Your dad has complained about waiting too long for help getting to the bathroom. When you visit, his clothes are soiled and nobody seems to know when they were last changed. Then you notice a bruise on his arm that staff can’t explain. You’ve already spoken with the administrator, but you’re not seeing much improvement.
Now you’re wondering who to report assisted living neglect to in California. Should you call the ombudsman, Adult Protective Services or the state agency that licenses the community?
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Your mom’s savings were supposed to last five years. It’s been three, and the latest bank statement suggests she has enough for another eight months. She loves her room, knows everyone at lunch and has finally settled into a comfortable routine. Now you’re trying to imagine how she’ll manage if she can’t afford to stay.
When a parent is running out of money in assisted living, the first question is often whether the community can make them leave. In California, nonpayment is a legally permitted reason for eviction, but the facility must follow written notice requirements. It cannot simply remove a resident because the family is struggling to pay.
/by Moti GamburdYour patient is ready for discharge, but her daughter is not ready to take her home. Mom needs help getting dressed, remembering medications and moving safely around the house. A nursing home may be one option, but her daughter wants to know what else California offers.
Several alternatives to nursing home care in California can help people with substantial care needs live in their communities. Four worth understanding are PACE, the Assisted Living Waiver, In-Home Supportive Services and the Multipurpose Senior Services Program. All involve public support, but they are not four versions of the same benefit.
/by Moti GamburdThe family has toured. The assisted living community has a room available, and transportation is scheduled for Tuesday afternoon. Then someone notices the patient has a feeding tube following her hospitalization. The community reviews the record and says it cannot accept her. A discharge that felt settled is suddenly back at the beginning.
A hospital discharge to assisted living in California requires more than an available room and a family’s approval. Licensed residential care facilities for the elderly, or RCFEs, must obtain a medical assessment, evaluate the person’s care needs and follow restrictions on certain medical conditions. Hospice care brings additional requirements.
/by Moti GamburdAn Alzheimer’s diagnosis can make the future suddenly feel urgent. Families may experience grief, fear, relief, confusion or all of those emotions at once. Adult children may immediately wonder who will manage finances, whether a parent can remain at home and which relative will become the caregiver.
Those questions matter, but an Alzheimer’s diagnosis does not mean every decision has to be made today. It also does not mean the person diagnosed has suddenly lost the ability to make decisions.
/by Moti GamburdAlzheimer’s disease is widely discussed, but many beliefs about it are outdated, oversimplified or simply unsupported by evidence. That can make an already difficult situation harder for families trying to decide whether someone needs an evaluation, which treatments to consider or what changes to expect.
Some Alzheimer’s myths have also become more complicated as science has advanced. A statement that was largely accurate ten years ago may no longer tell the whole story today. Treatment is a good example. There is still no cure for Alzheimer’s disease, but newer medications can slow disease progression in certain people with early Alzheimer’s. That is very different from saying that all Alzheimer’s medications merely treat symptoms.
/by Moti GamburdAn Alzheimer’s diagnosis changes more than medical care. It can change conversations, relationships, family roles and the way friends respond to someone they have known for years.
Some people become deeply supportive. Others pull away because they are frightened, uncomfortable or unsure what to say. Family members may disagree about how serious the diagnosis is, whether the person should still drive, who should provide care or when additional support will be needed. Friends may avoid visiting because they worry the person will not recognize them.
/by Moti GamburdYou have noticed changes in someone you love. A parent who once managed work, appointments and household responsibilities may now struggle to stay organized. They may withdraw from friends, repeat questions, miss payments, get lost in familiar places or seem less motivated than before.
It is natural to wonder whether these changes are part of aging, a reaction to stress or an early sign of Alzheimer’s disease. It is also natural to hesitate. You may worry that raising the subject will cause embarrassment, fear or conflict. You may wonder whether knowing the diagnosis will make any practical difference.
/by Moti GamburdTalking with someone who has Alzheimer’s can feel different from one day to the next. A conversation may flow easily in the morning, then become confusing or frustrating later that afternoon. Your loved one may lose track of words, repeat the same question, misunderstand what you mean or respond with a story that does not match the facts.
These changes can be painful, especially when conversation was once an important part of your relationship. However, difficulty communicating does not mean the person no longer needs connection. The need to feel respected, included, safe and understood remains important throughout every stage of Alzheimer’s disease.
/by Moti GamburdClaims about coconut oil and Alzheimer’s disease have circulated for years. Families may encounter personal stories describing clearer thinking, better conversation or improved daily functioning after coconut oil was added to a loved one’s diet. These stories can feel especially compelling when conventional treatments have not produced the improvements a family hoped to see.
There is a scientific reason researchers have been interested in coconut oil. The brain can use ketones as an alternative energy source, and certain dietary fats can increase ketone production. However, a plausible biological explanation is not the same as a proven treatment.
/by Moti GamburdLocations & Contact
Corporate Office
Raya’s Paradise, Inc.
1156 N Gardner St.
West Hollywood, CA 90046
(Directions)
Tel: (310) 289-8834
Fax: (323) 851-0375
San Clemente Community
101 Avenida Calafia
San Clemente, CA 92672
(Directions)
Tel: (949) 420-9898
E-mail: Info@RayasParadise.com
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