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Long Term Living March 2012 : Page 2G Y AC O F L EA D E HIP RS contents MARCH 2012 • VOLUME 61, NUMBER 3 LTL IN A L E S CE 195 1 DePARtMents 4 6 EDItORIAL BY PATRICIA SHEEHAN, EDITOR-IN-CHIEF COMMUNItY NEW! COVER FEAtURE 13 8 11 BY CHARLOTTE ELIOPOULOS, RN, MPH, P h D cARe MAnAGeMent MDs MonItoR BY INGRID JOHNSON SERIO, RN, BSN, MPP, RAC-CT, C-NE 13 Family-Owned SNFs: Can They Survive? Progressive thinking and adaptability are keys to meeting the economic and social challenges of LTC ownership BY RICHARD L. PECK, CONTRIBUTING EDITOR 29 FOCUS ON… LAUNDRY BY GINA L a VECCHIA RAGONE 32 BOARDROOM ONE ON ONE wITH… THOMAS B. GALE FEAtURES 18 Memory Care Drives LTC Development Industry predictors forecast continued growth in this sector at an ASHA pre-conference executive workshop BY PATRICIA SHEEHAN, EDITOR-IN-CHIEF ADVERtISING SECtIONS 30 LAUNDRY PRODUCtS 31 CLASSIFIEDS/ADVERtISER INDEX 20 How to Maximize Reimbursement in Turbulent Times Sound advice on capturing market share to fortify a facility’s bottom line BY ELI PICK, CNHA, CAS, FACHCA CARE MANAGEMENT 22 The Turnaround to Survey Excellence A three-step interdisciplinary approach to improving state survey results BY JAIME TODD Family focus in dementia care 26 Kitchen Safety in Long-Term Care Create a culture of safety in this high-risk area BY STAN SZPYTEK 27 Revising the Five-Star Quality Rating System AHCA and LeadingAge weigh in on their concerns with this flagship tool of Nursing Home Compare BY KEVIN KOLUS, EDITOR by Charlotte Eliopoulos, s most caregivers RN, MPH, PhD in LTC settings know, caring for available to discuss residents with de-care options and mentias is complex vide assistance pro-reacted to the resident (e.g., contacting and challeng-ing. The path of providers, ’s dementia? obtaining clothing, cognitive decline What can we do accompanying differs for each affected to the resident to the individual and the resident comfor help make visits with hospital). impacts all aspects of function. table for them? With the important In early stages, individual suffers the families serve, efforts role the frustration should be and dis-tress of knowing While reviewing made to suppor that these core t and encour-areas, issues may lost; in later stages, capabilities are being age their surface that involvement in remnants of physical resi-may warrant further appearance may dents’ care. To be all that is recognizable accomplish this, sion. For example, discus-of the person who consider their care a resident’s once was. needs. daughter may divulge: The impact of dementia “ I is profound have a brother who not only for the ASSESSING THE affected individual, lives out of FAMILY town, seldom visits for his or her family but After the initial and as well. It is difficult flurry of activ-accept that our mother doesn’t to measure the ity involved in emotional pain has the admission of an adult Alzheimer’s disease. son who has to process subsides, Charlotte Eliopoulos, bathe his mother He does it can be use-RN, after nothing to help, she has been incontinent, ful to allocate time MPH, PhD but he is quick or a grandchild to talk with the to second-guess my whose Granny family. Advise them that behaves in a threatening decisions and has criticized family information manner or a wife every caregiver we had helpful to better is who isn’t recogniz mother when she serve the resident ed by the husband with was at home .” With for and family unit. Some whom she once background, the this questions to explore shared lovemaking. The staff can anticipate dynamic include: this of the problems pain does not subside some when the person that could surface enters long-term when the son visits and care; it merely changes. perhaps develop Is the resident married? a If so, what is the to keep him abreast of his mother plan The family is an spouse’s name, important consider-’s care. Learning age, health, about family dynamics ation in caring and desired relationship ability to visit for persons with may not be possible dementias. with In addition to being during the resident? the admission Does the resident sources of informa-assessment. Time have children and/or tion that enable can be scheduled grandchildren? individualized, later, after the stress of Where do they effective care, continued the admission process live? How involved are they family diminished and has with the resident? residents a connection involvement offers some rapport established, are the ages of the What to explore these with a significant grandchildren? past. Although issues with the Are there others they might not family. who will visit that recall the names or relational a close relationship have status of family UNDERST with the resident ANDING bers, persons with mem-be involved with and dementias may Through the history THE FAMILY him or her? sense something positiv , conversation and What, if any, responsibilities e and familiar when servation, various ob-the presence of in needs can be identified, do various family members relatives, thereb which can vary have for the resident? y gaining emotional comfor among members power of attorney (e.g., same t and peace. Also, of the , laundry, main family based on beneficial for staff it is to have family members person, financial management, contact dynamics, individual long-standing family etc.) How have various and their acceptance life circumstances family members of their relative ABOUT AALTCN dementia. ’s The American Association Family dynamics. The roles, respon-for Long Term (AALTCN) unites sibilities and relationships Care Nursing all among fam-lence in the specialty levels of nursing staff to advance ily members can excel-be quite complex. of LTC nursing. ages respect for The association For example, family LTC nursing staff encour-members can fill by informing colleagues and consumers the roles of: about the complexities, commitment of competencies, and the special caregiv ers who commit largest network Decision maker to this of caregivers, the : This person who mission of the AALTCN specialty. As the nation’s teamwork, provide is granted or assumes educational resources, is to advocate for an making important responsibility for support, and promote create community and improved status decisions or is called excellence in care, and voice for LTC on in times of crisis. and nursing staff. He or she may geographically not be 8 • MARCH 2012 close or involved in daily activities but is consulted for problem 8 WWW.LTLMAGAZINE.COM Long-Term Living is indexed in the Cumulative Index to Nursing and Allied Health Literature ® print index. Long-Term Living (ISSN 1940-9958) is published monthly by Vendome Group, LLC, 6 East 32nd Street, 8th Floor, New York, N.Y. 10016. Periodicals postage paid at New York, NY, and additional mailing offices. © 2012 by Vendome Group, LLC. Long-Term Living is a trademark of Vendome Group, LLC. All rights reserved. No part of Long-Term Living may be reproduced, distributed, transmitted, displayed, published, or broadcast in any form or in any media without prior written permission of the publisher. 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