Top 10 Points Useful For Respite Care Center Investigation

There is a lot of difference between living with a person with dementia and living with a healthy elderly person. Due to dementia, thinking/understanding of individuals, ability to work and behavior gets changed. They find it difficult to talk, and they also find it difficult to do daily work. So they need help from Respite care for the elderly in India, and this care is different from other elderly care.  The process of care goes on for many years.

 

Below are the 10 points that might be useful for this investigation (keep in mind that this is not a complete list, just an indicative list):

 

Does the center admit people with dementia? Many "assisted living" centers do not accept individuals with dementia, or have many conditions, such as "the patient's behavior must be fine, the patient must “cooperate" with the staff. Such conditions suggest that the Center does not understand the truth of dementia and has unrealistic expectations about the patient's behavior. In such places, it is possible that the patient is excited one day and the next day a call from the manager of the center will come to take them back home.

 

Is the design and environment of the center's building designed keeping in mind the patients with dementia? For example, are there arrangements to prevent the person from wandering? There is no discomfort in walking, are there handrails, grab rails for this? Are there rooms for activities? A safe place to walk? Fresh air and enough light or not? Not much noise? Is the room small enough to make people nervous?

 

Are the care plans created for the care of individuals in Respite care in India? How do the staff at the center try to understand the patient's details and how they write in their records? Do they note the patient's likes and dislikes, medical records, things of the past, etc.? Based on all these, how do they make a suitable daily routine / daily routine for the patient? How do they check and write the patient's condition? When and how do they provide information about the patient with the family? 

 

How does the shock overcome a person coming from a new environment? In this change, the person does not get stressed, for this, the center decides with the family what will be right? Or do they rule out the possibility of suffering, saying that nothing will happen? Is it possible to have a trial period in the center?

 

Are employees trained for dementia care?  Do old age home Delhi NCR know the art of caring - how to talk, how to help in daily tasks, how to handle changed or agitated behavior, how to engage in useful or interesting activities, etc. Can employees handle people who do not speak and are not similar? Can they handle a completely dependent person?

 

How many staff are there for each patient who helps the patient? Which type of specialist is arranged? Does the center have occupational therapists, nutritionists, physiotherapists, etc.? Is there an assistant in every shift with every patient?  If not, then how do all the helpers work together to share the care? Are there senior staff and supervisors to watch the work of junior staff? Can more helpers be kept if needed?  (Maybe it will cost extra)

 

What is the policy for handling provocative behavior at the center?  Do they use medicines to reduce the excitement of the patients, or try to bind? Do they try other ways and consult the family before giving medicines, or directly give psychiatric/psychotropic treatment (antipsychotic, anti-psychotics)? 

 

What are the arrangements for medical emergencies/accidents etc. in the center? Does the center have some agreement with other services and institutions? Such as ambulance service, hospital, specialist doctor, etc. Do the doctors and nurses working in the center experience dementia? Does the Center offer first-aid and some common home-nursing services? 

 

Does the center provide care for the last-stage patients? Many centers clearly say that they will not take responsibility for patients in the last situation. What would the family do if they could not take the person back home? Or do the centers keep the patient in the last stage but not be able to take proper care? It is very important to know all this in advance because when the patients are in the final stages it will be very difficult to take them elsewhere.

 

When and how are family members consulted about the patient? Is there a restriction on meeting the patient? Does the center have a Skype or video camera so that the family can see for themselves what the patient's condition is?