Solitary Confinement -- for Life
Sixty-five year old Arthur Jones served a self-imposed life sentence - in his own home.
Arthur lived in a high crime neighborhood, so he built iron cages around his outside doors and installed bars on all the windows. No one could find it easy to break in to Arthur's house!
I met Arthur a few years ago, although you would hardly call our interaction meeting. When I arrived to deliver his meal, as part of the Meals-on-Wheels program, Arthur barely cracked open his front door even though his cage clearly protected him. He refused to open the cage door at all, so, to give him his meal, I had to angle the box through the bars. Without doubt, this maneuver scrambled the hot contents of his boxed meal, but Arthur would have it no other way. He clearly feared me, a 100-pound woman, and everyone else.
I wish I could say that Arthur's family came to his rescue, finding for him the medical and emotional treatment he needed. I cannot. Arthur's depression and paranoia compounded relentlessly, killing him at far too young an age.
Many elders live like Arthur, holed up in their own homes, barricaded against the world. Who cares? Family and friends must care, and they must assume the primary responsibility, acting before their elder's condition rivals that of Arthur. We cannot shift this burden to our government. We cannot wish it away. Those among us lucky enough to have elders in our lives must shoulder the responsibility of seeing that they do not succumb to depression.
At this holiday season, many elders experience transitory depression, as celebrations bring memories of friends and loved ones who have died. Decreased hours of sunshine may add to their depressed feelings. How do you know if your elder suffers from serious depression? And, if you suspect depression, what you should do? Here are a few tips.
What signs should lead you to suspect serious depression?
Lethargy and or refusal to get out of bed;
Changes in Sleep Patterns, such as sleeping all morning
Unusual Complaints
Memory loss and loss of ability to concentrate
Frequent sighs or weeping if unusual for the sufferer
Feeling fear and loneliness;
Thoughts of death
Refusal to eat
Refusal to take prescribed medications
Thoughts or talk of suicide (remember, the notion that suicides do not signal their plans is a myth!)
Significant changes in personality
Irritability
What Can You Do?
A few simple steps may improve their condition rapidly:
Call more often than usual.
Take your elder for outings away from the house.
Schedule a medical appointment to confirm or deny your suspicions, and be the one to take your elder to that appointment. Depression often accompanies the early stages of Alzheimer's disease and other dementias.
Check bottles to be certain that your elder is actually taking prescribed medications at the recommended dosages. Too many or too few pills in the bottle can warn you of problems. If you find evidence that medications are not taken as prescribed, gently probe to see if you can learn why.
Include the elder in parties and holiday festivities, but keep the duration of their participation at a level they can handle comfortably.
Drop in more often than usual on homebound elders.
You don't have to be a doctor or social worker to recognize the signs of depression. Take action now to protect those who protected you.
About The Author
Phyllis Staff, Ph.D. - Phyllis Staff is an experimental psychologist and the CEO of The Best Is Yet.Net, an internet company that helps seniors and caregivers find trustworthy residential care. She is the author of How to Find Great Senior Housing: A Roadmap for Elders and Those Who Love Them. She is also the daughter of a victim of Alzheimer's disease. Visit the author's web site at http://www.thebestisyet.net
pando19@yahoo.com
5 Myths You Should Know Before Choosing Elder Care
5 Myths You Should Know Before Choosing Elder Care
Myths associated with selecting quality nursing home care suggest quick and easy ways to identify quality care. In fact, relying on these myths can lead to disastrous results. I have identified a few of the most common myths in hopes of helping you avoid some of the problems commonly found in many nursing homes.
1. The Smell Test
You've heard it repeatedly: "The best way to determine the quality of care a nursing home provides is to be alert to bad odors when you visit the home."
It seldom, if ever, works. Why? Nursing home administrators have heard the very same advice. As a result, they are particularly sensitive to unpleasant odors in any area that might receive visitors. Almost all will do their best to remove offensive odors as quickly as possible, even when it means avoiding their primary responsibility to their residents.
2. The Personal Recommendation
Recently, I heard a guest on a radio talk show state that the very best way to find great nursing home care is to get recommendations from a friend. Like other myths, there is a grain of truth here, but you must check whether your friend has had extensive interactions with the nursing home recommended. Often that is not the case.
Last weekend I dealt with an emergency call from Jim, a friend who had placed his mother in a nursing home recommended by a friend. Although she was recuperating from a stroke, no nurse or aide checked on her condition for more than 14 hours. Jim discovered her in the morning with many cuts and bruises, her bedsheets soaked in blood. He was astonished that anyone would recommend such a poor care facility.
"My friend said her grandmother was in this particular nursing home," he reported. "So, I thought it would be good care."
"How often does your friend visit her grandmother?" I asked him.
"I didn't think to ask," he responded.
"And did you check the latest survey for that nursing home?"
"No," he answered. "I thought a personal recommendation was all I needed."
Jim's mother is now back in an area hospital. No one knows yet how much damage this experience caused to her recovery.
3. You Get What You Pay For
Nowhere is this statement less applicable than in nursing home care. In fact, I'd replace it with another shibboleth -- "Buyer Beware." Our own research, encompassing more than 6000 nursing homes and more than 100 assisted living facilities shows no relationship between cost and quality of care. You may find quality care in an expensive facility, or you may not! Similarly, the fact that a facility is low-cost does not indicate whether you'll get poor, average, or quality care. You have to do your homework. Relying on price as the sole indicator of quality care can lead to disastrous results.
4. Adequate Staffing Equals Quality Care
A recent report by the Senate's Special Committee on Aging indicated that quality care for a single nursing home resident requires more than three hours each day of nursing and nursing aide time. However, statistical analysis of the latest federal database on nursing home deficiencies indicates no relationship between quality of care and staffing levels. This finding is consistent with a number of university studies.
What should you look for, then, in nursing home staffing levels?
There is a level below which nursing homes are so understaffed that quality care can not be provided. I'd suggest that you not consider any home providing a level less than two hours per day per resident. For levels greater than this, I'd focus not on the number of hours available for care but on the motivation of staff available to provide care. Those who are motivated to care for the elderly will do so. Those who are motivated only by a paycheck will probably provide shoddy care regardless of their numbers.
5. A Well-Known Chain Will Provide the Best Care
This is another myth that can lead to tragedy. Sometimes, well- known companies do provide top-quality care. In other instances, however, a quick review of newspapers and magazines will show you other companies with long records of legal troubles stemming from accusations of neglect and abuse. One such company has been sued simultaneously by several states' attorneys general.
How will you know? The company is not likely to tell you, so you won't know unless you take the time to look into the company's historical performance.
There you have it -- 5 myths exploded!
What does work? There is no substitute for your own personal investigation. With a little research, with personal visits to nursing homes before you sign anything, you can avoid many of the difficulties that have come to those who relied on such myths.
About The Author
Copyright 2002, Phyllis Staff. Phyllis Staff, Ph.D. - Phyllis Staff is an experimental psychologist and the CEO of The Best Is Yet.Net, and the author of How to Find Great Senior Housing: A Roadmap for Elders and Those Who Love Them (2002).
pando19@direcway.com
Myths associated with selecting quality nursing home care suggest quick and easy ways to identify quality care. In fact, relying on these myths can lead to disastrous results. I have identified a few of the most common myths in hopes of helping you avoid some of the problems commonly found in many nursing homes.
1. The Smell Test
You've heard it repeatedly: "The best way to determine the quality of care a nursing home provides is to be alert to bad odors when you visit the home."
It seldom, if ever, works. Why? Nursing home administrators have heard the very same advice. As a result, they are particularly sensitive to unpleasant odors in any area that might receive visitors. Almost all will do their best to remove offensive odors as quickly as possible, even when it means avoiding their primary responsibility to their residents.
2. The Personal Recommendation
Recently, I heard a guest on a radio talk show state that the very best way to find great nursing home care is to get recommendations from a friend. Like other myths, there is a grain of truth here, but you must check whether your friend has had extensive interactions with the nursing home recommended. Often that is not the case.
Last weekend I dealt with an emergency call from Jim, a friend who had placed his mother in a nursing home recommended by a friend. Although she was recuperating from a stroke, no nurse or aide checked on her condition for more than 14 hours. Jim discovered her in the morning with many cuts and bruises, her bedsheets soaked in blood. He was astonished that anyone would recommend such a poor care facility.
"My friend said her grandmother was in this particular nursing home," he reported. "So, I thought it would be good care."
"How often does your friend visit her grandmother?" I asked him.
"I didn't think to ask," he responded.
"And did you check the latest survey for that nursing home?"
"No," he answered. "I thought a personal recommendation was all I needed."
Jim's mother is now back in an area hospital. No one knows yet how much damage this experience caused to her recovery.
3. You Get What You Pay For
Nowhere is this statement less applicable than in nursing home care. In fact, I'd replace it with another shibboleth -- "Buyer Beware." Our own research, encompassing more than 6000 nursing homes and more than 100 assisted living facilities shows no relationship between cost and quality of care. You may find quality care in an expensive facility, or you may not! Similarly, the fact that a facility is low-cost does not indicate whether you'll get poor, average, or quality care. You have to do your homework. Relying on price as the sole indicator of quality care can lead to disastrous results.
4. Adequate Staffing Equals Quality Care
A recent report by the Senate's Special Committee on Aging indicated that quality care for a single nursing home resident requires more than three hours each day of nursing and nursing aide time. However, statistical analysis of the latest federal database on nursing home deficiencies indicates no relationship between quality of care and staffing levels. This finding is consistent with a number of university studies.
What should you look for, then, in nursing home staffing levels?
There is a level below which nursing homes are so understaffed that quality care can not be provided. I'd suggest that you not consider any home providing a level less than two hours per day per resident. For levels greater than this, I'd focus not on the number of hours available for care but on the motivation of staff available to provide care. Those who are motivated to care for the elderly will do so. Those who are motivated only by a paycheck will probably provide shoddy care regardless of their numbers.
5. A Well-Known Chain Will Provide the Best Care
This is another myth that can lead to tragedy. Sometimes, well- known companies do provide top-quality care. In other instances, however, a quick review of newspapers and magazines will show you other companies with long records of legal troubles stemming from accusations of neglect and abuse. One such company has been sued simultaneously by several states' attorneys general.
How will you know? The company is not likely to tell you, so you won't know unless you take the time to look into the company's historical performance.
There you have it -- 5 myths exploded!
What does work? There is no substitute for your own personal investigation. With a little research, with personal visits to nursing homes before you sign anything, you can avoid many of the difficulties that have come to those who relied on such myths.
About The Author
Copyright 2002, Phyllis Staff. Phyllis Staff, Ph.D. - Phyllis Staff is an experimental psychologist and the CEO of The Best Is Yet.Net, and the author of How to Find Great Senior Housing: A Roadmap for Elders and Those Who Love Them (2002).
pando19@direcway.com
Stair Lifts - Straight and Curved Rails
Stair Lifts - Straight and Curved Rails
There are two types of stairlift. Straight and curved. The first is designed for straight stairs. The footrest of the lift will normally stop level with the top stair. It may be possible to use a straight stairlift on some configurations of curved stairs.
The second, and generally far more expensive type, is a 'made to measure' or 'curved track stairlift' which can travel around bends on the stairs and can be made to run on to the landing. Prices vary according to the length of the stairs, the number of bends and the complexity of the bends.
It is worth noting that although far more expensive, the resale value is negligible, as the rail is made to measure and can only be re-installed on an identical staircase.
Curved track stairlifts can be fitted on either side of the stairs, the layout of your staircase will determine which is most suitable. If you need a curved track stairlift you will need to pay a deposit to the company that you are dealing with. This will normally be about 30% of the cost of the lift. The deposit is required because the company are committing themselves to building a stairlift rail that will only fit into your house. You should not have to pay a large deposit if you order a standard straight lift as these can usually be adapted to suit another staircase.
In certain circumstances it is possible to fit a straight stairlift on stairs that have a turn at the top. For example if you have a straight run of stairs with three steps winding onto the landing. Or a straight flight and a quarter landing with two more steps, a folding platform stairlift could be the solution. A straight stairlift is installed with extended legs, so the footrest stops in line with the landing. A solid wooden platform is then built around the footrest of the lift. This platform can then be used to walk safely onto the landing. The platform is hinged so that it can be folded back against the wall to enable other people in the house to use the stairs.
It is also possible to have a powered platform so the user doesn't have to bend to raise it. Please note that the folding platform option is not suitable for everyone. If you are prone to dizzy spells or feinting or if you have very poor mobility this is not a viable option. Seek independent advice.
Christian Dunnage is a director of Dolphin Mobility Ltd, a UK based independent supplier of stair lifts and mobility products http://www.dolphinlifts.co.uk and author of http://www.stairlift.co.uk an impartial online guide to having a stair lift in your home
There are two types of stairlift. Straight and curved. The first is designed for straight stairs. The footrest of the lift will normally stop level with the top stair. It may be possible to use a straight stairlift on some configurations of curved stairs.
The second, and generally far more expensive type, is a 'made to measure' or 'curved track stairlift' which can travel around bends on the stairs and can be made to run on to the landing. Prices vary according to the length of the stairs, the number of bends and the complexity of the bends.
It is worth noting that although far more expensive, the resale value is negligible, as the rail is made to measure and can only be re-installed on an identical staircase.
Curved track stairlifts can be fitted on either side of the stairs, the layout of your staircase will determine which is most suitable. If you need a curved track stairlift you will need to pay a deposit to the company that you are dealing with. This will normally be about 30% of the cost of the lift. The deposit is required because the company are committing themselves to building a stairlift rail that will only fit into your house. You should not have to pay a large deposit if you order a standard straight lift as these can usually be adapted to suit another staircase.
In certain circumstances it is possible to fit a straight stairlift on stairs that have a turn at the top. For example if you have a straight run of stairs with three steps winding onto the landing. Or a straight flight and a quarter landing with two more steps, a folding platform stairlift could be the solution. A straight stairlift is installed with extended legs, so the footrest stops in line with the landing. A solid wooden platform is then built around the footrest of the lift. This platform can then be used to walk safely onto the landing. The platform is hinged so that it can be folded back against the wall to enable other people in the house to use the stairs.
It is also possible to have a powered platform so the user doesn't have to bend to raise it. Please note that the folding platform option is not suitable for everyone. If you are prone to dizzy spells or feinting or if you have very poor mobility this is not a viable option. Seek independent advice.
Christian Dunnage is a director of Dolphin Mobility Ltd, a UK based independent supplier of stair lifts and mobility products http://www.dolphinlifts.co.uk and author of http://www.stairlift.co.uk an impartial online guide to having a stair lift in your home
Stair Lift Buying Guide
Stair Lift Buying Guide
There is no doubt that having a stair lift in your home can dramatically improve your quality of life. If you are starting to find that climbing the stairs is becoming a hazardous experience, or just hard work, then a stair lift could be the answer. Another solution could be to move to a single storey residence. However, this can be expensive and stressful, and many people are reluctant to leave a house that they have spent many years turning into a home.
Once you start considering the possibility of having a stair lift, you begin to delve into what can be a highly technical area. However sure you are of what you want, I strongly recommend that you take professional advice from someone with experience in this field. In most areas, informed advice is available from community occupational therapists (OT's). You will also need to make contact with a company who specialises in installing stair lifts. I would advise that you contact at least 3 companies because there can be a huge difference in price and quality. Unfortunately, as the populations average age increases, more and more unscrupulous traders have entered the market and you need to make sure that you are not being ripped off.
If possible visit a demonstration centre and try a stair lift yourself. A stair lift is not the answer for everyone. For example, if you are confined to a wheelchair, then a lift that goes through the floor would probably be the best option.
The technology involved in stair lifts has improved dramatically in recent years. A stair lift can be installed on 99% of stair cases these days. But remember, not all stair lift companies are equal, some are using technology that is several years old. My advice is to research as many products as you can and to get as many quotations as you can. Knowledge is power after all, and with a few sensible precautions before purchase, you can ensure that you buy the right lift for your needs for the right price.
Remember : Always get more than one quote and make sure that the products are 'like for like'
Try a manufacturer and a local supplier to get a price comparison.
Ask your local authority or Occupational Therapist who they prefer to use.
If possible have another family member or an O/T present.
Ask about maintenance costs, will they still look after your lift even if you don't sign up to an expensive contract? A reputable company will service your lift regardless.
Are the company approved suppliers? If not, they will struggle to obtain spare parts and their engineers will not be trained by the manufacturer.
An independent supplier can tell you about a range of different stair lifts without bias to one manufacturer.
Exercise caution if the salesman is pushing you to buy that day. Many salesmen start with a high price and discount to close a sale. A reputable company will quote the best price from the start.
If possible try a lift out in a Disabled Living Centre showroom. A stair lift is not suitable for everyone.
Do as much research as possible, there are many companies in this industry who sell at highly inflated prices.
Christian Dunnage is a director of Dolphin Mobility Ltd, a UK based independent supplier of stair lifts and mobility products http://www.dolphinlifts.co.uk and author of http://www.stairlift.co.uk an impartial online guide to having a stair lift in your home.
There is no doubt that having a stair lift in your home can dramatically improve your quality of life. If you are starting to find that climbing the stairs is becoming a hazardous experience, or just hard work, then a stair lift could be the answer. Another solution could be to move to a single storey residence. However, this can be expensive and stressful, and many people are reluctant to leave a house that they have spent many years turning into a home.
Once you start considering the possibility of having a stair lift, you begin to delve into what can be a highly technical area. However sure you are of what you want, I strongly recommend that you take professional advice from someone with experience in this field. In most areas, informed advice is available from community occupational therapists (OT's). You will also need to make contact with a company who specialises in installing stair lifts. I would advise that you contact at least 3 companies because there can be a huge difference in price and quality. Unfortunately, as the populations average age increases, more and more unscrupulous traders have entered the market and you need to make sure that you are not being ripped off.
If possible visit a demonstration centre and try a stair lift yourself. A stair lift is not the answer for everyone. For example, if you are confined to a wheelchair, then a lift that goes through the floor would probably be the best option.
The technology involved in stair lifts has improved dramatically in recent years. A stair lift can be installed on 99% of stair cases these days. But remember, not all stair lift companies are equal, some are using technology that is several years old. My advice is to research as many products as you can and to get as many quotations as you can. Knowledge is power after all, and with a few sensible precautions before purchase, you can ensure that you buy the right lift for your needs for the right price.
Remember : Always get more than one quote and make sure that the products are 'like for like'
Try a manufacturer and a local supplier to get a price comparison.
Ask your local authority or Occupational Therapist who they prefer to use.
If possible have another family member or an O/T present.
Ask about maintenance costs, will they still look after your lift even if you don't sign up to an expensive contract? A reputable company will service your lift regardless.
Are the company approved suppliers? If not, they will struggle to obtain spare parts and their engineers will not be trained by the manufacturer.
An independent supplier can tell you about a range of different stair lifts without bias to one manufacturer.
Exercise caution if the salesman is pushing you to buy that day. Many salesmen start with a high price and discount to close a sale. A reputable company will quote the best price from the start.
If possible try a lift out in a Disabled Living Centre showroom. A stair lift is not suitable for everyone.
Do as much research as possible, there are many companies in this industry who sell at highly inflated prices.
Christian Dunnage is a director of Dolphin Mobility Ltd, a UK based independent supplier of stair lifts and mobility products http://www.dolphinlifts.co.uk and author of http://www.stairlift.co.uk an impartial online guide to having a stair lift in your home.
Assisted Living: Tips on How to Choose a Facility
Assisted Living: Tips on How to Choose a Facility
It is easy to be fooled by fancy drapery or expensive furniture that may decorate a care facility. Even though a facility looks high class doesn't always mean the care provided is first class. The following are just a few simple guidelines to follow when selecting either a nursing home or an assisted living facility:
1.Talk with people in the community who are familiar with the facility you are looking at. Get their opinions and feedback.
2.In order to get the feel of the residents and their activity level, tour the facility during meals times, or right before or after a meal. Activity level is usually higher during these times. This will give you a general idea of the atmosphere and the quality of food being served. Great meals are one of the lasting enjoyments our seniors have.
3.Pay attention to the residents in the facility. Do they appear to be happy? Unhappy residents could indicate their needs are not being met properly. Do the caregivers know the residents by name? Is there adequate interaction between caregiver and resident?
4.If you have concerns about the facility, don't be afraid to ask the staff questions and voice any concerns you may have. Did you receive adequate answers? Was the staff professional? Ask the administrator about the staff turnover rate. If it's high, ask for the reasons why.
5.Examine all license and state or county inspection results for the facility. Each facility is required to display these items. A facility with little or no deficiencies is most likely a facility that wants to get the job done right the first time.
6.Research the facility using resources on the internet such as the Nursing Home Compare at www.medicare.gov or view license and enforcement action information with the appropriate state agency.
7.Trust your instinct. If you feel uncomfortable about a facility, there is a reason why. If a second unscheduled visit yields the same uneasy feeling, go with your gut feeling.
Overall, being familiar with a few simple guidelines will help make your selection process much easier. Selecting a care facility for a loved one is a very important decision. The care your loved one receives will ultimately affect their quality of life. In the end, if you cannot see yourself living in a certain facility you're visiting, then chances are you shouldn't place your loved one there either.
You have permission to use this article as long as the author's full bio is present as well as any hyperlinks to author's website.
Torey Farnsworth has over 12 years of experience working with seniors. Ms. Farnsworth's vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.
Ms. Farnsworth owns and operates a senior care placement business in Arizona called Horizon Senior Care Referral. Her placement services are free to seniors and their families. For information on placement services in Arizona, visit http://adultcarecentral.com/
It is easy to be fooled by fancy drapery or expensive furniture that may decorate a care facility. Even though a facility looks high class doesn't always mean the care provided is first class. The following are just a few simple guidelines to follow when selecting either a nursing home or an assisted living facility:
1.Talk with people in the community who are familiar with the facility you are looking at. Get their opinions and feedback.
2.In order to get the feel of the residents and their activity level, tour the facility during meals times, or right before or after a meal. Activity level is usually higher during these times. This will give you a general idea of the atmosphere and the quality of food being served. Great meals are one of the lasting enjoyments our seniors have.
3.Pay attention to the residents in the facility. Do they appear to be happy? Unhappy residents could indicate their needs are not being met properly. Do the caregivers know the residents by name? Is there adequate interaction between caregiver and resident?
4.If you have concerns about the facility, don't be afraid to ask the staff questions and voice any concerns you may have. Did you receive adequate answers? Was the staff professional? Ask the administrator about the staff turnover rate. If it's high, ask for the reasons why.
5.Examine all license and state or county inspection results for the facility. Each facility is required to display these items. A facility with little or no deficiencies is most likely a facility that wants to get the job done right the first time.
6.Research the facility using resources on the internet such as the Nursing Home Compare at www.medicare.gov or view license and enforcement action information with the appropriate state agency.
7.Trust your instinct. If you feel uncomfortable about a facility, there is a reason why. If a second unscheduled visit yields the same uneasy feeling, go with your gut feeling.
Overall, being familiar with a few simple guidelines will help make your selection process much easier. Selecting a care facility for a loved one is a very important decision. The care your loved one receives will ultimately affect their quality of life. In the end, if you cannot see yourself living in a certain facility you're visiting, then chances are you shouldn't place your loved one there either.
You have permission to use this article as long as the author's full bio is present as well as any hyperlinks to author's website.
Torey Farnsworth has over 12 years of experience working with seniors. Ms. Farnsworth's vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.
Ms. Farnsworth owns and operates a senior care placement business in Arizona called Horizon Senior Care Referral. Her placement services are free to seniors and their families. For information on placement services in Arizona, visit http://adultcarecentral.com/
If Using The Stairs Has Become A Daily Struggle, A Stair lift Could Change Your Life
If Using The Stairs Has Become A Daily Struggle, A Stair lift Could Change Your Life
Using stairs is an everyday nightmare for many people. As we grow older the stairs in our home can become more of a struggle due to mobility problems associated with old age, an accident or illness. Often when out shopping or in a public place an alternative can be found such as a lift or escalator, but the stairs at home can become a daily challenge. Many people who experience difficulty climbing the stairs come to dread having to use them. For people whose bathroom or toilet is upstairs it can be even more of an issue.
When faced with the challenges that limited mobility brings to the home, there are several options. An expensive and disruptive choice is to move into a bungalow, which can be very stressful, especially if the move is away from family and friends. Some people are forced simply to live downstairs. This can lead to a fall in their standard of living, from lack of space and privacy. Another option is to extend the living space downstairs, which can be costly and disruptive and may not be worth the effort when it comes to selling the house. Other people do nothing at all and continue to struggle on a daily basis, increasing their risk of injury from falling.
But there is really no need to continue to live in dread of the stairs or make drastic decisions such as to move. Having a stair lift installed has made life easier for thousands of people with limited mobility. Buying a stair lift can really improve quality of life for someone who wants to stay independent in their own home. The initial cost may be daunting but that needs to be weighed up against the alternative costs and inconvenience of moving to a bungalow or extending the downstairs.
There are many advantages of choosing a stair lift. Out of all the options mentioned above, having a stair lift installed causes the least disruption. In fact, after an initial visit from a representative of the stair lift company to take measurements of the staircase, a stairlift can be installed within a day. The color and upholstery can be chosen especially to blend in or compliment the existing décor. Stair lifts are safe and very easy to operate. And above all for a person with limited mobility a stair lift can give them some freedom and allow them to remain in their own home.
Caroline Smith is a successful freelance writer who has written many articles for http://www.1-stair-lift.com the leading information resource for stair lifts online.
Using stairs is an everyday nightmare for many people. As we grow older the stairs in our home can become more of a struggle due to mobility problems associated with old age, an accident or illness. Often when out shopping or in a public place an alternative can be found such as a lift or escalator, but the stairs at home can become a daily challenge. Many people who experience difficulty climbing the stairs come to dread having to use them. For people whose bathroom or toilet is upstairs it can be even more of an issue.
When faced with the challenges that limited mobility brings to the home, there are several options. An expensive and disruptive choice is to move into a bungalow, which can be very stressful, especially if the move is away from family and friends. Some people are forced simply to live downstairs. This can lead to a fall in their standard of living, from lack of space and privacy. Another option is to extend the living space downstairs, which can be costly and disruptive and may not be worth the effort when it comes to selling the house. Other people do nothing at all and continue to struggle on a daily basis, increasing their risk of injury from falling.
But there is really no need to continue to live in dread of the stairs or make drastic decisions such as to move. Having a stair lift installed has made life easier for thousands of people with limited mobility. Buying a stair lift can really improve quality of life for someone who wants to stay independent in their own home. The initial cost may be daunting but that needs to be weighed up against the alternative costs and inconvenience of moving to a bungalow or extending the downstairs.
There are many advantages of choosing a stair lift. Out of all the options mentioned above, having a stair lift installed causes the least disruption. In fact, after an initial visit from a representative of the stair lift company to take measurements of the staircase, a stairlift can be installed within a day. The color and upholstery can be chosen especially to blend in or compliment the existing décor. Stair lifts are safe and very easy to operate. And above all for a person with limited mobility a stair lift can give them some freedom and allow them to remain in their own home.
Caroline Smith is a successful freelance writer who has written many articles for http://www.1-stair-lift.com the leading information resource for stair lifts online.
Scaling Down (Almost) Painlessly
Scaling Down (Almost) Painlessly
Moving to a smaller house or apartment in a retirement community almost always involves a certain degree of trauma, both for the elder who's moving and for family members. However, by planning ahead you can reduce the discomfort involved and turn what might well become a nightmare into a pleasant event.
Begin by Planning for the Move
Where is the elder moving? Go to the actual house or apartment with tape measure, pad and pencil and write down measurements. Floor space is important, but don't forget about ceilings. Many elders own large pieces of furniture that may not fit into rooms with low ceilings. Your work here will determine which pieces can move with your elder.
And while you're at the actual location, talk to several other elders who already live there. What is their life style? Do they go outside the property on frequent trips? How do they dress? Casual lifestyles will require an entirely different style of dress than more formal ones.
Gather Supplies and Contact Helpers
Having all the supplies you will need in one place will speed your task. You'll want a number of storage bins; five or six should be sufficient to hold sorted items. Plastic bags can be used for discarded belongings and as a container for articles to be donated to charities. Packing boxes and supplies such as padding materials and wide sealing tape are must-haves. Labels and dark marking pens are essential to ensure that boxes go to their intended location.
While you're in the gathering stage, begin to contact helpers you'll need. Among these may be:
estate sale professionals
certified appraisers
moving companies
house cleaners
repair specialists (electricians, plumbers, carpenters, painters)
Ask friends, relatives, and senior real estate specialists for recommendations. Also, check with the Better Business Bureau to ascertain whether problems have been reported about particular companies or individuals.
Approach Your Task One Room at a Time
Who should help? The elder and one family member should assume responsibility for sorting all items and some packing. Do not include everyone in the family if you want to make the job quick and easy because distractions increase in geometric proportion to the number of persons doing the sorting.
Sort all the items in one single room at once, beginning and ending in the kitchen. Why start there? Because kitchens in small houses and apartments typically are short on storage space, and the elder needs time and experience to determine which items are true necessities, and which may never be used. If you reduce kitchen items to a bare minimum at the beginning, your elder can determine what's needed and what's not by living with them ahead of time. After living with fewer items, your elder may find that items once thought essential may not be needed. Complete work in the kitchen at the very end of your tasks.
Even though you intend to stay in only one room, distractions will occur. Resist them by stacking items that belong in another room at the door. A bin or box placed just inside the door can contain all the items that have homes elsewhere.
Make your motto One Thing at a Time; One Time for each Thing. Once you've picked up an item, decide then and there what its fate should be. Place it in one of the bins you've labeled:
Discards
Donations
Distribution to Relatives
Keepers
Uncertainties
Large collections of books may require their own bins. You might have bins for Collectors' editions, books to be stored, books to be sold to book dealers.
When you have finished categorizing all the items in the room, start the packing process. Items in the Uncertainties bin can be packed for storage.
If an unbreakable item is to be moved only a short distance, don't waste time on elaborate packing and padding. Items like crystal and china, however, require excellent packing, regardless of the distance they will be moved. If you can't do a great job, leave packing fragile items to professionals.
Mark boxes as you go.
Mark boxes as you go.
Mark boxes as you go.
Nothing is more frustrating than finding that you've shipped your elder's bed linens to Aunt Minnie and kept a silver salver you meant to send your nephew.
Don't try to do everything at once. Do only one room on any given day, and take the time to enjoy reminiscing as you sort items.
This is also the perfect time to have a certified appraiser come in to appraise items that may be of significant value. Very expensive items may be auctioned at an auction house such as Christy's or Sotheby's. Less expensive items can be sold to local antiques dealers. By having an idea of their value before going to dealers, you reduce the chance that dealers can scam you.
You could also consider selling items through an on-line auction. If you do so, remember that you will be responsible for shipping items and ensuring their condition to successful bidders.
Distribute Items to the Intended Recipients
Schedule a single day for distribution of items. In-town relatives can come to pick up items intended for them; they may also be helpful by taking bags to charities, books to resellers, boxes to storage, and trash to dumps.
Use this day for shipping as well. Small items can be shipped via UPS or FedEx; large pieces of furniture and antiques may require special handling by movers. Once you've finished distribution, you should have a considerably reduced pile of boxes and furniture. These boxes should contain only items to be moved to the elder's new residence or to storage. Remaining items should be those to be sold in an estate sale.
Move the Elder to His New Residence
Will the mover actually show up on time? Will the mover actually show up at all? Increase the probability of a good outcome for the move by contacting the mover to confirm arrangement a week ahead and the day before the actual move is scheduled. Of course, missed appointments may still occur, but if you've checked out the company with the Better Business Bureau and reminded the company of your appointment, the chances are good that the move will go as planned.
Accompany your elder to his new residence and help him with the moving-in process. Even if not all boxes can be emptied in a single day, he will feel more comfortable if a few items that are meaningful to him are unpacked and placed where he can find them.
Hold an Estate Sale
Once the movers have left the premises, the estate sale professionals should come in to evaluate and price items for the estate sale. Give them a key to the house, and then get out of their way. If you have chosen well, these professionals can do a great job of pricing items to sell and clearing the house of whatever remains. They will take a percentage of the sale receipts as compensation.
The days of the sale are good days to keep your elder busy elsewhere. A tearful elder does nothing to help sales.
Schedule a professional cleaning service to clean the house once the estate sale is over. When that has been completed to your satisfaction, turn the keys over to your senior real estate professional and give yourself a big pat on the back. You're done!
Click here for a checklist to help you through this process. Or copy this address into your browser address bar.
http://www.thebestisyet.net/cgi-bin/cgiwrap/pando19/start.cgi/movechecklist.htm
About The Author
Phyllis Staff, Ph.D. - Phyllis Staff is an experimental psychologist and the CEO of The Best Is Yet.Net, an internet company that helps seniors and caregivers find trustworthy residential care. She is the author of How to Find Great Senior Housing: A Roadmap for Elders and Those Who Love Them. She is also the daughter of a victim of Alzheimer's disease. Visit the author's web site at http://www.thebestisyet.net
pando19@thebestisyet.net
Moving to a smaller house or apartment in a retirement community almost always involves a certain degree of trauma, both for the elder who's moving and for family members. However, by planning ahead you can reduce the discomfort involved and turn what might well become a nightmare into a pleasant event.
Begin by Planning for the Move
Where is the elder moving? Go to the actual house or apartment with tape measure, pad and pencil and write down measurements. Floor space is important, but don't forget about ceilings. Many elders own large pieces of furniture that may not fit into rooms with low ceilings. Your work here will determine which pieces can move with your elder.
And while you're at the actual location, talk to several other elders who already live there. What is their life style? Do they go outside the property on frequent trips? How do they dress? Casual lifestyles will require an entirely different style of dress than more formal ones.
Gather Supplies and Contact Helpers
Having all the supplies you will need in one place will speed your task. You'll want a number of storage bins; five or six should be sufficient to hold sorted items. Plastic bags can be used for discarded belongings and as a container for articles to be donated to charities. Packing boxes and supplies such as padding materials and wide sealing tape are must-haves. Labels and dark marking pens are essential to ensure that boxes go to their intended location.
While you're in the gathering stage, begin to contact helpers you'll need. Among these may be:
estate sale professionals
certified appraisers
moving companies
house cleaners
repair specialists (electricians, plumbers, carpenters, painters)
Ask friends, relatives, and senior real estate specialists for recommendations. Also, check with the Better Business Bureau to ascertain whether problems have been reported about particular companies or individuals.
Approach Your Task One Room at a Time
Who should help? The elder and one family member should assume responsibility for sorting all items and some packing. Do not include everyone in the family if you want to make the job quick and easy because distractions increase in geometric proportion to the number of persons doing the sorting.
Sort all the items in one single room at once, beginning and ending in the kitchen. Why start there? Because kitchens in small houses and apartments typically are short on storage space, and the elder needs time and experience to determine which items are true necessities, and which may never be used. If you reduce kitchen items to a bare minimum at the beginning, your elder can determine what's needed and what's not by living with them ahead of time. After living with fewer items, your elder may find that items once thought essential may not be needed. Complete work in the kitchen at the very end of your tasks.
Even though you intend to stay in only one room, distractions will occur. Resist them by stacking items that belong in another room at the door. A bin or box placed just inside the door can contain all the items that have homes elsewhere.
Make your motto One Thing at a Time; One Time for each Thing. Once you've picked up an item, decide then and there what its fate should be. Place it in one of the bins you've labeled:
Discards
Donations
Distribution to Relatives
Keepers
Uncertainties
Large collections of books may require their own bins. You might have bins for Collectors' editions, books to be stored, books to be sold to book dealers.
When you have finished categorizing all the items in the room, start the packing process. Items in the Uncertainties bin can be packed for storage.
If an unbreakable item is to be moved only a short distance, don't waste time on elaborate packing and padding. Items like crystal and china, however, require excellent packing, regardless of the distance they will be moved. If you can't do a great job, leave packing fragile items to professionals.
Mark boxes as you go.
Mark boxes as you go.
Mark boxes as you go.
Nothing is more frustrating than finding that you've shipped your elder's bed linens to Aunt Minnie and kept a silver salver you meant to send your nephew.
Don't try to do everything at once. Do only one room on any given day, and take the time to enjoy reminiscing as you sort items.
This is also the perfect time to have a certified appraiser come in to appraise items that may be of significant value. Very expensive items may be auctioned at an auction house such as Christy's or Sotheby's. Less expensive items can be sold to local antiques dealers. By having an idea of their value before going to dealers, you reduce the chance that dealers can scam you.
You could also consider selling items through an on-line auction. If you do so, remember that you will be responsible for shipping items and ensuring their condition to successful bidders.
Distribute Items to the Intended Recipients
Schedule a single day for distribution of items. In-town relatives can come to pick up items intended for them; they may also be helpful by taking bags to charities, books to resellers, boxes to storage, and trash to dumps.
Use this day for shipping as well. Small items can be shipped via UPS or FedEx; large pieces of furniture and antiques may require special handling by movers. Once you've finished distribution, you should have a considerably reduced pile of boxes and furniture. These boxes should contain only items to be moved to the elder's new residence or to storage. Remaining items should be those to be sold in an estate sale.
Move the Elder to His New Residence
Will the mover actually show up on time? Will the mover actually show up at all? Increase the probability of a good outcome for the move by contacting the mover to confirm arrangement a week ahead and the day before the actual move is scheduled. Of course, missed appointments may still occur, but if you've checked out the company with the Better Business Bureau and reminded the company of your appointment, the chances are good that the move will go as planned.
Accompany your elder to his new residence and help him with the moving-in process. Even if not all boxes can be emptied in a single day, he will feel more comfortable if a few items that are meaningful to him are unpacked and placed where he can find them.
Hold an Estate Sale
Once the movers have left the premises, the estate sale professionals should come in to evaluate and price items for the estate sale. Give them a key to the house, and then get out of their way. If you have chosen well, these professionals can do a great job of pricing items to sell and clearing the house of whatever remains. They will take a percentage of the sale receipts as compensation.
The days of the sale are good days to keep your elder busy elsewhere. A tearful elder does nothing to help sales.
Schedule a professional cleaning service to clean the house once the estate sale is over. When that has been completed to your satisfaction, turn the keys over to your senior real estate professional and give yourself a big pat on the back. You're done!
Click here for a checklist to help you through this process. Or copy this address into your browser address bar.
http://www.thebestisyet.net/cgi-bin/cgiwrap/pando19/start.cgi/movechecklist.htm
About The Author
Phyllis Staff, Ph.D. - Phyllis Staff is an experimental psychologist and the CEO of The Best Is Yet.Net, an internet company that helps seniors and caregivers find trustworthy residential care. She is the author of How to Find Great Senior Housing: A Roadmap for Elders and Those Who Love Them. She is also the daughter of a victim of Alzheimer's disease. Visit the author's web site at http://www.thebestisyet.net
pando19@thebestisyet.net
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