JEFF GOLL 

TRIANGLE ELDER CARE NAVIGATION


Support Services for Seniors and Their Families  

 


 

Aging Well Digest

  
 Useful, interesting, and informative news for seniors and their families
 

           March 2012                                      Issue 19

 Dear Friends:

Welcome to the Aging Well Digest.



 
In this issue you will find articles on 1) Innovation and Elder Care, 2) End of Life Planning and Costs , 3) Home Care Workers , and 4) Hospital Shift Hand-offs . 

I trust you will be able to find something useful, informative, or interesting in this issue. I will continue to be on the lookout for the best and most helpful information on issues related to aging that I find each month and I encourage you to contact me if there are topics you would especially like me to investigate.


If you are looking to get information on a particular nursing home, this Medicare site has information on health inspections, staffing, prevalence of bedsores, percentages receiving flu shots, overall quality ratings and more.

Of course I am here to work with you if you need more personalized help with any of these issues or other aging related concerns. Your first consultation is free in order for us to determine if and how I can help you.


Thanks,  Jeff 





triangleeldercarenavigation.com

 

 

 

 

 

IN THIS ISSUE
1 - Innovation and Aging
2 - End of Life Planning
3 - Home Care Workers
4 - Hospital Hand-offs

Triangle Elder Care Navigation 


 

jwgoll@mindspring.com

 

 

919-602-8483

 
 
Quick Links
 
Friends of Residents in 
Long Term Care
 
 
Patient Advocate Foundation
 
 
Durham Long Term Care
Ombudsman - Carmelita Karhoff
919.558.2714 
 
 
Orange Long Term Care 
Ombudsman - Charlotte Terwilliger
919.558.9401 

Jim Carroll and the Future of Aging

taos sunflower
Futurist Jim Carroll looks at  the next 10-20 years in elder care and considers both big trends and crazy ideas. The problem however is knowing which is which.
His most salient point is that innovation and creativity are as necessary in the world of elder care as they are in communications, politics, business, and medicine. Some of these ideas sound brilliant, some sound wacky, but in fact, that is how innovation works. Read more and watch a video as he discusses the coming transformative change in caring for the elderly.
 

 

 

 

End of Life Planning and Costs

 

 

 canada lake Not only is the financial cost of dying enormous, the emotional costs can be hefty as well. End of life planning is critical but as this article shows, even well prepared families sometimes can not avoid difficult choices. Unfortunately its difficult to assess costs and benefits during a crisis. The lesson from the author: its easy to access world class medical treatment but its much more difficult to walk away from it. 

 

 

The high cost of dying 

The Status of Home Care Workers

 

topsail clouds  Most people want to remain in their homes as long as possible as they age. Even if they need significant help. And who might that help be? Probably one of the twenty thousand home health care workers in America. As other health care costs continue to rapidly increase, it is estimated that about 40% of these workers need some government assistance such as food stamps or Medicaid. They are exempt from minimum wage laws and very few ever receive overtime pay. The Home Health Care industry says it can't afford to pay overtime despite revenues estimated to be 84 billion in 2009. If you would like to find out more about the people likely to be caring for you or your loved one should they ever need significant care at home, read these articles. 



Fair pay for home health workers

Industry response

Good news on the regulation front

Hospital Hand-offs 

 beach seaweedThe Joint Commission, the organization that accredits hospitals, has been collaborating with participating hospitals to study and fix some of the most serious problems in patient care. Handwashing, surgical site infection, and wrong site surgery are among them. Last fall however, the Joint Commission released an update on a project to improve hand off communication. Hand offs can happen any time a medical practitioner enters or leaves a patient's presence but it is most often connected with shift change when nurses or doctors communicate to incoming replacements. The joint commission estimates that there are 4000 hand offs per day in a typical teaching hospital.

 

Fortunately, the project, in collaboration with ten hospitals around the country, showed that hand off errors can be significantly reduced when careful protocols for transfer if information are followed. Read more below. 

 

 

Shift Handoffs in the Hospital 

 

Joint Commission Report 

 

 

 

 

                    Services Offered

 

                             -Patient Advocacy 


                      -Housing Transitions / Coaching

                          

                         -Medicare Counseling

                       (all Medicare Counseling is free of charge)  

                      

                       -Daily Money Management


                               -Executor Tasks 

                        - Family Communication
       
                     -Education and Patient Rights 

 

                                           Archived articles by issue and topic

 

                                                                  Issue #1                                                                              
                                          - Health insurance claim denial                                          
                                                  - Hospital shift change                                                                                                                 - The most frequent medical error                                                                                           - Senior fraud schemes                                                      

    - "Observation only" hospital stays
    -  Sleep issues in assisted living facilities
    -  Family mediation and senior issues
    -  Creativity and aging

                                 Issue #3                                  
    - Sex, condoms, seniors
    - Senior friendly products
    - Common diagnostic tests
    - Global dementia projections

    - Beers list criteria
    - Pre-authorization delays
    - NC SHIIP
    - Senior Pharmassist

    - Poor nursing home pay
    - The CLASS act
    - Falls and Fractures
    - Creative advantages

    - Are we safer now? (hospital safety)
    - Trauma center bias
    - Nursing home practices
    - Revocable Trust review

    - Hospital discharge
    - Home health agencies
    - Geriatric MD shortage
    - Bereavement counseling

    - Hospital Re-admissions
    - For-Profit Nursing Care Homes
    - Reverse Mortgage Councilors
    - Home Safety Checklist

     - Health Care Literacy
     - National Patient Advocacy Foundation
     - 10 Ways you Get Smarter as You Age
     - Driving Errors and Aging Drivers

 

Issue # 10 

Most Drugs Don't Work for Most Patients

Six Steps to a Successful LTC Transition

Falls and Their Prevention

The Need for "At Home" Services

 

Issue #11 

Hospital Safety Video

The Cost of Caregiving

The Hospital to Nursing Home Revolving Door

VA vs. Medicare Drug Price Comparison

 

Issue #12

Criminal Records in Nursing Homes

Consistent Assignment in LTC

The High Cost of Poor Nursing Care

   The Culture Change Movement in LTC

 

Issue #13 

What Are Old People for?

Hospital Comparisons

Medicare Enrollment 

End of Life Discussion

 

Issue # 14 

The Cost of Getting Old

$42 Million Gift

Discharge Planning

Thriving and Aging

 

Issue # 15 

Friends of Residents Gala 

Hospital Satisfaction Evaluations

 The Green House Movement

 Where Are the Geriatricians?

 

Issue #16

 Overuse of Anti-Psychotic Drugs

 Hospital Disability Syndrome

Nursing Homes and End of Life 

 News in Dementia Care

 

Issue #17 

Aging and Happiness

ER for Seniors

Old Brain/Young Brain

Gene Cohen/Creativity 

 

Issue #18 

Caretaking from a Distance

For-profit Nursing Home Quality

Geriatric Nursing Care

"Affordable" Assisted Living and Medicaid

 

 

 



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Alternatively, if you would like to send this digest to someone, just click on Forward email at the bottom of the page. Also, let me know if there are any topics you would like to have me include in the Aging Well Digest.

      I intend to provide coverage on a wide range of senior issues so that even if you are a professional in the field of aging, I hope you can learn something in every issue.

            "It takes a long time to become young."
                                               Pablo Picasso

         "With mirth and laughter let old wrinkles come."
                                  Merchant of Venice   1.1.80

photography by Jeff Goll