User Tag List

First 123 Last

Results 11 to 20 of 28

  1. #11
    Senior Member
    Join Date
    Nov 2008
    MBTI
    INFJ
    Enneagram
    4w5
    Socionics
    INFP
    Posts
    238

    Default nursing homes and assisted living

    Quote Originally Posted by Halla74 View Post
    I work for the Medicaid program in Florida. Although I have limited first hand experience with nursing homes, I have been to a few to see relatives in need. It is not the happiest of environments, it is usually somewhat institutional.

    If you have a relative who might require that level of care, either for a short duration or on an ongoing basis, look into whether or not your state has any HCBS (home and community based services) programs. Often, an elderly/disabled person can stay in their home with some help, like cooking, light cleaning, bathing assistance, etc. These services are often cheaper than full on nursing home care, and the patient is happier as they are in their home, in their neighborhood, close to their friends & family.

    I hope that helps, if you need any other info let me know, I'll try to help.

    +1 this is what my roomie and i have and in colorado we have a consumer-directed program that allows us to hire, supervise and fire our home health aides. we are also able to pay them a living wage, which many home health agencies do not. our aide has been with us 11 years and she is more like a member of the family than an employee. even her extended family--her daughter and son-in-law live a block from us--have pitched in during emergencies. i realize this isn't the norm, but it's certainly more possible than when having to work with an agency. one disappointment with obama's disability platform--at least he had one--is that there wasn't more on the promotion of consumer-directed programs. NOTHING ABOUT US WITHOUT US!!!
    It's a blessing...and a curse.

    Originally Posted by Anja
    I don't have room for shame in my life.

    INFJ, 4w5 sx

  2. #12
    Seriously Delirious Udog's Avatar
    Join Date
    Aug 2008
    MBTI
    INfp
    Enneagram
    9w1 sp/sx
    Socionics
    INFp None
    Posts
    5,295

    Default

    Quote Originally Posted by proteanmix View Post
    Thanks Udog, the info about asking the EMS techs is a great idea.

    Unfortunately, paying privately is not an option so we have to go through Medicaid/Medicare.

    I'm so becoming a socialist after all this.
    It's a horrible situation to be in. People shouldn't have to make decisions where they lose no matter what choice they make. I wish you the best.

    This is important... Medicaid/Medicare facilities, especially the good ones, usually have a waiting list. This list can be from weeks to literally a year or more (!). What often happens is that the good nursing homes get most of their money from private pay (which is how they earn enough money to be good), and therefore only keep a handful of Medicaid beds.

  3. #13
    Senior Member Anja's Avatar
    Join Date
    May 2008
    MBTI
    INFP
    Posts
    2,967

    Default

    I left, Protean, to go to volunteer at my mom's care center which was closer to me.

    I've answered a few questions via PM.

    But I will say again, most professionals who go into the business do so because they like to help people. There is a high turnover among the para- and nonprofessionals but the ones who stay usually are people who take satisfaction from providing care.

    As I mentioned in PM, everyone is being overworked these days which is hard to see and creates problems of its own.
    "No ray of sunshine is ever lost, but the green which it awakes into existence needs time to sprout, and it is not always granted to the sower to see the harvest. All work that is worth anything is done in faith." - Albert Schweitzer

  4. #14
    Seriously Delirious Udog's Avatar
    Join Date
    Aug 2008
    MBTI
    INfp
    Enneagram
    9w1 sp/sx
    Socionics
    INFp None
    Posts
    5,295

    Default

    Quote Originally Posted by Anja View Post
    As I mentioned in PM, everyone is being overworked these days which is hard to see and creates problems of its own.
    Yes, my boss' wife is a nurse that works in a medicaid home. One nurse and 3 nurses aides are responsible for 70 patients.

    Anja, if that information included any insights from your experience, any chance I could get a PM with of some of the information? I'd be interested as well, if you don't mind.

  5. #15
    Artisan Conquerer Halla74's Avatar
    Join Date
    Jan 2009
    MBTI
    ESTP
    Enneagram
    7w8 sx/so
    Socionics
    SLE
    Posts
    6,927

    Default

    Quote Originally Posted by proteanmix View Post
    Thanks Udog, the info about asking the EMS techs is a great idea.

    Unfortunately, paying privately is not an option so we have to go through Medicaid/Medicare.

    I'm so becoming a socialist after all this.
    Yes, socialized medicine is the only way to go for quality, sustainable health care for the masses of any large industrialized nation. It's all about creating a huge pool of enrollees, the largest of which is obviously everyone in the nation, or at least those that do not wish to seek private care elsewhere.

    I manage the actuarial consulting services contract for Florida's Medicaid program. We look at historical fee for service claims of a given region, for a given eligibility group when a new program is pitched and calculate a monthly per member per month (PMPM) rate that would need to be paid if the population in question were to be covered by an approved Medicaid HMO that covers the services of the new program.

    Statewide the average monthly PMPM for the TANF (Temporary Assistance for Needy Families, essentially mothers and young children) is $200; the monthly PMPM for the SSI (Social Security Income, Aged and Disable people) population is about $500.

    These rates vary by age and gender, as a means of risk adjusting them to more accurately pay plans for their enrollees. We also risk adjust by analysis of pharmacy claims, lab claims, and certain physician claims.

    A pilot program was in the works for over two years, called "Florida Senior Care." It would have integrated HMO-type medical coverage, HCBS/waiver services, and nursing home care for an enrolled population of persons 60 and older. There were 3 levels of care considered, and their draft monthly PMPMs are below:

    Community Well (Those in Good Health): ~$160 per month
    HCBS (Those at Nursing Home Level of Care but Living at Home): ~$800
    Nursing Home (Those Residing in a Nursing Home in a Given Month): ~$4,700

    Do you see how expensive nursing home care is?!?!?!

    Nursing Homes and Inpatient Hospital care account for more than half of our annual costs. Last year the Florida Medicaid budget was $16 Billion, and it will continue to rise...

    IMHO, I don't see any other way to keep costs down in the long run than a good quality social medicine system...

  6. #16
    Artisan Conquerer Halla74's Avatar
    Join Date
    Jan 2009
    MBTI
    ESTP
    Enneagram
    7w8 sx/so
    Socionics
    SLE
    Posts
    6,927

    Default

    For Anja:
    BTW, my daughter's name is Anja! I haven't met many other Anja's at all!


  7. #17
    movin melodies kiddykat's Avatar
    Join Date
    Jul 2008
    MBTI
    ENFP
    Enneagram
    4, 7
    Socionics
    IEE
    Posts
    1,115

    Default

    I worked as a candy striper at a nursing home/retirement center/hospital for the elders. I think that was probably the most heart-breaking experience for me (I get a bit sad when I think about it)..

    I remember watching an old man who was in his diapers dripping with diarrhea for hours in his wheelchair. I asked a nurse if he could help change him, and after I worked there for 4 hours, the elderly man was still left to sit there in the corner all by himself. I couldn't change him, due to legal reasons, my status as a non-employee.

    I would say.. I notice that there was A LOT of neglect from my experience at that place.. It was a WHOLE different world.

    I think there's a lot of ageism that exists in our society, and I wish it could stop. I mean, these are people who paved the way for our future? We wouldn't be here if it wasn't for the older generations' hard work, dedication. Yet, that's how they get treated. I also feel sad to see that families aren't close-knit enough so that grandparents/great-parents cannot stay at home where they are needed, and that the situation for the families don't really make it as easy. I still made the best of the situation by doing whatever I could, and listening to their stories. They were cute.

    I give much props to nurses who work hard, ethically, in those types of environment. Hopefully, trends and lifestyles will change so that families will be able to better take care of their loved ones.

  8. #18
    Senior Member uberrogo's Avatar
    Join Date
    Mar 2009
    MBTI
    istj
    Posts
    132

    Default

    I used to go to those places as an ambulance driver. If you leave your parents there you must be in jail, oblivious, or hate your parents. I'd rather starve homeless on the street then be put in one.
    If Men's Health magazine was true, you would never need to buy more than one issue.

  9. #19
    heart on fire
    Join Date
    May 2007
    Posts
    8,457

    Default

    There are horrid nursing homes, bad ones, medium and then there are excellent ones, staffed by professional, caring people. It takes work and research to find out which are which. A doctor's office might be able to steer one in the right direction.

  10. #20
    Seriously Delirious Udog's Avatar
    Join Date
    Aug 2008
    MBTI
    INfp
    Enneagram
    9w1 sp/sx
    Socionics
    INFp None
    Posts
    5,295

    Default

    Quote Originally Posted by uberrogo View Post
    I used to go to those places as an ambulance driver. If you leave your parents there you must be in jail, oblivious, or hate your parents. I'd rather starve homeless on the street then be put in one.
    Sometimes it's not an option, and it's a heartbreaking decision. As the child that works full time, it can literally become impossible to provide the level of care the parent requires. Then, if you add parent/child dynamics into the mix, it becomes a physical and emotional nightmare.

    Of course, my boss told me of a [big name] Nascar driver who had his father in the horrible Medicaid nursing home in the area. My boss' wife works there as nurse (she is responsible for 70+ patients), and would see him there occasionally. This dude earns a ton of money through Nascar, and he could easily afford a better place. THAT, I admit, is pretty rotten.

Similar Threads

  1. Prisons, under rated freedom and institutional lives
    By Survive & Stay Free in forum Politics, History, and Current Events
    Replies: 1
    Last Post: 10-27-2011, 07:38 PM
  2. [MBTItm] Live my own life...or stay at home and help parents?
    By RobinsonCrusoe in forum The NF Idyllic (ENFP, INFP, ENFJ, INFJ)
    Replies: 18
    Last Post: 07-12-2010, 04:44 AM
  3. [ISTJ] Home and the ISTJ
    By Rachelinpa in forum The SJ Guardhouse (ESFJ, ISFJ, ESTJ, ISTJ)
    Replies: 13
    Last Post: 08-11-2009, 03:53 PM
  4. Live and let live?
    By sabastious in forum Philosophy and Spirituality
    Replies: 5
    Last Post: 06-13-2009, 11:02 AM
  5. Replies: 6
    Last Post: 10-10-2008, 04:17 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Single Sign On provided by vBSSO