ASSISTED LIVING?

Assisted Living is a long term care alternative for Seniors who need more assistance than are available at home, but who do not require the heavy medical and nursing care provided by a nursing home. Assisted Living residences are designed to be operated, staffed and maintained to best meet the needs & desires of their residents. Security and independence, privacy and companionship, physical and social well-being are their primary characteristics. Residents receive, as needed, supervision, personal care assistance and health care services that emphasize their right to control their own lives.

AAI provides luxury assisted living accommodation at Bistari Condominium Complex in both single or twin sharing rooms, with or without attached bathrooms. Each apartment has been specifically designed and adapted for senior accommodation. Features include “flotex” anti-bacteriological carpeting throughout  together with non-slip anti-fungal floor coverings in the bathrooms. Each room is air-conditioned, fully fitted with a bed, wardrobe, Colour TV, DVD and Astro service, call assistance bell and a smoke detector. In addition there is a common living room, modern kitchen and living-in carer’s accommodation.

At AAI we believe in a holistic approach to ageing. A healthy diet, exercise, mental stimulation and social interaction are at the heart of our care programmes. Individual care programmes will be developed for each resident during their trial period which will be reassessed as necessary to assure that each resident receives the appropriate care as their condition changes.

ASSISTED LIVING – SERVICES.

At AAI our Assisted Living care packages include the following services:

  • Individual care programmes designed in consultation with our doctor & family members.
  • Monitoring & adjusting care programmes to meet the changing needs of our residents.
  • Assistance with eating, bathing, toileting, dressing etc as required.
  • 24-hour hands-on individual care, assistance & supervision.
  • Individual or twin share accommodation.
  • Full board & lodging with choice of meals.
  • Hot & cold drinks & snacks available at all times.
  • Housekeeping & individual laundry service.
  • Medication Management Programme.
  • Bladder & Bowel Management Programmes.
  • Individual Exercise Programme.
  • Transport to & attendance at hospital/doctor/dentist appointments.
  • Activities Programme
  • Astro package, TV & DVD player in each room.
  • Basic toiletries, including shampoo, conditioner, soap, toothpaste and body lotion suitable for Seniors.
  • Resident carer with nurse & doctor available at all times.

The following services are not included in the Basic Fee. If requested they will be billed monthly to the resident at cost.

  • Medication whether prescribed, alternative or over-the-counter.
  • Vitamins or food supplements whether or not prescribed by a doctor.
  • Physiotherapy, acupuncture, doctors or other specialist consultations.
  • Dental or Optical charges, hairdressing or beauty treatments.
  • Non-standard toiletries.
  • Transportation by Ambulance.

ASSISTED LIVING – MEDICATION MANAGEMENT PROGRAMME.

Medication management is a primary concern in Independent & Assisted Living Facilities. With medications prescribed by doctors, over-the-counter remedies as well as food supplements often supplied by family members it can all be very confusing and any resulting mistakes can cause serious harm to the resident sometimes requiring hospitalisation.

AAI operates a comprehensive Medication Management Programme administered by our senior nurse to ensure the safety of all residents. This programme is designed to:

  • Ensure that the correct medicine is given in the correct dosage at the correct time as prescribed by the doctor. All medication containers are checked by our nurse for content, correct labelling and expiration dates.
  • Ensure that over-the-counter and alternative medicines, health and vitamin supplements are approved by the doctor in order to avoid the chances of adverse interactions.
  • Ensure that when a new medicine is prescribed any common side effects or behavioural changes can be immediately reported to the doctor.
  • Ensure that all residents on heart, hypertensive or blood sugar reducing medication have their blood pressure monitored daily and blood sugar monitored bi-weekly, so that any irregularities can be reported immediately to the doctor.
  • Ensure that, in the event of a medical emergency, and a resident has to be treated by another doctor or at a hospital, a resident history complete with details of all prescribed, over-the-counter medications, health supplements and vitamins will accompany them.
  • Ensure that, if a resident returns from hospitalisation, the follow-up protocols of their doctor are managed correctly.
  • Ensure that each resident is educated as to the purpose of each medication they are taking and their possible side effects.

BLADDER AND BOWEL MANAGEMENT.

Incontinence is often seen as an inevitable consequence of aging. IT IS NOT! Incontinence is a matter of human dignity and self esteem. For example simple urinary tract infections, vaginal infections, irritation, constipation and certain medications can cause bladder control problems that often last for only a short time. Sometimes incontinence lasts longer. This is often due to:

  • Weak bladder muscles.
  • Overactive bladder muscles.
  • Blockage from an enlarged prostate.
  • Damage to the nerves that control the bladder from diseases like Multiple Sclerosis or Parkinsons’ Dementia.

There are several different types of urinary incontinence.
Stress Incontinence: This happens when urine leaks during exercise, coughing, sneezing, laughing, lifting heavy objects or other bodily movements that put pressure on the bladder.

Urge Incontinence: This happens when a person cannot hold their urine long enough to get to the toilet.
Overflow Incontinence: This happens when small amounts of urine leak from a bladder that is always full.
Functional Incontinence: This happens with many older people who have normal bladder control but have a hard time getting to the toilet on time due to Arthritis or other disorders that make moving quickly difficult.
At AAI our nurse will work closely with the resident and their doctor to identify   the type of incontinence and to develop an individual programme to either treat or manage the problem. Using various techniques such as biofeedback, Kegel exercises, timed voiding and bladder training incontinence can usually be successfully managed without having to resort to diapers.

Assisted Living - Exit & Entry criteria

Assisted Living:  AAI  offers Assisted Living for the elderly in its shared apartment at Bistari Condominium. Assisted living is a long term care alternative for the elderly who need more assistance than are available at home, but who do not require the heavy medical and nursing care provided by a nursing home.
AAI does not accept residents who are bed-ridden, suffering from severe dementia or are immobile. By immobile we mean that they require two persons for transfers unless this is the result of illness or injury, for which they were hospitalized, and from which they are expected to recover.

  1. Entry Criteria:
    All new residents will be accepted by AAI on a one month trial basis. A fee equal to one month rental be paid at time of booking.
    During the trial period either party may terminate the agreement at any time. AAI will charge the resident for the nights stayed and balance of trial fee paid will be returned to resident.
    Prior to or during the trial period new resident or their family must furnish AAI with a letter from their doctor detailing their previous medical history with copies of their latest blood/urine tests. If this is not available, or blood/urine results are more than six months old, AAI will arrange for this to be done by our medical team and a fee of RM500.00 will be charged. This fee is not refundable should AAI decline to accept resident on a long stay basis.
    Prior to the end of the third week of the residents’ trial period, New Legend? will confirm whether they will accept the new resident for long term care and advise as to the monthly charge payable. The monthly charge will be the basic monthly charge agreed for the trial period plus an additional charge based on any special care requirements (if any).
    On confirmation that resident wishes to accept the offer of long term care, resident must pay a month’s deposit together with one month advance payment.
    Once a resident is accepted for long term care either party may give one month’s notice to terminate agreement. Failure to do so will result in forfeiture of deposit.
  2. Exit Criteria.

When:

  • AAI no longer can provide care & accommodation suitable to the long term care needs of the Resident
  • Or the Resident no longer wants or needs the care provided by the facility:
    AAI will seek to terminate the Agreement by giving one months notice for the Resident to vacate the premises.
    AAI reserves the right to terminate the Agreement by giving one months notice if the Resident:
    • develops a tendency to wander and/or becomes disorientated to the extent that he or she poses a danger to himself or herself and which cannot be effectively managed at the facility.
    • Displays disruptive and/or aggressive behavior which impinges on the rights, welfare and safety of other residents or staff.
    • Has one or more medical conditions or needs for therapy which, in total, are beyond the capacity of AAI to manage. Such conditions may include but are not limited to:
      • Unmanageable incontinence of urine or faeces
      • Management of insulin dependent diabetes
      • Enteral feeding
      • Severely impaired mobility routinely requiring more than one person to assist with transfers and lifts.
      • Extensive wound management
      • Complex Stoma Care

In the event that AAI is obliged to terminate Agreement AAI will assist the Resident &/or Resident’s family to make suitable alternative arrangements.