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The dental suffering among many of the more than one million residents of American nursing homes is particularly acute. ...
06/12/2019
America Faces an Unprecedented Dental Health Crisis

The dental suffering among many of the more than one million residents of American nursing homes is particularly acute. Since 1987, when federal law set new standards for institutions receiving Medicare and Medicaid funding, nursing homes have been required to provide oral health services. Yet amid the daily cycle of washing, turning, and changing bedridden and disabled patients, simple tooth brushing and denture care have often been overlooked. “Most clinical studies of nursing home residents report widespread inadequate oral hygiene and associated dental, gingival and periodontal conditions,” noted the authors of one survey. “Medical and nursing services were almost uniformly provided while dental and mental health services were provided much more infrequently.” https://www.truthdig.com/articles/america-faces-an-unprecedented-dental-health-crisis/

The light of a Friday morning in autumn gently touched the little town: the Farmers and Miners Bank, the grocery store with the hand-lettered signboard a

Nursing home abuse statistics
06/10/2019
Nursing Home Abuse Statistics - Elderly Care

Nursing home abuse statistics

The statistics reflecting incidents of abuse involving elderly residents in nursing homes and care facilities are both staggering and disheartening. At the broadest level, more than two (2) million cases of elder abuse are reported every year, and almost one (1) out of every ten (10) elderly individ...

The records for the first time reveal frequent and significant fluctuations in day-to-day staffing, with particularly la...
05/20/2019
Most nursing homes are not adequately staffed, new federal data says

The records for the first time reveal frequent and significant fluctuations in day-to-day staffing, with particularly large shortfalls on weekends. On the worst-staffed days at an average facility, the new data show, on-duty personnel cared for nearly twice as many residents as they did when the staffing roster was fullest.

The data, analyzed by Kaiser Health News, come from daily payroll records Medicare only recently began gathering and publishing from more than 14,000 nursing homes, as required by the Affordable Care Act of 2010. Medicare previously had been rating each facility’s staffing levels based on the homes’ own unverified reports, making it possible to game the system. https://www.pbs.org/newshour/health/most-nursing-homes-are-not-adequately-staffed-new-federal-data-says?fbclid=IwAR097Db1IwwbuC6TEkC8XQklL094WBVDYgCjcdXob56WYWJLkszOzxRRqec

The data, analyzed by Kaiser Health News, come from daily payroll records Medicare only recently began gathering and publishing from more than 14,000 nursing homes, as required by the Affordable Care Act of 2010.

"They always worked short-staffed," said Diane Bridges, a nursing assistant who worked there in 2015. "There were two CN...
11/26/2018
Overdoses, bedsores, broken bones: What happened when a private-equity firm sought to care for society’s most vulnerable

"They always worked short-staffed," said Diane Bridges, a nursing assistant who worked there in 2015. "There were two CNAs [certified nursing assistants] for over 30 people. The workload was very heavy. There were not enough girls to get the residents up, get them out of bed in the morning."

"It was a very good place to work — and then it wasn't," said a nurse's aide who left in 2013 after more than a decade there. "They just didn't seem to have the money. The Hoyer lifts [equipment for moving patients] started breaking down and it was hard to get them fixed. They switched to cheaper supplies. Residents started complaining."

A rise in health-code violations at the second-largest nursing home chain in the United States began after the Carlyle Group orchestrated a deal that extracted $1.3 billion for investors but left the firm with untenable financial obligations, according to interviews and financial documents.

McVicker said she started When Help Can't Wait over a decade ago because she saw that many nursing home residents did no...
11/24/2018
Local organization When Help Can't Wait forced to close

McVicker said she started When Help Can't Wait over a decade ago because she saw that many nursing home residents did not have any family to provide them with basic necessities. She said she was called to serve them.

After 12 years, an organization that serves nursing home residents will close its doors at the end of December.

Advocates for LGBT seniors have argued for years that long-term care facilities fail to protect them against discriminat...
08/20/2018
A Retirement Community Turned Away These Married Women

Advocates for LGBT seniors have argued for years that long-term care facilities fail to protect them against discrimination and harassment, leaving them particularly vulnerable.

According to the facility’s “cohabitation policy,” marriage is between one man and one woman, “as it is understood in the Bible.”

How can city planners best create infrastructure and programs that accommodate older adults, yet remain attractive to al...
08/17/2018
Age-Friendly Cities

How can city planners best create infrastructure and programs that accommodate older adults, yet remain attractive to all ages and stages of life?

The Agenda in the Summer discusses how Ontario cities can meet the needs of its citizens at all ages and stages of life.

Frequently staff justified administering antipsychotic drugs for “behaviors,” a disconcerting term suggesting that resid...
08/17/2018
Why Are Nursing Homes Drugging Dementia Patients Without Their Consent?

Frequently staff justified administering antipsychotic drugs for “behaviors,” a disconcerting term suggesting that residents could, and should, avoid acting in a disruptive way. A social worker in Texas who used to work in a nursing facility said the underlying issue is that “the nursing homes don’t want behaviors. They want docile.”

The use of antipsychotic drugs as chemical restraints — for staff convenience or to “discipline” a resident — has a long history in nursing homes.

We could add into the rotation some activities where residents get to be “bad,” or at least aren't expected to be so dar...
08/01/2018
Dr. El's Theory of Angry Activities

We could add into the rotation some activities where residents get to be “bad,” or at least aren't expected to be so darn good all the time.

There's a lot of stress in our buildings. I'm not suggesting nightly

World Elder Abuse Awareness Day 15 June
06/16/2018
World Elder Abuse Awareness Day 15 June

World Elder Abuse Awareness Day 15 June

Virtually all countries are expected to see substantial growth in the number of older persons between 2015 and 2030, and that growth will be faster in developing regions. Because the numbers of older persons are growing, the amount of elder abuse can be expected to grow with it. While the taboo topi...

Ending TPS for Haitians “will have a devastating impact on the ability of skilled nursing facilities to provide quality ...
04/04/2018
As Trump targets immigrants, the elderly brace to lose caregivers

Ending TPS for Haitians “will have a devastating impact on the ability of skilled nursing facilities to provide quality care to frail and disabled residents,” warned Tara Gregorio, president of the Massachusetts Senior Care Association, which represents 400 elder care facilities, in a letter published in The Boston Globe. Nursing facilities employ about 4,300 Haitians across the state, she said. https://www.nbcnews.com/health/health-care/trump-targets-immigrants-elderly-brace-lose-caregivers-n860046

The elderly brace to lose their immigrant caregivers as Temporary Protection Status (TPS) comes to an end

Having dedicated funding for long-term services and supports for Native Americans would give tribes flexibility in desig...
03/09/2018
Meeting The Needs Of Aging Native Americans

Having dedicated funding for long-term services and supports for Native Americans would give tribes flexibility in designing programs that meet their populations’ unique needs.

Health Affairs Blog Health Equity Related Topics: Long-term services and supports Health services Systems of care Medicare home health services Nursing homes Elderly care Disabilities Affordable Care Act Life expectancy Improving care Meeting The Needs Of Aging Native Americans Jessica Bylander Marc...

Arm cycling likely created a similar effect of neuroplasticity. So when nerves in the patients' arms fired up, they may ...
03/08/2018
The Surprising Exercise That May Help You Walk Again After A Stroke

Arm cycling likely created a similar effect of neuroplasticity. So when nerves in the patients' arms fired up, they may have stimulated function elsewhere in the body to make up for areas damaged by stroke, thus helping with walking ability.

It involves your arms rather than your legs.

Convenience stores are ubiquitous in Tokyo. They sell affordable food in convenient locations that elders can reach easi...
03/08/2018
What 7-Eleven Can Teach Us about Aging in Community | LeadingAge

Convenience stores are ubiquitous in Tokyo. They sell affordable food in convenient locations that elders can reach easily without the need for transportation. Retail spaces on the ground floors of housing communities are a favored location.

What 7-Eleven Can Teach Us about Aging in Community Robyn's Read | February 26, 2018 Print this Article Government agencies and nonprofit organizations are key players in helping city-dwelling elders age in community. But they can’t do it alone, writes Robyn Stone. That’s where 7-Eleven comes in...

03/08/2018
AJ+ on Twitter

Horrifying video of resident abuse at a Michigan nursing home

“A hidden camera captured nursing home staff physically and verbally abusing an elderly Lebanese man. https://t.co/eW7y8b8bDw”

Policymakers should be working to strengthen and expand worker organizations, not undermine them. Home care workers in u...
02/02/2018
Facing national home care crisis, attacking caregivers is a move backward

Policymakers should be working to strengthen and expand worker organizations, not undermine them. Home care workers in unions have not only won improvements for workers; they have improved the quality of care received by millions of seniors and people with disabilities.

These attacks are a slap in the face to our years of organizing led primarily by women of color.

The Dougherty DA and the GBI worked with the attorney general’s Medicaid Fraud Control Unit and the Prosecuting Attorney...
01/17/2018
Attorney General and Prosecutors Announce Charges for Elder Abuse | Daily Report

The Dougherty DA and the GBI worked with the attorney general’s Medicaid Fraud Control Unit and the Prosecuting Attorneys’ Council of Georgia to shut down the company’s operations in Albany, Forsyth, Macon and Suwanee, official said. They announced they had also arrested and charged Harold Hunt, 56, in Suwanee for acting as a Social Security payee for the victims. Instead of using their income to care for them, he was sending it to Oliver and keeping a cut, Carr said.

“This started with a tip from concerned citizens” Attorney General Chris Carr said during a news conference at the Judicial Building across the street from the Capitol which his office broadcast live on Facebook. “If something doesn’t seem right please tell somebody.”

01/10/2018
Trump To Allow Nursing Home Fraud & Abuse

Comedian @LeeCamp: When we prioritize care of our vulnerable, we can end abuse in #nursinghomes.

The Trump administration is taking government out of business by discouraging fines against nursing homes for negligent care. Unfortunately that could mean t...

But for the last two years, [Kansas nursing] homes have had to wait months or even longer and it’s caused cash flow prob...
12/24/2017
Medicaid application delays are forcing Kansas nursing homes to turn people away

But for the last two years, [Kansas nursing] homes have had to wait months or even longer and it’s caused cash flow problems. Some have had to ask local governments for help to keep the doors open or ask utility companies for more time before they shut off the gas. Now fewer are willing to take in Medicaid-pending residents, especially if the patients are not likely to survive the application period. http://www.kansascity.com/news/business/health-care/article189892269.html

A backlog of Medicaid applications has delayed payments to Kansas nursing homes for years. Now some homes have decided they can’t take new residents.

“I thought [81-yr old widower Dan Peterson] needed a friend, because he was sad,” [4-yr old] Norah says.
11/21/2017
Kind World #36: When The Sun Came Out

“I thought [81-yr old widower Dan Peterson] needed a friend, because he was sad,” [4-yr old] Norah says.

Norah and Dan were an unlikely pair.

One in four of the plans were largely blank. One in three homes lacked a week’s supply of food. And that's just Miami-Da...
11/12/2017
Caitlin Ostroff on Twitter

One in four of the plans were largely blank. One in three homes lacked a week’s supply of food.

And that's just Miami-Dade. Broward and Palm Beach won't release theirs.

https://t.co/RVlTTu8EiS

“One in four of the plans were largely blank. One in three homes lacked a week’s supply of food. And that's just Miami-Dade. Broward and Palm Beach won't release theirs. By me and @MarbinMiller. https://t.co/RVlTTu8EiS”

In the United States, a million and a half adults are under the care of guardians, either family members or professional...
10/22/2017
How the Elderly Lose Their Rights

In the United States, a million and a half adults are under the care of guardians, either family members or professionals, who control some two hundred and seventy-three billion dollars in assets, according to an auditor for the guardianship fraud program in Palm Beach County. Little is known about the outcome of these arrangements, because states do not keep complete figures on guardianship cases—statutes vary widely—and, in most jurisdictions, the court records are sealed. A Government Accountability report from 2010 said, “We could not locate a single Web site, federal agency, state or local entity, or any other organization that compiles comprehensive information on this issue.” A study published this year by the American Bar Association found that “an unknown number of adults languish under guardianship” when they no longer need it, or never did. The authors wrote that “guardianship is generally “permanent, leaving no way out—‘until death do us part.’ ”

https://www.newyorker.com/magazine/2017/10/09/how-the-elderly-lose-their-rights

Guardians can sell the assets and control the lives of senior citizens without their consent—and reap a profit from it.

Of the 35,000 children monitored by the county’s Department of Children and Family Services, there are about 600 childre...
06/15/2017
'I know they are going to die.' This foster father takes in only terminally ill children

Of the 35,000 children monitored by the county’s Department of Children and Family Services, there are about 600 children at any given time who fall under the care of the department’s Medical Case Management Services, which serves those with the most severe medical needs, said Rosella Yousef, an assistant regional administrator for the unit.

There is a dire need for foster parents to care for such children.

For more than two decades, Mohamed Bzeek has only taken in critically ill foster children.

AHCA sues to preserve binding arbitration clauses in nursing home contracts, which require patients and their families t...
10/18/2016
Nursing Home Group Sues U.S. Government Over New Lawsuit Rule

AHCA sues to preserve binding arbitration clauses in nursing home contracts, which require patients and their families to settle any dispute over care outside the court system via arbitration.

The American Health Care Association is seeking to overturn a rule that protects the right of patients and their families to sue nursing homes in court. The rule is set to go into effect Nov. 28.

08/18/2016
Wisdom from elders

[email protected] asked elders if they had any wisdom they wanted to share with young people

I told residents that I was writing an article on advice from elders about how to live life and their responses were immediate and enthusiastic, as if they'd been waiting for someone to ask.

J.B .and Lynette Tuttle of Savannah, Georgia married each other 72 years ago
02/12/2016

J.B .and Lynette Tuttle of Savannah, Georgia married each other 72 years ago

J.B .and Lynette Tuttle of Savannah, Georgia married each other 72 years ago. Now in their 90's, they're both retired and living in a nursing home. While they may have slowed down, their love for each other hasn't. Producer Sean Powers Journalist brings us a timeless story of romance just in time for Valentine’s Day weekend.
https://soundcloud.com/onsecondthought/full-show-february-12-2016#t=13:50

What does it take to make a relationship work?

(Photo by Gabrielle Ware/GPB))

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