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Culture Change Througout Aging Services




I recognize you do amazing work, but you're still not getting minimum wage

(Source: by Union Review, Daily Kos)

The US Senate recently proclaimed a week in September to be designated as a time to "recognize" direct care workers. That's fantastic. What they should also recognize, however, is that more than 1.5 million home care workers are currently living at near-poverty level earning a median income of $17,000 a year. Most of these workers, who both love their work and are good at their work, must have two and three jobs to just make ends meet. Many of these workers need food stamps to put food on their tables. All this ultimately hurts the consumer, who often finds it difficult to find and retain high quality home care services…

Someone sent me an email earlier entitled, "U.S. Senate Declares National Direct Support Professionals Recognition Week."  The big week of recognition is slotted to begin September 12th.

In the announcement for "Recognition Week," Senator Ben Nelson says, "Direct support professionals provide an invaluable service to the millions of Americans living with disabilities. I'm proud to honor these hard-working individuals who give so much to help those in need. Their dedication to service is an example to us all."

So, bravo to the Senate for marking a week in September to honor these workers, but honor and a week of applause doesn't pay the bills. Surely, they must know this.



Workplace Assaults on Nursing Assistants in US Nursing Homes: A Multilevel Analysis

(NOTE:  “BEHAVIORS” are COMMUNICATION!!!  What does this article tell us??)

(Source: AJPH First Look, published online ahead of print Aug 19, 2010)


October 2010, Vol 100, No. 10 | American Journal of Public Health 1938-1945
© 2010 American Public Health Association
DOI: 10.2105/AJPH.2009.185421 

SangWoo Tak, ScD, MPH, Marie Haring Sweeney, PhD, MPH, Toni Alterman, PhD, Sherry Baron, MD, MPH and Geoffrey M. Calvert, MD, MPH

The authors are with the Division of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH.

Correspondence: Correspondence should be sent to SangWoo Tak, ScD, MPH, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 4676 Columbia Parkway, R-17, Cincinnati, OH 45226 (e-mail: STak@cdc.gov ). Reprints can be ordered at http://www.ajph.org by clicking the "Reprints/Eprints" link.

Objectives. We examined risk factors for injuries to nursing assistants from assaults by nursing home residents at both the individual and the organizational level.

Methods. We analyzed data from the 2004 National Nursing Assistant Survey that were linked to facility information from the 2004 National Nursing Home Survey by use of multilevel modeling that accounted for the complex survey design effect.

Results. Thirty-four percent of nursing assistants surveyed reported experiencing physical injuries from residents' aggression in the previous year. Mandatory overtime (odds ratio [OR] = 1.65; 95% confidence interval [CI] = 1.22, 2.24) and not having enough time to assist residents with their activities of daily living (OR = 1.49; 95% CI = 1.25, 1.78) were strongly associated with experiencing injuries from assaults. Nursing assistants employed in nursing homes with Alzheimer care units were more likely to experience such injuries, including being bitten by residents.

Conclusions. Reducing mandatory overtime and having a less demanding workload may reduce the risk of workplace violence. In particular, prevention activities should be targeted at those nursing homes that care for cognitively impaired patients. LINK HERE  

Analysis: Salaries Hit the Brakes for LTC Management

(Source:  Brett Bakshis, McKnights)

After appearing to largely dodge the disastrous economic collapse of 2008 and 2009, the long-term care industry appeared to finally experience the impact of the lackluster economy.  Surveys collected for the “2010-2011 Nursing Home Salary & Benefit Report” show that many positions in long-term care management received smaller salary increases than in years past, while some just barely broke even.  The “Salary & Benefits Report” is issued each year by Hospital & Healthcare Compensation Service (HCS), in association with the American Association of Homes and Services for the Aging and supported by the American Health Care Association.  READ MORE HERE

Life around …: Staff’s Perceptions of Residents’ Adjustment into Long-Term Care
(Source:  Elaine C Wiersma, www.muse.jhu.edu)

Canadian Journal on Aging / La Revue canadienne du vieillissement - Volume 29, Number 3, September/septembre 2010, pp. 425-434
Cambridge University Press

Abstract:  The move to a long-term care facility can be particularly traumatic for new residents. Staff can make this transition easier in a number of ways. However, the staff’s perceptions of the transition process and residents’ experiences will play a significant part in determining the type of support that is given residents during the transition. The purpose of this research was to examine the staff’s perceptions of a person’s coming to live in a long-term care environment. Using in-depth interviews with staff from one long-term care facility, three main themes emerged that encompassed descriptions of residents’ lives. Essentially, the staff described how residents learned to live a life involving various factors in three main categories—life around losses, life around the institution, and life around the body  LINK HERE