The Biden Administration has announced it will impose new minimum staffing rules for nursing homes. But the regulations appear to give facilities time to meet the requirements. Separately, the Administration also is requiring that home care agencies allocate at least 80 percent of their Medicaid payments to staff compensation. States would have flexibility to adjust the rules for small and [...]
With great fanfare, President Trump announced yesterday that his administration would deliver about two weeks’ worth of masks to nursing homes by the Fourth of July . And he’d stand up a commission to study quality and safety in nursing homes. All just in time to celebrate May as “Older Americans Month.” The masks apparently are going only to nursing [...]
It is a terrifying time to be caring for an aging parent or other family member who needs assistance with physical or cognitive limitations. You are unable to visit your loved ones in care facilities. It is a struggle to find aides to care for them at home. You worry about them contracting the potentially deadly coronavirus. You worry about [...]
The coronavirus pandemic and the fast-moving federal response to it is upending long-standing rules and practices for caring for older adults. Some changes will be incredibly disruptive, while others may increase support for vulnerable seniors. Here are some of the ways they are affecting how we care for our parents. No more nursing home visits. Just a week ago, the [...]
A friend is about to have big surgery that will require a long recovery at home. She and her husband have no idea what to do. Another friend is the primary caregiver of a couple in their 90s—the husband has dementia and his wife had a stroke. The caregiver has no idea what to do. Another friend learns on a [...]
Tough new rules proposed by the Trump Administration would make it effectively impossible for immigrants to come to the US to work as home health aides or as staff at nursing homes or assisted living facilities. Because at least one million aides (one of every four) is an immigrant, the complex rules Trump proposed over the weekend would dry up [...]
Falls are the leading cause of injury-related death among people 65 and older. One-third of older adults will fall, many will be hospitalized, and some will die. You’ve probably heard the common story: A frail senior is doing relatively well until she falls. She breaks a hip, everything seems to go downhill, and she dies. But many falls are preventable. [...]
Medicare has a huge and growing problem caring for patients after they have been discharged from the hospital. After years of talk, Congress may be about to take a modest but important first step toward cleaning up the mess, and making sure that patients get care that gives them the best chance to live a healthy and active life after a [...]
What if you could be admitted to the hospital—in your own bedroom? That’s the idea of a health care model called Hospital at Home, which is aimed at elderly patients with diseases such as congestive heart failure, emphysema, urinary tract infections, or pneumonia. According to a new study published in the journal Health Affairs, people receiving this care through the [...]
Frail seniors, as well as adults with disabilities, often need help with routine medical care such as taking pills, receiving injections, getting oxygen, or managing catheters. Traditionally, this assistance has been provided only by nurses. But, especially for people living at home or even in assisted living facilities, having a nurse provide this routine care is prohibitively expensive and can lead to long delays in [...]