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Before we start to redesign ALF and MC, I think the emphasis should be on patient care (not having read his book yet, maybe it is). I've been to many different care facilities, some quite old and some very new, and it's not the building that makes the difference, it's the staff. An organization called PHI (https://phinational.org ) advocates for direct care workers. The following is directly from their website:
“ We believe that caring, committed relationships between direct care workers and their clients are at the heart of quality care. Those relationships work best when direct care workers receive high-quality training, living wages, and respect for the central role they play.” They cite 5 pillars of job quality: quality training, fair compensation, quality supervision and support, respect and recognition, and real opportunity.
Direct care workers today, not only care facility workers, but also home care workers, work for low pay, insufficient training, little or no recognition, poor supervision and lack of opportunity. Many of these workers we trust our LOs care to work several jobs just to stay out of poverty.
Certainly we secure the areas in MC for the safety of the residents. Does Dr. Power propose a “free range” facility? I, too, would like to see a better system to accommodate those living with dementia, but at what cost?
finally her neurologist prescribed anti psychotic with ssri. Now she sleeps better, she is in much better mood, drugs did not turn her comatosed or into a zombie. She still says she wants to leave but she’s not running for the door. She still sundowns and has hallucinations but the scale is lower now and it’s manageable for the caregivers. Most importantly, her mood is much better so her emotional well-being is much better now than being in the highly agitated state.
I know there’s a lot of loving dedicated family caregivers out there will devote their whole lives 24/7 to their LO’s to avoid using drugs to control the behaviors. My view is that, just like using Tylenol for body aches, or Claritin for allergies, antipsychotic drugs is there to minimize the pain and suffering and it can really help the LO’s quality of life and mental wellbeing.
To be frank, I think there is little we can do to address the dreadful circumstances visited on us when to be frank we live too long. I think it is lovely to have these "goals". I simply wonder how realistic they are.