…."Frail and vulnerable residents of nursing homes throughout Illinois are being dosed with powerful psychotropic drugs, leading to tremors, dangerous lethargy and a higher risk of harmful falls or even death, a Tribune investigation has found. Thousands of elderly and disabled people have been affected, many of them drugged without their consent or without a legitimate psychiatric diagnosis that would justify treatment, state and federal inspection reports show."…..
Thursday, October 29, 2009
Tuesday, October 27, 2009
GENESEE COUNTY, Michigan -- They are our most fragile and most vulnerable -- and they are not being treated right.
They are being tied down with sheets, being left unsupervised as their caretaker takes a nap, and occasionally being verbally and physically abused, state records show.
In the last two years, Genesee County’s 285 adult foster care facilities have racked up 323 reported violations of state rules, according to a Flint Journal investigation of Michigan Department of Human Services records…..
Sunday, October 25, 2009
Memory Triggers is a new series of picture/stimulation books by Nadine Rudner Brechner that were specifically designed for use with persons with dementia by their caregivers.
Each of three books in the series focuses on one decade: the 1940's, the 1950's and the 1960's and shows 3 wallet-sized, colored pictures per page, of items that relate to the specific timeperiod. Using her background as a former activities director and health care manager, Nadine created these books to use with her own mother Charlotte, who has dementia. Nadine wasn't satisfied with the quality of products available so she decided to create her own…..
Saturday, October 24, 2009
Post messages and comments to your community about your loved one.
Have all your medical history stored safely and securely online. It’s easy to print for the next doctor’s visit.
Answer questions about diseases, drugs, therapies and alternative remedies in our education center.
Friday, October 23, 2009
Interesting idea. Site is not especially accessible.
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In response to a premium hike, the Office of Personnel Management is giving federal employees enrolled in the Long-Term Care Insurance Program two extra months to make changes to their coverage.Daniel Green, OPM's deputy associate director for employee and family support policy, apologized at the October hearing for confusion caused by promotional materials distributed to federal employees enrolled in the program, and said the agency was considering extending the period to enable enrollees to make changes…….
Margaret Baptiste, president of the National Active and Retired Federal Employees Association, said OPM's decision was an important first step, but the agency should consider how to keep the long-term care insurance program strong in the future.
"The downturn in the long-term care insurance industry and further consolidation could make matters worse in 2016 when the contract is rebid," she said, "Consolidation means there is less competitive pressure on carriers to offer the best possible product.”…..
Thursday, October 22, 2009
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Donna Taylor's father was the rock of the family. He was the primary caregiver for his disabled wife and her elderly mother. But he got sick and went into the hospital for 10 days. When he got out, he couldn't walk.
Taylor, 41, and her siblings — all of whom had families and children of their own — helped out. But with three elderly, disabled adults in one house, caregiving got expensive. Taylor says her father was surprised at how quickly the family went through its savings.
"He said, 'I worked and I did the right things. I had a pension and I put money away in savings and I had what I thought were the right insurances and the money didn't go far enough.' It just, it just wasn't enough."……
AMERICAblog Gay | A great people deserve their rights: HHS to Create a National Resource Center for Lesbian, Gay, Bisexual and Transgender Elders
HHS Secretary Kathleen Sebelius today announced plans to establish the nation’s first national resource center to assist communities across the country in their efforts to provide services and supports for older lesbian, gay, bisexual and transgender (LGBT) individuals.
Experts estimate that as many as 1.5 to 4 million LGBT individuals are age 60 and older. Agencies that provide services to older individuals may be unfamiliar or uncomfortable with the needs of this group of individuals. The new Resource Center for LGBT Elders will provide information, assistance and resources for both LGBT organizations and mainstream aging services providers at the state and community level to assist them in the development and provision of culturally sensitive supports and services. The LGBT Center will also be available to educate the LGBT community about the importance of planning ahead for future long term care needs.
Wednesday, October 21, 2009
If you live long enough after becoming seriously sick or disabled, chances are high that you will spend all your money, be declared poor and get the government to pay for your care.
It happens to millions every year. But Congress could soon give working Americans another choice. Buried in congressional health care reform proposals is a seldom-mentioned plan for a government-run long-term care insurance program…….
While creating better systems of care for aged, blind, and disabled beneficiaries is a priority within Medicaid, it is a challenge given the vast heterogeneity of this complex population. The Faces of Medicaid III: Refining the Portrait of People with Multiple Chronic Conditions provides insights for targeting efforts to improve care and control spending for the program's highest-need, highest-cost beneficiaries.
Building on the 2007 Faces of Medicaid II report, this subsequent analysis examines two data sets -- pharmacy claims and five years of diagnostic data -- to further refine what is known about Medicaid beneficiaries with multiple chronic conditions. Researchers Rick Kronick, PhD, and Todd Gilmer, PhD, both from the University of California, San Diego, found that by looking at pharmacy data in addition to claims:
- The proportion of Medicaid beneficiaries with disabilities who are diagnosed with three or more chronic conditions increases from 35 percent to 45 percent;
- The frequency of psychiatric illness among Medicaid beneficiaries with disabilities increases from 29 percent to 49 percent, and the prevalence of cardiovascular disease increases from 32 percent to 44 percent; and
- Costs for beneficiaries with three or more chronic conditions increases from 66 percent to 75 percent of total spending for beneficiaries with disabilities…….
ABC News had just done a feature on mental health and had prominently featured MindFreedom International, a group that advocates for “psychiatric survivors” who have battled mental and emotional problems. But the second half of the show hinged on the lurid tale of a guy who had gone off his meds and committed an ax murder. Typical media sensationalism, says MindFreedom director David Oaks.
“How do you debate an ax murderer?” he vents. “There are no issues there. We’re pro-choice on taking psych drugs. So that was very frustrating.”……
So, my netbook decided to start hating the hotel wireless and Atlanta and I never had the time or inclination to buy the wireless service when I moved on to DC, so here I am back in MI wanting to say something at least about the final 2 days of the Atlanta ADAPT action!
Tuesday was, by far, the most intense of the 3 days of direct action. We assembled in the ballroom, as it was still raining, before venturing forth to the Health and Human Services Office of Civil Rights regional headquarters.
Our aim was to start an authentic conversation about enforcing the Olmstead supreme court decision in Georgia and the surrounding south eastern region. Complying with this ADA case law would mean providing long term care services to people with disabilities in the least restrictive setting, namely, not an institution. The case was decided a decade ago, in 1999, but there are not mechanisms in place for the government to hold itself accountable to the ruling. ADAPT showed up in force to raise this issue in a way that a few local “advocates” cannot do on their own with polite phone calls and letters. This is not to diminish the efforts of those in Atlanta working every day to free our people. However, there comes a time when power is so unbalanced that direct action is the only way to create the tension necessary to force dialogue…..
Tuesday, October 20, 2009
Many More articles-most crap, some good…..
Psychiatric symptoms substance abuse hope employment independent living [ Time Frame: 18 ... step to systematically evaluating the effectiveness of a comprehensive manual-based approach to improving recovery outcomes for veterans with severe mental illness. As an implementation package IMR offers mental health providers useful tools that could be widely disseminated across the VA system. ... http://www.clinicaltrials.gov/ct2/show/NCT00515671
Chronically Mentally Ill Patients Recovery Related Article Taking Issue How to Support Recovery for People With Mental Illness Ronald J. Diamond M.D. Department of Psychiatry University of Wisconsin Madison ... First support the attitude of recovery whenever and wherever it occurs. Support hope. ... http://ps.psychiatryonline.org/cgi/content/short/60/9/1155
ps.psychiatryonline.org Sep 1, 2009
The Internal Revenue Service (IRS) has approved increased deductibility levels for long term care insurance policies purchased in 2010 according to a just-issued report by the American Association for Long Term Care Insurance, the industry trade group……
Medicaid spending for home- and community-based care soars, report finds - McKnight's Long Term Care News
Medicaid spending for home- and community-based services (HCBS) skyrocketed by 81.5% between fiscal years 2001 and 2007, according to a report released Tuesday by the National Center for Assisted Living. Meanwhile, spending on nursing homes grew by a modest 9.8% during that time……
Friday, October 16, 2009
A federal judge stopped the state from sending notices to 130,000 elderly and disabled Californians to inform them that their home care supportive services would be reduced — or eliminated entirely — on November 1.
A temporary restraining order — granted the day before the letters were to be dropped in the mail — prohibits the state from sending the notices until a court decides on October 19 whether it should issue a longer preliminary injunction.
The ruling is a win for advocates and unions that filed a federal class-action lawsuit on behalf of California’s home care supportive clients.
Thursday, October 15, 2009
Tuesday, October 13, 2009
ATLANTA (AP) - A group of disabled advocates who forced their way into the State Capitol have left after scoring a meeting with Gov. Sonny Perdue's chief of staff.
Roughly 200 protesters representing a national organization of disabled activists surrounded the Capitol Monday morning.....
Monday, October 12, 2009
ABSTRACT: The traditional nursing home regulatory approach, which uses survey and enforcement to achieve performance improvement, has created tensions between providers and surveyors. It has had limited success in improving quality overall and not necessarily allowed innovation to flourish. This has been the perception of many homes wanting to undergo transformative “culture change” reforms. To move toward a new model of nursing home regulation, the states and federal government must strike a balance between the traditional regulatory approach to weed out substandard facilities and a partnership model aimed at promoting high performance. This issue brief highlights the importance of how such a model is structured, as well as the need to adequately train and educate regulatory staff and providers about culture change. Regulators, providers, consumer groups, residents, and their families also will need to commit to the principles of person-centered care to ensure the success of the new collaborative approach….
Sunday, October 11, 2009
….."We're here in Atlanta to demand freedom from nursing homes and
institutions for people with disabilities and who are older," said Randy
Alexander, Organizer for Tennessee ADAPT. "Currently, Medicaid law is
biased in favor of forcing people into expensive nursing facilities and
other institutions, rather than mandating that people can choose to stay
at home with the assistance they need. As a result, hundreds of thousands
of older and disabled Americans have lost their homes and their freedom,
and have been virtually locked up for the crime of disability or age. It's
a violation of our civil rights!"……
Thursday, October 8, 2009
he US Food and Drug Administration wants to give the device used for electroconvulsive therapy (ECT or electroshock) a rubber stamp of approval without ever having investigated the device for safety or efficacy. Here's your gateway to the latest info about the campaign to say "no" to reclassification, how to take action, and background information.
Tuesday, October 6, 2009
Why Bed Rails Are Not Mobility Aids
…..Many bed falls are mobility related. The most common solutions were to confine the person or restrain them with bed rails, sometimes both. Today’s focus is on individual needs and keeping people mobile without confining or restraining them.
One myth is that the elderly fall out of bed because the bed rails are not raised. Yet we never hear what caused them to “fall out of bed” so informed decisions are rare. Exploring the reasons why the elderly and others fall out of bed will help us make better mobility decisions now, and in the future. Bed fall examples:
1. Accidental, rolled off the bed while reaching for a TV remote or glass of water on a night stand, usually an accident. Is this a balance or mobility issue, both or just an accident?……..
"The nation's nursing homes are perilously close to laying off workers, cutting services - possibly even closing - because of a perfect storm wallop from the recession and deep federal and state government spending cuts, industry experts say," The Associated Press reports. "A Medicare rate adjustment that cuts an estimated $16 billion in nursing home funding over the next 10 years was enacted at week's end by the federal Centers for Medicare and Medicaid Services." This move came in addition to state-level reductions or flat-funding "that already had the industry reeling. And Congress is debating slashing billions more in Medicare funding as part of health care reform."……
……The Wall Street Journal article "Making Suburbia More Livable" offers several examples of communities that are redesigning suburbs so that boomers can age in place.
These communities are:
Making new street grids to reduce traffic and improve walkability.
Building town homes and condominiums.
Adding greenways and parks to promote social interaction.
Adding social spaces, shops, transportation options, and recreation and entertainment facilities to help address the needs of people as they grow older…….
Friday, October 2, 2009
The state of Florida has agreed to spend up to $27 million to settle a class action lawsuit brought by Medicaid recipients who argue they were forced into nursing homes.
The lawsuit was filed in early 2008 on behalf of approximately 8,500 elderly and disabled Medicaid recipients who allege that Florida’s Medicaid program made it prohibitively difficult to obtain funding for home- and community-based care. By doing so, they argued, Medicaid essentially coerced them into nursing homes…..