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NHWM. The challenge is that far to often, when someone is in a facility, they can't advocate for themselves because they are to sick. So, The Lord help anyone without an advocate finding themselves in managed care nowadays.

The climate in facilities has changed and not for the better, low pay, azzhat bosses treating the boots on the ground caregivers degrading and shareholders making huge profits has made the entire medical industry just that, an industry and that is criminal, imo.

However, it has been heading that direction for decades and now the beast is to powerful for any meaningful change to occur. We are all screwed by this mentality of an industry focused on profit at the expense of human beings but, history proves this isn't the first rodeo of sacrifices of human lives for profit and power.
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Need, double dosed? That’s crazy and criminal. I’d like to see if the nurse would like someone to double dose her one day.

PD medicines are very powerful. They’ve been compared to cocaine. That’s how powerful they are. Double dose can absolutely be harmful. In fact the rule is, if you forget a PD dose, forget about it. Don’t ever double dose. The nurse knew that. She took a criminal risk with your mom. It wasn’t the nurse’s body. It was your mom’s body. Thank God your mom was mentally fit to notice and let you know.
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ITRR,

You can say that again! Indeed, we either need an advocate or we have to be very aware of what is going on.

You are correct that when a person is too sick to fend for themselves, it can be a problem.

I did pray for God to watch over my mom’s care when she was doing her rehab. I feel like He answered my prayers because mom told me about the incident. If she hadn’t told me, I wouldn’t have known anything about it.

Venting,

I feel the same way about meds as you do. I was very concerned when mom told me what her nurse did.

As I said, I feel for the staff when they are understaffed but the nurse made a bad judgment call to over medicate my mom.

The DON was responsive to this situation. The next time I took mom to her primary care doctor, I started to inform her doctor about the incident and her doctor said that it was in her file. So, this was confirmation that the DON wrote up the incident.
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ITRR,

I believe that you are correct in your assessment about regarding money as the bottom line.

Let’s face it, elder care is a huge business. I looked up information on assisted living facilities. I am amazed at how many people are investing in assisted living facilities. Many new facilities are being built to accommodate needs.

I am a boomer and it’s projected that many of us will be needing assistance before too long. The supply in demand is going to greatly affect costs of care.

These facilities will be making enormous profits. The investors will do very well.
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Room move is making a little more sense since one of the reasons for the move could be to make this place more palatable for those coming out of a hospital.

There are 2 hospitals less then 5 miles from this place as well as a competing NH less then 2 miles down the road.
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I won't post all that is going on here lest to bore you lol, but had to mention a somewhat comical situation.

So, last night dinner was pasta with sauce and meatballs, vegetable, juice and milk. A female resident took offense to something an aid did ( I'm guessing) and proceeded to dump all the food on the floor . Mind you dinner was late again, still the aid was upset to have to clean up the mess.

Early this morning, there was some sort of argument amongst the aids ( same one that had it with the female resident is on duty today), which sound like it was getting heated. Just another day at this NH 🙂
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The kindest thing a nurse can say in hospital to a person recovering who’s about to be discharged, or in NH for rehab (like you OP), is:
“I hope I never see you again!”
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Cover, I have to agree with you. Because of my parents I have had to sit in hospitals and Rehabs. Moms last Rehab (she had Dementia) was going to be her last. But I was able to find her a nice LTC facility. She was treated very well, but then she was easy to care for. I just could not physically do it anymore.

My DH and I were just talking about it, we will not be doing Rehab. My husband is very hard of hearing and staff not sympathetic to it when in the hospital. Me, I can't imagine having to share a room with someone I don't know. Or sitting around most of the day in a strange place. And even though I don't eat much, I want it to taste good when I do eat.

Are you in for Rehab? If so how long? You do have rights as a resident.
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@ VentingIsback

You're so right, those are beautiful words to hear🙂

@JoAnn29

I can't blame you.
Yes I'm in rehab. Hopefully not too much longer ( even though I really like the therapists). I was making great progress until I got sick from food poisoning which wiped out most if not all the progress I made.

I'm in essence starting over and am back to where I was when I first got here 3 months ago. So very frustrating, since I probably would have been out of here.

Thank you, I sure do have rights. The only small "positive" my roommate is a smoker so he's out of the room a lot for long periods.
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A warning for you or a loved one in a NH. If you eat the food there, be wary of foods with gravy or any type of sauce.

Since they have to make a lot of food for the residents, there's a chance any sauces are not heated well or at all. This could lead to you getting sick.
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Hope you get out soon, Cover! :) I bet it’ll feel GREAT. Just think of your first home-cooked meal! Or night out at a restaurant! :)

Speedy recovery!
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VentingIsback

Thanks so much!!! I'm working hard to make that happen.

It sure will feel GREAT 😄

Home cooked meal? night out at a restaurant? YES and YES lol

One learns to appreciate what they may have taken for granted, after being in one of these homes.
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ITRR

Exactly to what you said. You probably described the NE OH medical scene to a T.

The world renowned Cleveland Clinic Main Campus is huge. It's so big they have to have helpers in case visitors can't find where they want to go.

This lends itself to many medical related businesses trying to patients to use their services. Not to be left out, the Clinic is in competition with these outside businesses as well.😆

Many if not all the NH and ALs make sure to be located not far from the nearest hospital.

It's a huge money maker that sees no signs of slowing down in the near future.
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Another tip/warning if you're in a NH

Nurses/Aids really like what is called "low maintenance" residents; this makes their job much easier.

From personal experience, I recall accidentally triggering the Emergency button in the bathroom. The aid responded almost immediately. She mentioned they were scared that something was really wrong with me, since I didn't need their help much.


If you or your loved one can do at least some things, you can see some difference in the service you receive.
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Have a good day Cover!

I get what you’re saying.

I’ll add:
Some people like to work as little as possible, and like to give the work to the family as much as possible. Some people even inappropriately get angry at family who point out important things they do wrong.
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VentingIsback

You as well, Thank you!!

You're so right, it makes life easier and with less stress.
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Fun day today.

Aides fussing with a couple residents, door alarm kept going off almost every time entrance doors were open and closed, more PT and OT refusals, top it off ambulance downstairs for an emergency. I heard it was a mess.

One good thing, another resident was discharged and heading to Washington State. I guess Bye bye Ohio.
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How are you doing, Cover? How are PT and OT going?
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Hi NHWM

I'm doing good😆. Thank you for asking. I hope you are as well.

PT and OT are going well; being sick set me back so it is as if I just arrived at the facility 3 months ago. I'm chomping at the bit to get out of here.

I did go by my old room. The first time there was no name on the plaque by the door, the second time heading to the bathroom as part of transfer for OT, there is a name there. I realize I won't be going back to the room. I'm surprised that I really miss it.

Thanks so much for your concern 🙂
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Hi Cover - I hope you're getting better and stronger with each and every day - and ready to return home very soon!!

Sending lots of love and healing, positive energy!
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@Hopeforhelp22

Hi Hopeforhelp22. Thank you!! I sure am trying hard. It's really time to go home. I realized that when I went to the hospital to see my new PCP and actually felt better with little pain there then in the NH lol. I can't let the stress of bring here get me down and interfere with my progress.

Back at you with love, healing and positive energy 😊.

Thanks so much again!!
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Interesting past few days at the NH. The door alarm malfunction, a resident "feeling out of it" sent to the hospital, then today, water leak from the ceiling affecting one section of the first floor ( near my old room)

Maybe it was happenstance, but I've seen the name of the new resident in my old room, been told he was there, then saw his sister bringing him goods while waiting for my ride to the hospital.

All one can do is laugh lol
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Nursing Home Tip

Keep your mind active, learn new things. If you don't, it may slip away.
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Well, if people live and live and live forever, as they seem to to do these days, then they must “live” somewhere! So sorry the places you deplore bear little resemblance to the Ritz. What would be your pleasure, madame? Exactly what do you expect to be provided on the cheap, or for free?
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@Emma1817

Well first I'm a sir🙂

Second, don't you think regardless of age, wealth, or health, people should be treated with compassion and care, which is sadly and sorely missing from many NHs?

I'm not against what few good ones there are, just the bad ones.

FYI Many people can live to be very mature ( I hate the word old) age not only being of sound mind but of body as well.
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I noticed that the lady in charge of the whole facility probably, or at least the day to day operations, her office is behind the front desk reception 😆.

She does not have to go by any residents room, even to use the bathroom or to pick up anything from the printer.
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It's similar having the principal's office at the main doors of a school - that's where all the administrative action takes place.
It is the director of nursing/DON (director of care in my part of the world) who is in charge of all the care plans and care staff, the administrator is more concerned with budgets, ensuring proper filling out of forms, billing, HR, payroll and other such business related duties.
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cwillie

True, though one difference, the principal can have more interaction with the students.🙂
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Principal vs. facility

“principal can have more interaction with the students.🙂”

Whereas the lady in charge is intentionally avoiding contact with the elderly people and how they’re doing…
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Oh please, there are a lot of schools where the principal is not interacting with the students, at least not in any positive way.

On the other side of the coin - the administrator of my mom's NH made it a point to be able to greet every resident and their family by name, she was so fake empathetic it was sickening.
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