Preparing a Home for an Elderly Parent’s Hospital Discharge
Importance of preparation for a smooth transition
No matter how lengthy your elderly parent’s hospitalization was, the homecoming requires preparation and organization. At Peace of Home EldeResidences, we recognize the profound emotional and practical implications of transitioning your parent from the hospital back to the familiar comforts of home. This guide is not just a list of items you may need, but contains other helpful information compiled by a Registered Nurse. We understand the transition home can cause a mix of excitement, joy, and usually, some apprehension. Often, you may not be aware of your parent’s discharge until the day prior or even the day of. This may leave you scrambling and overwhelmed to prepare the home so using this guide several days in advance is ideal.
We aim to provide not only practical advice on preparing your living space but also insights into fostering emotional well-being during this homecoming. Let this guide be a trusted companion as you navigate the path to creating a safe, comfortable, and loving environment for your cherished elder.
Preparing the Home Environment – Ensuring a safe and accessible living space
Home Safety Assessment
Before your elderly parent is discharged, conduct a thorough home safety assessment. This involves systematically evaluating those rooms your parent will use for potential hazards. Check for loose rugs, slippery surfaces, or any obstacles that might impede mobility. Ensure that there is adequate lighting, especially in hallways and staircases. Consider installing handrails and nightlights in critical areas and addressing any tripping hazards. This assessment is crucial for creating a safe environment that minimizes the risk of accidents and promotes a sense of security.
Decluttering and Organizing
Decluttering is not just about aesthetics; it significantly impacts the safety and functionality of the living space. Remove unnecessary items and organize the space to make it easier to navigate, especially if mobility aids are required. Pay attention to high-traffic areas and ensure there are clear pathways. Use storage solutions to keep essential items easily accessible without overcrowding. A well-organized and clutter-free environment not only reduces the risk of falls but also contributes to a welcoming atmosphere, fostering a sense of tranquility for both you and your parent.
Bedroom Setup for Comfort and Convenience
Adjustable Bed and Appropriate Bedding
The bedroom is a central space for rest and recovery, so investing in an adjustable bed can make a significant difference. Adjustable beds provide flexibility, allowing your parent to find the most comfortable position. Choose bedding that is not only soft and comfortable but also practical and easy to launder. If your parent qualifies for a hospital bed, a prescription will need to be sent to a DME (durable medical equipment) company so insurance authorization can be obtained and delivery coordinated. You will need to decide on the best place to set the bed up and clear space for it prior to delivery. It requires a nearby electrical outlet. If your parent has certain types of wounds, they may qualify for a special mattress (also requires a prescription). Ask the hospital discharge planner/case manager/social worker to help you. Someone will have to be available in the home to receive the bed and show the delivery driver where to set it up. You will also need single/twin bed sheets for this bed. This attention to the bedroom setup ensures that your parent has a comfortable and supportive space for much-needed rest.
Nightstands and Easy Access
Nightstands play a crucial role in ensuring easy access to essential items. Strategically place nightstands on either side of the bed and stock with items your parent may need during the night such as medications, eyeglasses, and a bottle of water. If your parent will spend most or all of his/her time in bed, an overbed tray table can be purchased. If a lot of supplies are needed, a nightstand with drawers is convenient. This thoughtful arrangement minimizes the need for unnecessary movement during the night, promoting safety and independence. Creating a bedside setup that anticipates and meets your parent’s needs enhances their overall comfort and convenience.
By addressing safety concerns and optimizing key living spaces, you not only ensure physical safety but also contribute to a warm and supportive atmosphere for their return home and long-term healing.
Necessary Medical Equipment
Understanding prescribed equipment
Walkers, Canes, or Wheelchairs
Begin by understanding any prescribed mobility aids your parent may need. If they require assistance with walking, a walker or cane might be recommended. In cases where mobility is more restricted, a wheelchair could be essential. Ideally, physical and/or occupational therapists should recommend the appropriate equipment and your parent’s physician should prescribe it prior to discharge. These items can be delivered to either the place of discharge or to your parent’s hospital room. Ensure that you are instructed on the proper use of the equipment to increase safety while your parent is using it.
Oxygen or Other Medical Devices
If your parent requires supplemental oxygen or other medical devices, such as a nebulizer, it’s crucial to have a clear understanding of how to operate and maintain this equipment. Ask if oxygen is ordered to be used continuously or only as needed. Either way, you need to know the liter flow prescribed. Does your parent need a portable tank for the ride home or can the equipment be delivered to the house? Ask for both an oxygen concentrator (that plugs into the wall) and portable tanks. If a nebulizer is ordered, ensure both the device and the medication to be used in it have been ordered. If oxygen is required, familiarize yourself with emergency protocols in your local area regarding power outages.
Obtaining and organizing medications and supplies
Medications and schedules
Organize a system for managing medications, taking into account any new prescriptions received upon discharge. Obtain any new prescriptions at the hospital pharmacy if possible. If not, have them filled at a local pharmacy convenient to you so your parent can begin taking as soon as possible. Consider using weekly pill organizers to decrease the likelihood of a medication error. Filling the organizer for a week or two at one time decreases the risk of medication errors due to exhaustion or distraction. It is easier for you, your parent or another caregiver to see if he/she took the correct medication. Create a medication list with all of the medications, both prescription and over the counter. The list should include the name of the medication, dosage (mg etc), how often it is to be taken, and provider who usually orders it. Also note any allergies on this list so if your parent has to return to the hospital, the list will be handy.
Emergency Contact Information Prominently Displayed (emergency contact sheet download)
Compile a list of essential emergency contacts, including healthcare providers, pharmacies, and immediate family members. Also, put copies of medical power of attorney and living will paperwork in a clearly marked envelope.
Keep this information prominently displayed close to the med list in an easily accessible location, such as the refrigerator or by the phone. In case of unexpected situations, having this information readily available ensures a swift response and effective communication with the necessary parties.
Understanding and organizing the necessary medical equipment and supplies is a pivotal aspect of preparing your home for your elderly parent’s return. By being proactive in familiarizing yourself with their healthcare needs, you contribute to a smooth transition and create an environment that supports their well-being and medical requirements.
Personal Care Assistance
Hiring professional caregivers if needed
Caring for an elderly parent often involves a collective effort, and depending on their specific needs, you might consider hiring professional caregivers. These trained individuals can provide essential assistance whether it’s with daily activities, mobility support, or medical care. Before making any decisions, assess the level of care required and explore local caregiver services. Look for caregivers with experience in providing support for elderly individuals, and ensure they align with the values and preferences of your parent. Professional caregivers can play a vital role in enhancing the overall quality of care and providing you with much-needed support. The hospital discharge planner can likely provide a list of local agencies. If you prefer not to work with an agency, ask family and friends for recommendations of individuals they may have hired in the past. Costs vary significantly and this is NOT covered by your parent’s health insurance (Medicare, Medicare Advantage Plans, etc).
Training family members on specific care tasks
While professional caregivers can offer valuable assistance, involving willing family members in the caregiving process is equally important. Consider organizing training sessions to educate family members on specific care tasks. This could include techniques for assisting with bathing, grooming, and mobility. Sharing responsibilities among family members not only lightens the load but also strengthens the support network around your parent. Open communication is key, so discuss and delegate tasks based on each family member’s availability and capabilities. Home health or hospice services may also be ordered by your parent’s physician and can provide ongoing instruction so you become more proficient with providing or coordinating care.
Bathing and Grooming
If your parent requires assistance with bathing and grooming, safety is the highest priority. Ensure that caregivers and family members are trained in providing safe and respectful care. Use non-slip mats in the bathroom, install grab bars, and consider shower chairs to enhance safety and comfort.
Mobility Assistance
For those with limited mobility, proper training in mobility assistance is crucial. Once you are taught, help teach your parent’s other caregivers the correct techniques for transferring, walking, using mobility aids, etc and ensuring a safe and supportive environment.
By combining professional caregiver support with informed and trained family involvement, you create an individualized care approach that addresses your parent’s specific needs. This collaborative effort not only ensures that your parent receives the best care possible but also fosters a sense of unity and shared responsibility within the family.
Communication and Emotional Support
Open and honest communication with the elderly parent
Effective communication is the foundation of a successful transition and ongoing care. Engage in open and honest conversations with your elderly parent about their feelings, concerns, and preferences. This dialogue establishes a supportive atmosphere where they feel heard and valued. Discuss their expectations regarding care, daily routines, and any adjustments needed. Be attentive to their emotional well-being, addressing any fears or anxieties they may have about returning home. Clear communication builds trust and allows you to tailor the caregiving approach to align with their individual needs and desires.
Establishing a support network for the caregiver
The role of a caregiver can be both rewarding and challenging. Recognizing the importance of emotional support for the caregiver is crucial. Encourage the primary caregiver to reach out to friends, family, or support groups to share experiences and seek advice, especially if the role will be long term. Establishing a support network not only provides practical insights but also serves as an emotional outlet for the caregiver. Consider arranging periodic breaks for the caregiver to prevent burnout and ensure that they maintain their own well-being while providing care.
Friends and Family Involvement
Encourage friends and family members to actively participate in the caregiving process. Whether it’s providing a few hours of respite care, running errands, or simply offering a listening ear, the involvement of a broader support network is helpful.
Mental Health Resources for Both the Elderly and the Caregiver
Recognize the importance of mental health and well-being for both the elderly individual and the caregiver. Explore available mental health resources, such as counseling services or support groups. Prioritize self-care for the caregiver and emphasize the significance of maintaining a healthy emotional balance throughout the caregiving process.
Meal Preparation and Nutrition
Planning nutritious and easily digestible meals
Coordination with Dietary Restrictions
Begin by understanding any dietary restrictions your elderly parent may have. This information, in addition to their likes and dislikes, is vital in planning meals that not only meet their nutritional needs but also align with their taste preferences. If a medically prescribed diet will be needed at home, ask to meet with the hospital dietitian. If swallowing problems require the diet texture be altered, ask for instruction by the speech pathologist.
Meal Preparation Tips for Convenience
Simplify the meal preparation process by planning and prepping in advance. Consider batch-cooking and freezing meals to have a readily available supply. Choose nutritious ingredients and focus on well-balanced meals that include a variety of fruits, vegetables, lean proteins, and whole grains unless restrictions limit or prevent this.
Ensuring hydration and maintaining a balanced diet
Hydration
Adequate hydration is essential for overall well-being. Ensure that your parent has easy access to fluids throughout the day. Consider strategically placing drinking containers in often used areas to encourage regular intake. Include hydrating options like herbal teas or infused water to add variety.
Home Adaptations for Long-Term Safety and Comfort
Considering long-term needs and adjustments
If you anticipate your parent’s physical limitations may be long term, evaluating the home for potentially necessary adapted access may be wise. Evaluate the home environment with an eye towards the future, anticipating potential challenges and proactively addressing them. This forward-thinking approach involves looking beyond immediate needs and considering how the home can evolve to meet changing requirements.
Potential home modifications for increased accessibility
Ramps, Handrails, and Bathroom Adaptations
Assess the need for ramps or handrails to facilitate easy access, especially if your parent has mobility challenges. Consider installing grab bars in key areas, such as bathrooms, to enhance safety during daily activities. Bathroom adaptations, such as walk-in showers or elevated toilet seats, can significantly improve accessibility. Handrails or a bedside commode frame placed over a toilet can also help.
Creating a Safe, Functional and Comforting Living Space
Strive to create a living space that is safe and functional but not feel institutionalized. Arrange furniture to allow for easy navigation, and ensure that there’s ample space for mobility aids if needed. Consider adjustable lighting to accommodate changing vision needs and nightlights to enhance safety. Personalize the space with familiar belongings to create a warm and comforting atmosphere.
By anticipating long-term needs and making necessary home adaptations, you can create an environment that supports your parent’s evolving requirements. These adjustments not only enhance accessibility but also contribute to their sense of independence and well-being. Taking a proactive approach to home modifications ensures that the living space remains comfortable haven for your elderly parent in the years to come.
Routine Health
Regular Medical Check-ups and Follow-ups
Scheduled Health Assessments
Ensure that your elderly parent continues to receive regular medical check-ups. Schedule appointments with their healthcare providers to monitor their health status and address any emerging concerns. These routine assessments are essential for early detection of potential issues and proactive management of their well-being.
Follow-up Appointments and Medication Reviews
Stay diligent about attending follow-up appointments, especially after a hospital discharge. Use these visits to discuss any changes in your parent’s health, review medications, and address questions or concerns. Medication reviews are crucial to ensure that the prescribed drugs are appropriate and effective for their current health status.
By prioritizing your parent’s physical and emotional health, you help provide the care your parent needs as they age and their health needs change.
The importance of a well-prepared home environment
Encouraging continuous communication and support within the family
This comprehensive guide aims to provide you with the necessary insights and steps to ensure a smooth and comfortable transition as your elderly parent returns home from the hospital. Each section is designed to address specific aspects, making it a valuable resource for caregivers and family members alike.
In embracing the journey of welcoming your elderly parent home, you’ve embarked on a transformative experience that requires both practical considerations and a heartfelt approach. By prioritizing safety, comfort, and emotional well-being, you’ve laid the foundation for a homecoming that goes beyond the physical space. As you navigate the intricacies of caregiving, remember that flexibility and adaptation are key. Your parent’s needs will change, causing the caregiving to adapt to the changes.
The caregiving process is best when it is a collaborative effort, involving professional caregivers, family members, and an extended support network. By fostering open communication, providing emotional support, and maintaining a holistic view of your parent’s overall well-being, you’re not just creating a safe home but a nurturing environment where they can thrive.
Thank you for entrusting us with this guide, and may your journey of caregiving be filled with moments of joy, resilience, and the deep satisfaction of knowing you’ve created a haven where your elderly parent can truly feel at home.