How to Avoid a Nursing Home – The Predictors
The very best thing you can do for your children and yourself is to keep yourself out of a nursing home. Quite simply, nursing homes are absolutely horrible places! My Mom has been in one for 4 years now. She has dementia and kept falling and breaking bones so she had to go to the home. Now, my Dad, who does not have dementia, is also in a nursing home after a recent case of pneumonia took what little strength he had left away and took away his ability to get around. But my father is hating it! He is in the dementia wing to be close to Mom, but they seem to be understaffed as he is very unhappy with the care. A former nursing home worker (and caring person) told me that nursing homes are often understaffed, especially in the dementia units where a lot of care is needed. If you have a day or two, read some of the many accounts of nursing home abuse here.
Predictors of Nursing Home Admission
Probably the most common reason for being moved into a nursing home is onset of dementia or Alzheimer’s Disease. But, even though my Mom had dementia, she was able to stay at home with my Dad. What caused my Mom to have to be removed from her home were her falls leading to broken hips (twice). The falls were due to atrophy of the muscles in her legs leading to virtually no strength. The broken bones were due to typical calcium deficiency and osteoporosis in older women. So the dementia, coupled with broken bones resulting from inability to walk very well required 24/7 care that my father could no longer provide. Listed below are strategies to prevent each of these 3 conditions of insufficient bone strength, muscle loss, and dementia.
How to Prevent Bone Loss
Calcium and Vitamin D need to be maintained at high levels. According to the Office of Dietary Supplements, you should take in 1000 mg of Calcium at age 20 and over and 1200 mg of Calcium at age 51 and over for women and 1200 mg of Calcium at age 71 and over for men. Men and women age 20 and over should get 600 IU of Vitamin D and 800 IU of Vitamin D if age 71 or over. An easy way to insure these levels is to take a supplement daily. I take two tablets daily, for a total of 1260 mg of Calcium and 1000 IU of Vitamin D.
Keep active! And light walking alone is not enough, according to this osteoporosis prevention page on how to avoid bone loss. They recommend aerobic workout classes that involve squats and leg lifts. They do not recommend jumping or running activities due to the stress on joints, but I still get out running my 3.75 miles and will continue to do so as long as I can. Other sites do recommend jogging. If your body senses that bones need to be maintained, then the bones will be maintained – otherwise the destructive processes will out gain the renewal processes as you age. And this physical activity will help maintain your muscle mass and strength.
How to Prevent Muscle Loss and Strength
The ticket to preserving muscle mass is pretty simple: Use it or lose it! A 30 year-old with an arm cast will find that the muscles on the casted arm have atrophied after a few months when the cast comes off. No use = lose. When we are young, our existing muscles tend to be naturally rebuilt, but as we age, the losses exceeds the gains if we are not exercising. So exercise daily! In addition, a high protein diet will help you maintain muscle without adding extra fat. What I do is jog every other day and then do some sort of lower impact exercise on the off-days. Just recently I even started doing strength training of the upper body with light weights and pushups on the off-days.
Remember, once your legs lose their muscle and strength, you become a prime candidate for the nursing home! My father made the mistake of giving up his walking when he started getting leg pain in his early 80′s. (which most likely was sciatica related).
Avoiding Dementia and Alzheimer’s Disease
Dementia and Alzheimer’s Disease can be difficult to avoid, but there are several suggested strategies. And these strategies are good in that they have other benefits:
- Mental Activity – keep your mind sharp with a lot of mental activity, as suggested by this medical article. Use it or lose it! This is the time to write your novel – you can have it self-published. Or start a blog like this one!
- Physical Activity – keeping active will promote healthy blood pressure and cholesterol, and this can lower risk and increase brain function, according to studies published in the Journal of the American Medical Association.
- Avoid Obesity – obesity has been linked to increased risk of dementia in a Finnish study. But if you are getting your hour of exercise in daily with 3 or 4 aerobic workouts each week, you will not be obese.
- Diet is theorized to be a possible factor in reducing risk. And good diet is something you will want regardless. A good diet has abundant fruit, vegetables, and whole grains, leaner meats and proteins, skim milk products, and minimum amounts of fat and sugar.
Give yourself a life of dignity and let your kids live their lives. Stay out of the nursing home!



With holidays, comes good food. Lots of it! And, of course, there are many holiday treats, cookies, and candies to eat between meals. Many will gain 5 or even 10 pounds over the holidays! I know some health-conscious types will simply pass on all of the goodies, but I don’t. Besides, the hosts spend a lot of time cooking, baking, and preparing tasty hors d’œuvres, and it is a bit of an insult to constantly refuse. So what to do? For starters, one can hold back on portions. Go with one cookie rather than four! But even so, there are so many different treats, they add up, even if you limit portions.