Guide To End-Of-Life Care

From Medical News Today:

Years ago, dying patients in most communities often had a single option if they needed hospice care. Now they have many more; competition reigns.

This is one crucial reason why a Brown University researcher and end-of-life expert has helped develop user-friendly guides for both doctors and patients about the best hospice care options in the marketplace....

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Doctor with ties to nursing home controversy a victim in car bombing

From McKnight's:

Dr. Trent P. Pierce, a former nursing home medical director involved in
legal controversy, was the victim of a car bombing at his West Memphis,
AR, home late last week. The 54-year-old chairman of the state medical
board, remained in critical condition as of press time. Authorities
said they had no suspects in the attack but said they were examining
lawsuits the physician was involved in.

Officials said they were investigating what was
believed to be a homemade bomb left in the driveway by Pierce's car.
He suffered severe burns, shrapnel injuries and a badly injured eye
in an attack last Wednesday, according to local reports.


Up until a few weeks ago, Pierce was a co-defendant along with
Golden Living (formerly Beverly Enterprises) in a wrongful death suit
that reached the Arkansas Supreme Court.

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New Technology Locates Lost Adults

From bloglongtermcare.com:

Getting lost can be a serious problem for adults with Alzheimers, and
now a new solution is being introduced by EmFinders™. EmFinders™ is a
Texas-based technology company with a single focus: to adapt existing,
affordable and rapidly deployable technology for the purpose of
locating impaired adults and children who wander and become lost. Its
first product consists of an inexpensive wearable device and an
activation service, which are linked to 9-1-1 emergency response
systems. It takes advantage of existing cell phone location technology,
which already is in place in 90% of the USA. Unlike GPS-based
solutions, the EmFinders system works even if the wearer wanders inside
a building or underneath a large structure. EmFinders will introduce
this device and location service first in Texas in early 2009. It will
be available nationally in the spring of 2009. The only requirement is
the familiarization of 9-1-1 operators by local authorities, which can
be done quickly and inexpensively.

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Misery: Inside a 1-star nursing home

From the Chicago Tribune:

The inspectors knew there was trouble as soon as they entered the nursing home.

The
lobby smelled of urine. In one room, they found a 97-year-old woman,
lying in her own waste. She had severe bruises on her arm, foot and
both legs that the staff could not immediately explain. Another
resident had a bed sore larger than a golf ball and dripping blood.

This was life in one of Illinois' "one-star" nursing homes.

These
health violations—and two dozen more—were documented last year on a
single inspection of the Berwyn Rehabilitation Center, contributing to
its dubious distinction as one of the area's worst nursing homes....

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Dementia Care: The Best Friends Approach

From The Dementia Caregiver's Toolbox:

If you haven't heard about the "Best Friends" Approach to dementia care, you need to learn the simple philosophy....

Here is a summary of the Best Friends Model of Dementia Care:...

4.  Master communication techniques including active listening, simple instructions, boosting self-esteem.

5.  Persons with dementia need a "best friend", a person who with be supportive and be with them through the disease process....

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Dementia Book Review: Memory Lessons

From The Dementia Caregiver's Toolbox:

A new book will be out by Hyperion in 2009 called, Memory Lessons:  A Doctor's Story  by Jerald Winakur. 
As a geriatric physician for over 30 years, Jerald found himself facing
down dementia as his father developed the disease.  Dr. Winakur gives
his personal account that illustrates a point that I've often discussed
with colleagues:  Why don't professional dementia caregivers have some
advantage in handling the disease?...

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