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View Diary: Nursing Home: When it's time (99 comments)

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  •  Good Question (3+ / 0-)
    Recommended by:
    second alto, KelleyRN2, wolfie1818

    Every person who is a "candidate" for a nursing home (whether they have dementia OR a disease that makes their care highly intensive and physical, is different.

    Just like every family member as a potential caregiver and home/life situation is different.

    Where you draw the line is based on a number of factors, and there really is no one size fits all answer.

    In the nursing homes I worked for TV was generally only available in a room for a bedridden resident or one who was "pretty much" aware.  For the others TV was relegated to the common room with none in residents rooms.

    For those who are not cognitively there it was unneeded and an extra expense most families and nursing homes did not wish to have.

    This was more than 20 years ago however, but I don't think that has changed much.

    "He felt that his whole life was some kind of dream and he sometimes wondered whose it was and whether they were enjoying it." - Douglas Adams

    by Clytemnestra on Wed May 12, 2010 at 04:21:59 PM PDT

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    •  internet and telephones.... (3+ / 0-)
      Recommended by:
      Clytemnestra, second alto, wolfie1818

      I wonder about this:

      How long before nursing home patients who are physically capable of using computers, are given internet access as a routine matter?  For example a wireless network throughout a facility, where residents who have laptops can use them as freely as I'm doing right now from my desk?  

      Seems to me that would also improve cognitive outcomes because if nothing else, getting on blogs & suchlike involves using verbal skills.

      Though, there also comes a point where it would have to be restricted, for example if someone is going down the road of dementia and there's a risk they could engage in unsafe online behavior.  

      ---

      I'm a telephone systems engineer and there was a time when I had a nursing home as a client.  There were telephones in many of the rooms.  Is that something one finds in the better facilities only, or most facilities, or ...?...  

      Or are they starting to expect that patients will have their own cellphones?    BTW, cellphone audio is so shitty in three specific ways, that IMHO it causes real problems with the ability of people to communicate clearly, and I suspect this may make it appear that a person is less able to communicate than they actually are:

      One, the audio compression basically removes most of the nonverbal vocal cues to the other person's emotional state.  Those cues are essential to people understanding each other accurately.  Someone who has a partial decline in their verbal abilities, will tend to have to rely more on the nonverbal emotional cues to understand another person; so the lack of those emotional cues will make it more difficult for them to understand a conversation.  This will make it appear that they are more impaired than they actually are.

      Two, the variable delay of speech transmission causes people to make errors in anticipating the rhythm of a conversation.  This produces the impression that "the other person is being rude, speaking when I'm speaking, or not paying attention because their replies are lagging," and as a result can cause escalating frustration.

      If you're seeing problems around people and phone calls, and one or both ends of a call are on a cellphone, try getting them on landlines and see if the situation improves.  

      •  you're making it difficult on me ;-) (2+ / 0-)
        Recommended by:
        second alto, KelleyRN2

        I want to comment but I gotta finish part 2 ... will come back to this, I promise ..

        "He felt that his whole life was some kind of dream and he sometimes wondered whose it was and whether they were enjoying it." - Douglas Adams

        by Clytemnestra on Wed May 12, 2010 at 08:38:51 PM PDT

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