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angusMcBorg t1_ixhhakt wrote

I think this is great!

I hope we can make such changes here in the US, but with it requiring additional funding I have my doubts (many nursing homes are closing here due to lack of funding and workforce)

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Buck_Thorn t1_ixhhxe8 wrote

Oh, I'm sure that if you have the money, that you can find care like that in the US.

The key is in the sub-title:

> Home received extra funding

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Squeebee007 t1_ixhpjok wrote

As an expat in the US, the big problem is that many don't have the money. Many were living on their Social Security checks before they needed full-time care, and then have to go to a facility that accepts Medicare/Medicaid, and those facilities operate on tight budgets.

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agorarocks-your-face t1_ixi3s9m wrote

The whole damn system is set up to squeeze middle class people into Medicare/Medicaid. If you are one of the lucky few, you can afford long term care that is comfortable. The luckiest of everyone suffer acute illnesses and don’t have the time for the system to take their money.

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SnowinMiami t1_ixkyjzv wrote

Even if you have long term care it has limits.

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agorarocks-your-face t1_ixlos0u wrote

True. But there’s a big difference between Medicare/Medicaid services and private pay. I’d much rather have private pay service problems.

Long term care is literally designed to take your money away to pay the facility and place you on Medicare/ Medicaid.

Source: I work in long term care for more years then I care to admit on both floor staff and administration ends.

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SnowinMiami t1_ixpor0a wrote

I totally agree. I’m moving my mom into assisted living today. She has no long term care and has Alzheimer’s. She refused to go earlier but we can’t afford to pay for 24/7 caregivers and she refused to move into our homes (my sisters or myself) when she could and now it’s impossible because she can’t be left alone.

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agorarocks-your-face t1_ixpyssw wrote

I’m so sorry. Alzheimer’s is an awful disease. I hope you know that mom may not remember your name. However as long as you are a decently regular occurrence in her life she will know you and light up when she sees you. The only time I’ve ever seen people not recognize loved ones is if they visit one time a year for maybe 30 minutes. I suspect it’s because we age over time and change looks. But mom/dad have an image in their head of this person from 20 years ago. So sometimes it doesn’t line up.

It can be heart breaking to realize parents don’t know your name. It’s like when we accidentally call a kid by the dogs name. Or switch names up in the heat of a moment. Alzheimer’s/ dementia is similar. But she will know exactly who you are. As caregivers, we see it all the time.

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coppertech t1_ixj0ctl wrote

>those facilities operate on tight budgets.

they do that by choice since 99.99% of them are "for profit".

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Drone314 t1_ixi83f5 wrote

>those facilities

need to turn a profit......

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Squeebee007 t1_ixi8on0 wrote

This is where being a Canadian expat gets interesting: should elder care turn a profit, or should it pay its bills and it’s staff?

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Unlikely_Comment_104 t1_ixl6r5e wrote

Funding ultimately came from taxes. It’s not a bad thing to pay high taxes as it usually means better infrastructure, services and social safety nets.

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Buck_Thorn t1_ixlxrwn wrote

Oh, I agree. Assuming those taxes actually go efficiently to good causes.

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Berns429 t1_ixim91c wrote

Unfortunately (and also ironically) Many politicians who are long term care age would fight over this so it would never come to fruition. Because capitalism has overtaken every form of proper healthcare in the US.

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goodgollymizzmolly t1_ixhpcdu wrote

I wish we had a national Healthcare system to increase quality of life in nursing homes around America. Even the nice ones tend to fall short.

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thousandtrees OP t1_ixhtvh5 wrote

This story comes from Ontario which does have a public system. Unfortunately it has a government with a starve the beast mentality so even with a public option it's necessary to constantly fight to keep it.

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xyzzy01 t1_ixj5737 wrote

>I wish we had a national Healthcare system to increase quality of life in nursing homes around America. Even the nice ones tend to fall short.

Even for countries that has this, this approach is unrealistic at this time.

Due to the silver tsunami, _a lot_ of resources and qualified staff will go into keeping the same level for a rapidly increasing number of nursing home residents. Increasing the standards at the same time is unrealistic.

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Gooombay t1_ixiklcc wrote

I love this idea. I work in long term care in the US at a veterans home. We don't offer cnas enough money for this difficult job (I am an RN). We currently can't admit more residents due to low staffing. I wish they would pay our caretakers more so that more people would join our team. Then we could consider something like this.

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Dapaaads t1_ixiv698 wrote

These companies rake in money at the top. I know Families that own several, they are all stupid rich

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Nerdinlaw t1_ixm56to wrote

I agree. I work MDS at a SNF/LTC. Our rehab floor has 30 patients staffed with 2 nurses and 3 aids on days and pms, 2 aids at night. A lot of these residents need help transferring to the toilet, they are in pain and it takes a long time for them to transfer.

I always assess every patient before I do my MDS, and every single one always says how short staffed we are. That they wait too long for their call light to be answered. I suggested to our administrator that we need to staff 1 more CNA, that the patients are even complaining. Some finance guy in corporate that’s never taken care of a patient ever, said no.

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agentchuck t1_ixjgfpl wrote

I live in Ontario and a lot of our long term care homes are very underfunded. I'm happy they're putting more resources into it, but it's so strange as a pilot project. Of course giving more resources, more staff, etc. is going to result in a better experience...?

Being Mortal by Atul Gawande is a very interesting read. One strange thing about care homes is how they take care of the elderly, but they are actually catering to their children. They're advertised to the children, they have to deal with lawsuits from the children, etc. There have been some LTC homes that have tried to make a more patient centered care. But if they aren't protecting/extending life as much as possible then they run the risk of being sued. This can be run contrary to the patients in their care who are still human and still want freedom and to enjoy some wine or an unhealthy meal.

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thousandtrees OP t1_ixjn2wd wrote

Right? Like in other news the sky is blue. But I do appreciate the change in focus to more patient centered care. A lot of people fear moving into LTC because they don't want to lose their autonomy which is a very real threat under the traditional model. Even people who need extensive care still have the right to a say in how that care is given.

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BTworld361 t1_ixkfy3e wrote

Video game culture mainstream in care homes when?

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MarshmallowFloofs85 t1_ixjfrtx wrote

wow it's like treating people like people and not like tasks makes things better all around. such a novel concept.

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CowboyAirman t1_ixil2o3 wrote

Click bait headline bullshit

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