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Any sign of verbal or emotional abuse should be immediately reported. This includes push ing, rough handling in daily care, insulting and de meaning remarks, threats of punishment or retalia tion. Verbal and emotional abuse is harmful to the resident’s self-esteem and can cause physical as well as emotional problems. Many elderly people are afraid to report it and it is up to caring relatives to step in and make sure such problems are handled. The following are cause for concern: • Extremely withdrawn and non-communicative • Emotional upset or agitation • Unusual behavior (rocking, biting, sucking) • Desire to be isolated from other people • Injuries requiring emergency treatment or hospi talization • Any incident involving broken bones • Heavy medication or sedation • Frequent illnesses which are not promptly re ported to the physician and family One sure way to determine if there are defi ciencies in care is to check whether the Care Plan* is being carried out. This plan is developed at time of admission, ideally with the input and approval of a family member. The care plan dictates what ser vices are to be provided to the resident. Particular attention should be paid to older residents who are frail, bedridden, or unable to speak for themselves due to mental or physical incapacity. They are the most vulnerable and are at high risk of developing problems associated with substandard care. Author's Note. The material in this article represents information gained through professional and personal experience and is not intended to denigrate or condemn all nursing homes. Many nursing homes provide excellent care and are responsive to the needs of their residents as well as their families. The material is presented in the hope that it will be of assistance to those who are seeking quality care for their loved ones in nursing homes. For additional information about Care Plans, see the author's article in June 2003 issue of Our Life. P u m pkin S te w 2 pounds beef cubes lA cup flour 1 Уг teaspoons salt XA teaspoon pepper teaspoon ground cloves 3 tablespoons olive oil 3 medium tomatoes 1 cup beef broth 1 small pumpkin 4 medium potatoes 8 small white onions 2 cups green beans • Peel and quarter tomatoes and potatoes. • Peel and quarter potatoes. • Peel onions. • In plastic bag, shake meat with salt, pepper, cloves, and flour till coated. • Heat oil in large saucepan and brown meat on all sides (high heat). • Add tomatoes and broth and simmer 1 У 2 hours until meat is tender. • Preheat oven to 350. • Cut off pumpkin top and set aside. • Remove pumpkin seeds. • Scoop out pumpkin meat in chunks (about 2 cups) leaving shell about У 2 inch thick. • Add pumpkin chunks, potatoes, onions, and beans to beef mixture and bring to boil. • Pour stew into pumpkin shell and cover with pumpkin top. • Place pumpkin shell in baking pan and bake at 350 for about 45 minutes. 20 “НАШЕ ЖИТТЯ”, ЛИСТОПАД 2004 Видання C оюзу Українок A мерики - перевидано в електронному форматі в 2012 році . A рхів C У A - Ню Йорк , Н . Й . C Ш A.
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