The aging process is a fact of life.  We are constantly changing (aging) from the moment we are born.  It is astonishing how quickly "The Golden Years" seem to sneak up on us and our loved ones.  This time of the year brings mixed emotions for many people who have aging parents or grandparents.

As a member of the healthcare community, I see value in looking ahead and having a plan in mind when it comes to healthcare, especially long term care. With the holiday season winding down, many sons and daughters have come home to visit their parents and perhaps noticed a change in their health condition, especially if there were problems before.  

If you find yourself in the position of searching for long term care options, I offer some helpful hints to aid you in the process.  First, identify facilities that provide quality care.  Speak with people who are familiar with the home and the type of care that is provided, and who's opinion you value.  Perhaps this might be friends, family, professionals in the field, your personal physician and/or clergy.

It is always important to make visit(s) to the favorite choices, both announced and unannounced.  Look for key points like friendliness of the staff and the manner in which they interact with the residents and visitors.  There should be adequate staffing numbers to care for the number of residents in the building.  Do not hesitate to ask about professional nurses and aides who provide the direct care to the residents.  Learn about dietary, laundry, housekeeping and maintenance staffs, as well as other administrative positions. 

Look for, and ask about, recreational activities and their staff and volunteers.  No one should settle for a nice place that offers little or no activities; a good activity program offers activities that keep the residents involved and mentally and emotionally stimulated. 

Cleanliness of the rooms, parlors and dining areas is important.  Furniture and fixtures should be attractive and in good repair.  Be aware of any odors.

The dining experience is paramount in a long term care setting.  Wonderful meals served in an attractive dining room gives a person another event to look forward to each day and provides yet another social opportunity. 

A good facility will also keep the families involved.  Updates on care and status should take place as often as necessary with the responsible family member.  Learn the manner in which the facility directs communication, whether it be meetings, phone calls or letters. Does the facility provide social opportunities for the family as well?

Once a decision has been made and the person moves into a new setting, a period of adjustment will probably follow.  This could last from a week to several months, depending on the situation.  Be patient, but aware of how this transition period is progressing.  Be open and involved with the administration and nursing staff and set the stage for a positive and rewarding relationship with the group of people and the facility your loved one now calls "home."