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Monday, November, 23, 2009
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Sadness and Anger are Consuming...............

j

j

Monday, September 28, 2009
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As many of you know, I moved my Mom into a Catholic skilled nursing facility because of continuous lack of appropriate care and safety concerns at the previous facility.  The first week my Mom was doing much better with the transition than I had expected.  I felt comfortable and began to tr...
  1. nursing home
    Carol Bradley Bursack
    Monday, September 28, 2009 at 12:17 PM

    This is horrible, Jan. You are right that the situation was handled in an unacceptable manner. This caregiver should have gotten support from a supervisor and if your mom needed anti-anxiety meds, she should have gotten them. Restraint is illegal in many states unless under very unusual circumstances.

     

    I would talk with the floor supervisor about the behavior you witnessed as well as the restraint. If you don't get satisfaction, talk with the administrator. Your ombudsman (every state has one) may need to be contacted, but I'd let the nursing home try to change how things are done. If you no longer feel your mother is in a good home, are there options? This shouldn't be tolerated.

     

    You have every right to be angry and upset. Please keep us posted.

    Carol

    Reply
    re: nursing home
    j
    Tuesday, September 29, 2009 at 12:29 AM

    Carol,

     

    Today I met with the Nursing Supervisor and 2 of the Nuns that run this facility.  What I experienced was immediate action to correct the situation with the caregiver who baited and laughed at my Mom when she was angry and upset and was told that this behavior will not and is not tolerated.  I requested that this caregiver not be assigned to my Mother in the future due to her immaturity and ignorance.  They all agreed that this request would be granted and this caretaker will make a formal apology to me and my Mother.  They made no excuses for this behavior and said they have already spoken with this caregiver about this situation and she has been reprimanded. 

     

    I found out what actually happened with the restraining incident.  One of the caretakers put my Mom in a wheelchair and placed the seat belt on her.  She did not feel she was restraining my Mom because she felt my Mom was able to unlock the belt by herself.  I told them that my Mom is not able to unlock herself from a safety belt.  The administrator expressed that they NEVER restrain anyone and immediately had this particular wheelchair taken off of the floor so that the caretakers would not do this again.  They also said they would revisit this concern with their staff.  I was very clear that I do not want my Mom restrained and asked them to call me anytime even in the middle of the night if they were having difficulty managing my Mom and I would be there to help within 10 minutes.  They agreed and assured me that they have found my Mom to be quite easy to redirect and love having her there. 

     

    I honestly believe them and feel much better tonight.   Thank you so much for your kindness and compassion when I'm losing it (smile). 

    Reply
    re: re: nursing home
    Carol Bradley Bursack
    Tuesday, September 29, 2009 at 07:58 AM

    Jan, I am so relieved. I have been where you are. You are doing everything right. I think you can believe these people.

     

    Watch, of course. But they hire people in good faith. Even the caregiver who waas so foolish likely acted out of immaturity and ignorance, as you said. However, there have been incidences in very good homes where they have hired young people who really don't like "old people." What we consider abuse - and is abuse - they view as stress relief from their job. This hasn't been tolerated, of course. People have been fired and one even arrested. So, we must ever be vigilant.

     

    That said, you have your mom in what sounds like a good home and you need to regain their trust so you can rest. You, like I was, are minutes away. I made many a night trip to the home (and to ER). They knew I was available and made good on calling me. Some floor nurses were overly concerned and called in the middle of the night for something that could have waited, but that was okay. Most had good judgment. They knew I'd be up in the morning, so if it wasn't something that needed tending to immediately, they waited.

     

    I believe these nuns, too. I'm so glad you didn't run to an ombudsman without going through channels. I always ask people try the supervisors first, as most of the time the people in charge want to do the right thing. If things don't change, then pull out all stops. But what you did was exactly proper and will, I believe, have good results.

     

    Blessings to you Jan. You are on my mind. Your circumstances remind me so much of my own (only I have several elders to keep an eye on). Keep us posted and try to take care of yourself.

    Carol

    Reply
  2. Untitled Comment
    N.C.
    Monday, September 28, 2009 at 12:36 PM

    Jan, I am so sorry that things are not going well. I think the caregivers are just not professional enough given that they laugh about it in front of her.  I heard from my father-in-law's home care nurse that the nursing homes do restrain the elders although it may not be legal or whatever. That is one reason that we still put my FIL at home with 24 hours care. But it is so expensive at this point. We are trying to wait and see and won't send him to a home unless necessary.

    Is it possible that you could care for her at home hiring professional caregivers? This would be pricey but you don't need to hire overnight people as you are in the house.

     

    I can see that the problems seem to be always on the caregivers in the home according to your stories. The manager or nurse can alway tell you rosy pictures of their caregiving in the home. Is there any way to find out if these caregivers are certified nursing aids? Or some are just part-time and work temporarily? In my experience, the caregiver is important - a very young teenager or college kid who is not certified nurse aid is not good enough for this kind of situations.

     

    What Carol recommeds is very good as she has the experience of nursing home. Hope you will find a way out of this.

     

    Take care,

    Nina

    Reply
    re: Untitled Comment
    j
    Tuesday, September 29, 2009 at 12:39 AM

    Hi Nina,

     

    As you can see by my response above I think I now have this situation resolved.  All of the caregivers in the skilled nursing facility my Mother lives in now are certified nurse assistants.  I agree with you that some of the younger caregivers are just not mature enough to handle this situation.  For the small amount of money they pay the caregivers in these facilities what I have found is that most of them are not just there for a paycheck, rather they gain much greater rewards for the compassion and love they give and receive. 

     

    At this time, I don't believe having my Mother in my home is an option even with full time help.  It takes an army to care for these people when they get in the more advanced stages of their disease.  I just don't believe I could provide the best possible care for my Mother even with help at home now.  I do the best I can and help every day when I visit her.   

     

    Thanks for your thoughts and support. 

    Jan 

    Reply
    re: nursing home
    N.C.
    Tuesday, September 29, 2009 at 11:02 AM

    Jan, I am glad the situation has been resolved. The administration is pretty good at this. Most of the time, some caregivers do it because they have the compassion to do so.

     

    I just hope we don't run into those young caregivers. We are also thinking between nursing home and home care, and I tend to think the nursing home has more to offer these patients as there are programs and activities and peers in the home. It is hard to move my FIL to a home, or it is just in our mind - and we were scared by the home care agents' warning. I think they want to keep the business.

     

    Anyway, you gave me more confidence about nursing home. One thing I see is that the  family has to be nearby. So we would need to move my FIL to New York or Vermont to be closer to us. He is in Illinois now.

     

    I sure hope your Mom will enjoy this new home for the rest of her life. Catholic homes should be nicer anyway.

     

    Take care,

    Nina

    Reply
    re: re: nursing home
    j
    Tuesday, September 29, 2009 at 11:59 AM

    Thanks Nina.  Moving your FIL to a nursing home would be very difficult and I agree that being close to oversee their care and help with the transition is beneficial to everyone.  In the situation we are in with our loved ones there is never going to be an easy or perfect solution.  I wish you and your family the best and will keep you in my thoughts and prayers. 

     

     

    Reply
  3. For Jan
    Cristy
    Wednesday, September 30, 2009 at 04:25 PM

    Dear Jan I was not at all surprised to here what happened to your mom and the behavior of the staff . I would stongly suggest contacting whoever is in charge of this facility and sitting down with them face to face. I would also contact the Ombudsman Representative for your state and file a complaint, and if you want to take it further to ensure that your mom gets the proper caring for notify Adult Protective Services. I was a caregiver for a facility and I was taught as well as educated that compassion and patience is the key tools in taking care of a loved one with Alzheimers I know this maybe easier said than done but you are the only true advocate for your mom and if going to the facility heads are non successful you need to take it further as well as notifying your moms Physician of the events that are taking place, my heart goes out to you.

    Reply
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