people bring in with them, and what they find there."
I. Such findings, which run counter to common sense, have surfaced before.
In a multi-state study of assisted living, for instance, University of North
Carolina researchers found that a host of variables—the facility's type, size
or age; whether a chain owned it; how attractive the neighborhood was—had
no significant relationship to how the residents fared in terms of illness,
mental decline, hospitalizations or mortality. What mattered most was the
residents' physical health and mental status. What people were like when they
came in had greater consequence than what happened once they were there.
J. As I was considering all this, a press release from a respected research
firm crossed my desk, announcing that the five-star rating system that Medicare
developed in 2008 to help families compare nursing home quality also has little
relationship to how satisfied its residents or their family members are. As
a matter of fact, consumers expressed higher satisfaction with the one-star
facilities, the lowest rated, than with the five-star ones. (More on this
study and the star ratings will appear in a subsequent post.)
K. Before we collectively tear our hair out—how are we supposed to find
our way in a landscape this confusing?—here is a thought from Dr. Philip Sloane,
a geriatrician (老年病学专家) at the University of North Carolina: "In a
way, that could be liberating for families."
L. Of course, sons and daughters want to visit the facilities, talk to
the administrators and residents and other families, and do everything
possible to fulfill their duties. But perhaps they don't have to mm themselves
into private investigators or Congressional subcommittees. "Families can look
a bit more for where the residents are going to be happy," Dr. Sloane said.
And involving the future resident in the process can be very important.
M. We all have our own ideas about what would bring our parents happiness.
They have their ideas, too. A friend recently took her mother to visit an
expensive assisted living/nursing home near my town. I have seen this place—it
is elegant, inside and out. But nobody greeted the daughter and mother when
they arrived, though the visit had been planned; nobody introduced them to
the other residents. When they had lunch in the dining room, they sat alone
at a table.
N. The daughter feared her mother would be ignored there, and so she decided
to move her into a more welcoming facility. Based on what is emerging from
some of this research, that might have been as rational a way as any to reach
a decision.
37、 Many people feel guilty when they cannot find a place other than a nursing
home for their parents.
38、 Though it helps for children to investigate care facilities, involving
their parents in the decision-making process may prove very important.
39、 It is really difficult to tell if assisted living is better than a nursing
home.
40、 How a resident feels depends on an interaction between themselves and
the care facility they live in.
41、 The author thinks her friend made a rational decision in choosing a more
hospitable place over an apparently elegant assisted living home.
42、 The system Medicare developed to rate nursing home quality is of little
help to finding a satisfactory place.
43、 At first the researchers of the most recent study found residents in
assisted living facilities gave higher scores on social interaction.
44、 What kind of care facility old people live in may be less important than
we think.
45、 The findings of the latest research were similar to an earlier multi-state
study of assisted living.
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