Tuesday, February 17, 2015

AMERICA’S EMERGENCY CARE ENVIRONMENT ... American College of Emergency Physicians

ACEP 2014 EM Report Card: AMERICA’S EMERGENCY

CARE ENVIRONMENT


 About ACEP

The American College of Emergency Physicians (ACEP), founded in 1968, is the oldest and largest national medical specialty organization representing physicians who practice emergency medicine. With more than 32,000 members, ACEP continually monitors trends in the health care environment and analyzes issues affecting emergency physicians and their patients

Wednesday, February 11, 2015

4 Key Things to Know about Trusts and Medicaid Planning - AgingCare.com

4 Key Things to Know about Trusts and Medicaid Planning - AgingCare.com

 There are many types of trusts that can be helpful in protecting your assets while allowing you to qualify for Medicaid. This article is a brief overview of the things you need to know when setting up a trust.

It must be irrevocable: An irrevocable trust cannot be altered or amended, and are thus the only type of trust that offers any benefit for Medicaid planning.

Home Health Aide Certification and Certificate Programs

Home Health Aide Certification and Certificate Programs

 Each state has its own requirements for home health aide certification. Some states only require that the employing agency be certified, while others require home health aides to pass a certification exam following completion of an educational program. Besides a skills assessment examination, certification may also require a state administered criminal background check. Some states maintain a registry database of certified home health aides that can be accessed by the public
===============
Home Health Aide Training Requirements in MA

Massachusetts does not require a State issued certification, nor is
there a State exam required to be eligible to work as a Home Health
Aide.  Instead the State recommends national certification through the
National Association for Home Care and Hospice. The NAHC requires a 75 hour training course and a competency test before you are eligible to apply for their certification.

Tuesday, February 10, 2015

Who would come to take your place in a crisis | emergency

What would you do if you had a crisis and had to leave in an ambulance in the middle of the night?



Who take your place to help your/our loved ones?



I have have a plan "b" in a closed plastic file folder with compartments in my car. It has our POA's, medical stuff, and health care proxy. I have also sent copies of POA and med proxies to the local hospitals' medical records.

Here is a early copy of the plan-B document {medial information for responders} which is in a "File of Life" folder.

Medic Information for responders
Our phone number:

Our home address:

--

Emergency call 911

Preferred Hospital:

Local hospital:

--

MedicAlert Services (med information) 800 432 5378

caregiver ID xxxxxxxxxxxxx ALZ Safe Return ID SRxxxxxxxx

--

In-Home Health Services Provider:

--

Insurance: Medicare & Medx (BXBS) Medex phone 800 678 2265

---

Housebound 's name

DOB MO/Day/Year

PCP; Dr name/phone/location

Alzheimer’s; Dr name/phone/location

Current medications: {list of meds and instructions}

--

My name:

DOB MO/Day/YEAR

PCP: Dr name/phone/location

Current medications: {list of meds and instructions}

--

Individuals to call to come in response to emergency

{FIRST CALL} name,phone, location

{Immediately call} Home Instead  508 393 8838

--

(if you can’t get first person others: possible calls)

list of trusted people.

--

other contacts:

Dentist :

--

Individual holding Durable Power of Attorneys: {holders names and their contact information}

--

Records (directives etc) on file at Family Attorney  Contact information:

Thursday, February 5, 2015

How to help if someone you care for has a fall | Stroke4Carers

How to help if someone you care for has a fall | Stroke4Carers: How to help if someone you care for has a fall

Video running time: 07.13 minutes. The film may take time to download depending on your broadband speed.
To enlarge to full screen click on the arrows at the bottom right of the frame.

If you are having problems playing the video, download the clip here [.mp4, 28.6 MB] (Right click this link, and “Save As”).  http://www.stroke4carers.org/wp-content/uploads/GETTING_UP_AFTER_A_FALL.mp4





Book list, this information and all links were active 8/20/2013


"A
Common Sense Guide to Alzheimer's Care Kisses for Elizabeth is
written for both family and professional caregivers of people with
Alzheimer's disease and other dementia’s. It is a practical
resource for anyone experiencing difficulty with significant
behavioral issues but is also helpful to caregivers who simply want
to provide the best possible care.

The author has developed 15 common sense guidelines which address a wide
variety of concerns by helping caregivers to solve problems or even
prevent them. The guidelines also address negative behaviors such as
wandering, combativeness, paranoia and sundowning. The book explains
what dementia is, how it affects people who suffer from it and why
these behaviors occur.

Stephanie D Zeman MSN RN has included over 40 true heartwarming stories about her patients with dementia and ways in which the guidelines were
applied to help resolve their problems and enhance the individuals
quality of life


Since one of the best ways to learn is by example, Stephanie D Zeman MSN RN
has included over 40 true heartwarming stories about her patients
with dementia and ways in which the guidelines were applied to help
resolve their problems and enhance the individuals quality of life."


​FYI ,,,,,,,,,,,,,,,,,,,,,,





Stephanie
is one of my on-line friends.


We are both active on
http://www.alzconnected.org/discussion.aspx






Stephanie
on abuse: READ TODAY


http://www.alzconnected.org/discussion.aspx?tid=2147495522&g=posts&t=2147495517





Another
excellent book I quote from often:


Jolene
Brackey "Creating Moments of Joy" Perdue University Press.





Stephanie
offerred this list, his information and all links are active
8/20/2013





 This
is a list of links about information you will need. Most helpful for
you right now will be "Understanding the dementia experience"
which will give you an idea of what your LO is going through; and
"Communication skills"  Which will help you to
communicate in ways which will avoid or  decrease your LO
negative behaviors.








Understandingthe dementia experience: 
https://www.smashwords.com/books/view/210580 





Anosognosiaexplains why dementia patients are unaware of their problem
http://alzonline.phhp.ufl.edu/en/reading/Anosognosia.pdf 





Communicationtechniques for dementia caregivers:


http://www.alzconnected.org/discussion.aspx?g=posts&t=2147497924 









Bathingand Showering 
http://www.alzconnected.org/discussion.aspx?g=posts&t=2147491802 






http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=138 






http://www.disabled-world.com/health/aging/uti.php 





Pickingat skin/scabs:  http://www.alzcompend.info/?p=233 







http://prc.coh.org/PainNOA/Abbey_Tool.pdf 






http://www.alzconnected.org/discussion.aspx?g=posts&t=2147489263 





Caregiverkitchen   http://caregiver.com/kitchen/index.htm 







“Uncompensated Pending Medicaid Beneficiary Payment Relief Act,”

A3928
An Act providing compensation relief to long term care facilities when Medicaid eligibility determinations are delayed, designated the “Uncompensated Pending Medicaid Beneficiary Payment
     1.    The Commissioner of Human Services shall make an advance payment to a nursing facility, an assisted living residence, or a comprehensive personal care home licensed pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.), at the facility’s request, whenever the facility is providing uncompensated services to one or more residents whose eligibility for Medicaid has not been determined more than ninety days after an application has been filed.  Any such advance payment shall not exceed fifty percent of the estimated amount due for the uncompensated services.  No later than 30 days after any such application is granted and payment has been made to the facility, or after any such application has been denied, the commissioner shall:  provide reimbursement for any balance due to the facility; or recover any advance payments made on behalf of an applicant deemed ineligible for Medicaid by reducing any payments due to the facility.

     2.    The Commissioner of Human Services shall apply for such State plan amendments or waivers as may be necessary to implement the provisions of this act and to secure federal financial participation for State Medicaid expenditures under the federal Medicaid program.

     3.    The Commissioner of Human Services shall, in accordance with the “Administrative Procedure Act,” P.L.1968, c.410 (C.52:14B-1 et seq.), adopt any rules and regulations as the commissioner deems necessary to carry out the provisions of this act.

     4.    This act shall take effect on the first day of the fiscal year next following the date of enactment, except that the Commissioner of Human Services may take such anticipatory administrative action in advance thereof as shall be necessary for >the implementation of the act.
/>

STATEMENT

     This bill, designated the “Uncompensated Pending Medicaid Beneficiary Payment Relief Act,” would provide payments to certain long term care facilities for residents who have applied for Medicaid but whose eligibility has not been determined more than 90 days after the initial application.  The bill requires the Commissioner of Human Services to make advance payments to a nursing facility, an assisted living residence, or a comprehensive personal care home, at the facility’s request, whenever the facility is providing uncompensated services to one or more residents whose eligibility for Medicaid has not been determined more than ninety days after an application has been filed.  Any such advance payment would not exceed fifty percent of the estimated amount due for the uncompensated services.  No later than 30 days after any such application is granted and payment has been made to the facility, or after any such application has been denied, the commissioner would be required to:  provide reimbursement for any balance due to the facility; or recover any advance payments made on behalf of an applicant deemed ineligible for Medicaid by reducing any payments due to the facility.

Tuesday, February 3, 2015

Dementia Behavior Can Seem Like Manipulation - AgingCare.com

Dementia Behavior Can Seem Like Manipulation - AgingCare.com:

"Sometimes caregivers assume that (their loved ones) are being manipulative because they just can't believe their behavior," she explains. But in reality, people with dementia aren't able to think through the process of manipulation.

Sunday, February 1, 2015

Denial: When it helps, when it hurts - Mayo Clinic

Denial: When it helps, when it hurts - Mayo Clinic

Refuse to acknowledge a stressful problem or situation



  • Avoid facing the facts of the situation



  • Minimize the consequences of the situation

  • In its strictest sense, denial is an unconscious process. You don't generally decide to be in denial about something. But some research suggests that denial might have a conscious component — on some level, you might choose to be in denial.

    Common reasons for denial
    You can be in denial about anything that makes you feel vulnerable or threatens your sense of control, such as:
    • A chronic or terminal illness
    • Depression or other mental health conditions
    • Addiction
    • Financial problems
    • Job difficulties
    • Relationship conflicts
    • Traumatic events