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I recently found myself having to decide between a skilled nursing facility or inpatient rehabilitation center when it was time for my 104-year-old grandmother to be discharged from the hospital. Here she was doing well, and ready to transfer out of the hospital setting, but not strong enough to go back to her apartment in independent living.
How does one make the decision to go to one over the other? What are the pros/cons? Where will your loved one be the safest and get the care needed to regain strength and make it back home? These are questions that run through one’s mind and need to be answered when making this type of decision. While it is best to work on prevention to avoid a hospital stay in the first place, it’s good to know that there are options available that can help one transition between the hospital and home.
Remember that the number one cause of injury for seniors is due to falls. (CDC.gov) See our blog for information on How to Prevent Falling How to Prevent Fallin... (rubycaresenior.com)
Skilled Nursing Facilities and Rehabilitation Centers are great transition options. Medicare often required a min 3 day hospital stay before qualifying to stay at a Skilled Nursing Facilities and Independent Rehabilitation Centers. (cms.gov)
Skilled Nursing Facility (SNF)
Definition: Skilled nursing is a term that refers to a patient's need for care or treatment that can only be done by licensed nurses. Skilled nursing is mostly regulated by the U.S. Department of Health and Centers for Medicare & Medicaid Services (CMS). To be certified by CMS, skilled nursing communities must meet strict criteria and are subject to periodic inspections to ensure quality standards are being met. Often referred to as a nursing home although that actually refers to the actual building that skilled nursing is provided. (verywellhealth.com and harrogatelifecare.org)
The focus of care in SNF’s is on 24/7 medical care, assistance with activities of daily living (ADLs), and rehabilitation for those who require ongoing medical care.
Types of patients that go to SNFs typically require ongoing medical care, such as those needing wound care, healing from surgery, or chronic medical conditions.
One will typically have a longer stay, often a few weeks to months, when in a skilled nursing facility. Rehabilitation therapy is required 5 days a week, but not as intense.
Services covered by Medicare:
· Meals
· 24/7 Nursing available
· Activities of Daily Living (ADL) assistance
· physical, occupational therapy, speech therapy
· medication management
· social services
· medical equipment (DME)
· ambulance transportation to a medical facility for additional services needed when not available at the skilled nursing facility
Services NOT covered by Medicare:
· palliative or hospice care services or long-term care needs.
(Hospice care services are covered once rehabilitation is no longer an option and end of life is needed).
Inpatient Rehabilitation Center (IRF)
Definition: Inpatient Rehabilitation Facilities (IRFs) are freestanding rehabilitation hospitals and rehabilitation units in acute care hospitals. They provide an intensive rehabilitation program and patients who are admitted must be able to tolerate three hours of intense rehabilitation services per day. (cms.gov)
The focus of care in an inpatient rehabilitation facility is on rehabilitation and helping patients regain independence and mobility.
Types of patients that typically go to an IRF are those who have had a recent injury, illness, or surgery that requires intense rehabilitation to regain their ability to function independently.
One typically has a shorter stay of days up to several weeks and is required by Medicare to participate in a min of 3 hours a day or min of 15 hours per week of therapy (Physical/Occupational/Speech).
Who helps me decide where to go?
The Hospitalist – This is the internal Medicine doctor that oversees patient care while staying in the hospital. They will often make a recommendation.
Case Manager (Hospital) – Assigned to the patient to aid in navigation the transition from the hospital to SNF, Rehab Center, or home. If going directly home, they would also assist with Home Care options and DME.
Terms
· Rehabilitation – Short or Long-term inpatient rehabilitation is often covered under insurance after a serious surgery or injury. This can help not only provide daily therapy, but also provide a family caregiver some respite or allow for the injured party to gain some strength and mobility back before returning home.
· Physical Therapy - Often covered by insurance. One can receive physical therapy to help build overall strength and mobility of the area that was impacted. Services can be given in the hospital, skilled nursing, rehab, outpatient setting, or through Home Health.
· Occupational Therapy – This type of therapy is great for helping to discover new ways to do everyday activities that have become more challenging since an injury or fall. Typically covered by Insurance. Services can be given in the hospital, skilled nursing, rehab, outpatient setting, or through Home Health.
· Speech Therapy – This type of therapy is great for making sure swallowing, eating, drinking, and talking are all in good working order after surgery, injury, or serious illness. Is often covered by insurance, and services can be given in in the hospital, skilled nursing, rehab, outpatient setting, or through Home Health.
Care Assistance
· Home Care – Bringing in some assistance temporarily while recovering can help take the load off the day-to-day chores and assist with Activities of Daily Living (ADLs), allowing you to focus on healing and getting stronger. This is often private pay unless you have long-term care insurance or qualify for VA benefits.
While both SNFs and IRFs provide 24/7 medical care and rehabilitation services, they differ in what they focus on regarding the patients that they admit and the intensity of the rehabilitation services they offer.
What happened to grandma? Based on her level of energy and weakness due to her illness and the fact that it would take another week for her to start getting some energy back, it was decided the best choice would be a Skilled Nursing Facility. The 3 hours a day therapy requirement would have been too much at the time for her to endure. Happy to report she is truly remarkable and making good strides toward a full recovery. Go grandma go!
Britt Hemsell – Ruby Care Senior Living Advisor & Blog Contributor
The Waxahachie High School Alumni Association, also known as the Waxahachie Ex-Students' Association, has long been a pillar of support for its graduates. Established in 1961, the association has grown to become a vital resource for alumni, providing a range of services and opportunities to stay connected with their alma mater and fellow graduates.One of the standout features of the Waxahachie High School Alumni Association is its commitment to providing valuable resources to its members. Among these resources is the Seniors Blue Book, a comprehensive guide that offers information on senior living options, healthcare services, and other essential resources for seniors. This guide is an invaluable tool for alumni who are navigating the complexities of aging and seeking reliable information to make informed decisions about their future.In addition to the Seniors Blue Book, the alumni association offers a variety of other resources and services. These include: Scholarship Programs: The association awards numerous scholarships to graduating seniors each year, helping to ease the financial burden of higher education and support the next generation of Waxahachie graduates. Reunion Planning: The association assists alumni in organizing class reunions, providing a platform for classmates to reconnect and reminisce about their high school days. Community Events: The association hosts various events throughout the year, including homecoming celebrations, community-building activities, and volunteer opportunities. Networking Opportunities: Alumni can take advantage of networking events and online platforms to connect with fellow graduates, share career advice, and explore professional opportunities. The Waxahachie High School Alumni Association's dedication to supporting its members is evident in the wide range of resources and services it offers. By providing tools like the Seniors Blue Book and fostering a strong sense of community, the association ensures that Waxahachie graduates remain connected and supported throughout their lives. Click Here for more information about the Waxahachie High School Alumni Associationand the resources it provides.
You may have heard about senior placement agencies, but if you are not sure how they work or what they do, you arent the only one. Most families are not sure how to help elderly loved ones when they need to find an assisted living community or how to choose nursing homes that will provide loving care and have reasonable occupancy rates.Heres what you need to know about making an informed decision about communities in your local area so your elderly loved one can have the best possible living situation. Keep things like cost, personalized assistance, and quality of life in mind. How Online Senior Placement Agencies OperateIn todays world, its natural to research products and services online. However, when it comes to researching assisted living and memory care options for your loved one, beware! It can be confusing to understand how online senior placement agencies operate. When youre not clear on what senior placement services will do for you and your loved one or whether senior living placement services have your loved ones best interests in mind, its best to take a step back and do some additional research before committing to an agency. Whether you want to move your loved one into an assisted living community or somewhere else, heres what you need to know. An Example of Assisted Living ConfusionWhen you search for assisted living communities in your search engine, you may see numerous websites that are not assisted living facilities. Rather, theyre online agencies contracted with multiple assisted living providers in the given area. As you access their website information, you will notice that you are not reviewing the services and amenities of a specific assisted living or memory care community.If you call or enter your contact information into an online agencys website, your information may be emailed to multiple assisted living providers. This results in numerous phone calls and emails inquiring about your loved one and inviting you for a tour. Additionally, you may never meet their senior advisor other than by phone or email.While this process may be perfectly acceptable to you, please remember that it can occur during a stressful period when you must make a quick care decision for your loved one. It could also happen when youre not ready to decide because you are just doing some initial investigating.Theres certainly no risk to searching an online agencys website. Still, a good practice is to click on their privacy link at the bottom of their homepage to understand how they will disclose your information before providing your contact information. Should You Just Pick an Assisted Living Community?Some family members will choose a random senior living community for their loved ones. The decision may be because the community advertises independent living, is close to home, or the reviews look good. Unfortunately, thats not really a good way to select a senior care facility.Theres much more to finding quality independent or assisted living communities than a quick search. In general, you should look at senior living options with an eye toward medical care, financial burden, quality of senior care, living arrangements, desired location, and whether they can create a smooth transition for your loved one.If you think that sounds overwhelming, youre not alone. Making informed decisions can be hard, especially with so many senior living option considerations. Many seniors cannot safely make their own choices and rely on a family member to help them. Even if you do your own research, you may still not be confident that you are choosing the best place to support your aging loved one. How CarePatrols Senior Care Advisors Are Different Trying to go it alone when choosing a senior living community can be too difficult, but what if you dont want to give your contact information to senior placement services that are going to inundate you with calls during an already stressful time? Are those the only two ways you can find a senior living space for your loved one?Fortunately, theres a third option: CarePatrol.At CarePatrol, your contact information is treated confidentially until you wish to disclose it to a senior living provider to whom we introduce you. We offer a local, personalized, hands-on approach by preferring to meet with you in person, pick you up and accompany you on tours, and meet with your loved one at home, the hospital, a rehab facility, or wherever they are.Were not your typical senior placement agency. Were highly focused on helping people find assisted living communities or other senior living options for their loved ones. Our goal is to provide you with a stress-free process that doesnt add to your confusion or concern during an already difficult time.Our free service was started by a social worker after seeing the trauma inflicted on a family whose loved one was placed in the wrong kind of facility for their needs. We worked hard to become the pioneer organization and referral agency for placing loved ones in senior care, and we continue to focus on seniors and their families when they need us most.As a national network of local small business franchise owners, CarePatrols mission statement is to provide safer care options for seniors. What You Can Expect from Working with UsOur local senior care advisors are franchise owners who understand the value of protecting older adults and want to provide them with essential care options to meet their needs. If you have a loved one ready to move to a senior care community or need more than in-home care can provide, working with us can give you information and options.The aging process is complex, and many factors work together to influence the outcome of a senior living decision. We can help you navigate social, health, and financial concerns to find the right care option. Our local senior care advisors pre-screen all our facilities, so youll know what youre getting when we connect you.Working with us takes all the guesswork out of finding the right care options for your senior loved one so both of you can relax and enjoy more time together. Were honored to provide the value we offer to seniors and their families and are deeply committed to ensuring that your loved one will get the care they need in a comfortable place they can truly call home. Ready to Learn More?Reach out to us at CarePatrol of Western PA to discuss senior care options in your area. Our placement agency offers a free service to help you and your loved one find the right senior care option for their needs. The senior care industry can be difficult to navigate at times, especially for older adults, but with a little extra help, valuable insights, and a free consultation, you can decide if CarePatrols help is right for your loved one.Reach out to us today at 724-631-4950.
Understanding Parkinsons and Its Impact on FamiliesCaring for a loved one with Parkinsons disease presents unique challenges that require both emotional resilience and practical strategies. As the disease progresses, families often find themselves in unfamiliar territory, struggling to balance their personal and professional lives while ensuring their aging loved one receives the best care possible. This article provides an in-depth look at Parkinsons disease, how it affects families, and the essential steps to prepare for the caregiving journey.What is Parkinsons Disease?Parkinsons disease is a progressive neurological disorder that primarily affects movement, but it also has cognitive and emotional implications. It occurs when dopamine-producing neurons in the brain gradually deteriorate, leading to symptoms such as tremors, muscle stiffness, slowness of movement, and balance issues. As the disease advances, individuals may experience non-motor symptoms, including depression, sleep disturbances, and cognitive decline. Understanding these symptoms is crucial for families so they can recognize early warning signs and seek appropriate medical support.The Stages of Parkinsons DiseaseParkinsons progresses in five distinct stages, each presenting different challenges for caregivers:1. Stage One (Mild Symptoms) Symptoms are mild and may only affect one side of the body. Daily activities remain largely unaffected.2. Stage Two (Moderate Symptoms) Symptoms worsen, appearing on both sides of the body. Daily tasks become slightly more challenging.3. Stage Three (Loss of Balance and Independence Challenges) Falls become more frequent, and daily activities require more effort.4. Stage Four (Severe Mobility Limitations) Assistance is needed for most daily activities, and independent living becomes difficult.5. Stage Five (Advanced Parkinsons) The individual may be bedridden or require a wheelchair, with round-the-clock care needed. Understanding these stages allows families to anticipate changes and proactively plan for caregiving needs. Emotional and Psychological Impact on FamiliesThe emotional toll of caregiving can be overwhelming, particularly for busy professionals juggling work and family responsibilities. Watching a once-independent parents who struggle with Parkinsons can evoke feelings of sadness, frustration, and guilt. Many caregivers also experience burnout due to the constant physical and emotional demands of caregiving. To manage these challenges, families should consider the following: Seek Emotional Support Support groups for Parkinsons caregivers provide a space to share experiences and receive guidance. Practice Self-Care Caregivers must prioritize their own well-being to sustain their ability to provide care. Maintain Open Communication Honest conversations among family members can help in decision-making and stress management.The Role of Professional Caregiving ServicesAs the disease progresses, family caregivers often find themselves struggling to keep up with their loved ones increasing needs. Professional caregiving services like those offered by At Your Home Caregiving of Texas LLC provides expert assistance tailored to Parkinsons patients, ensuring they receive the highest level of care while allowing family members to focus on their own professional and personal lives. Some key benefits of professional caregiving include: Personalized Care Plans Professional caregivers develop customized care strategies based on the individuals specific symptoms and progression. Mobility Assistance Helping individuals move safely, reducing the risk of falls and injuries. Medication Management Ensuring medications are taken correctly and on time. Meal Preparation and Nutrition Support Creating Parkinsons-friendly meal plans to enhance overall well-being. Companion Care Providing social interaction and engagement, reducing feelings of isolation.Available Medical Treatments and Therapies While there is no cure for Parkinsons, several treatments and therapies can help manage symptoms and improve quality of life: Medications Dopamine-enhancing medications like Levodopa help alleviate motor symptoms. Physical Therapy Helps improve balance, strength, and flexibility. Speech Therapy Addresses difficulties with speaking and swallowing. Occupational Therapy Helps individuals adapt to daily activities using assistive devices and modified techniques. Deep Brain Stimulation (DBS) A surgical procedure that can help reduce tremors and improve motor control. By incorporating these treatments into a care plan, families can improve their loved ones comfort and independence.Early Planning for a Smooth Caregiving JourneyOne of the biggest mistakes families make is waiting until a crisis occurs before seeking professional caregiving support. High-paying geriatric care clients, such as the busy professionals looking after aging parents, benefit greatly from early planning.Some key steps include: Assessing Current and Future Needs Evaluating the stage of Parkinsons and determining what level of support is required. Exploring Home Care Options Researching caregiving services that align with the familys values and expectations. Financial and Legal Planning Consulting elder law attorneys and financial advisors to create a sustainable long-term care plan. Designating a Care Coordinator Assigning a family member or professional to oversee caregiving arrangements and medical needs.By addressing these factors early, families can avoid unnecessary stress and ensure their loved ones receive seamless, high-quality care. Why Choose At Your Home Caregiving of Texas LLC?For professional families with aging parents, finding a trustworthy and compassionate caregiving service is essential. At Your Home Caregiving of Texas specializes in providing exceptional in-home care tailored to high-net-worth families. With a commitment to dignity, independence, and personalized attention, the agency offers: Highly Trained Caregivers Experienced in Parkinsons care and advanced elder care techniques. Flexible Care Plans Ranging from part-time assistance to full-time live-in care. Seamless Communication Keeping family members informed and involved in caregiving decisions. Commitment to Excellence Prioritizing client satisfaction and quality of life.Final ThoughtsParkinsons disease is a complex condition that requires a proactive and well-thought-out caregiving plan. By understanding the diseases progression, seeking the right support, and planning early, families can ensure their loved ones receive the best possible care while maintaining their own professional and personal balance.At Your Home Caregiving of Texas LLC stands ready to support families on this journey, offering specialized in-home care solutions that provide peace of mind and exceptional care for aging loved ones. This article serves as a comprehensive guide for families navigating the challenges of Parkinsons caregiving. Future articles in this series will dive deeper into specific aspects of caregiving, from hospital stays and rehabilitation to long-term care planning and caregiver well-being.
When Its Time for Senior Living, We Help You Find the Perfect Community for You! With over 900 senior living options in the DFW area, Ruby Care helps families make informed decisions. We provide complimentary assistance to find the most appropriate living community including Indepenent Living, Assisted Living, Residential Care Homes, Memory Care & Nursing Home. Our ExperienceIf you've been searching for senior housing for you or your loved one, you know there are hundreds of senior living communities in the Dallas/Fort Worth area. Let Ruby Care help you. We do the legwork at no cost to you and help you find the place that is perfect for you and your family.Our professionals are well-known in the communities they serve. In order to help you best, they network with health care providers, such as home health, hospice, rehabilitation facilities, hospitals, physicians and other senior service providers.Collectively, our team has over 50 years of experience in healthcare and we are trained to listen to your needs so that we can work to find the best options for you...at no cost! Why Us?We know this can be a stressful time for you as you choose your next home. When you work with us, you will be assigned a Senior Living Advisor (SLA) who knows the community and has first-hand knowledge of the communities you are considering. Your SLA will meet with you in person and will listen to your wishes, wants and needs in order to help guide your next steps. Your SLA will also help you with senior living community tours and preparation to help guide you through the selection process. We serve as your advocate and help make this a smooth, seamless transition. Once you have selected a community, we continue to follow up for at least the next thirty days to make sure things are going well and there are no outstanding concerns. possibilities. placement. peace of mind.