Author Topic: A waking moment  (Read 831 times)

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Re: A waking moment
« Reply #15 on: June 29, 2010, 12:23:49 PM »
Very interesting post.
Fwiw...
When we were obtaining our MM2H Visa in the KL office in January we met a Japanese gentleman who was around 60. He told us that he was building a Japanese style old folks' home near Bukit Mertajam. He had researched that it was considerably cheaper for building, labor and care costs and said there was a market for Japanese to retire in Malaysia and get care.

I wonder if a similar care-hospice would work for Westerners.

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Re: A waking moment
« Reply #16 on: June 29, 2010, 04:27:00 PM »
That sounds like a brilliant idea Davita.  I can't really buy the concept of going back to "home country" to go into a nursing home unless you're wanting to lumber a relative in looking after you.  Surely it's got to be cheaper in Malaysia?

The "getting older/coping" bit - we have a friend in the UK who works in Social Services for the oldies and he says the way they go about things (those without relatives especially) is to make sure you've got plenty of friends to help each other out, keep an eye open for you, and make sure your friends are both older and younger ones.

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Re: A waking moment
« Reply #17 on: June 29, 2010, 05:13:44 PM »
I'm not 100% up on this, but as I understand it in Australia, those who can get a pension, can use this to pay 100% for an aged home and not have to worry the relatives...and usually have a small amount left for personal items. (pension paid direct to the aged facility)
Homes vary and a better one may require a bond of typically A$250k. From that bond the aged facility can deduct up to a total of approx A$17k over 5 years. The bond amount comes off the means test for the pension and the family home, if you still have one is not counted for 2 years and if rented out, not at all. When you leave the home...one way or the other...the bond, less the allowed deduction is returned to owner or estate. For those who can't raise a bond, there are alternatives that can be worked out with Centrelink.
So basically it looks like Aussies can go back to be looked after and drop off the perch at virtually no cost...having already sold the family home to kick up their heels while they can living up here.
Someone can correct me on the finer details, but its something like that.
Tink


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Re: A waking moment
« Reply #18 on: June 29, 2010, 08:05:33 PM »
You may be right, Tink. My girlfriend has to be admitted into a nursing home a couple of months ago because her hubby claimed that he couldn't take care of her. Most of her aged pension goes to the nursing home except for a few dollars spending money. As her hubby is living in their principal home, they are not required to raise a bond for her stay in the nursing home. The nursing home is church run and so provides better service than the privately run nursing homes.

I have worked in nursing homes as a health practitioner and I frankly hope that I don't ever have to live in one in my winter years. Retirement villages are ok but not nursing homes. It is the last stop before you 'cark it' but I suppose one doesn't want to impose on our loved ones.  :( Oh dear! this is too depressing for words!  :'(

Better to kick up one's heel, have fun and pray that the law makers pass the euthanaisa law to make it legal when it comes time to go to the other side.  O0

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Re: A waking moment
« Reply #19 on: June 29, 2010, 08:15:23 PM »
I've been slack with my exercises for a few months and now this depressing topic is giving me the incentive to go back to my morning walks and gym resistence workouts!!  ~2~

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Re: A waking moment
« Reply #20 on: June 29, 2010, 08:28:44 PM »
I've been slack with my exercises for a few months and now this depressing topic is giving me the incentive to go back to my morning walks and gym resistence workouts!!  ~2~

Got carried away with the gym workouts. Boasted to Papaya that I did three hours workout today - an hour in the morning and two hours in the late afternoon. But it was all for nothing as I had two bowls of spag boul followed by chocolate ice cream and berries.  ~38~

So all the calories that were lost were quickly replaced by gluttony.  :'( And to top it all, I pulled a ligament on my left shoulder trying to raise the garage roller door.  :'(

I ain't as young and fit as I thought I was. LOL!

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Re: A waking moment
« Reply #21 on: June 29, 2010, 08:35:10 PM »
"Better to kick up one's heel, have fun and pray that the law makers pass the euthanaisa law to make it legal when it comes time to go to the other side".

Here here Cupert - I'm with you on that !

Much prefer to pop on squash court than one of those depressing nursing homes.

Cheers,

James

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Re: A waking moment
« Reply #22 on: June 29, 2010, 09:56:57 PM »
It appears that nursing homes get a bad wrap.
And yet......We have many privately run care-hospices in the Vancouver area and, although expensive, they appear to be well received.
A 92 year old mother of a friend lives in one and she loves it. She has her own room in which she can entertain guests, cook by herself in a mini-kitchen or send down for food that is delivered much like a hotel villa room service; or simply join the others for meals.
They have amazing facilities including a swimming pool, recreation and gymnasium rooms and a mini-bus for travelling and shopping.
The centre is designed as a 5-star hospice. Medical staff are in attendance which includes an ambulance on stand-by.

I just wondered if some enterprising Westerners could not make a Business Plan to provide a similar centre in Malaysia with its lower costs; and if there was a demand.

Many EU people flock to Malaysia, Thailand and Singapore for medical and cosmetic treatments...this would just be an extension of the same product.

My vision is of that British comedy "Waiting for God". I would love to spend my last days in that facility.... No need for euthanasia....I'd die laughing.

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Re: A waking moment
« Reply #23 on: June 29, 2010, 10:18:15 PM »
Hi Davita,

There are a few south of Sydney I looked at much as you describe and affordable. Not so bad. ...but looks like general agreement for the need within Malaysia...does anyone see a business plan coming on? I can think of worse things to invest in.

Tink

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Re: A waking moment
« Reply #24 on: June 29, 2010, 11:16:29 PM »
It appears that nursing homes get a bad wrap.
And yet......We have many privately run care-hospices in the Vancouver area and, although expensive, they appear to be well received.

Yes, we even have many well run senior homes in Canada under the healthcare services of Canada. Some are better run than others. The bigger ones with the health authorities are affiliated with a group of hospitals and the whole care of the seniors are more towards holistic now. A team consisting of hosp gerontologists, nurses, family doctors, physios, occupational therapists, recreational therapists, assistants trained in gerontology, pharmacists, message therapists, working together in such settings. These are called 'continuation care centers' which cost less than acute hospital care. Daily programs are catered to the seniors and their physical and mental needs. We have family conferences on a regular basis to hear opinions from the families, the "clients" themselves and the care team.
Canada health care costs alot and is protected by our constitution. But with the baby boomers on the rise I'm not sure how sustainable it will be in the next 10-20 years. When I was working in this area of rehab care, for the last 15 years we had to keep a very tight budget. Every time there's a downturn and the Provincial budget fell below the expectations, salaries of all the caregivers were cut or roll back as negotiated with the Unions and Prov health care.
The "client's" pensions, old age security and guaranteed income supplement checks all go into the facility she resides in (approx C$1K+ mthly differing in Provinces). The govt still has to subsidize each person as those checks are not sufficient to cover all the requirements. Any one who has resided legally in Canada for 10 yrs qualifies for the care.
People have asked me and I have thought about it, but the large investment is some thing to think about and many med practitioners are not exposed to such ideas yet esp here the med system has not developed a gerontology speciality as we have in Canada.
My parents are here and they hope there is such a facility. They've visited some and I have too, I can tell you they are so very depressing...at least by the standards I'm familiar with.
So for us who will eventually get to that stage where we'll need more care, it's some thing to think about. Stay here or vacate  :)

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Re: A waking moment
« Reply #25 on: June 30, 2010, 10:56:55 AM »
hi,

Several years ago I spoke with a developer here in Perak about a retirement type home. Not much interest, too much trouble to set-up and keep going. In the UK I designed a 36 unit category 2 home - a book full of design do's and dont's, plus the rest. In Malaysia, nothing - so you'd be starting from scratch.

Rather than a senior home how about starting a senior service - daily/weekly visits to help the caregiver. And upgrade your present home to allow wheelchair access, extra supports in the bathroom, light swiches/kitchen units in user friendly design.

scott.thumb

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Re: A waking moment
« Reply #26 on: June 30, 2010, 12:53:25 PM »
I was part of a team to review the design of a continuation care facility in Canada. When we looked for a house here, some criteria were wide doorways, bigger bathroom space for easier future modification, an area which can fit a home elevator(lift) good for a wheelchair and 2 persons that can go to the 1st and 2nd levels, an extra room on the main floor....the rest can be modified easily. At least the ground floor shd be wheelchair and immobility friendly.

Yes, a home or community service would be good, but need proper training for the caretakers who visit. I've seen Indo maids here pulling & lifting the arms of the poor stroke elders (I'm sure there are some serious unseen damages done like subluxation of the shoulders of the affected stroke side), the improper ways they 'drive' the wheelchairs around even in the hosps without safety discernments, how the wheelchairs are so ill fitted, not the correct built,size,height and width for the individuals...it's sad.
My parents are still very mobile at 83 and 87 but if they ever needed a personal care giver, I'd have to get one that I can train so minimize accidents and injuries. But who will train the one that I might need  :-\

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Re: A waking moment
« Reply #27 on: June 30, 2010, 12:59:27 PM »
---- "And upgrade your present home to allow wheelchair access, extra supports in the bathroom, light swiches/kitchen units in user friendly design" ----

That makes sense - plus a reliable full time maid in old age. Suggest its best to preserve a degree of independence & avoid the old age home !

Cheers,

James

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Re: A waking moment
« Reply #28 on: June 30, 2010, 01:06:04 PM »
---- "And upgrade your present home to allow wheelchair access, extra supports in the bathroom, light swiches/kitchen units in user friendly design" ----

That makes sense - plus a reliable full time maid in old age. Suggest its best to preserve a degree of independence & avoid the old age home !

OMG!! It sounded like quite a few members here belong the scouts and guides, in preparation for the winter years.  :o
I am still hoping to be able to kick up my heels, to rock and roll for a few more years eg a couple of decades will be nice before even thinking of all of the above. Perhaps not even then.

Come on people, drop these morbid thoughts and live and have fun.  :D  :D

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Re: A waking moment
« Reply #29 on: June 30, 2010, 01:52:00 PM »
I am actually planning 50 years ago !!!!