Industry News

LPN 3rd shift (Licensed Practical Nurse)

The Wyndmoor of Evansville, IN-Evansville, IN 47711Job detailsJob TypeFull-time

Qualifications

  • Experience:
    • EMR systems, 1 year (Preferred)
    • LTC, 1 year (Preferred)
    • Healthcare, 1 year (Preferred)
  • Education:
    • Associate (Preferred)
  • License:
    • Nursing (Required)

Apply on Indeed or call 812-867-7900

Full Job Description

We are looking for a self-starter for this nursing position. We are interested in someone with nursing knowledge and the ability to think independently and has distinct problem solving skills. We are seeking an individual with good communication who is able to join a well-round team and is motivated by the understanding that the work we do improves the lives of those we serve.

Our community is privately owned, has a positive leadership team and allows staff to focus on residents rather than paperwork. Experience in an assisted living environment and with Point Click Care is preferred but not required. If you enjoy working in a positive atmosphere along side of dedicated passionate and giving co-workers This is the place for you.

We Are Growing!!! In order to allow our staff time for family and to rejuvenate we are also looking for PRN staff too.

Job Type: Full-time

Benefits:

  • Dental insurance
  • Disability insurance
  • Paid sick time
  • Paid time off
  • Vision insurance

Medical Specialty:

  • Geriatrics

Physical Setting:

  • Long term care

Schedule:

  • 12 hour shift
  • 8 hour shift
  • Holidays
  • Night shift
  • Weekends

Supplemental Pay:

  • Bonus pay
  • Differential pay
  • Overtime pay

Experience:

  • EMR systems: 1 year (Preferred)
  • LTC: 1 year (Preferred)
  • Healthcare: 1 year (Preferred)

Education:

  • Associate (Preferred)

License:

  • Nursing (Required)

Environment:

  • Inpatient

EMR Used:

  • Not listed / Other

Patient Type:

  • Geriatric

Uniform:

  • Scrubs are provided

QMA Part Time 2nd shift SIGN ON BONUS OFFERED

The Wyndmoor of Evansville, IN-Evansville, IN 47711

Job detailsJob TypePart-timeFull Job Description

The Wyndmoor of Evansville currently has openings for QMAs! We are looking to complete our staff with a part-time afternoon shift and PRN basis in order to serve the residents of our community. Our community is privately owned, has a positive leadership team and allows staff to focus on residents rather than paperwork. Experience in an assisted living environment and with Point Click Care is preferred but not required. If you enjoy working in a positive atmosphere along side of dedicated passionate and giving co-workers The Wyndmoor is the place for you.

Apply on Indeed or call 812-867-7900

Job Type: Part-time

Medical Specialty:

  • Geriatrics

Schedule:

  • 12 Hour Shift
  • 8 Hour Shift
  • Monday to Friday
  • Weekends

Supplemental Pay:

  • Bonus Pay
  • Signing Bonus

Division of Aging Follow Up to Settings Rule Meeting on 8/3/20

A message and update from

Darcy Tower, MSW

Provider Relations Director

Division of Aging – FSSA

 

Dear, Providers,

 

We appreciate your willingness to participate in the Settings Rule discussion on Monday, 8/3/2020.  The Division of Aging recognizes facilities are inundated working to care for residents during COVID, and we want to be as supportive and helpful to you as we’re able with regard to Settings Rule remediation.

 

In order to keep our momentum moving forward with Settings Rule remediation, the Division of Aging has compiled the attached questions from CMS to help us better understand how your assisted living facility is separate from your nursing facility.  The intent of these questions is to help the Division of Aging assist each facility in overcoming a presumed institutional designation.  Our goal is to assist providers in showing CMS how our co-located facilities render quality, person centered, home and community based services.  These 17 questions will inform the division about each facility’s practices so we are able to best represent the good work you do.  Your responses to the attached questions will assist the division in informing CMS.  Please submit your responses to Patti.Bailey@fssa.in.gov no later than December 31, 2020.

 

Once the division receives your responses, we will summarize your answers to post for public comment per CMS guidance.  Prior to submitting these summaries for public comment, we will share the summary with each individual facility to ensure it represents the facility’s work.  As we mentioned during the 8/3/2020 meeting, CMS has required States to post information about presumed institutional facilities for public comment.  As opposed to submitting detailed packets about each facility for public viewing, CMS is allowing States to summarize the work of facilities to demonstrate how assisted living is separate from the nursing facility.

 

As you review the attached document, you will see that CMS requests documentation from each facility, this documentation is not yet needed by the Division of Aging, but the Division does expect to eventually need this information, so please feel free to include now if the information is easily available.

 

As you review the attached document, there may be some concern about submitting “financial documentation” to CMS.  As outlined in questions 4, 5, & 6 from the CMS guidance link below, all speak to interconnectedness including financial. The division’s interpretation is that these CMS questions are not individually deterministic, but instead will likely be a totality review. Therefore, if a co-located facility is separated by means other than physical, such as operating as a separate legal entity, or the facility retains separate accounting, or has different personnel, etc., then that would likely be a positive for a potential CMS review. However, any one of these factors by themselves would be unlikely to either gain an approval or a denial from CMS.

 

https://www.medicaid.gov/sites/default/files/2019-12/home-and-community-based-setting-requirements.pdf

 

If you have questions about the intent of any of the attached questions, please feel free to reach out to myself or Jesse Wyatt for additional clarification.  We are here to help you through this process!

 

We appreciate your collaboration!

Darcy Tower, MSW

Provider Relations Director

Division of Aging – FSSA

402 W. Washington St. RM W454

Indianapolis, IN 46204-7083

INALA 2020 Award Recipients

CONGRATULATIONS! To our 2020 INALA Award Winners!
We would be hard pressed to find a time in recent history when making “the best of how things work out” was more challenging than this year. However, we heard story after story of people going above and beyond in amazingly creative ways to help make resident’s days brighter. You can read the stories of this year’s INALA Award Winners below.
This year’s winners represent scores of Senior Living staff who have been doing incredible work during this pandemic. Thank you, really does not express the gratitude all of us at Indiana Assisted Living Association and Leading Age Indiana feel for each and every one of you working in the Senior Living profession. The caring, passion, and compassion shown every day is simply overwhelming. Thank you so much for giving of yourself every day.

 

Outstanding Activity Director

LINDSAY WATTS

Woodland Terrace of New Palestine

 

Lindsey has been fostering the enthusiasm of residents and the local community for nearly two years as Life Enrichment Director at Woodland Terrace, New Palestine.

As her Executive Chef commented:

“Lindsay is always thinking big picture and no picture is too big for her ability to pull off the impossible.”

One of her “impossible” events occurred this past May.  With the shutdown of the Indy 500, Lindsey organized a Race Weekend complete with a parade of 100+ vintage cars, Corvettes, pace cars, firetrucks, and police vehicles…. Followed up with a flyover of an F-16!

Another co-worker commented “Lindsey always has a smile, throws in a little silliness and makes the residents really feel involved and loved.  They have come to count on her and get excited about what’s coming up next!

To get an idea of her creativeness, you just need to check out her YouTube videos, one of which recently received over 4,000 likes!

 

CONTRATULATIONS TO LINDSAY WATTS,

LIFE ENRICHMENT DIRECTOR

WOODLAND TERRACE OF NEW PALESTINE

2020 RECIPIENT OF INALA’S OUTSTANDING ACTIVITY DIRECTOR!

 

 

Leader Under 40

ALLEGRA HEIN

Woodland Terrace of Carmel

Alegra is a board-certified music therapist and Neurologic Music Therapist.  She has earned a bachelor’s degree in performing arts and a master’s degree in Piano and Performance.

As part of the Justus Regional team, she is more than a talented music therapist.  She is a confident, empathetic, and passionate leader.

As Patrick Singleton, Executive Director at Woodland Terrace Carmel commented:

“You could look out your window and see Allegra pushing her piano on to the next performance for hours on end just to bring a little music and happiness to our residents while they were quarantined at home…

And…For those residents that were looking to engage even further, she helped coordinate a program with the University of Indianapolis that allowed residents to interact with local college students studying music”

The key to happiness is making the music louder than the chaos…and no matter how much chaos occurred during this pandemic, this quiet leader kept making sure that her music was louder than it all.

CONGRATULATIONS TO ALLEGRA HEIN

REGIONAL MUSIC THERAPIST

WOODLAND TERRACE OF CARMEL

2020 RECIPIENT OF INALA’S LEADER UNDER 40 AWARDS!

 

 

Caregiver of the Year

MICHAEL TATE

C.N.A.

Woodland Terrace of New Palestine

Mike has been a Certified Nurse Aid for 15 years and is also Woodland Terrace of New Palestine’s first ever restorative aide.

The COVID-19 Crisis brought new challenges to both staff and leadership.  One of those challenges was the need to organize a dedicated team of “Designated Caregivers”, which meant in the event there was a COVID positive resident, one caregiver would take care of them, thereby limiting exposure to others.  Mike was one of the first ones to volunteer, putting himself at greater risk of contracting the virus by doing so.

A colleague of Mike says: “Mike jumps in wherever he is needed, he just gets it done.  He is genuine.  He is selfless.  We are privileged to have him amongst our ranks.”

 

CONGRATULATIONS TO Michael Tate

Certified Nursing Assistant

WOODLAND TERRACE OF NEW PALESTINE

2020 RECIPIENT OF INALA’S CAREGIVER OF THE YEAR AWARD!

 

 

Outstanding Community Director

ANGELA OTIS

Executive Director

Silver Birch at Cook Road

Angela has been Executive Director at Silver Birch for two years.  She began with Solver Birch opening their first community in Fort Wayne and after achieving 100% occupancy within 8 months.  Angela was then given the opportunity to open a second location in Fort Wayne and has been able to maintain high standards of care while hitting her goals even during the pandemic.

Angela is described as “sincere, passionate, compassionate, selfless, and hardworking.  She leads with a servant’s heart and is always looking for how she and her team can improve and do things better.

Some of the ways Angela shows the residents they are most important include bringing residents to her family home for fishing trips.  And, some residents have enjoyed a Thanksgiving meal at her home.

As one of her teammates noted, “She is the kind of leader who is not afraid to come from behind her desk and get her hands dirty.”

 

CONGRATULATIONS TO ANGELA OTIS

Executive Director

Silver Birch at Cook Road

2020 RECIPIENT OF INALA’S OUTSTANDING COMMUNITY DIRECTOR AWARD!

 

 

Outstanding Food Service Director

BRYAN FRIEDRICH

Executive Chef

Woodland Terrace of New Palestine

Bryan has been creating special dishes for Woodland Terrace and the greater public for four years.  Of course, in March the dining room had to be closed and all outside visitors restricted.

Bryan met this challenge head on.  He and his staff continued serving a full menu to residents in their apartments anytime between the hours of 7:00 A.M. and 7 P.M. Seven days a week.  Chef Bryan did not stop there.  He then went on to implement an additional menu that revolved around foods that boost the immune system.  With the fear of a spread of Corona virous on everyone’s mind this not only added some great food to an already robust menu but also helped ease the resident’s minds.

When guidance from the Department of Health was released allowing residents to return to the dining room with special precautions in place, Chef Bryan went all out providing special deserts and menus along with live music.

His colleagues say that Chef Bryan’s passion shows on a daily basis.  The residents and staff at Woodland Terrace New Palestine are anxious for what he will come up with next….. So are we, Bryan.  Keep serving it up!

 

CONGRATULATIONS TO BRYAN FRIEDRICH

Executive Chef

Woodland Terrace of New Palestine

2020 RECIPIENT OF INALA’S OUTSTANDING FOOD SERVICE DIRECTOR AWARD!

 

 

Outstanding Marketing Director

SUSAN BUCKINGHAM

Marketing Director

Silver Birch Muncie

For the past two years, Susan has been living out the Silver Birch Mission Statement of “Inspiring Purposeful Lives for All”.

One example of living this mission came when Susan was contacted by a hospice company regarding an individual who needed to move to Silver Birch Muncie but who would not leave her cats….. Not several cats but several DOZEN cats!  Susan worked diligently with the Hospice Agency, Animal Control, and animal shelter in Muncie to capture and place all of the cats somewhere safe. Susan, herself purchased live traps and spent many hours carefully capturing the cats and giving them to the animal rescue for safe placement.

The cat story is not the only example.  Susan has worn her rain boots into homes infested with bedbugs, packed entire homes of personal belongings, and bought linens to make sure that any new resident’s first experience is extraordinary.  Susan goes above and beyond for all inquiries, regardless if they move into her community or not.  This type of assistance may seem above and beyond the call of duty but to Susan it is just “the right thing to do to help people.”  As Susan’s VP of Sales put it, “It is Susan’s willingness to do the right thing that has her hitting her goals every single time.”

 

CONGRATULATIONS TO Susan Buckingham

Marketing Director

Silver Birch of Muncie

2020 RECIPIENT OF INALA’S OUTSTANDING Marketing DIRECTOR AWARD!

 

Outstanding Nurse Leader

DIANE KOHAN

Regional Health Services Director

Woodland Terrace of New Palestine

For the past 5 years Diane has accomplished remarkable outcomes for the Justus Companies Team.  She has helped open several new communities, written policy, and procedures, educated staff, and provided much needed support to the Health Service Directors in her charge.  Under Diane’s leadership all of her community’s medical records were fully integrated into Electronic Medical Records or EMR, 6 months ahead of schedule!

Every leader accomplishes difficult goals and faces moments of crises.  However, it is safe to say that the ongoing COVID-19 crisis continues to top the list.  During this crisis Diane has remained steady… Writing, and implementing policies that change sometimes weekly and many times daily.  Not only was she implementing new policies to keep her residents safe, but she was also, somehow finding Personal Protective Equipment when there was none to be found through traditional channels.  As one of her colleagues stated “a small part of me thinks she was waiting at the docks in a hazmat suit, pointing a temperature gun at them and demanding PPE!!!

When things get difficult, her peers advise to just breath and channel Diane and somehow when they channel Dianne, the cloud disappears, the sun shines and all is well again.

 

CONGRATULATIONS TO Diane Kohan

Regional Health Services Director

Woodland Terrace of New Palestine

2020 RECIPIENT OF INALA’S OUTSTANDING Nurse Leader AWARD!

 

 

Assisted Living Community of the Year

THE LELAND LEGACY

Richmond Indiana

The Leland Legacy is located in a restored hotel that was built in1928.  As an Assisted Living Community, it has come to be the home for 100 residents and 62 staff members bringing both together as family.  Atop the 7 story building, in the heart of downtown, passersby are greeted with messages.  Currently the large banner simply shows a giant smiley face with the word “SMILE” to help lift the spirits of all.

Here are some quotes from people who know the Leland Legacy first hand:

“Folks at the Leland feel protected and loved and the families are often invited to these functions so that they stay connected”.

“It was a quick and easy decision to have my mother come to The Leland.  Having worked with them in various ways, I knew the best place for mom was here”

And finally:

“I write this letter in continued support of the contribution The Leland makes not only to the preservation of health within our community, but also in appreciation of community outreach efforts that benefit Richmond and Wayne County…. The Leland has a storied and colorful history of partnership with this community and the city of Richmond looks forward to many more years of working together”.  Sincerely- David M. Snow Mayor, City of Richmond.

 

CONGRATULATIONS TO Amanda Marquis, Executive Director and the entire staff of The Leland Legacy!

As the 2020 RECIPIENT OF INALA’S Assisted Living Community of the Year AWARD!

 

 

Industry Partner of the Year

Best Choice Home Care

 

Although each resident has a choice in providers, the Justus Companies work with trusted partners to provide essential resources to residents.

One of their Care Network Partners is Best Choice Home Care.  Since medical homecare is a vital part of the continuum of care model, The Justus Companies offer nursing services, physical therapy, occupational therapy and speech therapy services through Best Choice.  Especially during this pandemic, they have been wonderful to work with.  Best Choice keeps the needs of the residents first.  The communication between the teams makes integrated care seamless.  Best Choice Home Care’s willingness to entertain new ideas helped Crestwood South start a Restorative Nursing program and their physical therapist, Alix Walker works closely with the program to ensure the Crestwood team is well trained.

 

CONGRATULATIONS TO Best Choice Home Care

2020 RECIPIENT OF INALA’S Industry Partner of the Year!

 

 

Innovation of the Year

Crestwood Village South

 

During the restrictions imposed by COVID-19, the Justus Companies realized that some residents needed extra support to continue to progress or at least maintain their therapy goals.  An idea for a Restorative Nursing program grew out of the desire to help residents maintain and not decline in their mobility.  The designated Restorative Aide is trained by Best Choice and HTS to supplement their services.  A documentation system fosters communication between the Restorative Aide and the service provider.  The Restorative Aide helps to motivate the resident to complete the home exercises or escorts the resident while walking.  Activities of daily living are used by the Restorative Aide to work with the resident to maintain mobility and the program is individualized to best meet the needs of the resident.

 

CONGRATULATIONS TO Crestwood Village South

2020 RECIPIENT OF INALA’S Innovation of the Year!

 

 

 

 

INALA BOARD MEMBER OPPORTUNITIES

INALA

Board Member Opportunities

INALA is in the process of selecting several new members to our Board of Directors.

We are looking for board members who believe in the INALA mission and are willing to be active in their governance roles. We believe our work has never been more important than it is today. If you have a passion for senior care and are committed to a thriving assisted living industry in Indiana, please complete the INALA Board of Directors Application and submit it along with a short bio to Dan Kenyon dkenyon@leadingageindiana.org  so we can add your name on the ballot.

Responsibility:

To participate in the development of policy and engage in major decision-making regarding the operation of INALA.

To promote INALA with non-members and encourage non-member communities to become part of INALA.

Time commitment:

Board members serve a three-year term.   The board meets every two months.  The meetings last at a maximum about 2 ½ hours. Currently, due to COVID-19, we are holding our meetings via conference call or Zoom.  Under normal circumstances Board members are welcome to host meetings. If no one hosts the meeting, we meet at the LeadingAge office in Northwest Indianapolis.  If unexpected circumstances prevent in-person attendance, telephone participation is possible.

Board members may serve, from time to time, on ad hoc committees depending on their interests.

Additional Resource for Provider Liability From Argentum

As discussed during the past two State Partner calls, Argentum is continuing efforts to protect senior living staff and communities from liability as a result of COVID-19.

 

In addition to the template executive order and background memo we’ve provided, we are now also offering all state partners access to legal experts in provider liability through Willis Towers Watson and Wyatt Tarrant & Combs. Over the next several weeks, we will be reaching out to state partners to discuss the current status of actions in the state and to help with strategy and identifying executive and legislative actions that can be taken to provide protections. We appreciate your flexibility in scheduling these calls.

 

Please contact your state policymakers.  This background memo and current executive order text can be adapted as part of your outreach.  Tara Clayton and Doug McSwain are assisting in our efforts. Please see their bios below:

 

  • Tara Clayton, Senior Claim Consultant, Willis Towers Watson
    Tara has extensive experience dealing with senior living general liability, professional liability, and medical malpractice claims. Prior to joining Willis Towers Watson, Tara served as Vice President of Operations Legal Counsel for a multi-state senior living provider. In that role, she managed long-term care litigation for over one hundred senior living campuses located in multiple states, as well as pharmacy and therapy litigation in more than a dozen states. In addition, she managed employment matters and assisted with all legal matters across the company including corporate transactions, contract review, regulatory compliance, privacy and security compliance, employee relations and risk management. She also provided senior management with strategic and operational assistance. Before moving into the role of operations counsel in 2013, Tara was a health care and commercial litigation attorney, where she represented several senior living providers, hospitals, physicians and other health care providers and health care companies by defending medical malpractice and long-term care claims. Tara also advised on regulatory matters, including health care privacy, licensure and long-term care discharge proceedings.
  • Doug McSwain, Partner, Wyatt Tarrant & Combs LLP
    Douglas McSwain is a member of the Firm’s Litigation & Dispute Resolution Service Team. He has been a litigator, legal advisor, speaker, and writer for more than 30 years. He concentrates his practice in constitutional law, business, professional, employment, civil rights, data privacy & security, and trade law. Mr. McSwain also has experience in health care, administrative and equine law. Mr. McSwain has handled numerous multi-party wage and hour cases both administratively and in litigation. He has conducted auditing and investigative cases involving the U.S. Department of Labor and the Kentucky Labor Cabinet, as well as multi-Plaintiff cases individually suing or class and collective actions. 

 

 

 

Dan Samson

Director of Government Relations

ARGENTUM | Expanding Senior Living

Coronavirus Resource Page

Coronavirus (COVID-19)

INALA has compiled the following resource directory to provide information from CMS, ISDH, CDC and the EPA in one location. This is not, and should not, be considered an all-inclusive resource. Please check ISDH, CMS and CDC websites frequently, as information and/or directives are being released almost daily.

From Argentum

Resources, links, and suggested best practices for a thoughtful approach to coronavirus (COVID-19) preparation and response in senior living communities.

Access the coronavirus toolkit here

 

 Prepare Now

  1. Argentum’s What You Can Do Now – checklist
  2. Review infection prevention and control policies and procedures from the CDC
  3. Review emergency preparedness plan with staff and expect ISDH survey’s to be more narrowly focused on infection preparedness.  Read more from CMS.
  4. Have a Communication Plan for all stakeholders.  Download The World Health Organization Communications Package

Resource Directory

EPA Releases List of Disinfectants to Use Against COVID-19

EPA’s Emerging Viral Pathogen Guidance was developed and finalized in 2016 to allow for a rapid response in the event of an emerging viral pathogen outbreak. It was triggered for the first time ever for SARS-CoV-2 on January 29, 2020. The guidance outlines a voluntary, pre-approval process for making emerging viral pathogens claims. In the event of an outbreak, companies with pre-approved products can make off-label claims (for example in technical literature, non-label-related websites, and social media) for use against the outbreak virus.

VIEW THE LIST HERE

CMS Guidance for Nursing Homes  VIEW HERE

ISDH Long Term Care Newsletter / Special Issue:  COVID-19 / Coronavirus

The Indiana State Department of Health (ISDH) Division of Long Term Care is providing facilities with information related to COVID-19.  It is recommended that facilities review this information and use it to educate staff and visitors.

Additional questions please contact LTC Deputy Director Tammy Alley at talley@isdh.in.gov or 317.233.7441, or LTC Director Brenda Buroker at bburoker@isdh.in.gov or 317.234.7340.

CMS Announces Actions to Address Spread of Coronovirus

CMS calls on all health care providers to activate infection control practices and issues guidance to inspectors as they inspect facilities affected by Coronavirus.    READ MORE

Additional Resources

Strategies to Prevent Spread in LTC Facilities

Getting your workplace ready for COVID-19

Good time to review infection control policies

Video Chatting with Grandma

Study finds video chatting is the best technology to prevent loneliness in seniors reports US News and World Report.

Study says Tai Chi most effect exercise to combat dementia.

A meta-analysis of 20 studies on tai chi and cognition determined tai chi appears to improve executive function without any cognitive decline, reports Newsmax.

2018 INALA Award Winners

Check out this year’s winners!

INALA Conversations: Dementia and Guns – Part Two

If an individual’s dementia has progressed to the point that conversation is not possible due to the disease or lack of judgment, than it is important that family members take action to safeguard the individual and others in the home.

In this situation, here are some tips for dealing with firearms in the home:

The best option is removal of firearms before there is a major safety concern. But if that cannot happen then consider:

  • Store all guns separately from ammunition in a secured and locked case or firearm vault.
  • Remove ammunition from the house.
  • Do not allow the person with disease to have unsupervised access.
  • If guns are in the home, other adults in the home should make it a priority to learn proper and safe handling of the guns.
  • Consider having an adult child, neighbor or friend “borrow” or “store” the guns permanently. Make sure you follow the laws on how to legally transfer gun ownership.
  • Have the guns leave the house for “professional cleaning.”
  • Have a professional disable the guns. This could still present risk if law enforcement ever becomes involved. They must act with the belief a gun is operational.
  • Go through a licensed firearms dealer if the guns are to be sold.
  • If you want law enforcement to destroy the guns and ammunition, call first and find out what is required. Do not simply walk into the station carrying the guns you want destroyed. They may want to see a statement of diagnosis from a physician and they can give you instructions on how to bring in the guns or whether they will send someone to collect the guns.
  • Indiana has a “red flag” law which allows immediate and temporary seizure of weapons from a person who poses a threat to themselves or others. Contact law enforcement anytime you think there is an imminent threat.

With appreciation to the California Central Coast Chapter of the Alzheimer’s Association for most of these tips!

Resources:

https://consumer.healthday.com/cognitive-health-information-26/alzheimer-s-news-20/when-do-you-take-guns-from-someone-with-dementia-733653.html

https://www.agingcare.com/articles/should-seniors-be-allowed-to-keep-guns-169994.htm

https://www.seniorhomes.com/w/guns-in-senior-living-communities/

Aging and Thinning Skin

Is your skin becoming thinner as you age? Thin skin is a natural part of getting older, alongside wrinkles, less skin elasticity, and skin that is dry or easily damaged. While thinning skin is not reversible, there is help for thinning skin!
  • Moisturize your skin! It can make skin more flexible and less likely to break.
  • Drinking enough water helps keep the skin hydrated. Dry skin can be irritated or damaged more easily and is often less flexible.
  • Avoid anything that makes your skin red or sore. Protect yourself from the sun! You will burn more easily as your skin ages. Also, take care to avoid harsh chemicals that could damage your skin.
  • Wear long sleeves, gloves, and long skirts or trousers to help avoid bruises or tears.
  • Eat a balanced diet to help support overall health. Include plenty of fruits and vegetables, whole grains, and proteins. Vitamin E, found in foods such as almonds and avocados, can also support skin health. The fats in these foods may help to keep the skin supple.
  • Using creams that contain vitamin A, also known as retinol or retinoids, may help to prevent skin from thinning further. Your doctor can prescribe this medication or there are some over the counter products you can use. As with any medication, make sure you follow the instructions and talk to your doctor if you experience problems.
There is usually no need to see a doctor for thin skin that is caused by aging and is not presenting any health problems. If you find you are bruising or damaging your skin often, you may wish to seek medical advice.
Since specific treatment is not available for thin skin, prevention is the best option. Protecting your skin from sunlight and keeping your skin hydrated may help prevent further thinning of the skin.

INALA Conversations: Dementia and Guns

The best time to have a conversation about firearms in the house is BEFORE there is a major safety concern!

For an individual living with dementia, gun ownership may represent security, pride in a skill gained and honed over time, treasured memories of a lifetime of gun ownership and a mark of responsible adulthood.

As dementia progresses the individual affected will experience a decline in judgment skills, memory, perception and reasoning. The individual’s ability to act safely may be impaired in a variety of situations like driving, using power tools or cooking. Just as difficult conversations may have to occur around these activities, similar conversations should happen around guns.

These can be highly emotional discussions and decisions. To get you started, you should know:

  • As dementia progresses, information and training in safe gun handling skills may fade.
  • Some people with dementia experience changes in personality and emotions.
  • Dementia affects the ability to control emotion and emotional outbursts can occur.
  • People with dementia may mistake someone they know for someone else, like an intruder.
  • Depression is common in those with dementia and can increase the risk of suicide if there is access to a means, like a firearm.
  • In later stages of dementia, people may suffer from delusions and hallucinations, some of which can be paranoid, persecutory or hostile.

You and the person experiencing dementia can come up with a plan as to how guns should be handled as the disease progresses. You might discuss a “firearms retirement or early inheritance date.” Or the person experiencing dementia might designate someone they trust to have the authority to take away their guns when the time comes.

Whatever you and your loved one chooses to do, as the disease progresses, continual reassessment of safety issues will be needed. If dementia is creating risk, neglecting to address gun safety could result in tragedy.

Resource:

https://www.webmd.com/alzheimers/news/20140721/guns-dementia#1

National Hospice and Palliative Care Month

November is National Hospice and Palliative Care Month.

Assisted living communities must provide residents with information about flu vaccine

Licensed and non-licensed assisted living communities must provide residents with information about flu vaccine. The requirement can be met with a copy of the CDC’s vaccine information statement (VIS). Click here for the CDC VIS page.

Get your flu shot before the end of October

The CDC is recommending people get flu shots by the end of October. Learn more.

Previous and current approaches to dementia care

A New Yorker article entitled “The Comforting Fictions of Dementia Care” discusses previous and current approaches to dementia care. (Print edition of the article published October 8th is headlined “The Memory House.”)

FDA has approved sale of first self-fitting hearing aid

The FDA has approved the sale of the first self-fitting hearing aid, reports WebMD. The Bose Hearing Aid is a wireless amplifier placed in the ear canal that can be adjusted by the user through a smartphone app.

An Aspirin a Day for Older People Doesn’t Prolong Healthy Lifespan

An Aspirin a Day for Older People Doesn’t Prolong Healthy Lifespan. Read the NIH Director’s blog post.

New rules for VA Aid and Attendance

New rules for VA Aid and Attendance go into effect October 18th, 2018. The VA added a look back period for asset transfers, established net worth limits and added new medical expense deduction limitations.