Monday, January 4, 2016

Assisting Your Senior Adjust to a Residential Facility

After grappling with the difficult tasks of caregiving to your loved one at home, you might find it necessary to put him/her into a residential care center. As soon as you have picked the appropriate facility for your elder, be it a senior living in little rock ar facility or nursing home, all of you will have to handle the difficulties of adapting to new routines.

Some facilities have a "30 Day Rule" which enables them to decide whether your elder "fits in" with their facility. The 30 Day Rule appears more than fair to many people. If a patient is going to reveal signs of adjustment the facility will be able to make the suitable decision. This secures them from needing to keep people they definitely can't handle in their environment and who may hurt other residents.


The huge majority of people with dementia have problem with adapting to a brand-new home environment. For at least two weeks the person cannot find things, is besieged with brand-new people and routines and has feelings of frustration and/or anger. There are some ways to help your loved one adjust:

1. Expect agitation for 2-3 weeks. You might ask your elder's physician for a light prescription for Ripserdal, Haldol, or Seroquel and utilize it for a couple of weeks (in a VERY light dose) BEFORE the placement. The patient may be confused, however not upset and agitated.

2. Do not always prevent visiting for 2 weeks, although the facilities suggest this. Follow a formula something like the following:

A. Anticipate the person to be agitated and upset, but stop beating yourself about it. You did exactly what had to be done. Your loved one has to grieve. To expect happiness is impractical.

B. Plan a BRIEF visit. 10-15 minutes will be enough for you to know your loved one is well-cared for and to give them peace of mind. A 3-hour visit is going to trigger agitation. If the loved one demands to be taken home, DON'T attempt to explain. Take a look at your watch and state, "I need to go now." It will break your heart, but will minimize the behavior after a few times. Numerous patients start the "take me home" stuff after a 30 minute visit when they get tired. Take it as an indication that it is time to go. You can find anything you need to know about this article at this web-site.


C. Take something to do. Do their nails, have a snack, pay attention to a new piece of music or share an activity. Once you are done, it is time to go. Have the staff divert your loved one to an activity such as a meal.

D. Call prior to you come so you understand what kind of day your loved one is having. If you know they are upset and having a bad day and if you can't face it without ending up being upset, don't go when they are agitated ... or go later on.

E. Talk with the personnel. Smile. Discover the staff doing something right and enhance at least one on each visit. There is nothing worse than the family who comes in with their microscope looking for flaws. They will become apparent soon enough-- we are talking working with demented adults here.

F. Know that the center and staff have no magic for handling behavior issues. If it was hard to handle at home, it will be worse in the care facility-- particularly with 7+ other people who are likewise demented.

G. Before you leave, talk with an administrative personnel to see how things are going and what you (as a team) can do to improve care throughout the change.


H. I can not stress this too much: choose an activity-based program! And, if your loved one is not a socializer, see to it the personnel knows to let him have some time to himself daily and present him slowly to the group.

I. Last, do not let the adjustment period dissuade you from the placement. It probably will work out.

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