Choosing the right assisted living facility is one of the most important decisions you can make for a loved one. It’s crucial to evaluate every aspect of a community, from staff interactions to safety features, to ensure the best possible care. Our free printable Assisted Living Facility Tour Checklist (PDF Download) is designed to help you stay organized and make an informed decision.
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As parents age, changes in memory and cognitive function can lead to concerns about whether these are signs of normal aging or something more serious, like dementia.
Understanding the distinctions between ordinary forgetfulness and dementia is crucial for early detection and appropriate care.
/by Moti GamburdHospice is not a place. Hospice is a “concept of care” designed to provide comfort and support to patients and their families when a life-limiting illness no longer responds to cure-oriented treatments.1 The goal of hospice care is to provide patients with comfort and dignity at the end of life with a special emphasis on controlling pain and discomfort and managing symptoms.
The focus is on compassionate caring not curing. Hospice care neither hastens nor prolongs life, but this specialized service has been shown to increase quality of life. Hospice is covered by Medicare and Medicaid and most private insurance companies to eligible patients referred by a physician. Hospice services include care by professionals and volunteers and medication, equipment, and medical supplies. Families have no out-of-pocket expenses other than the cost of room and board.
The patient and family are at the center of hospice care. The hospice team works with the patient and family to develop a personalized plan of care that respects the individual’s end-of-life wishes. A multi-disciplinary team of physicians, nurses, home health aides, social workers, therapists, spiritual counselors, bereavement counselors, and volunteers provides expert and compassionate care that is available 24 hours a day, 7 days a week.
Physicians and nurses are specially trained to address pain and manage symptoms. The team works closely with family members to provide feeding, bathing, turning, administering medications, and monitoring changes in a patient’s condition. Some hospice providers provide alternative therapies such as Pet Therapy or Music Therapy. Spiritual counselors, therapists, and social workers help patients and families with emotional and spiritual concerns and provide bereavement support to family members after a loved one has died.
Most people choose hospice care in their own homes, but hospice care is also available in hospitals, nursing homes, and residential care communities for the elderly such as assisted living communities and board and care homes. In 2011, 66.0% of hospice patients received care in the place they call “home,” including private residences (41.5%), skilled nursing facilities (17.2%), and residential communities (7.3%).2 When hospice care is not an option at home, nursing homes, freestanding hospice facilities, and residential care communities like board and care homes are places for families to turn for short-term respite or longer term care at the end of life.
The Board and Care model, which provides residential care for fewer residents in a private home, offers a home-away-from-home in an intimate environment that provides a home-like routine and a place for family to gather. Board and Care homes can offer temporary hospice to residents and families who request it. These homes typically work with a number of hospice organizations to provide families with choice for high quality care. The board and care staff coordinate care with the hospice staff and they may provide bedside comfort tailored to the resident’s needs and preferences, such as soft music, reading, and aromatherapy. “Choosing a hospice to care for yourself or a loved one in the final months or even days of life is an important and stressful process,” said J. Donald Schumacher NHPCO president and CEO. “Each hospice offers unique services and partners with specific community providers – so it’s important to contact the hospices in your area and ask them questions to find the one with the services and support that are right for you.”3
For additional information on hospice and how to select a quality hospice provider, families may turn to online resources found at the National Hospice and Palliative Care Organization (www.nhpco.org) and the Hospice Foundation of America (www.hospicefoundation.org). References: 1Hospice Foundation of America. www.hospicefoundation.org. 2Facts and Figures: Hospice Care in America. 2013 Edition. National Hospice and Palliative Care Organization. www.nhpco.org. 3Choosing a Quality Hospice. National Hospice and Palliative Care Organization. www.nhpco.org.
Trina Duke,
Master of Science in Gerontology Concierge Gerontology Services
/by Moti GamburdLet’s say your mother has granted you power of attorney over her finances, and she has recently become unable to manage her own affairs due to dementia. Upon reviewing her accounts, you discover several thousand dollars of debt. Can creditors come after you personally for this money? The answer is no.
Even if you have power of attorney, you are not responsible for your parent’s debt unless you were a co-signer on the loan. However, many adult children feel morally obligated to ensure these debts are handled appropriately. Before deciding what to do, it’s essential to understand your options and obligations.
/by Moti GamburdWhen a parent is diagnosed with Alzheimer’s disease, families must make difficult decisions, including how to finance their long-term care. In many cases, selling their home becomes necessary to afford assisted living or memory care. However, if the parent is no longer legally capable of managing their affairs, selling the home becomes a complicated legal process.
/by Moti GamburdIf your loved one is receiving excellent care at an assisted living facility, you may feel a profound sense of gratitude toward the staff. Their dedication and compassion can make a significant difference in the quality of life for your family member. Expressing your appreciation is a thoughtful way to acknowledge their hard work and care. This guide will help you navigate the process, offering ideas on how to show your gratitude effectively and meaningfully.
/by Moti GamburdSundowner’s Syndrome, commonly referred to as sundowning, is a condition that affects individuals with dementia, causing increased confusion, agitation, and anxiety as the sun begins to set. Caregivers often notice that their loved ones become more restless, disoriented, and even fearful during the late afternoon and evening. While the exact cause of sundowning is not fully understood, changes in the body’s internal clock, fatigue, and sensory disturbances are believed to play a role. Fortunately, there are strategies that can help manage symptoms and create a more peaceful evening routine.
/by Moti GamburdPaying for assisted living is a significant financial commitment that many seniors and their families must navigate carefully. However, there’s good news: many of the expenses associated with assisted living are tax deductible.
These deductions can provide flexibility in your budget and help allocate funds more effectively. By understanding the criteria and keeping thorough records, you can maximize potential tax savings.
/by Moti GamburdChoosing an assisted living facility is a significant decision that impacts a loved one’s quality of life, safety, and well-being. While some facilities provide exceptional care, others may fall short, leading to neglect, poor treatment, or even safety hazards. Families often assume that an organized tour will reveal everything they need to know, but facilities put their best foot forward during these visits. The challenge is recognizing the hidden red flags that indicate deeper systemic issues within a facility. While some warning signs – such as outdated furnishings or disengaged residents – are easy to spot, many concerns require a more detailed evaluation. From understaffing to inadequate safety measures, even a facility that seems perfectly fine at first glance may have serious underlying problems that could impact the health and happiness of your loved one.
/by Moti GamburdCorporate Office / General Information
Raya’s Paradise, Inc.
1156 N Gardner St.
West Hollywood, CA 90046
Tel: (310) 289-8834
Fax: (323) 851-0375
E-mail:Info@RayasParadise.com
Featured by Assisted Living Magazine as one of the best communities in Orange County