Monday, December 23, 2013

The Importance of The Dictionary of Occupational Titles in the Social Security Disability Process


As discussed in other articles, the Social Security Disability Process involves five sequential steps. Key to this process is vocational expert ("VE") testimony which is based upon the Dictionary of Occupational Titles ("DOT"). This article addresses the DOT.

At the Social Security Disability Hearing, the Administrative Law Judge ("ALJ") uses VE testimony which itself is based upon the disability claimant's testimony and the DOT. The VE's testimony is key because the ALJ lacks the expertise to offer conclusions regarding the claimant's vocational abilities.Thus, VE testimony serves as the foundational building block of the Social Security disability determination hearing process. Without the VE testimony, a complete, accurate, and reasonable decision would not be possible. It is important for the disability claimant's attorney to understand how the VE is supporting his or her conclusions. Thus, it is important to understand the DOT.

The DOT is a publication of the U.S. Department of Labor that provides basic occupational information by classifying jobs into occupations based on their similarities and also defining the structure and content of all listed occupations. Interestingly, this source was last modified twenty-five years ago, and the latest edition, the Fourth Edition, of the DOT was last updated in 1991.

In addition, the United States Department of Commerce (U.S. Census Bureau) has replaced the DOT with the Standard Occupational Classification ("SOC"). Because the DOT is obsolete, a link no longer exists between Census Codes and the DOT, which means that no useful source of job information provides data for the titles in the DOT.

Furthermore, many jobs listed in the DOT no longer exist and many jobs that now exist are not yet listed in the archaic DOT. Nonetheless, a VE often attempts to categorize a claimant's previous work using a ratio of equivalencies to jobs listed.

Essentially, a VE must statistically break down the source data to estimate the number of jobs available in the appropriate categories of the DOT. This is a complicated endeavor, and if a VE has not received education or training in occupational analysis, then the VE's qualifications and testimony lack reliability.

The claimant additionally faces an uphill battle if the claimant wishes to challenge the reliability of the DOT because the SSA relies so heavily on the DOT and both the fourth and fifth steps of the sequential process are entwined with data found in the DOT.

To understand the intricate roles that the VE and the DOT play at the fourth and fifth steps, it is essential to have a solid understanding of these steps.

Sunday, December 22, 2013

Article 81 Guardianships in New York


Introduction to Article 81

Guardianship[1] is the court proceeding by which one person (the guardian) is appointed to make decisions for another person (the ward) regarding personal, medical, and/or financial matters. In New York, the governing law is Article 81 of the New York Mental Hygiene Law (MHL), entitled "Proceedings for the Appointment of a Guardian for Personal Needs or Property Management", which went into effect April 1, 1993. It provides a mechanism[2] for the court to assist a person to meet his or her personal and/or financial needs, while at the same time limiting such assistance to the least intrusive means necessary.

The standard for appointment of a guardian under the statute focuses on the decision-making capacity and functional limitations of the person for whom the guardian is sought -- not any particular mental or physical medical condition. MHL 禮 81.02. In fact, New York courts have extended the scope of Article 81 beyond mental conditions such as dementia, mental illness, or mental impairment, to include other forms of impairment, such as blindness and other physical infirmity, drug or alcohol problems, and even gambling addiction.

Common scenarios where a guardianship can help

The following are situations where New York courts have appointed a guardian:

1. Where people seek to make decisions for their aging parent;

2. Where parents seek to make financial and personal decisions for their adult special needs or disabled child;

3. Where a guardian is needed to make decisions for someone who is unable to make responsible decisions because of cognitive impairment;

4. Where emergency medical decisions must be made for an incapacitated patient who does not have advance directives in place;

5. Where an elder is being unlawfully detained by a nursing home or other institution against his or her will, or is being abused or exploited, and emergency powers need to be given to a temporary guardian to act right away.

In one interesting example, a woman had recently won a great deal of money in the lottery and found that she could not help giving her money away to anyone who had a hard-luck story. For instance, she was talking to a friend that said she could really use a new car, so the woman bought her a new car. Although she could not resist this tendency, still the woman realized she needed help controlling the money she had just won.

This story highlights the difference between someone who is an Alleged Incapacitated Person (AIP), as opposed to a Person in Need of Guardian (PING). A person who is in a coma or otherwise allegedly incapacitated would be considered an AIP. Here, the woman who won the lottery was considered a PING -- that is, a person who is not incapacitated per se, but who nonetheless needs a guardian. She could actually self-petition to ask the court for the appointment of a property guardian (i.e., someone to make financial decisions only, and not personal or medical decisions) narrowly tailored to control her access to and use of the lottery proceeds.

The "Nuts-and-Bolts" of a Typical Proceeding

A guardianship proceeding begins with the filing of a petition which contains the required pertinent information about the proposed ward (i.e., the person for whom the guardian is sought), his or her assets and income, the proposed ward's family members and others who are entitled to notice of the proceeding, whether there is a Will and other advance directives, and other information about the circumstances. MHL 禮81.08.

The specific powers sought are set forth in considerable detail. In the event that this is an emergency, or some other circumstances warrant having immediate intervention, an Order to Show Cause asking for the appointment of a temporary guardian with particular immediate powers would be included. MHL 禮81.23.

A good example of this would be where an immediate decision has to be made as to whether or not surgery or some other urgent medical procedure should be performed on a comatose patient where no health care proxy is in place. This would be particularly true where the family members disagree on how to proceed. The guardianship court would appoint a temporary or special guardian who would investigate, talk to the doctors, and report to the court with a recommendation.

While it would appear to the layperson that the test for an Article 81 guardianship would require a medical diagnosis, actually the test is a functional one: The court must determine (1) if the person has functional limitations, and (2) whether he or she can understand the nature and consequences of those limitations, and (3) whether it is likely that the person will suffer harm if a guardian is not appointed. In other words, the observation of erratic or questionable behavior is more to the point in these proceedings than a medical diagnosis.

The court will often appoint a Court Evaluator to act as the "eyes and ears of the court" -- to investigate the circumstances, interview people, and report to the court. MHL 禮81.09.

The matter proceeds to a hearing at which testimony is taken. MHL 禮81.11. These proceedings can also be contested, with family members disagreeing as to who should be the guardian and what steps should actually be taken. The person for whom the guardianship is brought can even object to the appointment of a guardian, and can be represented by an attorney (court-appointed or of their own choosing). MHL 禮81.10.

Seeking The Least Restrictive Means

In enacting Article 81 of the Mental Hygiene Law, the intent of the legislature was to create a means of protecting individuals using the least restrictive means possible. In addition, the law gives the court the authority to tailor a guardianship to the ward's needs. Article 81 requires the court to consider alternatives to the appointment of a guardian, such as visiting nurses, home health aides, adult day care, and trusts, and allows the court to fashion remedies that may or may not include appointment of a guardian. See, e.g. MHL 禮81.01.

Conclusion

Article 81 is a versatile remedy that can provide useful or even life-saving solutions to a wide variety of situations. Because it is a complex proceeding with serious implications, and it requires a court hearing, it is imperative for anyone considering a guardianship to consult with an experienced elder law attorney knowledgeable in this area of the law.

_________________

[1] In some states, the proceeding is called conservatorship.

[2] In addition to Article 81 of the Mental Hygiene Law, which has arguably the broadest application and flexibility in such matters, other mechanisms exist. The main example is Article 17-A of the Surrogates Court Procedure Act. Originally designed for mentally retarded individuals who were newly discharged from mental institutions and needed a safety net, the law was later amended to include developmentally disabled individuals, and specifically those with cerebral palsy, autism, epilepsy, traumatic head injury and other neurological disorders. The disability must have originated before the age of 22 (except that no such age of origination applies to traumatic head injury). By contrast with Article 81, Article 17-A expressly requires that the mental retardation or developmental disability must be medically certified. Also, in the more extreme cases where a person may be a danger of harm to himself or others, a proceeding exists under Article 9 of the Mental Hygiene Law for involuntary commitment of the individual.

Top 3 Benefits of Assisted Living


Making the decision to move from your home to an assisted living residence can be a difficult one. Generally it becomes the decision of the elderly individual's children, who begin struggling to take care of their parents in their own home.

Fortunately, seniors are finding it easier and easier to live comfortably in an assisted living home - mostly because of all the perks they receive as residents.

Here are the top 3 benefits of moving into assisted living homes:

1. Social Activities. An assisted living home is kind of like a big party for seniors. It's a place where men and women of a similar age can meet, live and experience all the perks of a great social life again. From trivia night, bowling and movie night to everyday games and activities, living in a home with other seniors can actually end up being a really great time. Some residences even offer beauty salons and spas for their residence - now that's living comfortably, if you ask us!

2. Less Housework. The biggest benefit of moving from your own home to an assisted living environment is eliminating the housework. Cooking, cleaning, doing the laundry and all of the other tasks that go along with maintaining a home are difficult for an average person; imagine what it's like for seniors. Assisted homes hire staff to do all of these things for you. The only thing left for you to do is enjoy your time. Sounds like a good plan.

3. In-House Medical Care. As you get older (especially once you become a senior citizen), doctors appointments become more and more frequent. Unfortunately, it also becomes more and more difficult to arrange transportation to these appointments (especially considering most seniors no long have driver's licenses). Assisted living residences offer in-house medical care so you never have to leave because of an appointment. Suddenly those routine checkups don't sound so bad.

We're not saying that everything about assisted living is great; there are some cons. While the decision to move opens up many doors for senior men and women, the financial burden can be hard for some to handle. If you have the money, we strongly suggest looking into this type of residence. The stress relief and social aspects of assisted homes are priceless...well, almost priceless.

Waiting Lists for Senior Housing in British Columbia


Over the course of the last decade, the waiting times for seniors housing in British Columbia have substantially decreased. Although waiting times have decreased dramatically over the last decade, the current demographic shift means that there will be more people retiring and the system will be strained to keep up with demand. Because of this, waiting lists need to be considered when looking for retirement housing.

The publicly funded Continuing Care system in British Columbia is set up as a single point entry system. That means to access any kind of publicly funded seniors care services, one needs to book an appointment with their regional continuing care office and have an interview with an intake officer. This officer will assess whether what kind of care and subsidy the senior qualifies for.

Waiting lists for seniors housing are different in the public and private sectors. Publicly funded nursing homes, which provide assistance with activities of daily living and medication administration, usually have a waiting list that is 15-90 days in length. In the Vancouver area, there are currently 541 people on the wait-list for subsidized assisted living, and there are currently 866 tenants living in such units. New units are being built. Although the waiting list is processed chronologically, seniors who are in need will be processed with priority.

The BC Government has built over 13,000 new residential care beds and has established a program called the Shelter Aid for Elderly Renters (SAFER) which provides a rent subsidy to seniors in need or those with modest incomes. The BC Government has also committed $725 million for home health services, up nearly 80 percent from 2001. While the government has gone to great lengths to ensure that publicly funded seniors care is of the highest quality in Canada, there are some seniors who would prefer to live in a privately funded seniors home.

While any publicly funded seniors home in BC will be of a respectable quality, there are some seniors who would prefer to live in a home with extra amenities. There is no centralized list of waiting times for privately funded seniors care homes, and wait times care vary. Retirement communities are in higher demand thus have the longest wait lists, though retirement condo/apartment buildings can sometimes have a minimal or short wait list.

Wait lists exist in both the public and private pay systems and need to be factored in to the decision making process.

Problems In Managing Documentation Entries in Sierra Leone


The continuing progress in science, technical and human endeavors have become a major characteristic of contemporary society, as this constitutes the 'information explosion'. Society needs all kinds of information irrespective of provenance and form that may be utilized within organized social, economic and scientific and technical activities to site but a few examples (Usherwood,1989).

In Sierra Leone, however the problem of information services involves among others the educationist, jurist, economist, industrialist, administrator, health service officer, agriculturist technician and student. This demand face librarians with the problems of how to organize, process, disseminate and control information. The most difficult aspect to date is that of dissemination of information. If this is to be achieved it is essential to ensure that the right information at the right time and with the appropriate measures reaches the persons that need to use it (Were, 1990).

Behind this need should be someone responsible for defining and keeping the system going. This requires the collection and selection of data, their reduction to suitably brief but succinctly clear messages, their storage and transmission to where needed for easy location and use. The realization of such a system needs the services of a group of specialists in different fields and on the other hand its use requires that clientele are knowledgeable of the working techniques and the principal concepts which the system is constituted. Documentation specialists play a vital role in this respect.

DOCUMENTATION SERVICES IN SIERRA LEONE

The proliferation of varied sources of information and the resulting 'information explosion' makes it necessary for every country to have well-functioning services. Information is dependent on documents, which in turn form the main stay of documentation centers. In addition to official publications documentation centers draw upon specialized literature such as books, series, journals and other scientific publications. Such documents call for systematic, dynamic and highly specialized analysis.

The need for organizations to produce documents related to their activities is only one of the components of their information policies. Documents therefore, are for users, an input of basic importance. The value of this input varies on the clientele served. The transmission of ideas through the written word and the establishment of centers to organize these documents in Sierra Leone is not a new phenomenon as it origins could be traced from the colonial era. Today there are over thirty (30) such institutions sparsely located in government departments, libraries and non governmental organizations in the country although most of these are found in the capital city, Freetown.

Included are the Ministry of Foreign Affairs and International Cooperation Documentation Center, the Ministry of Labor Documentation Center, the Ministry of Development and Economic Planning Documentation Center (MODEP), National Agriculture Documentation Center (NADOC), Food and Agriculture Organization Documentation Center (FAODOC), the Gender and Research Documentation Center (GRADOC), and the Sierra Leone Collection at the Fourah Bay College library.

A variety of documents are housed in these institutions such as:

i. those concerned with various aspects of the organization's internal administration like financial budget, personnel, infrastructure and logistics;
ii. those concerned with the actual functioning of the parent organization with the implementation of its objectives and programs such as decision-making, resolutions, recommendations, records of meetings, minutes, reports as well as seminar, workshop and conference proceedings;
iii. documents providing specialized information but of general interest such as statistical books, yearbooks, collection of texts, pamphlets, glossaries and technical literature; and
iv. Those supplying information on one particular aspect or overall activities of the organization to a wider public such as press releases, brochures, folders and periodicals.

The function of these documentation centers is five-fold: to assemble relevant source data documentation and maintain research collection of such documents; to relatively acquire external materials in response to specific needs; to selectively disseminate recorded knowledge according to user needs; to classify, catalogue and index publications received; and to avail appropriate materials for administrative and financial purposes. Staffs managing these centers range between one and five.

PROBLEMS

Sierra Leone has just experienced a decade long civil war (1991-2001) and the government is faced with numerous tasks; developmental programs are therefore, prioritized and under such circumstances documentation centers rank low in government's priority list. Hence problems abound in the management of documentation centers which range from lack of a survey to identify the number of documentation centers in the country, limited space, inadequate staff, inability of parent organizations to re-build and replace destroyed documentation centers and materials during the war.

Expecting documentation specialists to enhance the current status of their institutions requires adequate financial support. The cost of materials, equipment and information transfer is rising due to escalating foreign exchange and the increasing dependence upon expensive technology (Patridge,1994). It becomes therefore, all the more urgent to get adequate financial support from parent organization running these institutions. This is yet to be done.

The effectiveness of documentation services is based not only upon the equipment used but also on the quality of staff manning these institutions, who in the process of their work should be aware of the latest developments in science and technology as well as the needs of the national economy. The crux of the matter is that only qualified and competent information specialists that can assure a quick, comprehensive and up-to-date information service to clientele, thus contributing to the success of many research and developmental programs.

Regrettably there is a dearth of trained and qualified staff to run documentation centers in the country; most documentation centers are run by either para-professional or non-professional staff, some of whom have only on-the-job experience. The conditions of service of such staff are appalling with bleak future for self-advancement. Hence there is massive staff turnover as qualified staff always leave unceremoniously for better paid up jobs.

Documentation centers can make effective economic contribution to national development plans by promoting education and research at different levels and by supporting economic and social endeavors of various kinds (Isaak, 2000). However, to be effective these institutions should be organized within an integral system, which is conceived in return to, and as part of national plans for economic and social developments. Government is yet to come up with a national policy on the role documentation centers should play in the development of the nation, especially in the post war era.

Many documentation centers were destroyed during the civil war and valuable documents were lost. Although a few continue to exist most of these are relatively small in size with limited materials. The lack of suitable infrastructure specifically designed to serve as documentation centers is a major obstacle in providing adequate services to the community. Further documentation services are hampered by lack of such physical facilities as suitable furniture and accommodation, stacks, good lighting and spacious reading rooms for use by clientele especially during peak periods.

Documentation specialists should accept the fact that in recent years the rapid development of science and technology calls for new ways of classification, processing and retrieval and dissemination of information and that what they have achieved over the years in running their respective centers is inadequate. The acquisition and handling of materials is one of a series of problems envisaged by staff. This is due to lack of adequate bibliographical control tools, complex series, distribution delays and the huge quantity of materials produced annually for which the number of staff in these centers is not commensurate.

Further there are problems with the organization of documents in these institutions due to staff's lack of technical know-how. The document collection is not kept in classified order in some of the centers; where a document symbol exists it is used for shelving particularly so for documents of governmental and non-governmental organizations. In some publications the symbol used is not shown on the catalog entries and this makes it difficult for clientele to locate needed documents without staff assistance.

In other words the symbol system in use in some of the documentation centers is complex for clientele's understanding as non-specialists. Most clientele are baffled whether a document labeled RESTRICTED or FOR LIMITED DISTRIBUTION ONLY is so done because the material is in some way confidential or rather because the budget allocation does not permit more than a limited number of copies to be acquired.

In addition some documentation centers such as NADOC and FAODOC have automated services but the growing complexity of information technology is sometimes creating problems for clientele. Where as some clientele are computer literate and do understand what to do with printed material no such acquaintance or competence exists for computer-readable information packages for a vast majority of non computer literate clientele. Since clientele are the ones served by information services a well-organized computer education system is indispensable. To attain this requires a constant study of user needs and their behavior, which documentation staff are yet to do.

SUGGESTIONS FOR IMPROVEMENT

The country's reinstated democracy has a duty to its citizens of providing a consistent and controlled flow of information failing which it deprives them of their spirit of initiative. Invariably it stands to reason that the control of the resources of information, its storage and dissemination can become a reality only if there is precise political commitment. The technology of information must have a place in the country's planning activities, more so in this post war era. Government should establish a national policy reflecting the information needs of groups in respective departments and of the national community.

Such a national information policy should be implemented through the preparation of national plans for the development of documentation centers. These plans should form an integral part of the over-all national plans for socio-economic development and should be carried out by a central body established at appropriate governmental level with clear responsibility and authority for planning in this field (Line, Mackenzie and Prytherch, 1994).

In view of the fact that a thorough knowledge of the existing state of documentation centers and library services is essential for national planning for the development of national information infrastructures, a comprehensive survey of these institutions in the country is essential. The survey should cover the financial and legislative basis of the operation of these information services together with all aspects of their structure and functions, staff provision, technical services and co-operative agreements. Data for the survey could be used to forecast future needs and the preparation of long term plans for the development of appropriate information infrastructure.

Responsibility lies with the country's politicians, those men of government and public administrators for the evaluation of the advantages that can be accrued from such an innovation and for the elaboration of necessary policies and programs, and for the funding needed to sustain and enhance these centers. Therefore, long-term planning cannot be evaded. If possible a Commission should be created to investigate the decisions to be taken. This body should be provided with sufficient degree of autonomy and funds although working in immediate control with government authorities.

Departments running documentation centers should seriously re-think of improving the quality of staff manning these centers. Current developments in science and technology call for well-trained and competent staff in a wide range of disciplines so as to build up self-confidence and exercise authority over the centers they manage. These demands therefore, requires training in diverse routines in information processing such as collecting, classifying and cataloguing, indexing, retrieval techniques, thesauri and subject analysis.

To attain these the training of staff should be central in parent organizations' developmental plans. Staff should be allowed to attend seminars, workshops, and conferences and pursue study courses in relevant fields. In this light the country's library school should introduce special courses in documentation and encourage students to make it a career. Graduates should be awarded certificates and accorded similar status and conditions of services as those accorded to professionals of equivalent educational levels in other fields.

To alleviate the problem of technical processing each documentation center should keep in good order a complete collection of its documents with efficient indexing and cataloging procedures such as cumulative and subject indexes. Given the scattered nature of information needed by documentation specialists in their acquisition procedures, they should consider the production of a regularly up-dated handbook that would include a list of bibliographical control tool, list of libraries, reference units and information systems with an indication of their holdings, policies and coverage of own documents, telephone number, e-mail address, if any, description of exchange agreements, lists of recommended standards and access rights to these organizations. Such a publication could be a useful medium in which to advertise new publications. Since the country is faced with Information Technology challenges serious thoughts should be given to automate documentation services for increased efficiency (Inglis, Ling & Josten,1999).

Orientation to selective use of documentation centers is essential. The present under-utilization of the centers is caused by a lack of habit to consult them. A user education service in these institutions is therefore, essential. Increased awareness through this education will bring about two results: allocation of greater funds and resources to improve procurement, selection and use; and a greater advantage from available documentation. By so doing there will be improvement in methods of document retrieval by clientele.

In order to avail resources to clientele co-ordination of all components of documentation centers and libraries in the country through networking is important. Such aspects as cooperative acquisition of materials, exchange, production of union catalogs, interlibrary loans and if possible centralized processing especially for documentation centers found in government departments, should be explored to provide both staff and clientele a basis for access to these centers. Support should be sought from donor agencies and international organizations like UNESCO and International Federation for Documentation (FID) for material, human and financial resources, capacity building and information dissemination techniques.

CONCLUSION

Documentation centers can make efficient social and economic contributions to national development plans by promoting information dissemination, education and research at different levels. However to be effective these institutions should be organized within an integral system that is itself conceived in relation to, and as part of national plans for economic and social development. It is only through this way that such service institutions can make meaningful contribution to national objectives and obtain financial support for their development and sustenance.

Hospital Workplace Violence - Self Defense Training For Nurses Includes Many Non-Combative Options


Workplace violence in the healthcare sector has hit an all-time high! Statistics show that, typically, the average nurse is assaulted on the job 1 to 3 times a year and very few facilities have anything more than a "shell" policy to address this problem and prevent injury to it's staff.

Are you concerned about the problem of workplace violence effecting nurses and other medical professionals? Well, you're not alone.

In fact, the healthcare industry has awakened to this very real problem in the past few years. Administrators have found that previous assumptions and policies about workplace violence, as it relates to hospitals and the medical industry in general, have done little to deter or prevent the countless injuries to nurses and caregivers. In fact, the problem has escalated to the point where the healthcare profession is ranked third among all non-law enforcement and security occupations in the number of incidents which occur!

Third! Among all other professions!

And, the sad fact is that medical professionals are not being targeted by their own co-workers - but by their patients - the very people that they are trying to help!

Many leaders, as-well-as staff-duty nurses who work with patients everyday, are calling for more workplace violence self-defense training geared toward nurses and patient care professionals. Unfortunately, most administrators confuse self defense with fighting and therefore are concerned about the possibility of more violence if their nurses and staff members were trained in self defense tactics.

As a way to show the difference between fighting and actual defensive tactics training geared toward workplace violence prevention, here are 4 areas of workplace violence defensive tactics training that have absolutely nothing to do with fighting - and everything to do with empowering doctors and nurses to avoid, evade, and prevent a dangerous workplace violence attack from hurting them or others that they are responsible for.



  • 1) Strategic Positioning. This is similar to what police officers are taught when knocking on doors, interacting with drivers during a traffic stop, etc. Nurses can be taught to adjust where they stand or position themselves relative to their patients to make it difficult for the person to hurt them if they lashed out and became violent.



  • 2) Body language. By becoming more aware of the conscious and unconscious interpretations that we can have when we see different body language cues, the caregiver can learn to avoid those that might trigger a negative response - while also choosing cues that can easily and effectively defuse a potentially hostile workplace violence situation.



  • 3) Vocal skills. This is the same as body language but where we can consciously and deliberately control the use of our voice. Speech patterns, rhythm, and vocal intonation can all be powerful tools for defending yourself in a workplace violence encounter.



  • 4) Environmental Control. Often, caregivers are trapped in a violent situation because of the layout of the clinic in which they work. Simple changes to your work environment - from exam rooms to customer service counters - can be made that will aid in avoidance, evasion, and escape tactics, while also serving to control the flow of action should a physical workplace violence attack occur.

As you can see, if you're really looking for viable solutions to helping your nursing staff to be able to employ self defense tactics to deal with violence in the workplace, there are many more options available than merely teaching them how to fight!

What if you could get this type of training while also saving your organization from the financial and other losses from lost-time, employee turn-over, legal liability, and negative PR that often arise out of incidents involving violence in the workplace? How? By instituting defensive training tactics that both keeps your staff safe AND maintains a high level of professionalism and liability control!

Elder Care - Gift Ideas For Nursing Home Residents


Several things should be considered when choosing gifts for nursing home residents. How much room does the resident have? Do they have room for the gift you have in mind? Are they physically able to use the gift? Will they need help to use the gift and, if so, is the help readily available?

Popular gifts that have stood the test of time for nursing home residents are books and magazines.. A new book by a favorite author is always welcome. A subscription to a favorite magazine is also a good idea.

A box of candy is another popular choice but before giving candy, check with the caregivers to see if this is something the resident can have or can be doled out occasionally.

If the resident enjoys writing letters and cards, a box of all-occasion cards or notepaper would be welcome. Add some postage stamps and pre-printed labels for the people they write to and they can write cards and letters whenever they want to.

Coloring books and crayons are fun for both residents and visitors. If the resident has difficulty conversing, just sitting and coloring with them, occasionally patting their hand or making comments about coloring is a relaxing way to spend time together and is appreciated by the resident.

A lap-desk with a raised border around it is useful for writing and coloring.

If the resident is able to go out, the promise of a trip to a favorite restaurant or movie would be appreciated but check with the nursing staff to make sure they are physically and mentally able to handle such a venture. Ask about any medications or treatments that might need to be taken into consideration.

Does the resident like to treat others? Give them some gift certificates they can use to treat their friends when they go out.

Do they need help with a hobby they used to enjoy? Can you provide that help? Arthritis and other diseases often interfere with hobbies such as needlework, stamp collecting, building models. If they have given up a favorite hobby because of failing eyesight or poor hand movement, perhaps you can help them still enjoy their former pastime.

Perhaps the best gift of all is simply spending time with the resident. Don't feel you have to be talking all the time. Just sitting with them lets them know that you care. Offer to read a book to them or help them with a crossword puzzle. Let them know what's happening in the place they used to live. Be cheerful and positive and watch carefully for signs that they are getting tired. Do check with their caregiver as they can offer suggestions on what the resident would enjoy.