Assisted Living Home

Assisted Living Concepts Inc., hereafter referred to as ALC, was a Nevada corporation formed in 1994 with its principal place of business in Menomonee Falls, Wisconsin. ALC provides senior assisted living residences that provide multiple personal services for their residences. ALC was purchased by Extendicare Health Services, Inc. in January 2005. In 2006 ALC was spun off from Extendicare as a publicly traded company. As of December 31, 2012 ALC had 211 assisted and independent living residences in 20 states totaling 9,348 units with 4,600 employees. ALC generated revenues in excess of $228 million dollars for year-end 2012 (Assisted Living Concepts, Inc. 2013). In July 2013, ALC was acquired by the private equity firm TPG Capital, L.P. for $278.3 million dollars (Boulton 2013). In March 2014 ALC changed their name to Enlivant (Enlivant 2014).

As defined in the book, culture is the specific collection of values and norms that are shared by people and/or groups in an organization. This collection of norms and values control the way in which the different components of the organization interact with each other. The culture of an organization is an amalgamation of the values and beliefs of the people in the organization. Westchester Assisted Living Facility is one of those very organizations that thrives on its strong adherence to culture. Westchester’s culture can be felt in the implicit rules and expectation of behavior that is shared among the members and the staff.

Long term care facilities use Joint Commission Accreditation as a benefit to show the quality and commitment to the health care organization. A long term care facility that is Joint Commission accredited will have a more appealing look to reimbursement centers and to the patient and families that they care for. Having this accreditation is also a risk management tool. The likelihood of a bad outcome is reduced if a facility is accredited by the Joint Commission. There is a team put together to come up with accreditation standards and to make sure facilities stay compliant with these standards. Performance is evaluated to ensure standards are followed.

As the disease progress, people might slowly lose their quality of life (QOL) in term of good health, mentality, communications and abilities that are considered crucial to their life. Patients might struggle to adapt with the new changes and disabilities happened to them and feel depress as they cannot live their normal life. There are three stages of Alzheimer which are mild, moderate and late stages. The mild stage of Alzheimer will starts affecting patient’s cognitive functions in which it might impair short term memories especially the one that are recently learn such as dates, recent events and people names. In terms of behavior, patients might experience depression and personality changes that could affect social relationships and everyday routines. Due to memory loss, family member relationship especially husband-wife relationship are also affected because patients might not remember their loved ones and they also lose sexual interest with their partner. It is hard for Alzheimer patients to live in the society and they are usually isolated because the society tends to assume these patients as crazy or

Betty Jo reluctantly made the decision to move to an assisted living community, due to high pressure from her healthcare providers and family. She is an 85 years old and a widow of 3 years from her beloved husband of over 50 years. Her husband made sure his financial affairs were in order before his death, and thus managed to provide financial comfort and security for Betty Jo. She has two children, both live out of state. Her daughter Karen, has two adolescent children, and visits her mother once a month. Her son, Adam, is a recovering alcoholic who has trouble keeping a job and frequently seeks financial assistance from his mother, yet rarely visits her at Sunrise Pines. Betty Jo often has to sit down for a minute, due to “dizzy” spells and becomes fatigued at a greater frequency than she did before her husband passed away. Her decision to move came after falling twice in her home, upon having hip replacement surgery. She had trouble keeping her physical therapy appointments, and managing her pain medication. Prior to her move, Betty Jo was active in her church and in the Red Hat Society. Now that she is living in Sunrise Pines, she has become more withdrawn and rarely eats her meals in the main dining area. When she does participate in social activities, she acts out and becomes hostile with her fellow residents. The community director received word that she is refusing to take her antidepressant and blood pressure medication. The director reached out to the local

June reflected a drop in price for both companies, resulting from the Government funding changes to the Dementia Supplement with August realising an increase in price for REG after the announcement of the Supreme Court decision to uphold REG’s objection to a notice of assessment of stamp duty by the State Revenue Office (SRO) reducing their unpaid debt to SRO by A$19 million, whereas in contrast JHC realised a drop in price as a result of significant changes in substantial share

Rose appeared at the interview on time. She willingly accompanied the examiner to the testing room. She was dressed casually in jeans and sweater, and her hygiene appeared to be appropriate. She demonstrated good posture, appeared to be in good health, and showed no difficulties with ambulation. Cinderella was of average height and weight.

Assisted living is a fairly new and unique part of the long term care continuum of services. The goal of assisted living is to maximize the independence of older adults while living in a homelike environment. This paper will provide an overview of assisted living facilities including the number of facilities and residents, costs, services, and growth expectations. Challenges with oversight and regulations will be discussed as well as solutions to the problem. Challenges and solutions for staffing and training issues will also be discussed. The paper will also highlight “In Loving Hands Assisted Living” which is a local assisted living facility that I called and visited to aid in my research. I will give an overview of the

Background: Dementia is one of the fatal brain disease which shatters the person’s ability in his daily functioning. The prevalence of dementia in Kerala in people aged ≥ 55 is 3.77% and 4.86% in ≥ 65 years. Kerala has highest number of old age home in India and significant number of elderly residing in the old age home which also includes substantial number of persons with dementia. They require some special attention or they might be marginalized among the elderly. Thus this is a serious endeavor to investigate those management strategies on elderly with dementia in residential institution for aged.

Alzheimer is a dangerous disease that mostly affects the brain. Alzheimer disease associates itself with a set of symptoms including memory loss as well as talking and thinking challenges. These side effects happen when harm occurs in the cerebrum. The decision to pick between a nursing home care and assisted living for a close person who requires special help is a troublesome dilemma that face numerous families who have Alzheimer patients. Families are often feel poorly prepared to settle on the right choice. The research aims at helping families by looking at the advantages and shortcomings of every sort of consideration. The reason is that before making a decision on that topic, it is important

Benin, A.L., Wisler-Scher, D.J., Colson. E., Shapiro, E.D. and Hilmboe, E.S. (2006). Qualitative Analysis of Mothers` Decision- Making About Vaccines for Infants. The Importance of Trust. Truth Pediatrics, 117(5). Doi:10.1542/peds.2005-1728.

“Alzheimer`s disease is called a family disease” (ALZlive), because it impacts every family member who is slowly watching a loved one decline. Alzheimer’s disease has an impact on caretakers because caregivers can lead to a variety of emotions, from guilt to anger. When dealing with a client who has Alzheimer; caretakers have a huge responsibility, which can cause stress or depression. If the caretaking is a family member it might lead to finical problems, which can lead to the hard and controversial decision of putting someone in a nursing home, that is better equipped. Guilt is the main emotion that a caretaker can express “I have never spoken to my mother`s doctor, it occurs to me that other children of

This assignment critically discusses about dementia, a widespread disability among older adults today. It provides an introduction to dementia and analyses its prevalence in society. The various forms of dementias are elaborated with description about dysfunctions and symptoms. Nursing Assessment and Interventions are provided in the further sections which discusses about actions nurses should take on while evaluating patients and treating them. Finally, communication, an important Activity of Daily Living (ADL) is explored and patient/carer advice is presented so as to maintain good health conditions in the patient.

Nursing homes for Alzheimer's patients are designed to help them with their condition and are observed by professional 24 hours . They provide the treatment the patient's need , in the nursing homes they can be taken good care of and provide the Alzheimers patients with the attention they require, because if they’re home they wont be observed by family member or a doctor . According to Benefits of Living in Nursing

To achieve effective and excellence care on dementia, biological, psychological and social approach to dementia has to consider because it provides an understanding to people with dementia and help improved health practice, treatment and support for better dementia care (Bowers & Downs, 2008). Biological approach tackles the disease process of dementia, the cause of brain injury and the changes in behavior pattern of dementia sufferers. On the other hand, psychological approach to dementia involved the sufferer’s reaction to the injury, how they accept it and deal the situation. It also covers the effect of the disease process on their communication and action in relation to others. Particularly, people with dementia, mostly feel embarrassed and depressed by their brain injury. They are often angry, agitated and frightened because of the disease but maybe it also means seeking help to avoid embarrassment and disgrace. Dementia care in social domain explains the right of the person with dementia to enjoy and experience significant social interaction. Friendly environment and venues with sociable care provider that makes them comfortable and feels worthy is the focus. In addition, social identities of the people with dementia should be valued and social