What to do when the person with dementia asks the same questions
by Monica Heltemes on 9/24/2014 to Dementia Activities
new resource, "Ask the OT". Caregivers often have questions or situations that come up in dementia care. Although one answer never fits all situations, having different perspectives on the issue can help - in this case the perspective of an occupational therapist (OT).
Why does the person with dementia say the same things over and over?
The easy answer, but one that can be hard to keep in perspective, is that the person does not remember that he or she already told you that piece of information or story. Yes, in literally seconds, the person can have forgotten what was just discussed. The diseased brain is like a sieve with holes in it. The information just leaks right out instead of staying in the brain as it should.
Sometimes the person may be doing it to get attention. I don't mean to say that the person is purposely doing it to get attention, but rather the person may be bored or even frightened and may be seeking conversation or reassurance.
Another possibility is that the person is having a strong memory of a past event. The fact that the person is experiencing memories is a good thing, but perhaps it is not a happy memory or an unresolved memory, that is worrying the person. In either case, the caregiver understanding that the dementia illness is causing this behavior, is important.
Is there a way I can reduce the dementia behavior of repetitive questioning?
Yes, there are strategies to try. If one does not work, try another. The repeating may not go away completely, but it likely can be reduced.
http://tinyurl.com/pj6j4xx
new resource, "Ask the OT". Caregivers often have questions or situations that come up in dementia care. Although one answer never fits all situations, having different perspectives on the issue can help - in this case the perspective of an occupational therapist (OT).
Why does the person with dementia say the same things over and over?
The easy answer, but one that can be hard to keep in perspective, is that the person does not remember that he or she already told you that piece of information or story. Yes, in literally seconds, the person can have forgotten what was just discussed. The diseased brain is like a sieve with holes in it. The information just leaks right out instead of staying in the brain as it should.
Sometimes the person may be doing it to get attention. I don't mean to say that the person is purposely doing it to get attention, but rather the person may be bored or even frightened and may be seeking conversation or reassurance.
Another possibility is that the person is having a strong memory of a past event. The fact that the person is experiencing memories is a good thing, but perhaps it is not a happy memory or an unresolved memory, that is worrying the person. In either case, the caregiver understanding that the dementia illness is causing this behavior, is important.
Is there a way I can reduce the dementia behavior of repetitive questioning?
Yes, there are strategies to try. If one does not work, try another. The repeating may not go away completely, but it likely can be reduced.
http://tinyurl.com/pj6j4xx
advice for payingforseniorcare.com | Scam check for payingforseniorcare.com is payingforseniorcare.com safe?
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Alzheimer's Care Training - Help for Alzheimer's Families
Alzheimer's Care Training - Help for Alzheimer's Families: Free Family Caregiver Alzheimer’s Training
Learn how to better care for a loved one with Alzheimer’s by taking advantage of free family caregiver training opportunities available from Home Instead Senior Care.
Learn how to better care for a loved one with Alzheimer’s by taking advantage of free family caregiver training opportunities available from Home Instead Senior Care.
HIPAA - Individually Identifiable Information: Know the Rules! ,,,,,, from Harmony Healthcare International, Inc.
Privacy Rule. One such policy includes incidental use and disclosure of confidential health information (also known as Protected Health Information or “PHI”). Per the requirements in the HIPAA Privacy Rule (See 45 CFR 164.530), protect the confidentiality of individually identifiable patient health and financial information from any unauthorized intentional or unintentional use or disclosure.
For clarity, Protected Health Information (PHI) is defined as any information in the medical record or designated record set that can be used to identify an individual and that was created, used, or disclosed in the course of providing a health care service such as diagnosis or treatment.
The HIPAA Privacy Rule specifies the following pieces of “Individually Identifiable Information” that, when linked with health or medical information, constitute PHI (45 CFR 164.514):
Names of the individual, and relatives, employers or household members of the individual
Geographic identifiers of the individual, including subdivisions smaller than a state, street addresses, city, country and precinct
Zip code at any level less than the initial three digits; except if the initial 3 digits cover a geographic area of 20,000 or less people, then zip code is considered an identifier
All elements of dates, except year, or dates directly related to an individual including birth date, admission date, discharge date, date of death and all ages over 89 and all elements of dates (including year) indicative of such age, except that such ages and elements may be aggregated into a single category of age 90 or older
Telephone numbers
Fax numbers
Electronic mail addresses
Social security numbers
Medical record numbers
Health plan beneficiary numbers
Account numbers
Certificate/license numbers
Vehicle identifiers and serial numbers, including license plate numbers
Device identifiers and serial numbers
Web Universal Resource Locators (URLs)
Internet Protocol (IP) address numbers
Biometric identifiers, including finger and voice prints
Full-face photographic images and any comparable images
Any other unique identifying number, characteristic, or code
Failure to comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) can result in Civil and Criminal penalties. These civil and criminal penalties can apply to both Covered Entities and Individuals.
If you have questions regarding HIPAA or need help maintaining compliance, please click here to contact Harmony Healthcare International or call them at (800) 530-4413.
For clarity, Protected Health Information (PHI) is defined as any information in the medical record or designated record set that can be used to identify an individual and that was created, used, or disclosed in the course of providing a health care service such as diagnosis or treatment.
The HIPAA Privacy Rule specifies the following pieces of “Individually Identifiable Information” that, when linked with health or medical information, constitute PHI (45 CFR 164.514):
Names of the individual, and relatives, employers or household members of the individual
Geographic identifiers of the individual, including subdivisions smaller than a state, street addresses, city, country and precinct
Zip code at any level less than the initial three digits; except if the initial 3 digits cover a geographic area of 20,000 or less people, then zip code is considered an identifier
All elements of dates, except year, or dates directly related to an individual including birth date, admission date, discharge date, date of death and all ages over 89 and all elements of dates (including year) indicative of such age, except that such ages and elements may be aggregated into a single category of age 90 or older
Telephone numbers
Fax numbers
Electronic mail addresses
Social security numbers
Medical record numbers
Health plan beneficiary numbers
Account numbers
Certificate/license numbers
Vehicle identifiers and serial numbers, including license plate numbers
Device identifiers and serial numbers
Web Universal Resource Locators (URLs)
Internet Protocol (IP) address numbers
Biometric identifiers, including finger and voice prints
Full-face photographic images and any comparable images
Any other unique identifying number, characteristic, or code
Failure to comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) can result in Civil and Criminal penalties. These civil and criminal penalties can apply to both Covered Entities and Individuals.
If you have questions regarding HIPAA or need help maintaining compliance, please click here to contact Harmony Healthcare International or call them at (800) 530-4413.
Feds delay enforcement of home care wage rule - Modern Healthcare
Feds delay enforcement of home care wage rule - Modern Healthcare: Feds delay enforcement of home care wage rule
By Lisa Schencker | September 11, 2015
The U.S. Labor Department won't start enforcing its new rule requiring higher pay for many home healthcare workers just yet, despite a recent court decision upholding the rule.
The new rule won't go into effect until 30 days after the District of Columbia Circuit Court of Appeals issues a mandate making its opinion effective. It's unclear when that mandate will come because industry groups have asked the court to wait until after they try to appeal the matter to the U.S. Supreme Court.
The rule was slated to go into effect Oct. 13.
By Lisa Schencker | September 11, 2015
The U.S. Labor Department won't start enforcing its new rule requiring higher pay for many home healthcare workers just yet, despite a recent court decision upholding the rule.
The new rule won't go into effect until 30 days after the District of Columbia Circuit Court of Appeals issues a mandate making its opinion effective. It's unclear when that mandate will come because industry groups have asked the court to wait until after they try to appeal the matter to the U.S. Supreme Court.
The rule was slated to go into effect Oct. 13.
Online Tools | Caregiver Center | Alzheimer's Association
A diagnosis of Alzheimer's raises many questions. The Alzheimer's Association has several free, online tools to help you find answers, local resources and support.
Alzheimer's Navigator®
ALZConnected® (Message Boards)
Caregiver Stress Check
Care Team Calendar
Comfort Zone®
Community Resource Finder
E-Learning Workshops
essentiALZ Individual Certification
TrialMatch®
Virtual Library
Read more: http://www.alz.org/care/alzheimers-dementia-online-tools.asp#ixzz3ST9Bt8Q1
Alzheimer's Navigator®
ALZConnected® (Message Boards)
Caregiver Stress Check
Care Team Calendar
Comfort Zone®
Community Resource Finder
E-Learning Workshops
essentiALZ Individual Certification
TrialMatch®
Virtual Library
Read more: http://www.alz.org/care/alzheimers-dementia-online-tools.asp#ixzz3ST9Bt8Q1
Stephanie Z's link list
Stephanie D Zeman MSN RN
This is an updated list of links about information care givers will need. Most helpful will be "Understanding the dementia experience" which will give you an idea of what your LO is going through; and "Communication skills" Which will help you to communicate in ways which will avoid or decrease her negative behaviors.
It is also important for you to use the 800 number at the National Alz. Assoc. if you run into problems we can't help with. The 24/7 Helpline is: 1.800.272.3900
Here are some very helpful links on dementia care:
Guide to diagnosing and treating dementia
https://www.caregiver.org/diagnosing-dementia
Anosognosia explains why dementia patients are unaware that they are ill:
http://alzonline.phhp.ufl.edu/en/reading/Anosognosia.pdf
Understanding the dementia experience
http://www.smashwords.com/books/view/210580
Communication Skills:
http://www.alzconnected.org/discussion.aspx?g=posts&t=2147511283
Selecting a home health caregiver:
http://www.alz.org/care/alzheimers-dementia-screening-providers.asp
Elder abuse and neglect:
http://www.alzconnected.org/discussion.aspx?g=posts&t=2147495517
Bathing and Showering
http://www.alzconnected.org/discussion.aspx?g=posts&t=2147491802
Help with dental care (PDF fine from Aust. Alz. Ass.)
http://www.alzheimers.org.uk/site/scripts/download_info.php?fileID=1782
How to determine if your LO has pain. Use the Pain Scale:
http://prc.coh.org/PainNOA/Abbey_Tool.pdf
Picking at skin/scabs
http://www.alzcompend.info/?p=233
Sexual Consent Guidelines Weinberg Center and Hebrew Home
http://www.businessweek.com/pdf/hebrew_house_policy/sexualconsentguidelines.pdf
Finding a Memory Care Unit:
When you start to look at nursing homes or ALFs, begin with a call to your local AD chapter and get a list in your area.
You can also go to: Guide to retirement living
http://www.retirement-living.com/ where you will get free information on nursing homes in your area.
Then go to the government site called Nursing Home Compare and get the results of their last surveys so you can get some idea of the quality of their care.
http://www.medicare.gov/nursinghomecompare/search.html
Also, when you select some, Google them along with the word lawsuit to see if there are or were any significant problems that crop up.
Do select at least 3 to look at. DO NOT expect them to look like an ALF. The decor will be less attractive, but in a good nursing home with a dementia unit, the care will be much better.
Once you have picked one, you will want to visit at least 3 times. Once during meals to see what the residents are eating (see if you can eat there as well), once on the evening shift, and once during activities to see how many people attend or have other things of interest available to do.
OTHER HELPFUL SITES
Twenty Common Nursing Home Problems and How to Solve Them.
http://www.nsclc.org/wp-content/uploads/2011/02/20-Common-Problems-Nov-2010-Final.pdf
Urinary infections in people with dementia
http://www.disabled-world.com/health/aging/uti.php
Eating problems
http://www.alzconnected.org/discussion.aspx?g=posts&t=2147489263
Caregiver kitchen
http://caregiver.com/kitchen/index.htm
Australian Site: Nutrition Matters – Finger Foods:
http://dietitiancentre.com.au/wp-content/uploads/2011/11/Nutrition-Matters-Aged-Care-September-2010-Final.pdf
Hope this helps Stephanie Z
This is an updated list of links about information care givers will need. Most helpful will be "Understanding the dementia experience" which will give you an idea of what your LO is going through; and "Communication skills" Which will help you to communicate in ways which will avoid or decrease her negative behaviors.
It is also important for you to use the 800 number at the National Alz. Assoc. if you run into problems we can't help with. The 24/7 Helpline is: 1.800.272.3900
Here are some very helpful links on dementia care:
Guide to diagnosing and treating dementia
https://www.caregiver.org/diagnosing-dementia
Anosognosia explains why dementia patients are unaware that they are ill:
http://alzonline.phhp.ufl.edu/en/reading/Anosognosia.pdf
Understanding the dementia experience
http://www.smashwords.com/books/view/210580
Communication Skills:
http://www.alzconnected.org/discussion.aspx?g=posts&t=2147511283
Selecting a home health caregiver:
http://www.alz.org/care/alzheimers-dementia-screening-providers.asp
Elder abuse and neglect:
http://www.alzconnected.org/discussion.aspx?g=posts&t=2147495517
Bathing and Showering
http://www.alzconnected.org/discussion.aspx?g=posts&t=2147491802
Help with dental care (PDF fine from Aust. Alz. Ass.)
http://www.alzheimers.org.uk/site/scripts/download_info.php?fileID=1782
How to determine if your LO has pain. Use the Pain Scale:
http://prc.coh.org/PainNOA/Abbey_Tool.pdf
Picking at skin/scabs
http://www.alzcompend.info/?p=233
Sexual Consent Guidelines Weinberg Center and Hebrew Home
http://www.businessweek.com/pdf/hebrew_house_policy/sexualconsentguidelines.pdf
Finding a Memory Care Unit:
When you start to look at nursing homes or ALFs, begin with a call to your local AD chapter and get a list in your area.
You can also go to: Guide to retirement living
http://www.retirement-living.com/ where you will get free information on nursing homes in your area.
Then go to the government site called Nursing Home Compare and get the results of their last surveys so you can get some idea of the quality of their care.
http://www.medicare.gov/nursinghomecompare/search.html
Also, when you select some, Google them along with the word lawsuit to see if there are or were any significant problems that crop up.
Do select at least 3 to look at. DO NOT expect them to look like an ALF. The decor will be less attractive, but in a good nursing home with a dementia unit, the care will be much better.
Once you have picked one, you will want to visit at least 3 times. Once during meals to see what the residents are eating (see if you can eat there as well), once on the evening shift, and once during activities to see how many people attend or have other things of interest available to do.
OTHER HELPFUL SITES
Twenty Common Nursing Home Problems and How to Solve Them.
http://www.nsclc.org/wp-content/uploads/2011/02/20-Common-Problems-Nov-2010-Final.pdf
Urinary infections in people with dementia
http://www.disabled-world.com/health/aging/uti.php
Eating problems
http://www.alzconnected.org/discussion.aspx?g=posts&t=2147489263
Caregiver kitchen
http://caregiver.com/kitchen/index.htm
Australian Site: Nutrition Matters – Finger Foods:
http://dietitiancentre.com.au/wp-content/uploads/2011/11/Nutrition-Matters-Aged-Care-September-2010-Final.pdf
Hope this helps Stephanie Z
Delirium or Dementia - Do you know the difference?
From http://www.alz.org/norcal/in_my_community_17590.asp from Northern California and Northern Nevada Chapter Home > Delirium or Dementia - Do you know the difference?
What do we mean by delirium?
Also called the acute confusional state, delirium is a medical condition that results in confusion and other disruptions in thinking and behavior,
including changes in perception, attention, mood and activity level.
including changes in perception, attention, mood and activity level.
Individuals living with dementia are highly susceptible to delirium. Unfortunately, it can easily go unrecognized even by healthcare professionals
because many symptoms are shared by delirium and dementia. Sudden changes in behavior, such as increased agitation or confusion in the late evening, may be labeled as “sundowning” and dismissed as the unfortunate natural
progression of one’s dementia.
because many symptoms are shared by delirium and dementia. Sudden changes in behavior, such as increased agitation or confusion in the late evening, may be labeled as “sundowning” and dismissed as the unfortunate natural
progression of one’s dementia.
When is a change in behavior delirium and not part of dementia?
In dementia, changes in memory and intellect are slowly evident over months or years. Delirium is a more abrupt confusion, emerging over days or weeks,
and represents a sudden change from the person’s previous course of dementia.
and represents a sudden change from the person’s previous course of dementia.
** Unlike the subtle decline of Alzheimer’s disease, the confusion of delirium fluctuates over the day, at times dramatically. Thinking becomes more
disorganized, and maintaining a coherent conversation may not be possible. Alertness may vary from a “hyperalert” or easily startled state to drowsiness and lethargy. The hallmark separating delirium from underlying dementia
is inattention. The individual simply cannot focus on one idea or task.
disorganized, and maintaining a coherent conversation may not be possible. Alertness may vary from a “hyperalert” or easily startled state to drowsiness and lethargy. The hallmark separating delirium from underlying dementia
is inattention. The individual simply cannot focus on one idea or task.
What if you suspect delirium?
..... Secondly, create a safe and soothing environment to help improve the course of delirium: keep the room softly lit at night, turn off the television
and remove other sources of excess noise and stimulation. The reassuring presence of a family member, friend, or a professional often prevents the need to medicate.
and remove other sources of excess noise and stimulation. The reassuring presence of a family member, friend, or a professional often prevents the need to medicate.
And lastly, tread lightly with medications. Sedatives, sleeping medications and other minor tranquilizers play a very limited role in delirium management
unless a patient is experiencing drug withdrawals.
unless a patient is experiencing drug withdrawals.
Prevention of Delirium
Avoid illness through smoking cessation, a balanced diet, regular exercise, adequate hydration and vaccinations to prevent influenza and pneumonia.
Avoid alcohol in any amount.
Exercise caution with medication, especially sleep aids, and periodically ask the physician for a “medication review.”
Eliminate or reduce the use of the following medications:
Antihistamines (e.g., diphenhydramine)
Bladder relaxants
Intestinal antispasmodic
Centrally-acting blood pressure medicines (e.g., clonidine, methyldopa)
Muscle relaxants
Anticholinergics (drugs with atropine-like effects)
Opioids (e.g., codeine, hydrocodone, morphine)
Anti-nausea medication
Benzodiazepine type sedatives
The following interventions appear to reduce the risk of delirium during hospitalization:
Early mobilization after surgery
(e.g., walking, getting up in a chair)
Assisting the individual with eating
Round-the-clock acetaminophen for surgical pain (may lessen the need for stronger drugs)
Minimizing bladder catheter use
Avoiding physical restraints
Avoiding multiple new medications
Hydration – encourage and assist with fluids
Normalizing the environment (e.g., pictures from home, familiar objects, cognitively stimulating activities and reminders, visits from family
members)
members)
Providing sensory devices if needed
(glasses, hearing and visual aides from home)
---
Overview of Delirium and Dementia
by Juebin Huang, MD, PhD
Delirium (sometimes called acute confusional state) and dementia are the most common causes of cognitive impairment, although affective disorders (eg,
depression) can also disrupt cognition.
depression) can also disrupt cognition.
Delirium and dementia are separate disorders but are sometimes difficult to distinguish. In both, cognition is disordered; however,
dementia affects mainly memory, and
delirium affects mainly attention
--------------------------
Matching the environment to patients with delirium: lessons learned from the delirium room, a restraint-free environment for older hospitalized adults with delirium.
Flaherty JH1, Little MO.
Abstract
Delirium is associated with several negative outcomes and is not always preventable. Current practices for the management of older hospitalized adults with delirium, such as one-on-one sitters, antipsychotic medications, and physical restraints, have limited effectiveness or potential health risks.
{snipped} The authors have found that a restraint-free environment can be achieved; "tolerate, anticipate, and don't agitate" (the T-A-DA method) are the core principles of the nonpharmacological approach that go beyond the traditional strategies of management (such as reorientation); based on observational data,
--------------------------
Matching the environment to patients with delirium: lessons learned from the delirium room, a restraint-free environment for older hospitalized adults with delirium.
Flaherty JH1, Little MO.
Abstract
Delirium is associated with several negative outcomes and is not always preventable. Current practices for the management of older hospitalized adults with delirium, such as one-on-one sitters, antipsychotic medications, and physical restraints, have limited effectiveness or potential health risks.
{snipped} The authors have found that a restraint-free environment can be achieved; "tolerate, anticipate, and don't agitate" (the T-A-DA method) are the core principles of the nonpharmacological approach that go beyond the traditional strategies of management (such as reorientation); based on observational data,
Alzheimer's and Dementia Care Must read books
Kisses for Elizabeth: A Common Sense Approach To Alzheimer's and Dementia Care (Volume 1) by Stephanie -Large Print Paperback
also available as Kindle Purchase
Creating Moments of Joy: A Journal for Caregivers, Fourth Edition (NEW COVER) by Jolene Brackey (Sep 1, 2008) Paperback
also available as Kindle Edition
The 36-Hour Day, fourth edition: The 36-Hour Day: A Family Guide to Caring for People with Alzheimer Disease, Other Dementias, and Memory Loss in Later Life, 4th Edition
also available as Kindle Purchase
Creating Moments of Joy: A Journal for Caregivers, Fourth Edition (NEW COVER) by Jolene Brackey (Sep 1, 2008) Paperback
also available as Kindle Edition
The 36-Hour Day, fourth edition: The 36-Hour Day: A Family Guide to Caring for People with Alzheimer Disease, Other Dementias, and Memory Loss in Later Life, 4th Edition
Day Trips for Caregivers - Visiting Nurse Service of New York
Day Trips for Caregivers - Visiting Nurse Service of New York: Day Trips for Caregivers
Nature Getaways within 2 Hours of NYC
People who spend time outdoors, particularly around trees and in gardens, have better physical and mental health, and the benefits can be immediate. One recent study at Stanford University found that volunteers who walked in a park-like section of the university’s campus were less anxious, less likely to dwell on negative things, and performed better on short-term memory tests than those who walked near a highway.
Arrange for a day of respite care and plan your escape! Here are day trips in the Hudson Valley, on Long Island, and in New Jersey that can help caregivers recharge. If you can only steal a few hours, we’ve also included ideas for NYC.
Nature Getaways within 2 Hours of NYC
People who spend time outdoors, particularly around trees and in gardens, have better physical and mental health, and the benefits can be immediate. One recent study at Stanford University found that volunteers who walked in a park-like section of the university’s campus were less anxious, less likely to dwell on negative things, and performed better on short-term memory tests than those who walked near a highway.
Arrange for a day of respite care and plan your escape! Here are day trips in the Hudson Valley, on Long Island, and in New Jersey that can help caregivers recharge. If you can only steal a few hours, we’ve also included ideas for NYC.
Over-Night Care: Night programs serving individuals with Alzheimer's
Over-Night Care: Night programs serving individuals with Alzheimer's: Over-Night Care: Night programs serving individuals with Alzheimer's
Carers often experience chronic sleep deprivation. At the onset of nighttime. The demons of anxiety, anger, fear, hallucinations and paranoia come out. Night time can be unpredictable, up and down cycles.We need All-Night Care all night respite programs.
Carers often experience chronic sleep deprivation. At the onset of nighttime. The demons of anxiety, anger, fear, hallucinations and paranoia come out. Night time can be unpredictable, up and down cycles.We need All-Night Care all night respite programs.
Hospice is likely to be the most important health care decision we make. by Joy Loverde
Hospice: I had no idea | Eldercare Blog: Families have a choice in hospice programs.
Hospice is likely to be the most important health care decision we make. For a long time, we could assume that every hospice provided high-quality care. That assumption is no longer safe. Families must shop around. To start the process, request a home visit for patient assessment and a customized Q & A. How receptive a hospice is to the following questions is an indicator of the quality of their program:
What do others say about your organization? Get references.
How long has the hospice been in operation?
Is the hospice Medicare-certified?
What is the expectation regarding the family’s role in caregiving?
Is there anything currently being done for the patient that you would not do?
(Make a list of specific family needs.) How will you address these needs?
What extra services are offered?
Is your availability 24/7?
How rapid is crisis response?
Do patients ever get transferred to inpatient care? Under what circumstances? And where do they go?
Is family respite care available? What kind? Under what circumstances?
Are your MDs/RNs certified in palliative care?
How are family complaints handled?
What kind of emotional support do you provide – now and after?
Hospice is likely to be the most important health care decision we make. For a long time, we could assume that every hospice provided high-quality care. That assumption is no longer safe. Families must shop around. To start the process, request a home visit for patient assessment and a customized Q & A. How receptive a hospice is to the following questions is an indicator of the quality of their program:
What do others say about your organization? Get references.
How long has the hospice been in operation?
Is the hospice Medicare-certified?
What is the expectation regarding the family’s role in caregiving?
Is there anything currently being done for the patient that you would not do?
(Make a list of specific family needs.) How will you address these needs?
What extra services are offered?
Is your availability 24/7?
How rapid is crisis response?
Do patients ever get transferred to inpatient care? Under what circumstances? And where do they go?
Is family respite care available? What kind? Under what circumstances?
Are your MDs/RNs certified in palliative care?
How are family complaints handled?
What kind of emotional support do you provide – now and after?
This is just brilliant! It can help so many people..
This is just brilliant! It can help so many people....Please SHARE, let's make this available for everybody! :)
Posted by Motivational and Inspirational Quotes on Thursday, August 20, 2015
New techniques to move patients safely
Patient transfer
medicaresystem.net/company/distributors
Medicare System
Manufacturer
Address: Abad Escarré, 15, 08302 Mataró, Barcelona, Spain
Phone:+34 937 57 00 48
InnoCare Health Corporation is a leading supplier of AEDs and related products and accessories across the United States. We are a family-owned and operated company and we pride ourselves on our ability to combine the most competitive pricing with outstanding customer service.
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