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sonofgrtparents Asked January 5, 2024

How is it legal for LTC facilitues to get by with bare minimum care that is clearly detrimental to the patient instead of prolonging life?

The food is just awful and my parents were fed solid meals 3 times a day before they went. Now water and food are left and nobody is making sure they even drink. Mom has had three falls and just now getting blood work after 6 months. Medicine has been stopped, changed or never started since they got there and I know its to her detriment. I ask questions and call out thev CNA' when they hurt mom either by accident or they just don't care. The owner of the facility I believe is a crook. She called the police during my last complaint and I wasn't even yelling or threatening anyone. So I don't trust anything that came from the emergency care conference after the police left. My two sisters were called in and have PA. My sisters sat there and did not support any of my concerns or questions. Its not about me me at all. It's about mom and dad not getting adequate carevthere and instead have this death sentence and I'm just so heart broken. Who gives a crap what my family thinks or anyone else about me. I will always speak up for my parents. Now granite I was a little gruff maybe when I told the CNA she was hurting my mom. Or when I got upset because they keep pinching and hurting with the wrong blood pressure cuff. Or how I made sure everyone knew she hadn't been eating and they weren't bothering to Say or do anything about it, and how I told two nurses that I didn't want to hear them say this is the best I can expect to see. That's bullsh*t. Do the tests, show me the numbers, and measure behaviors before and after and then we will talk about decline due to her illness and not because they are not doing what they should do. They even deny they are short staffed. It's awful. And I think they were just trying to make me look like the bad guy to avoid losing points from the state if we had complained. I cant talk to my sisters about it anymore. It's like they have accepted its the end for them. I don't care if they had three weeks left I would still be advocating for my parents. This is mostly about my mon for now. 75 pounds with dementia and 88 and dad 91 alsocwith dementia. I know these are their last days but I can't sit by when I know mom is thirsty and hungry (I go feed her and make sure she gets a drink before I put them to bed when I can). My sisters bith went back to work after saying itcwas more than they could do tovtake care of them and I completely get that... to a certain degree anyway. Now dad's sundowning is kicking in and they are not getting the right care. I would sell my home and theirs to get them what they need while they are still with us but I don't know what else to do? It's an honor to help them. I don't feel guilt at the moment I'm helpless, hurt, and misunderstood sure but I can handle that. It's their suffering and knowing this fast food for care methodoligy is killing them and still getting all their social security benefits each month. Why not use that money to pay for private care and the family pay for the rest? I can help some and my oldest brother and sister are sitting pretty in their retirement. Is the love for that dollar really the thing that drives the world really? There has to be other alternatives?

lealonnie1 Jan 6, 2024
Either visit daily, and state your case CALMLY as their advocate, or move your parents out of this facilty you find so awful. Which is precisely what I did when my mother went to a terrible SNF for rehab. I pulled her OUT of there w/o making a huge fuss, after finding a lovely and professional SNF to place her into. Your parents are not in jail where they're at, so if you're POA on their behalf, start looking around for a better SNF for them immediately.

But don't expect them to miraculously start drinking water......which my mother REFUSED to do because it "made her pee". Nobody can force an elder to do anything they don't want to do, and with dementia, they tend to get VERY stubborn. And btw, most people's arms get pinched with blood pressure cuffs. Blame the cuff, not the person taking the reading!

Ireland Jan 6, 2024
Good Afternoon Folks,

I hear these stories over and over again. Basically, you are leaving your loved one's in the hands of college student's who are probably getting paid $12/hr. to be in charge of someone's life.

The ratio of patients/residence to health care professionals is nearly impossible for a CNA and/or RN to cover and not make mistakes.

I know it's a bygone era of people/family living close by and keeping the person at home which isn't always the case for a number of reasons.

America is a great country but honestly dog groomers and walkers are paid more than those who work in facilities. It's backbreaking work--the CNA's are overworked, underpaid and most places are short staffed.

Most people want to remain home; myself included with services brought in. Someone has to oversee everything to catch anything that needs catching--is your loved one clean, groomed, safe at night. They need to be protected.

Some family members honestly, don't know what to do or they simply cannot handle it and think they don't have a right to speak up. The old cliche, "there is always one" is sometimes all a loved one needs to speak up.

I wouldn't be complacent and just accept the situation. You are allowed to move your loved one's to another facility. You do NOT have to remain at the NH that your parents were sent to after a hospital discharge.

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Geaton777 Jan 6, 2024
No one is legally allowed to "force" someone to eat, drink or take meds. A person can be encouraged but that's it. The facilities are short staffed so they don't have the ability to hover over people who refuse to do any of the above. The residents need to comply.

I had requested my MIL's facility to simply not put her dessert on her tray until later (because that's all she was eating) and they said they were not allowed to do even this, because it is "withholding" food.

Do you know that paying privately hired aids 24/7 would eventually exceed the cost of a facility? several thousands of dollars every month and unsustainable for all except mult-millionaires. A facility is a "least bad" option for your LOs. At least they get some social exposure.

Respectfully, you are romanticizing in-home care because you've never done it. Please take to heart the advice given to you by those who have been there and done that. They are trying to spare you of disappointment, burnout and poverty.

JoAnn29 Jan 6, 2024
So sorry, my Mom got good care. Maybe not what I would have done but good care. I did have to laugh that they left a big glass of water on her food tray in her room every day but she was kept in the common area during the day. But this was pre-COVID and I hear there is now a shortage of aides. And can u blame them, for $10 to $15 an hour they were expected to put their lives on the line.

My Mom had Dementia and would cry out when they did her B/P. It was not because she was pinched, it was because of the pressure. And when ask about tests, are u talking to the DON. You know you can take Mom to her own doctor. Its the facility doctor who orders tests.

Do you also realize that if you don't hold Financial and/or Medical Power of Attorney the staff does not even need to talk to you only ur sisters concerning your parents care. Not saying your concerns aren't important but you may be going about it all wrong. You get more done when ur nice to the staff. You don't accuse, you ask. Realize with Dementia an aide could have just given Mom water but Mom does not remember that.

You can override sisters' POAs by becoming your parents guardian but for 2 people that would be expensive. Then you can sell the houses and find a nice apartment for u all to live hiring aides. Because, you are going to have a hard time caring for two. It will be like caring for 2 toddlers. They need to be dressed, fed and diapers changed. Or, you can be a loving son, except what is and fill in where the aides seem to be falling short. And when it comes to Mom getting more tests to see where she is, she is 88 and no amt of testing is going to make her better. Her meds may have been stopped because they no longer help. Its what it is, no more can be done. Maybe Hospice should be called in so Mom will be kept comfortable and you have another pair of hands.

There comes a time when the poking and prodding actually causes the person anxiety. Its at that point you just stop it. They wanted to do a swallow test on my 89 yr old Dementia Mom who had closed her eyes a week before and refused to get out of bed. To do this test meant a transfer to the hospital, strange people, strange surroundings and poking and prodding. Nope, not putting Mom thru it. I had Hospice called in and she passed 6 days later. My DD an RN agreed with all my decisions. (Not being able to swallow is the first sign of the body shutting down)

KNance72 Jan 6, 2024
Ok I hear you - I Must have dealt with 10 rehabs , skilled Nursing Facilities and believe me I wasn't that Impressed . One Place they Had people stealing other peoples stuff. Another Place the CNAS would sleep at Night . One Lady got Punched in the face . I feared for my Mothers Life . Then My brother was in another rehab in Dennis - They seemed to be doing their job ? Some what - But he was getting good group therapy and thriving - he was there for sometime But I Noticed everytime I went a ambulance would be showing up and some Of the People were not that Old . One Lady said to me " I have no idea how I got here ? " She was terrified and I said " Just go to group therapy and find a social worker to speak with . " The Nurses never answered the phones and clients couldn't call Out either. The food was awful . His bathroom was filthy till I made a complaint and his room was Hot they finally gave him a Fan. I found a diaper filled with sh*t in His Bureau . I can't tell you how many Times clothes got stolen ..... You Can Look up On YELP at Propublicas website on abuse and neglect for Nursing homes - what has been reported to medicare and you will see a Pattern - some of the same complaints and neglect . people do Not realize This but at Most of these Places only One doctor will cover 15- 30 Nursing homes and write the death certificates . One doctor owned several of them and in My Opinion he was a creep . It really is about Profit . One Place would Not discharge my Mom Over Labor Day weekend and I had to leave the following Monday and was Not able to bring her home due to their paperwork . She had a Lady disappear at 4 am in her room . Really Tragic . I said to this Nurse " My Mom wants to go Home " and she replied snarkily " which home is that ? " Real wise ass . I could tell you some stories - even the so called elder attorneys were corrupt and getting Kick backs from the Nursing homes . Very sad . After My brother had chemo at Beth Israel he was dumped in NH and No One told me . The Poor Kid calls me and says " Karen I have No clothes and My wallet is gone . can you help Me ? " I gathered My fathers clothes and found my brother naked in a diaper filled with diarrhea . I clean him up and Had him get dressed and told the staff " I was taking my brother home , he had a home " They had No idea what happened to his clothes ? They did have the wallet . Then I got a LYFT and Bought him to the local clinic and he Lived with me for several Months . Long story short stage 4 cancer - ICU for a few weeks then he had to go to a rehab But I did My research Through Propublica reports on Nursing Homes and neglect reported to medicare and YELP and chose a Carribean Place in Boston where the food looked great , the social worker Raphael was a God send . We Knew he didnt have much Longer to live and he Placed him in a big private room facing the forest - Billy got 1 room mate who watched over him. You Know what your gut is telling you . Do some research is My advice .

AlvaDeer Jan 6, 2024
Between choosing to do in home care, and in-facility care I honestly know of no other options for the fact we live so long and become so very helpless. We sustain loss after loss after loss until finally we cannot speak, cannot hear, cannot move, cannot maintain continence, cannot feed ourselves and finally cannot swallow.

And our children stand witness to this as they pass what should be carefree retirement years feeling guilty and angry.

You are correct. This is a very tough thing to witness.

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