dementia care, cognitive decline

When the lights go on – much becomes visible. Warning – rant on. I have to ask, what do you think is the biggest fear of the Assisted Living industry? Is it PBS and documentaries about their industry?  No, many have rationalized their own organizations or will be contemplating new ways to manage bad publicity and thus prepared, they moved on. Lawsuits? They are certainly an issue – and cost time and potentially substantial amount of money. But risk managers and lawyers are around to help avert through policy and procedures, training, etc.  No – the real and pervasive fear of the industry is federal regulation. And how hard they work to avoid it at all and enormous cost – lobbying is vigilant and continuous to ensure that the industry remains within the regulatory (and wildly varying) domains of the states.

Groundhog Day --the future resurfaces regularly.  The UK media just discovered the granny pod, four years after a similar granny cottage concept appeared, And this new discovery comes three years after AARP discovered MedCottage, which AARP described as a portable alternative to nursing homes (seriously, folks?). Ditto on companion robots (including the ever-popular Paro) from the same UK article. Can you believe it? Companion robots are just around the corner, and the future is just ahead. Says the Financial Times writer: "People are living longer and the result, according to the UN, is that there will be two billion people aged over 60 worldwide by 2050."  Let’s see, doth a projection 37 years from now a market make? Even if you buy that being over 60 constitutes a candidate customer for a MedCottage or companion robot (seriously?), it must be just too hard to find a number of how many would benefit today. That’s because caregiving robots of today are still in the experimental stage (even though nurses may prefer them to people).

When the 911 call may be necessary but not sufficient.  The news about the no-CPR policy in an independent living community in California brought me back.  In the incident reported everywhere, the nurse claimed that the policy in independent living did not include providing CPR – and as a result, the elderly woman died. Years ago when my mother spent some time in an assisted living facility, 911 was invoked nine times within a single year before they ejected her to a nearby nursing home, claiming they could not provide care. Each of her ER visits involved either my sister or me – racing to the ER from work so that we could explain her history – one time we stopped a dose of Bactrim that she was allergic to – another time we interrupted her inaccurate description of her medical history cheerfully being offered to an intern who had not checked her chart and apparently did not know she had dementia.