quality of Life: Rehabilitation helps residents regain their abilities, reducing frustration and fostering a sense of accomplishment. Preventing Complications: Therapies such as swallowing training and balance exercises minimize risks like choking, falls, and re-hospitalization.

Choosing the right skilled nursing facility is an important decision that can significantly impact the quality of care and quality of life. Below is a guide to the key elements to look for when selecting a skilled nursing facility.1. Accreditation and LicensingThe first step in evaluating a skilled nursing facility is verifying its licensing and accreditation. Ensure the facility is: Licensed by the state and meets local regulations. Medicare- and Medicaid-certified if you plan to use these programs. Accredited by reputable organizations such as The Joint Commission, which indicates a commitment to high standards of care. These credentials reflect the facilitys adherence to quality and safety standards.2. Quality of CareThe quality of care provided is the most critical factor. To assess this, consider: Staff Qualifications: Are there licensed nurses and certified nursing assistants on duty 24/7? Staff-to-Resident Ratio: Facilities with lower ratios can provide more personalized care. Specialized Services: Does the facility offer care tailored to specific needs, such as memory care, post-stroke rehabilitation, or palliative care? Inspection Reports: Request state inspection reports to review any past deficiencies or complaints. You can also read online reviews and speak with current residents or their families for firsthand feedback.3. Medical and Rehabilitation ServicesEnsure the facility offers the medical and rehabilitation services required for your or your loved ones needs, including: On-site access to physicians and therapists. Physical, occupational, and speech therapy programs. Advanced care for chronic conditions, such as diabetes, heart disease, or dementia. Post-surgical or wound care management. The availability of specialized services can make a significant difference in recovery and comfort.4. Cleanliness and SafetyA well-maintained facility promotes better health outcomes and reduces the risk of infection or injury. During your visit, take note of: General cleanliness in resident rooms, common areas, and bathrooms. Safety features such as handrails, wheelchair-accessible spaces, and emergency call systems. Infection control measures, including protocols for managing contagious illnesses. A clean and safe environment is essential for both physical and emotional well-being.5. Resident Engagement and ActivitiesSocial and emotional well-being are crucial to a residents overall quality of life. Look for facilities that offer: A variety of activities, such as group exercises, arts and crafts, and outings. Opportunities for social interaction and community engagement. Access to spiritual or religious support. Facilities with a strong focus on enrichment can help residents stay mentally stimulated and emotionally fulfilled.6. Meals and NutritionProper nutrition is a key component of recovery and health maintenance. Evaluate the facilitys dining services: Are meals nutritious, balanced, and tailored to dietary restrictions? Does the facility accommodate special diets, such as diabetic or low-sodium options? Is assistance available for residents who need help eating? Request to sample a meal during your visit to experience the quality firsthand.7. Staff Attitude and CultureThe demeanor of the staff can have a profound impact on a residents experience. Observe interactions between staff and residents: Are staff members respectful, patient, and caring? Do they communicate clearly and listen to residents needs? Is there a sense of warmth and professionalism? A positive, compassionate staff culture can make a facility feel like home.8. Options Cost and PaymentUnderstanding the cost of care is essential for making an informed decision. When evaluating a facility: Request a detailed breakdown of costs, including room rates, medical services, and additional fees. Ask about accepted payment options, such as private insurance, Medicare, or Medicaid. Inquire about financial assistance programs if affordability is a concern. Having a clear understanding of costs helps families plan for long-term care.