What Does a Person Need in a Nursing Home? A Comprehensive Guide

Over 1.3 million Americans currently reside in nursing homes, and preparing for a move is about more than just packing a suitcase. Knowing exactly what does a person need in a nursing home is crucial for a smooth and comfortable transition, ensuring they feel secure, cared for, and emotionally supported in their new environment.

Quick Summary

Moving to a nursing home involves packing personal belongings, securing necessary medical supplies and legal documents, and ensuring ongoing emotional and social support. A personalized living space, combined with access to recreational activities and a compassionate care team, is essential for a person to thrive in their new home.

Key Points

• Personal Comforts: Familiar items like photos, favorite blankets, and toiletries are essential for emotional well-being and a sense of home.

• Medical Preparedness: A complete and up-to-date file of medical records, prescriptions, and advance directives is critical for a safe and seamless health care transition.

• Legal Documentation: Proper legal documents, such as a financial power of attorney and a living will, are necessary to ensure a resident's wishes are respected.

• Financial Rights: Nursing home residents have specific rights regarding the management and protection of their personal funds, even if the facility assists with administration.

• Social Engagement: Opportunities for socialization, hobbies, and family visits are vital to prevent isolation and maintain mental and emotional health.

• Mobility and Aids: All necessary mobility aids and assistive devices, from walkers to adaptive utensils, should be packed and clearly labeled.

Beyond the Basics: Understanding the Needs of a Nursing Home Resident

Moving into a nursing home marks a significant life change, and the needs of a new resident extend far beyond the fundamentals of a bed and meals. A holistic approach to care recognizes that a person's physical, emotional, and social needs are interconnected. By addressing these areas comprehensively, families can help their loved ones feel more at home and maintain a high quality of life.

1. Personal and Comfort Items

Familiar and personal items can provide a sense of comfort and continuity during a major life transition. These small touches can make a new room feel less clinical and more like a cherished home.

#### Clothing and Apparel Packing a sufficient and appropriate wardrobe is essential, considering comfort, safety, and personal dignity.

1. Comfortable Everyday Clothing: Items that are easy to put on and take off, such as elastic-waist pants and tops with snaps or zippers, are ideal. Consider adaptive clothing for those with limited mobility.
2. Nightwear and Robes: Include a few pairs of pajamas and a soft robe. Ensure slippers have non-slip soles to prevent falls.
3. Socks and Shoes: Pack comfortable, supportive shoes with non-slip soles for walking and daily activities. Have several pairs of non-constricting socks.
4. Outerwear: A sweater, cardigan, and a lightweight jacket are useful for trips outside or for cooler evenings inside.
5. Formal Attire (optional): If the facility holds special events, a nice outfit can help residents participate fully.

#### Toiletries and Personal Hygiene While many facilities provide basics, using familiar brands can be comforting.

• Favorite Soaps and Lotions: Personal care products with familiar scents can be reassuring.
• Oral Care: Toothbrush, toothpaste, denture cleaner, and any special dental care items.
• Hair Care: Shampoo, conditioner, a brush or comb, and styling products.
• Shaving Supplies: Electric razors are often safer than bladed razors.
• Cosmetics: If used, makeup and facial cleansers can help maintain a sense of routine.

#### Familiar Comforts Decorating the living space with personal items helps residents feel connected to their past.

• Photos: Displaying framed pictures of family, friends, and pets is highly encouraged.
• Favorite Blanket or Quilt: A beloved throw blanket can provide warmth and a feeling of security.
• Music: A radio, CD player, or tablet with headphones can offer relaxation and joy. Music is known to have a profound impact on memory.
• Hobby Items: Books, magazines, knitting supplies, or crossword puzzles can provide a welcome distraction and a sense of purpose.

2. Medical, Mobility, and Health Essentials

Moving into a nursing home requires a transfer of medical care and information. Ensuring a seamless transition is vital for health and safety.

#### Medical Records and Prescriptions Having an organized file of a resident's medical history is paramount.

1. Medication List: A current list of all medications, dosages, and prescribing doctors.
2. Health History: A summary of diagnoses, surgeries, and any chronic conditions.
3. Advance Directives: Legal documents like a Living Will and Power of Attorney for Healthcare. These ensure a resident's wishes are respected.
4. Insurance Information: All relevant insurance cards and documents.

#### Mobility Aids and Assistive Devices Any equipment a resident uses for mobility or daily tasks should be brought along.

• Walker or Cane: If used, these should be in good repair.
• Wheelchair: Ensure it is properly labeled with the resident's name.
• Hearing Aids and Glasses: Pack a sturdy case and cleaning supplies. Hearing aids and glasses should be clearly labeled.
• Adaptive Utensils: Spoons, forks, and other utensils with special grips can aid independent eating.

#### Adaptive Equipment and Monitoring Some residents may benefit from specific, labeled equipment for added safety.

• Bedside Alarm: For residents at risk of falls, a wireless alarm can alert staff without disturbing the roommate.
• Bed Rail: A proper bed rail can provide extra stability for transfers.
• Continence Aids: While facilities provide these, personal preferences for brands should be communicated.

3. Legal and Financial Necessities

Navigating the legal and financial aspects of nursing home care can be complex. Understanding rights and preparing documents is key.

#### Key Documents Proper documentation is necessary for enrollment, billing, and ensuring the resident's wishes are followed.

1. Social Security Card and Birth Certificate: Copies for identification purposes.
2. Medicare/Medicaid and other Insurance Documents: For billing and coverage.
3. Powers of Attorney: For both financial and healthcare decisions, if applicable.
4. Last Will and Testament: To ensure a resident's estate is handled according to their wishes.

#### Managing Finances Nursing home residents have specific rights regarding their funds. Facilities must provide transparent accounting.

• Account Protection: Facilities certified by Medicare must protect resident funds from loss, often by using surety bonds.
• Access to Funds: Residents or their designated financial power of attorney must have access to banking accounts and financial records.
• Clear Accounting: The facility must provide a full accounting of any funds they manage for the resident.

Managed by Resident vs. Managed by Facility: A Financial Comparison

Aspect	Resident-Managed Funds	Facility-Managed Funds (with consent)
Control	Full control over spending and access.	Limited control; the facility manages on their behalf.
Oversight	The resident or their POA is responsible for all tracking.	The facility must provide a full, accurate accounting.
Protection	Rely on the resident's or POA's security measures.	The facility is federally mandated to protect funds from loss.
Access	Immediate access to cash and accounts as needed.	Access can be requested, but may not be immediate.
Disclosure	N/A	Must disclose when funds fall below certain limits.

4. Emotional, Social, and Recreational Well-being

Socialization and emotional support are critical to preventing isolation and depression among residents. A good nursing home provides ample opportunity for both.

#### Fostering Connection Building new relationships and maintaining old ones is vital for mental health.

• Encourage Family Visits: Regular family and friend visits are a cornerstone of emotional health.
• Promote Peer Relationships: The facility should encourage residents to form friendships with one another through shared activities.
• Facilitate Technology: Help residents use video calls to stay in touch with distant relatives.

#### Personalized Hobbies and Entertainment Engaging the mind and body is essential for a high quality of life.

1. Group Activities: Check the facility's calendar for book clubs, music sessions, or craft classes.
2. Outdoor Access: A safe, accessible outdoor space for walks or sitting is beneficial.
3. Pet Therapy: Many facilities have pet therapy programs or allow resident animals.
4. Gardening: Opportunities for gardening, even in small pots, can be therapeutic.

For more detailed information on choosing a facility and understanding resident rights, the official Medicare website offers a wealth of resources, including a printable checklist. You can find more information here: Your Guide to Choosing a Nursing Home - Medicare.

5. Transitioning with Dignity: Making the Move

Moving into a nursing home should be handled with sensitivity and a focus on maintaining the resident's dignity. Touring the facility beforehand, involving the resident in decisions, and personalizing their new room are all steps that can ease the process. The right items and the right mindset can turn a daunting transition into a comfortable new chapter, ensuring the person has everything they need to thrive.

Frequently Asked Questions

What is the most important thing to bring when moving into a nursing home?

While medical records are critically important, the most important items to bring are those that provide a sense of comfort and familiarity, such as family photos, a favorite blanket, or personal hobby items. These possessions help maintain a connection to their past and offer emotional security.

Should a person take their own furniture to a nursing home?

It depends on the facility's policy and the size of the room. Many nursing homes provide basic furnishings like a bed and storage. However, some may allow a resident to bring a favorite chair or a small bookcase to personalize the space, provided it meets safety regulations and fits comfortably.

What kind of clothing should be packed for a nursing home resident?

Comfortable, easy-to-wear clothing is best. This includes elastic-waist pants, loose-fitting tops, and adaptive clothing if needed. All items should be labeled with the resident's name in permanent marker to prevent loss during laundry.

What legal documents does a person need in a nursing home?

Key legal documents include a Living Will and a Durable Power of Attorney for Healthcare, which state medical treatment preferences. A Financial Power of Attorney can designate a trusted person to manage finances. Having a copy of the resident's Last Will and Testament is also advisable.

How can families help with the emotional needs of a nursing home resident?

Regular visits, phone calls, and video chats are essential. Families should also encourage participation in facility activities, help set up personal items in the room, and bring in favorite music or books to provide mental and emotional stimulation.

Are there things a person should NOT bring to a nursing home?

Yes. It is generally not advisable to bring expensive jewelry, large amounts of cash, or items that present a fire or safety hazard. Many facilities discourage large furniture pieces or cleaning chemicals due to space and safety protocols.

Do nursing homes manage residents' money?

Nursing homes cannot require residents to deposit their personal funds, but they may offer to manage them if the resident requests it in writing. When managing funds, the facility is required to keep clear records and protect the money from loss.