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Our Personality Will Affect Our Dying Process
By Barbara Karnes
I believe we have the right to be told about our disease, its progression, the options of care, and the probability of being cured vs. not cured. If it is not curable, what kind of quality can be expected?
Being told we can’t be fixed gives us an opportunity to live until we die and in a manner of our own choice based on fact. BUT no one can be so specific as to say exactly how long someone has to live. There are too many variables.
We have limited control over the time that we die:
- That control affects how long our experience is going to be.
- We will deal with the challenge of dying in the same way we have dealt with other challenges in our life and that will affect how long we have.
- Our personality doesn’t change as we approach death. It actually intensifies its characteristics.
We cannot put a number on how long someone has to live. There are so many factors that affect the time of our gradual death that the closest anyone can get to determining how long the dying process will take is months, weeks, days or hours.
Numbers don’t work when they are based only on lab reports and disease markers. The medical findings contribute to a prognosis but the personality of the person will affect the actual time of death.
To get a gauge of how long someone is going to live once they have been told they can’t be fixed we need to closely examine these things: how they have met other challenges in their life; the kind of personality they have (active, passive, controlling, argumentative, easy going, protective) and to acknowledge that they have a small amount of control over the exact moment they take their last breath. |
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Report: Wages Up, Turnover Down In Home-Based Care
Home Health Care News | By Patrick Filbin
Hourly pay rates for licensed practical nurses (LPNs) at home health agencies increased nearly 10% from 2021 to 2022, while turnover rates fell slightly from last year.
That’s according to the latest Home Care Salary & Benefits report from Hospital & Healthcare Compensation Service.
The Oakland, New Jersey-based company provides salary and benefits studies — along with custom marketplace studies — for the health care industry. The report is published in cooperation with the National Association for Home Care & Hospice (NAHC).
The latest report is based on responses from more than 860 home health agencies across the U.S.
The national average hourly rate for LPNs at home health agencies increased by 9.57% in 2022, up to $27.74.
California holds the highest average hourly rate for LPNs at $34.27 per hour, while Missouri holds the lowest rates at $23.58 per hour.
Accounting for nearly 60 job titles, LPNs in home health care saw the single highest year-to-year jump. Home care aides saw an 8.96% increase and administrative assistants saw an 8.57% increase.
At the same time, executive directors and CEOs saw an average wage increase of 3.34%, up from $237,194 to $245,128 per year.
Physical therapists, occupational therapists and speech pathologists saw 2022 hourly wages of $49.38, $44.69 and $45.00, respectively.
Wages have steadily increased in home health care since the onset of the COVID-19 pandemic. As droves of nurses and home care aides left the industry, agencies have had to increase wages and incentivize workers to stay, join and even come back to the workforce.
Read Full Article |
VA Support for Family Caregivers
November is National Family Caregivers Month. In the words of former first lady and caregiver advocate, Rosalynn Carter, “There are only four kinds of people in the world: those who have been caregivers, those who are currently caregivers, those who will be caregivers, and those who will need caregivers."
What Can I Do?
One place to start is with a Caregiver Self-Assessment. Complete the assessment to see what services or supports you may need. VA provides support and resources to family caregivers, including:
Learn about Services and Supports for Veterans
Many services offered by VA may benefit Veterans and family caregivers. All services are based on Veterans’ eligibility, clinical need for the service and service availability.
Other VA and non-VA Resources
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CMS Resource for Home Care Agency Employee Recruitment and Retention
On October 24, CMS circulated a document to help home care agencies recruit and retain personal care aides. The resource was published by the LeadingAge LTSS Center @UMass Boston and reflects findings from interviews with home care agency leaders and personal care aides. The report makes recommendations related to preparation of aides for visits with new clients, supervision, scheduling, wraparound services and emotional supports, communication, and integration of aides into the care team.
Read or Download the Report |
Live Webinar | The CY2023 Home Health Final Rule: Leading Your Agency Through Change
Wednesday, November 16 | 11:00am - 12:00pm MT
Presented by Cindy Campbell, MHA-Healthcare Informatics, BSN, RN, COQS, CHHCM, Director of Operational Consulting, WellSky
Register for the Webinar |
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