Sunday, September 02, 2018

The common enemy

Multi-generational families Under One Roof
The humorist Sam Levenson, who's credited with the thought that the reason grandparents and grandchildren get along so well is that they have a common enemy?

But nowadays it is becoming less and less common to see households even in India where three or four generations are living under one roof.

slowly nuclear families are taking over multi-generational families all over the world , except for some remote areas. Some exceptions are certain particular communities which have found multi-generational families to be pretty useful in there business such as some of the Gujarati patels of the motels Fame. and probably a few Jewish and Parsi families.Where they are a dwindling minority.

Multi-generational families Under One Roof

Dad retired at age sixty-four. He got off the road and onto the golf course. He loved the grandkids and finally had time to spend with them. Mom loved them too, but after five kids of her own, she was a bit iffy about having them around a lot. All this is pretty normal we suppose. In fact, so was our dad's relatively sudden death in December of 1983. So many of his generation have lasted just a year or two past retirement. Mom died just nine months later, also common for her generation. She really missed Dad.

What'sdescribed in the above paragraph was usually the most common occurrence to happen in India. At least till the 80s and probably the 90s in the Lesser developed countries like India.

Now we appreciate that some of you have had the good fortune to have never visited a nursing home. We want to change that. Before you read another page in this book, we have a little homework assignment for you. Call up the nicest nursing home in your area and ask for a tour. The easiest way to find one is to go to the website www.ourparents.com, input your zip code, and hit search. You can also narrow your search on the website by price and needs if you like. Contact information is listed as well as consumer evaluations. But nothing will be as informative as your own visit. When you get there, take a look at both the assisted-living apartments and the medical care facilities. Be sure to ask to see their state-produced quality report, sometimes called a "Form 2567 from the U.S. Health Care Financing Administration" or the "state inspection survey." After the tour, you will be more interested in the ideas in this book. So, seriously, close the book and make the call now.

Exhibit 1.1. Common Concerns of Regulators Regarding Nursing Homes The following list covers state surveyors' required conditions for nursing homes

: I. The facility must store, prepare, distribute, and serve food under sanitary conditions.

2. The facility must ensure that

(a) a resident who enters the facility without pressure sores does not develop pressure sores unless the individual's clinical condition demonstrates that they were unavoidable;

and (b) a resident having pressure sores receives necessary treatment and services to promote healing, prevent infections, and prevent new sores from developing.

3. The facility must ensure that it is free of medication error rates of 5 per cent or greater.

4. The facility must not use verbal, mental, sexual, or physical abuse, corporal punishment, or involuntary seclusion. 5. The facility must provide each resident with sufficient fluid intake to maintain proper hydration and health.

6. The facility must establish and maintain an infection control program designed to provide a

safe, sanitary, and comfortable environment, and to help prevent the development and transmission of disease and infection.

7. The facility must ensure that each resident receives adequate supervision

and assistance devices to prevent accidents.

8. The facility must promote care for residents in a manner and in an environ-

ment that maintains or enhances each resident's dignity and respect in full

recognition of his or her individuality.

9. Each resident must receive and the facility must provide the necessary care

and services to attain or maintain the highest practicable physical, mental,

and psychosocial well-being, in accordance with the comprehensive assess-

ment and plan of case.

10. The facility must provide for an ongoing program of activities designed to meet, in accordance with the comprehensive assessment, the interests and the physical, mental, and psychosocial well-being of each resident. Source: State Operations Manual Provider Certification, Health Care Financing Administration, as cited in Trudy Lieberman and the Editors of Consumer Reports, Consumer Reports Complete Guide to Health Services for Seniors (New York: Three Rivers Press, 2000).

This is a scary list indeed.

But it's not our job to criticize elderly care facilities—plenty already do that.

Instead, our job here is, first, to keep you out of such places and, second, to help you better enjoy growing older in the close vicinity of your family. So please read on.

Thus says the Author of the book