Видео

What a brilliant man! I’m forever blessed and but unworthy of his praise, guiding focus, and constant encouragement Thank you Dr Vivian Tellis-Nayak for encouraging me to”Fucus, fucus, fucus!

Awesome

This is Beautiful. Congratulations to Ecumen Lakeview Commons. Keep the flag flying.❤

this is awesome , thank you for recommending me to this...

We need to have wards o some floors. People that have been on welfare as a way of life, should not be blessed with rooms that hard working people have to give up everything they have to have the same services.😊

Following you so closely Dr Albert, and what you said is exactly what you are, A BETTER PERSON.

My gorgeous wife works there ❤

Risperidone saved my life. But I gained 200 lbs from it. I've been stable mentally for 5 years so my psychiatrist and I agreed to lower me to 3mg from 4 mg today actually. Hopefully my appetite will decrease and my minimal symptoms stay as they are.

Hello, I'm a TV program production team in Korea The theme of our program is a health documentary about dementia, and I would like to introduce a fake stop for dementia patients in Germany There is not much data on fake stops in Korea So I want to use this video in our program If you allow it, I'll make sure to leave the source and use it I'll be waiting for the reply. Thank you.

You're seems sad. And scary.

We dont even acknowledge elderly abuse month anymore. But yes, we need reform. Ty for trying.

Promo sm ❣️

These caretakers are truly angels.

HAWAI’I 💠 Way to go GARY WONG !!!

Mobility is essential to patients flexibility.

I enjoy the video.

Awesome

I think that there is a general agreement that the needs of the population we serve does not fit into a one size fits all algorithm. The acuity of care is a huge factor when it comes to staffing. Just as a hospital divides these considerations, it is generally agreed this is a factor that weighs heavily. It’s fair to say that the continuity of care is greatly affected by the employee retention, and most of us can agree here. Maybe we should start at what is agreed on, instead of the differences- especially when lives are at the end of this bartering table. I believe that relationships are built upon mutual interest, and friends are developed within by mutual respect. This is not a spreadsheet, and I think if you’re looking at it from a Birds Eye view- the perception changes. Typically we identify the solution to most problems by equations to find the value of a variable. So why are people leaving the industry? What’s the census of the exit interview? There is none- no one is bothering to ask the people who are on the ground with a live view. This is not a general equation, there are people involved and that means the variable changes. This did not happen overnight and it can’t be fixed in one sentence. There are good people who have truly dedicated their lives to caring for the people you love the most- but are not capable of providing the level of care that’s needed. Since acuity is universal here- then looking at who is accepted into what environment is a factor that can be regulated. We have to understand that the level of care changes through the longevity of the disease process. In other words, it would be foolish of me not to recognize that if I had cancer and did nothing, nothing would need to be done. As time goes on, naturally the approach would adapt to meet my needs. If I had stage 4 cancer, then I would need a lot more than if I had stage 1. I don’t like to use this analogy, however- there is no way to deny this perspective. If someone has a diagnosis that requires more care, specifically in one area- it would stand to reason that if they remained in an area with more independent residents, staff would need to dedicate more time to one person, essentially prioritizing needs would take away from other people’s needs. Adapting by moving one, would be the most appropriate solution. Tighter restrictions on admissions based on individual needs would assist with the load bearing to provide more care without taking away from anyone. Specialized training components would provide higher quality of care. Specialized areas that require more training deserve higher rates, they earned that. Demonstrated experience determines the skillset to match the acuity of care. Higher wages to senior staff incentivize longevity and demonstrate a supportive environment. Longevity builds a trusting relationship that gives back by providing access to these higher acuity education experiences that also creates a career ladder, which recognizes merit which again incentivizes both interested parties… sounds simple right? However- if there are currently 74 residents just filling beds to make ends meet, without any objections to acuity- delegated to 1-3 people and even 1 of those residents requires more care, more intervention- the system fails. You can’t utilize the system without these considerations- and before anyone tells me that’s what the pdpm were designed to recognize- the corporations have “vendors” that already figured out how to capture this with less staff on the floor. It’s doubling the documentation time and not allowing for both care and documentation to be done- employee retention doesn’t serve positive returns in this perspective. Look at the number of for profit versus non for profit.. look at the buyouts, the carefully staged photoshoots of the “new” owners. It’s become quite the factory setting and this is after we have already institutionalized our most vulnerable population which only contributes to the overall decline. The majority owners are monopolizing the industry, which of course leaves a hard road for competition of non profit companies that still have the good bones left. It’s really not a simple equation here, this is linear at best. You can’t compete with companies that are national, who have their own vendors, and are now asking for MORE work visas after breaking the environment into an investment that has no accountability for proof of payment. It’s not hard to juggle when you have more hands.. but then again, that’s more like playing catch- it changes the game. You’re trying to utilize enforcing rules to a game that not only changed the game, they’ve already stacked the deck. 100% staffing ratios must be enforced for safety- anything less is unethical.. but these ratios need to reflect the population they serve- which needs to be transparent.. because again, these are people- not spreadsheets. The gap in salaries between facility level and corporate shouldn’t be 10xs greater, there should not be that much commission in salary- again, human lives. So regulating the populations served, the staffing acuity, transitioning, increased wages- people who are responsible for someone’s life should not be paid less than or equal to entry level positions. The gap in salaries needs to change to accommodate the safety by bringing the workforce that already has the experience back.. they are there, lurking in fear in the shadows by how they have been treated- if we just keep feeding this system, it won’t change anything- it will just negatively reinforce a systemic problem.. and if you really don’t believe this, leave your elder in a respite care for these facilities without mandated staffing ratios. Prove it.. but at the very least, talk to the people who are actually doing the job.. not the management.. a good manager inspires people to work, they don’t actually roll up their sleeves and if there was no bias- mgmt would be allowed in unions.. so don’t tell me this bs info retrieved by some cherry picked senior mgmt data. We already know they are business minded with more in common in sales/marketing than experienced in care.. but please prove me wrong by having one of these representative speakers demonstrate how to provide care.. show me that you know how to do my job and that’s how you earned your job before you try to tell me how what you read on a spreadsheet. I promise you, there are people in this country struggling who want to go back to the place they put their lives work into.. it’s not the people on the ground that changed, it’s everyone else around them. Show our people you care, give us back what we fell in love with.. compassionate care. Invest in what you love and you will be rich.

I agree that the acuity of care should be factored into the number of staff that are provided

You can see how advertised this was, and what demographic by the number of comments because I promise if this information was out there to the people that work in the field, you would see a completely different response

During the pandemic management lied to their staff and hid that there was Covid in their buildings, and staff weren’t able to protect themselves because they weren’t aware because they were being lied to us and people sat at home safe lying to them

Agreed parallel for this is how much insulin cost versus how much insulin is charged. Of course the business needs to make money to profit and prosper but with agreed gets the best and the bottom number is the number of people not dollars people but it’s costing there’s a problem, if you don’t take care of your house things break down if you don’t take care of your car, it breaks down. If you don’t take care of your staff, they break down and when those staff are taking care of other people, their lives at risk these numbers aren’t just dollar signs that Somebody’s mother, their brother their sister there and their uncle their grandmother is your human beings For the love of God stop looking at them is just a number. I will tell you that anybody with any longevity any senior career level anybody that has a few years in within this field is there because they truly care not because the money because we all know the money isn’t really there, most of us don’t take breaks or clock out and keep working because yes that’s where our heart is. We care about what we do and yes, these people are like family to us and we know that nobody comes every day to take care of them and if I don’t do this for them, they may not get it, is there human beings they deserve more people to take care of them. These our brothers and sisters and mothers and grandmothers and uncles all of these people that were talking about and throwing around like there’s some kind of a number they are at the most vulnerable time of their life, and most of them are seniors. Most of them have worked all of their lives to help shape this country to be what it is and what do they get at the end of their life somebody arguing that we can’t have that many people a mandated staffing regulation that’s what they get that’s sick it’s via leave and think of your dogs in a cage

Let’s see the numbers. Let’s see who got paid what let’s see where the money went. Not just one piece of paper not just a number that you pulled out of your hat for the monthly lease for the land to the realtor, realtor company to the pharmacy most of the stuff is in-house most of those manager in-house. Most of this is in-house money, laundering within the same corporation under multiple LLCs, let’s see the comparison of wages between the different job classifications and see where the money could be moved around to serve the people that it was determined to serve not the people at the very top

I think people aren’t getting the message that the reason that you’re understaffed is because you’re not paying your workers and you’re overworking them and now they don’t want to go into that job environment you get you again have staff who wants this to work who have the experience in the background to do it but don’t feel appreciated, and I put in situation that jeopardize themselves and jeopardize the residence and patient that are working under management. It’s misleading and manipulative and that management it’s being guided by another management it’s just corrupt.

All the speakers come from the same background, the representing a very small portion of this environment they do not accurately represent what is currently going on if employees had the correct staff in place they would show up for work because they would know that there was somebody else working with them But they physically can’t do it by themselves and that makes for a very dangerous situation. That means there’s more falls because somebody can’t get somebody else who needs to use the bathroom and gets up on their own and falls who doesn’t know how to use a call doll and needs more frequent rounds being done With hungry and can’t express that they need food but there’s not enough caregivers there to be able to offer those interventions because there’s not enough staff. There is no other answer but more stat that’s what song is this if stepping is mandated and staff are paid a decent wage, that is what continues to build a safe quality care facility is equipped to handle seniors and patients in need of rehabilitation and skilled nursing. It’s such a farce hear that you’re being led to believe that suddenly LPNs are having to run the show because there’s no other option and it’s not being represented that LPNs were doing this long before anybody ever knew about it they just weren’t being paid for it

The only facilities that I’ve ever seen that aren’t taking new admissions or have a closed unit are the ones that were mandated to do so because they were providing the type of care that was needed for safe environment, and those were sanctions that were given as a result of that

I want to be clear that I can’t speak for all facilities and there are still a lot of facilities that have staff that have been there for 510 career level staff, and despite the challenges and the changes in ownership and management those people are still there and that’s what holds the building together that’s why they keep coming back because they’re they built that relationship. They built that continuum of care that’s by having the same people show up day in and day out and that comes from having at least at some point some kind of appreciation that shown to the employees

You’re also forgetting to add the dude Kylian Care has increased so you’re asking the same staff to take on patients that require a higher level of care because their hospital stays shorter and you’re taking patients into environment that they’re not appropriate for where you can’t have a one to one because if you needed somebody to have a one on one and that’s not the correct environment because it doesn’t offer it I’m not people are chosen by the liaison that goes to the hospital to see if we can use the canyons weekend, and the family rings their loved one to a facility where the staff say no, we can’t. No we can’t. And management says oh yes we can we can.

Call this meeting with an audience of direct caregivers and see what the responses

I have yet to see one company to fill a true training or education to onboard new steps

I agree, 100% that Medicare and Medicaid are not reimbursing the correct amount and I believe that there is some sincerity in this fact that’s contributing to the environment. This is not the only information there are people in positions much higher up. They are living extremely comfortable, and there’s a huge gap between, the salaries of the people that make a comfortable living versus the people that are on the floor doing the care who’s at least $30,000 a year difference when you’re on the floor versus just being somebody who’s training with corporate this is half of the story

Another lie nothing improved in this field. In fact, the best thing that happened ironically and tragically is the fact that this environment has been exposed and most of us thought OK well they’re gonna have to fix it now everybody knows about it, but it got worse. These aren’t coincidences that are happening.

The staff are there take care of the people that have been there before you just start replacing it with people from other countries. If you don’t want minimum stepping requirement, then put your elderly family member in a room in a facility where you have one CNA to 30 patients residence, it’s dangerous and it’s exactly the reason that nobody wants to work. This is the biggest bunch of bullshit I’ve ever seen. It’s funny that the people in this industry in this environment particularly are searching for the same information they want to know who’s in charge? Who’s going to help us hooked up for us? I know we can find anything because it’s not readily available. You really have to dig to find anything like this, they don’t want to work in dangerous conditions they don’t want to work or people are going to fall because there aren’t enough people there to do the things that are needed to do pay the people we have and you’ll have more workers you’ll have permanent staff. Do a test doing a single line of study and see if you can offer people a little bit more money and mandate the correct number of steps not double using a CNA as a staffing coordinator or unit secretary here on the floor than you’re on the floor otherwise you’re not counted you’re doing administrative duties you’re not a direct care do a sample just try it out and see if you can stay at that building by paying and staffing correctly you’re lying through your teeth

So kind of like the current situation where you contracted nurses from the Philippines for about three years can you put them up in dorms were type housing were you charge them $200 a month and then they work at your building for the three years they don’t have much to say in any kind of schedule or afterlife they come to work they walk across the street really because they kind of live where they work and if they break the contract they have to pay $30,000 in the promise of that at the end of doing that three years in that slate work type environment is that they then can become US citizens but they’re working twice as hard as anybody else and they’re making less there’s a lot of corrupt things in the field

A living wage is $20 an hour for a CNA to take care of 30 people one person for 30 people at $20 an hour. 30 lives resting in the hand of one person that’s only valued at $20 an hour and that’s the high-end that a CNA makes, and it sounds like oh yeah, that’s it’s a increase, but check out how high the health insurance has gotten to pay more but you’re charging more money for healthcare

This is a lie. The incentives that are offered to try to drop new staff in, these hefty five to $15,000 sign on bonus, nobody ever really sees that money that’s spread out over like 10 years the system is not designed to retain employees. There is no employee retention committee the system is designed to Swap hands of ownership stay in the red may stay in the negative and maintain a high turnover. The manipulation in the depths that these places go to is sickening. That’s the truth behind all of this it all comes down to money that’s carefully orchestrated so that people don’t really know that they’re signing things out that are indicating or making a statement at least that they provide the next Lyons he care for federal funding or federal reimbursement, the level of manipulation that these corporations these LLCs go to and the links in which the pat somebody on the back and make them think they’re doing the right thing and indirectly push them to do wrong things that they know that person isn’t supposed to be doing but that person then gets manipulated into doing things that are way up either scope I see it over and over again.

You can’t monitor the situation unless you’re on the ground floor with the people that are actually working there. The problem is the management is the corporations that on these companies these LLCs that’s where the problem is that the facilities are nothing but a number on a spreadsheet that money is funneled from one vendor to the next but ultimately end up in the hands of the same person and a piece of paper. It looks like they don’t have any money they can’t afford anything but in reality you intentionally have created that situation, there are facilities that don’t have staff not paying their bills for Agency to come in lying about how many staff members are actually present lying on the forms that they’re sending out and forcing people who are working on the floor to work with too many patients or residents. This is intentional it’s not an accident. It’s a budget cut and it’s not safe. I don’t care what anybody’s LinkedIn profile says or what pictures drop they’re looking at. It’s all a fantasy it’s fake, that’s the people on the ground comments become ask any of the people that I know that work in this field they would be happy to be staff if management treated them right if management gave them an adequate pay rate so that they could afford to pay their bills, if management didn’t raise the cost of the health insurance so that they couldn’t afford it if management didn’t burn them out so much and guess what it’s not really management. It comes much higher than that so the solution that we’re just going to have immigrants come over and contract these workers and that’s going to solve. The crisis isn’t solving the crisis. The only thing that that does is that makes it cheaper for the people that only place it and that’s what they’re trying to do that’s the bottom line right you’re trying to make it look like on paper they need more Money That they’re in the negative and they don’t have any money and they don’t have any staffing. Oh no what are we gonna do? We’re gonna have to get people from other countries to come and help us when if you look at all of these agencies and you look at the rates that they’re offering to the healthcare workers and healthcare workers are working with the agencies Because they pay so it’s not that we don’t have the staff we don’t have corporations that care enough to pay the staff to maintain a safe environment an employee retention program continuity of care that’s what we need. Stop asking the regional. Anybody go right to the ground floor ask the people You’re wrong here you’re literally pushing us out of the door and instead of trying to help us you’re going to bring other people from other countries and then take the jobs that you pushed us out for put all the receipts on the table go up the LLC chain of command who owns what where is the money going? Why is the same company leasing the land to itself under an LLC do you think that we don’t know because we work on the ground and when I say on the ground I mean a direct patient care do you think that the residence of the patients don’t realize what’s going on they know everybody knows they’re too afraid to say anything because they know that they will get blacklisted and they’ll never work again because the same person that owns one place on 33% of the rest of them and the agencies and so you’re not gonna find work to reduce your ability to work by 33% just by speaking up and ask for a meeting with the person in charge with a representative in charge in your state and nobody’s in that seat but they’ll get back to you sometime. Or look to see what kind of follow up happened when the state came what happened? What did they find? What was the result? What was a consequence the consequence is that the person who showed up for work was penalized just for showing up for work, they weren’t able to do the job that needed to be done but if nobody showed up who would take care of these people yet just by showing up, you risk your entire career just by showing up to work just by being that one person who shows up for work that day and you’re short staffed You were wrong to try to outsource these jobs instead of fixing the problem here there are a lot of people who want a stable work environment who are willing to do the work and they just want the conditions to change. I would bet there are at least 1 million healthcare workers in this country who would stay put I would much rather work at the same job every day if we would fix that situation if we would take care of our own

I'm a registered nurse in Australia...and even here it was hell...how u guys did it in America with the insane numbers u had...wow. Trump well and truly screwed u all over.

I work in a Skilled Nursing Facility for my clinicals as a student nurse. I want to go back to each and every place I served in but I’ve been to three already and it makes me sad. It is true, you’ll never want to leave when you’ve served for that long.

Beautiful

Ann, you are just the biggest blessing to know. You're so great at what you do ❤️

Truth, #careersincaring are everywhere ruclips.net/video/9ouzXlbD_Rk/видео.html

I am a Nurse and NO you cannot teach people to care. You must keep the ones that do.

I won’t let my parents Grace your door way.

exellent

This ad makes absolutely no sense. More staff will be better for nursing homes and allow more residents to be admitted and get the care they are entitled to. If this ad is to be taken to it's logical conclusion, we will end up with fewer overwhelmed staff and neglected residents.

This ad is outrageous. Facilities are reporting millions in excess income that could pay for thousands of additional staff, the industry is touting nursing homes as great investment opportunities, and yet they are crying poverty. Meanwhile our loved ones - yours and mine - are suffering because there is not adequate staff to care for them. I have seen this neglect, call bells ignored, residents left sitting in their own waste for hours, proliferation of preventable pressure sores. I could go on. Pay a decent wage and you’ll attract more workers. This ad is heartless.

There should be NO for-profit nursing homes whose chief motive is to cut expenses to increase the owners profit! Nursing homes are not supposed to be operated like a warehouse, with operators taking in as many residents as they can fit while keeping staffing at a minimum to maximize profits. Doing so is completely immoral and this for-profit associations ad is shameful.