Alzheimer’s | Distance Learning Systems (DLSI)

Nursing Homes and Assisted Living Dilemma

For family members across Kansas and Missouri, struggling to choose the right service to take care of an aging beloved with Alzheimer’s disease or dementia, an important aspect of the decision is understanding the differences between nursing homes and assisted living. It is a dilemma Mitzi McFatrich deals with every day as the executive director of Kansas Advocates for Better Care, a non-profit advocacy organization assisting elderly care service residents and or their family members. “There are so many of us that are aging and a large number of those individuals are going to have Alzheimer’s disease and dementia,” she said. “How are we going to fulfill their care needs?”

People often mix up nursing homes and assisted living facilities, but the two are not exactly the same. A nursing home provides health care to Alzheimer’s disease and dementia patients, with RNs on-site eight hours a day. In Missouri and Kansas, assisted living facilities employ RNs on a limited basis. Because assisted living facilities receive health insurance funding, there are strict state and government regulations on staff training, the number of employees required per shift and the level of cleanliness. There is zero government oversight for assisted living centers; very few state rules. Medicare often pays most of a patient’s elderly care service bill. In assisted living facilities, a resident’s family must shoulder the whole cost.

While a nursing home service agrees to become a permanent residence for individuals no matter their disease, a person who’s Alzheimer’s disease or dementia worsens can be discharged from an assisted living service. The director of education, programs and public policy for the Alzheimer’s Association, Heart of America chapter, Michelle Niedens says these care facilities can evict a resident in as little as 30 days. “There’s often an over promising; ‘We can handle your mom and dad, through the whole disease course,’ that is, until some major bump occurs and then the game gets changed,” Niedens said. According to McFatrich, facilities will say, “We can no longer fulfill this person’s needs. And that’s what they use in order to release someone.” That release or eviction can affect a family’s ability to find their loved one a new house.

Alzheimer’s Awareness and Assisted Living Centers

As assisted living centers across the country reach out to areas during World Alzheimer’s disease Awareness Month, care facilities in The Woodlands have one big concept for group members: They are here to help. Autumn Leaves in of The Woodlands Memory Care, in particular, is featuring its childcare and respite care programs, which offer daily stays at its facility from Monday through Friday. The day-stay program is offered to Woodlands-area citizens absolutely free on Fridays, Executive Director Luis Carillo said.

“We are dedicated to individuals that are working with harmful dementia-related diseases day in and day out,” Carillo said. “We focus not only on care-giving for specific types of dementia, but also with actions that help with socializing, exercises and religious actions.” By providing programs like day stays, care providers and close relatives are given a chance to rest and recover. They also allow future residents to ease into the conversion process of moving completely into assisted living centers, Carillo said.

Rina Hanel knows all too well the complications that close relatives and partners face when working with the severe facts of dementia. Her spouse Greg has been at Autumn Leaves in for the past year. “The greatest thing you have to do is agree to it,” Hanel said. “It can start with simple things like misunderstandings, failing to remember things, losing track of things and just advances from there. You really have to agree to what exactly is occurring to the person you love as there are so many people out there in denial.” Hanel said her spouse has adjusted well to Autumn Leaves and has been passionately referred to as The Hat Man because of his many preferred caps. Due to his sickness, he hardly ever talks but usually spends his time cheerful and silently monitoring his environment. Moving him to the service was a huge step, as the two have been wedded for more than 54 years. However, Hanel highlighted that she has no remorse. “I think the important thing is that he may not know me all the time,” Hanel said. “But I know him.”

NLN’s Alzheimer’s Curricula

Between 5.6 and 8 million, nearly one in five senior citizens in America, suffer from at least one illness affecting psychological wellness, according to a report released last year by the Institute of Medicine, “The Mental Substance Use Workforce for Older Adults: In Whose Hands?” Among these devastating cognitive/emotional conditions is Alzheimer’s, a diagnosis often accompanied by multiple physical problems and psycho/social morbidity that occur during a period of life transition. Today, however, too few medical experts, nurses included, are adequately equipped to deal with the exclusive difficulties of looking after this weak, vulnerable population, one bound to grow as Baby Boomers age.

To address this worrying gap in medical knowledge and clinical practice by the medical workforce on the frontline of primary care for elderly people, the National League for Nursing will create specific curricula and sources for the NLN’s country wide recognized signature program in geriatrics education: ACES (Advancing Care Excellence for Seniors). With a $125,000 grant from MetLife Foundation to the NLN Foundation for Nursing Education, funds will be used in 2013 to create three inter-professional educating techniques and three unfolding web-based case research for ACES. Related models, also to be developed as part of the new project, will provide staff with classroom-ready templates for instruction and guidelines for developing new knowledge into the core program. In addition, the unfolding case research and relevant models will highlight complex medical care situations experienced by Alzheimer’s illness sufferers and their families, presenting learners with opportunities to think and act in ‘real time,’ using evidence-based medical assessment and involvement techniques.

“By adding specific program sources for educating about care of sufferers with Alzheimer’s and their care providers, the NLN will be an important resource for staff to train learners in rehabilitation, wellness promotion, medical care and public service recommendation for the specific care for elderly people with mental problems, specifically Alzheimer’s,” stated NLN chief executive Judith A. Halstead, PhD, RN, FAAN, ANEF.

National League for Nursing New Curriculum

Between 5.6 and 8 million, nearly one in five elderly people in America suffer from at least one illness impacting psychological wellness, according to an escalating report released last year by the Institute of Medicine. Among these devastating cognitive/emotional conditions is Alzheimer’s, a study often associated with multiple physical problems and psycho/social co-morbidities that occur during a period of life transition Today, however, too few medical professionals, nursing staff included, are effectively equipped to handle the unique difficulties of looking after for this weak, insecure population, one bound to grow as Baby Boomers age.

Related models, also to be developed as part of the new project, will provide staff with classroom-ready templates for training and guidelines for developing new knowledge into the core program. In addition, the unfolding situation research and relevant models will emphasize complex medical care situations experienced by Alzheimer’s disease sufferers and their families, introducing learners with opportunities to think and act in ‘real time,’ using evidence-based medical evaluation and involvement techniques. “By adding specific program sources for training about proper care for sufferers with Alzheimer’s and their care providers, the National League for Nursing will be an important resource for staff to train learners in recovery, wellness promotion, medical care and public service recommendation for the specific care for elderly people with mental problems, specifically Alzheimer’s,” stated National League for Nursing chief executive Judith A. Halstead, PhD, RN, FAAN, ANEF.