Archive for the ‘Nursing’ Category

Living Through Adapting: A Brief Discussion On Dementia Patients

dementiaCharles Darwin stated: “It is not the strongest of the species that survives, nor the most intelligent; it is the one that is most adaptable to change.”

Here at MediLodge of Sterling Heights we are developing a dementia unit that is geared towards optimizing levels of independence for the patients with dementia. The key to taking care of the dementia population is to adapt their environment so they can function at a level of independence that is important to them. There are myths that say the dementia population is not appropriate for therapy, that they cannot show improvement, and that they can’t follow directions. Although it is true that new tasks are difficult for them to learn, it is not impossible for them to adapt to changes. In the process of asking them to adapt to change, it is important for the family and caregivers to recognize the changes and encourage your loved ones.

There are many different types of dementia and they all progress differently and at different rates. What is uniform across all dementia is that memory is affected and basic motor plans become difficult. Science has proven that through sensory techniques, a patient can tap into their long term memory where muscle memory is stored, and learn new techniques. The strongest sense in the human body is the sense of smell as it is the only sense that does not travel through the nucleus. The nucleus is where plaque builds up and blocks other stimuli from getting to the short term memory part of the brain. For this reason, many treatments include using smell to help learn new tasks. When you are visiting your loved ones with dementia, try wearing a vanilla/cinnamon scented perfume or Jergen’s cherry almond lotion. These scents will bring back old memories and you will find that patient’s become more alert and engaging. Try bringing in old pictures and having discussions about childhood or about your loved one’s career. We as caregivers have to adapt to the fact that the short term memory is most significantly affected. Therefore, in order to enjoy your visit with your loved one, discuss their past and reminisce. If they are on a regular diet, bring in their favorite foods from their childhood to early adulthood. Their world is their reality and we as caregivers need to recognize that and go with it. By engaging in the conversation the patient wants to have, they will stay calm and enjoy their time spent visiting.

The Occupational Therapy Department is working with the nursing staff on the 300 unit to develop individualized programs for our patients with dementia. The evaluation process involves staging their level of cognition and a family interview that is aimed at finding out what is important to those patients. Therapy treatment involves adapting the environment to allow the individual to function as independently as possible. Each patient will have a list of activities that they are capable of completing and that are meaningful to their daily life. Therapy is completing treatment on their first set of patients on the unit, and these patients are performing their own laundry, identifying the times of their meals, and completing dressing tasks with only supervision. Our goal is to maximize independence and promote high quality living to our patients with dementia.

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For more information on locations and services, visit the MediLodge website.  Find us on Facebook for up-to-date pictures or watch our YouTube channel for videos of events and activities.

MediLodge of Sterling Heights

MediLodge of Sterling Heights

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Successful Therapy Testimonials From MediLodge

MediLodge of Monroe Short-Term Therapy Success Stories

“I loved my aid Kourtney, she took such great care of me, I am going to miss her! All of the staff at MediLodge were great.  The food was great and my therapy was good. I would recommend MediLodge to anyone looking for a rehabilitation facility.”     Frankie C.

“MediLodge is great as always! The food was great, I probably gained some weight (that’s how good it is). My therapy was great and it always is. I keep coming back because they are so great here. Thank you!!” Joan L.

“MediLodge is the best place to go for therapy. They treat you like family! If I ever get sick again, I will be going back because they treated me with dignity and respect. Therapy must never have a bad day down there because the ladies are always smiling. The food is GREAT and tastes just like home cooking. I like the night owl option!’     Ken M.

“I believe if I had a choice or reason again, I would be back. MediLodge was and is a great rehabilitation facility. Thank you to everyone.”     Sharon B.

MediLodge of Monroe

MediLodge of Monroe

MediLodge of Montrose Shares Similar Success Stories

• Lois E. said:  “I chose MediLodge because I heard that it was one of the best places in Michigan to rehab. The doctors were always there when you needed them; they were really on top of everything. They also kept me informed about what was going on. The therapy was very thorough, you really got a workout!! The cleaning ladies were exceptional. Kathy was always busy. She is helpful, friendly and just awesome. The food was very good and the dining room is beautiful. Keep the chef! The overall care was excellent. I had no problems at all with the staff, when I pushed my call light they were right there to help. It was much better than the hospital. MediLodge was just overall a great place, it was more than we expected!!”
• Nancy R. said:  “My friends told me about MediLodge. The dining was great, everything was very clean. I enjoyed BINGO. The therapy was better than excellent; they went out of their way! I would absolutely recommend MediLodge to others.”
• Kathleen L. said:  “MediLodge is a wonderful place and it is near my home. The massages were over the top! Double excellent! I loved the oils that she used. The physicians are very accommodating and took care of my pain. The therapy department is awesome. I was very pleased with the social services and discharge planning. I would recommend MediLodge to anyone in a heartbeat!”
• Vincent G. said:  “Dr. Schreiber highly recommended MediLodge of Montrose! The dining experience was superior! I never had a bad meal the entire time that I was here. The wellness center was very clean. The therapy was excellent! Ryan (my therapist) was really good. It paid off! If I needed somewhere for more rehab, I would definitely come here!”
• Kathleen R. said:  “I chose MediLodge based on lots of recommendations from all over. This was my #1 choice. The dining was beyond excellent. It’s not only good food, it is a pleasant dining experience. I loved every bit of the hair, nails, and massages that I received. The cleanliness of the center was top notch. The physicians were excellent; I was impressed that they are reliable and very knowledgeable. The staff overall was friendly and well organized. The therapy was a real treat and very helpful for me. Everything was wonderful! I would definitely recommend rehabbing here!”

MediLodge of Montrose

MediLodge of Montrose

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For more information on The MediLodge Group, visit our website, find us on Facebook or tune in to our YouTube Channel.

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November is National Alzheimer’s Disease Awareness Month

medilodgeMediLodge of Plymouth provides specialized, compassionate care for guests diagnosed with dementia or Alzheimer’s disease. The difference between the two? Essentially, they’re the same thing. Dementia is the more-generalized term for senility or memory impairment; Alzheimer’s is the most prevalent and serious form of dementia. The actual cause of the disease is still unknown but here are the most common symptoms of the Alzheimer’s:

Impaired memory and thinking:

The person feels difficulty in remembering very common things like his personal information, such as his place of birth or his occupation.

Difficulty in performing familiar tasks:

The person with Alzheimer’s disease feels to have difficulty in performing his daily tasks i.e. eating, dressing, showering, etc. A person who prepares a meal may forget to serve it or even can’t remember whether he has prepared it.

Problems with communication:medilodge

The person gradually feels difficulty in recalling words or understanding the meanings of common words.

Disorientation and confusion:

Patients may get lost in his own familiar place. Recognizing familiar places and situations becomes impossible for them. They even can’t understand simple commands or follow directions.

Poor and decreased judgment:

The person feels difficulty in taking decisions. As the people affected are always in their own state of mind so they may also leave the house on a cold day without any winter garment or they may even go to the market wearing pajamas.

Misplacing and messing up with things:

The person affected with A.D. usually forgets where he has kept his daily used things, such as glasses, keys, etc. The person may also mess up with things, such as breaking glasses, damaging house hold goods, etc.

Changes in behavior and personality:

Patients have the tendency to swing their moods rapidly. The patients may even feel dramatic changes in their personality and can become fearful, angry, quiet, etc.

Become passive and lose interest:

People generally tend to become passive and show no interest in their usual activities. Extra encouragement is required to make them become active.

Alzheimer’s disease is complex, and it is unlikely that any one intervention will be found to delay, prevent, or cure it. That’s why current approaches in treatment and research focus on several different aspects, including helping people maintain mental function, managing behavioral symptoms, and slowing or delaying the symptoms of disease.

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For more information on locations and services, visit the MediLodge website.  Find us on Facebook for up-to-date pictures or watch our YouTube channel for videos of events and activities.

MediLodge of Plymouth

MediLodge of Plymouth

Living Life To The Fullest

MediLodge of Sterling

MediLodge of Sterling

With all the recent changes in our medical system, the traditional nursing home environment is rapidly changing. Living life to the fullest is the new way of thinking. Nursing homes are now the place to go to for rehab after an injury or illness as well as traditional long-term care needs. MediLodge of Sterling strives to make a home-like environment where residents can improve function as well as increase their sense of competency and personal happiness.

Therapy plays a big role in helping people to develop a sense of purpose and meeting personal goals. Physical, Occupational and Speech Therapy work together to help short-term residents regain the skills they need to return home as well has enhance the lives of the long-term residents. A skilled nursing facility is not always a permanent residence, it is a health care facility that provides continual medical care and therapy. This broad definition means that we service people of all ages, diagnoses and circumstances. The result of care may be short-term or long-term. Either way, our goal remains the same, to optimize a person’s functional level and help them obtain the goals that are most important to them.

MediLodge of Sterling

MediLodge of Sterling

If someone comes in for a short-term stay, the therapists will address activities of daily living and work to increase clothing retrieval, cooking, laundry and household tasks as well as basic self-care. If you have been in the therapy gym, you have noticed that we have an apartment-like setting with a fully equipped kitchen, laundry station, bedroom and bathroom with tub/shower combo to help simulate these tasks for better, safer transitions home. Physical function deficits such as balance, strength and ROM are addressed using our Nu-step, bow flex, electrical stimulation, balance pads and mat exercise for core strengthening. Speech Therapy works in collaboration with OT and PT to help with residents who suffer language deficits or have difficulty with problem solving after illness.

For the long-term residents, our goal is to facilitate a maximum level of independence for them despite their need for twenty four hour care. We work with the nursing staff to train them in optimizing the resident’s independence level. Some residents may only need cuing, others may need therapy to modify their environment in one way or another to optimize safe performance of tasks.

Whatever the resident’s needs may be the therapy staff works hard to help people live their life to the fullest. Our department has over 140 years of combined experience and we work in this setting because we truly love it. Here is what some of our current residents have to say about us:

“I have seen residents who could not walk in, but they walked out! I am going to walk out too. Therapy here is excellent, Five Stars.” – Peggy J.

“Everyone is friendly and helpful…I should say EXTREMELY.” – Pat W.

“Therapy is essential. It is the one thing that got me back on my feet. Therapy gave me back my life. The therapists at Medilodge of Sterling Heights gave me good care.” – Janie P.

“I like the therapists and they do what they can to help me. I want to be able to walk again and not depend on this chair. They will help me meet my goal.” – Jim S.

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For more information on locations and services, visit the MediLodge website.  Find us on Facebook for up-to-date pictures or watch our YouTube channel for videos of events and activities.

MediLodge of Sterling

MediLodge of Sterling

Helpful Tips For Understanding Nursing Home Care

Written by Carney, Sugai, & Sudweeks, LLPNursing Home care

Having a loved one in a nursing home can be a confusing and emotional experience.  Understanding the various aspects of nursing home care and learning how to handle your concerns which may arise will greatly contribute to the success of your loved one’s stay.  These are twelve tips to help improve your communication with the facility staff and provide a better overall experience for you and your loved one.

1.  Have realistic expectations.

2.  Understand the purpose and extent of the care.  Some families and residents believe that the nursing home staff should be personal attendants to the residents and do everything for them. This is counterproductive to the goal of rehabilitation, which requires that each resident be encouraged to do as much as possible independently.  Safety is paramount, so if your loved one is at risk for falling, it will be important that he or she not try to get up out of bed without assistance from the staff.

3.  Important tips upon admission.  It is very important to provide the facility with a copy of all of your loved one’s legal documents that relate to his or her wishes regarding health and personal care and that designate an agent for such care.  It is important that one person be assigned as the “responsible party” to communicate with the facility.

4.  Know the Medicare rules.  Medicare will pay for a limited amount of care in a skilled nursing facility provided that certain qualifications are met.

5.  Meet with the facility staff.  Get to know the Administrator, Director of Nursing, Social Service Director, etc. Know their responsibilities in relation to your loved one’s care.

6.  Get to know the Certified Nursing Assistants.  CNAs provide most of the care to the residents.  Be courteous but clear about anything your loved one needs.

7.  Understand dietary precautions.  Always check with the nurse BEFORE giving any food or drink to any resident. Giving a resident the wrong type of food or drink can be potentially dangerous or harmful.

8.  Respect your loved one’s rights.  Your role is to communicate your loved one’s preferences to the staff.  A written summary of your loved one’s daily routine is a great way to relay needs to the staff.

9.  Respect other resident’s rights.  Respect the other resident’s rights in respect to noise, visitors, and privacy.  Know the visiting hours and be particularly considerate when visiting outside normal visiting hours.

10.  Visit and participate as much as possible.  Participate in the quarterly Care Conferences, observe the rehabilitation services, and visit often.

11.  Communicate your needs and concerns.  Voice any concerns about your loved one’s care and life in the nursing home promptly to the charge nurse or CNA.  If you have a concern, the more details the better.   The more specific you are the greater the possibility that any problem can be corrected.

12.  Be prepared for discharge.  Arrange for training from the rehabilitation team several days prior to discharge.  Meet with the physician if possible.  Have home health services arranged.

 

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MediLodge of Sterling Welcomes New Medical Director

MediLodge of Sterling welcomed a new Medical Director to our facility on January 1, 2013.  I would like to introduce Dr. Ahmed and his two associates.Sterling dr ahmed

Dr. Tazeen Ahmed has been practicing in our area and surrounding communities since 1997.  He founded Great Lakes Medical Center.  He has offices in Standish and Bay City.  Prior to having his own practice he practiced at the Saginaw veterans Hospital for approximately eight years and in Bay City for 3 years.  He currently has privileges at McLaren Bay Region.  He feels that he has a special connection to his geriatric patients.  Dr. Ahmed has been a great addition to our medical team.

Kristin Lance has been collaborating with Dr. Ahmed since 2007.  Her medical career includes first being a Registered Nurse and then becoming a certified Nurse Practitioner.  She has extensive experience in intensive/coronary care units, oncology and now family practice.  She is excited to continue to care for people of the Standish and surrounding areas.  When you see her in our facility you always see her smiling.  She has been a real asset to our team.

Matthew is also a certified nurse practitioner specializing in family practice.  He attended SVSU where he obtained his bachelor’s degree in nursing.  Matthew practiced as a Registered Nurse in the United States Air Force.  As a veteran, Matthew practiced in the intensive care unit prior to returning to SVSU for his Master’s degree in Nursing.  Matthew provides a high quality, family centered holistic approach to treating his patients.  We are happy that he brings this approach to our residents in our facility.

We are so excited and pleased to have Dr. Ahmed, Kristin and Matthew join our team.  Together we are striving to provide the best care for our residents.

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What’s New in Therapy at MediLodge of Sterling Heights?

Submitted by Kathleen Simenton, Team Program Manager, MediLodge of Sterling Heights

When watching the 2012 Olympics, did you happen to notice quite a few of the athletes were wearing bright colored tape over various parts of their bodies?  What is it?  What does it do?  It’s call Kinesiotape.  Now I know what you’re thinking, kinesio – what?  Well it just so happens that we have our very own Certified Kinesiotaping Practitioner here at MediLodge of Sterling Heights to explain its purpose.

Alyse Palposi, one of our Occupational Therapy Assistants, has pursued this rapidly growing niche in the therapy/nursing world and is currently practicing kinesiotaping applications with our Lodgers during their therapy sessions.  I sat down with Alyse to get a better understanding of Kinesiotaping and how it will help the Lodgers here at MediLodge.

“What does kinesiotaping actually do?” I asked Alyse.  “What doesn’t it do?” laughs Alyse.  “Kinesiotaping is not just for athletes, it can be used with any population.  Kinesiotape manipulates the skin, facia, tendons/ligaments, joints and muscles in our bodies.  It is a stretchable tape that acts like another layer of skin and allows your skin to breathe.  One may wear it up to five days at a time and, yes, you may shower with it on.”

“I could go on and on about everything that could be taped on your body,” Alyse continued.  “I can tape anything from reducing back pain, to any swelling/inflammation, facilitating weak muscles or inhibiting overworked muscles, bone fractures, stabilizing joints, to simple things like a headache and cramps.  Like I said, it’s a very long list and it continues to grow.”St Hts New Therapy

Like any other modality used there are precautions to be taken when applying Kinesiotape.  “First and foremost,  we must always check with the doctor just to make sure it’s safe for the Lodger.  People with congestive heart failure, neuropathy, open wounds and kidney disease are at risk for negative effects from the tape.  It must be cleared with the doctor, then a patch test is done.  A small piece of Kinestiotape is applied to the area to be treated for 30 minutes to see if the skin can tolerate it.  Kinesiotape is 100% cotton, all natural and latex free to avoid allergic reactions.  A lot of people are amazed when they find out that there is no medication in the tape.”

Clarence, a Lodger on therapy services has received kinesiotaping to his arm after suffering a stroke.  He was taped from his wrist to his shoulder to help with joint stability and swelling.  When asked what he thought, he responded, “It is perfect.  I love it.  My arm feels so stable.”

Clarence went on to describe his overall therapy experience while being here at MediLodge.  “I am so happy, you guys really know what you are doing.  My therapist told me if I worked hard and kept pushing, he would have me on a cane in two weeks. It has been two weeks and I am on a cane.  It’s perfect here and you guys are tough.”

 

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