The dear seniors I have known teach me about civility, frugality, respect, kindness and the importance of family. My grandparents, Phyllis and Gilbert G-Dog were big influences in my life.
Many older adults are making the move to senior living communities to take advantage Whether you visit an independent living community, an assisted living The average age of senior living residents is about 84 years old. (usually about 65), but most make the move between the ages of 75 and Finding useful gifts for senior loved ones in assisted living can be difficult. It's also a good way to help little ones stay in one place so that you can enjoy the visit too. Keep in mind the safety of the resident, and look for non-skid soles on the slippers. 8 Expert Tips for When Aging Parents Won't Listen.
So many of them are military veterans and risked their lives for the amenities and freedoms I have today. I am called to serve seniors as they have served and paved the way for me. Assisted Living — Calendar. Memory Care — Calendar. Event Slideshow. It is most often a situation we suddenly find ourselves in.
It is perhaps one of the most difficult decisions we will ever make. But what in long run matters most is the care. It takes a very special person to go beyond their job and care for those who are not their given family. From the first day Mom was at MorningStar, there was never a question in my mind that it was the right choice. I never once questioned the level of care she was receiving, from the concierge to the dining room servers, the housekeepers to the maintenance team and, of course, the caregivers.
Every person, from day one, went above and beyond my greatest hopes and expectations; you all became her family when I could not be there.
It takes a very special person to devote their lives to the service of our greatest members of society, and each of you do it with apparent ease, humor, respect and, most importantly love. You will never be forgotten. Many of the staff remarked to me how they loved his smile; but it was because they were so good to him that he smiled so much. The wonderful people who worked with John never hesitated to do anything needed to keep him comfortable, entertained and smiling. I am deeply grateful. They are sensitive to and supportive of the needs of residents and families. A wonderful group.
The staff took a personal interest in us and our unique situation, which was deeply appreciated. This article examines how informal help is integrated in an emerging model of residential long-term care: assisted living. The second section of this paper surveys the literature in order to ascertain whether current research findings support our conceptual model of informal care in AL. We conclude with a series of recommendations designed to guide future research on the interface of informal and formal long-term care in AL.
Since the early s, researchers have attempted to describe the care provision and general involvement of family members following a relative's move to a nursing home see Gaugler, , for a review of this literature. These studies identify several different types of family involvement. One way to quantify family involvement is in terms of visits.
Family visits can be considered a gross measurement of overall family involvement, but what family members actually do during a typical visit may entail one or several other dimensions of family involvement. Family involvement in residential settings can both supplement and supplant the formal care offered. Family members may provide these services when they perceive that a facility is not doing so.
Families can also provide instrumental activities of daily living IADL , or instrumental care. Other dimensions of informal care are of potential interest following entry into a residential setting. For example, one type of care that has received little attention in residential-based studies of family involvement is socioemotional support. Socioemotional support encompasses a number of activities, including talking with the resident, holding hands with the resident, reminiscing, and engaging in social activities Maas et al.
The need for socioemotional support is likely high given the challenges of moving from a familiar place into an entirely new setting, coping with change, re-establishing routines and relationships, and as much as permitted by the setting reorganizing personal belongings. Additional dimensions of family involvement may highlight the ambiguous delineation of care roles between informal and formal care providers following residential care placement.
For example, with the introduction of formal facility staff in the care system many family members may feel the need to monitor care provision or advocate for their relatives. Other aspects of monitoring may include coordinating with care staff in order to maximize the quality of care provided, such as sharing personal information about the relative to staff Maas et al. Advocacy can range from the actual direction of care provided by staff, to working with an ombudsman or other facility officials in an attempt to improve the formal care delivered in a given facility.
Litwak suggested that the type of task determines how older adults utilize formal and informal sources of care. For instance, formal providers usually carry out caregiving tasks that require specialized skill and are performed at predictable times, whereas informal caregivers perform tasks that require less skill and occur unpredictably. A model developed by Edelman stipulates that formal support is merely used to alleviate the burden and time demands of tasks already carried out by informal caregivers i.
Greene hypothesized that assistance once provided by informal caregivers is eventually replaced by formal care i.
This framework of formal-informal care patterns may help to distinguish family involvement among various dimensions of support in AL. As illustrated in Table 1 , the nature of formal care in AL and NH care may affect the informal personal care delivered to residents. Informal personal care is more likely to operate according to the substitution model in NHs; for the most part, family members relinquish ADL tasks to facility staff. Due to regulatory concerns of NHs, families may be discouraged from engaging in certain care responsibilities, such as bathing or ambulation, due to potential risk.
While there may be instances where family members still perform certain personal care activities on an intermittent basis in order to maintain intimacy in the care relationship e. In contrast, some AL residents are less likely to need such care. For those who do, informal care may supplement the formal care provided by AL staff residents may rely on both family members and AL staff equally to perform certain ADL tasks such as grooming.
In other instances, formal care by AL staff or other formal providers may substitute informal care e. Due to the heterogeneity of care needs and AL service delivery models which may fluctuate according to various pricing levels , the range of informal and formal personal care in AL may vary considerably. Instrumental assistance is expected to demonstrate variable formal-informal care patterns across ALs and NHs.
Several IADL tasks that fall under the instrumental dimension, such as medication administration and laundry, are more likely to be assumed by NH staff.
The regulatory nature of NHs and the emphasis on resident safety based, in part, on OBRA legislation and other policy developments has meant that NHs are less likely to facilitate family involvement that involves potential harm to the resident such as medication administration. In contrast, the stated emphasis on control, privacy, and autonomy in ALs coupled with the less disabled nature of clientele and reluctance of AL facilities to provide intensive hour supervision may lead many family members to continue to supplement formal instrumental care.
For example, while ALs may offer some transportation services and some assistance with medication administration e. For yet other types of instrumental care, families in both NH and AL facilities may provide the bulk of such assistance with little aid from formal care providers e.
Socioemotional support, and by extension, visits, are likely to assume supplemental patterns of formal and informal care across both ALs and NHs. While there may be some variation in the amount of each provided by formal care staff e. Formal socioemotional support and visits may occur because they are encouraged by the facility environment e.
In contrast to the other domains of family involvement, it is expected that monitoring and advocacy are more likely to assume a kin dependent structure. Whereas staff may monitor their care provision for reasons related to job responsibilities, families are likely motivated to engage in monitoring or advocacy due to their kin relationship with the relative and their more intimate knowledge of the person the relative is and was prior to entry in a residential setting.
We attempted to identify research on AL related to family involvement or with some type of research focus on family-related variables. Each abstract was screened by the principal author, and any abstract that included some mention of family, family involvement, or family-related variables was included. Larger-scale national studies of AL were also considered to aid in the description of family structure. Following this review process, reports were obtained for further analysis and potential inclusion.
This resulted in the selection of 62 reports for the literature survey several reports provided information across two or more of the extraction categories. As the original inclusion criteria of the literature review were broad, a considerable number of articles were excluded. The principal author reviewed and re-reviewed the content of each excluded article.
But otherwise, it might be best to find alternate performance venues that will pay you what you need. Enhance TV viewing or everyday music listening with wireless headphones. Germs on Your Phone We live in a world connected by smartphones — some of which are becoming more and more like full-service computers that fit perfectly in the palm of our hand. This means that unexpected expenses can throw a wrench into even the best-managed budgets. Some more some less. It means less clutter and less worry. Whether we choose to turn to our elders for advice or entrust the citizens of the internet with our burning questions, one thing is for sure: When it comes to navigating the intricacies of romantic relationships, two heads are often better than one.
Fifteen were excluded because the samples identified were either not based in AL or were pooled across residential settings; 9 were excluded because the article included family members as proxy respondents for resident outcomes; a further 18 articles were excluded because the focus of the analysis was on resident outcomes and not the family data included in this review; 15 more articles were review papers and did not present pertinent family data in AL; 35 reports were excluded because family data were not reported; 15 additional articles were excluded because the data presented were a subsample of a larger parent study already included; 1 article was excluded because it was not in English; and a final 8 articles were excluded because although they provided some data on family support in AL, they were largely based on perceptions of residents and staff and thus not relevant for inclusion in the current review.
To examine family structure we limited our analysis to studies that included detailed sampling frames of AL facilities and residents at the national, multi-regional, state, or regional levels. We excluded studies utilizing convenience samples of AL residents. Those studies that reported data on at least 2 key family structure variables e.
The data presented in Table 2 suggest two important trends related to the informal care potentially available to individuals in AL. For those who have no spouse or family support available within the AL setting, personal and instrumental care needs may be met either through the formal support available in AL or via informal care resources that are external to the AL facility.