11111one11111 @ 11111one11111 @lemmy.world

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737

Joined

2 yr. ago

I apologize for the.abrasive comments in the thread but it really grinds my gears when people think they can argue with someone who has been shit deep in experience while they have zero empirical rhetoric on the topic. My entire point has been that it isn't a case of rich getting richer while their employees drown in the weeds. It's a broken system top to bottom that cannot provide adequate compensation for a job that requires minimal training regardless of how mosserable the work is. A broken system designed and regulated by our broken government.

That's awesome that AI is helping reduce the stress for the industry for the boots on the ground employees. However it'd be better news to find we are using AI to expose the actual cost to revenue gaps being negotiated between the pharmaceutical players and the health insurance players. Equally as encouraging would be using AI to fix our broken Medicare/Medicaid system that leave people out to dry once an arbitrary limit is reached.

I spent most my years in the industry working in the dementia and alzheimer units. If we had little fuckin AI bots to give residents to engage with, it would've been a godsend. I fuckin hated when a resident would still have lingering brief moments of lucidity and look right at you with this look of fear and confusion. In that moment of lucidity they remember things from their old life but won't have a lock of a clue who I was or any of the hundreds of daily interactions I would have with them when they weren't lucid. We were taught and I think it's still S.O.P. to avoid correcting dimential/alz residents and to instead redirect their attention to something that will relax them. AI would be fuckin amazing for that. Helping the aids is fine a dandy but at the end of the day, the most help ypu could provide an aide is a tool that would help the residents enjoy life again and not hate that they need help and take it out on staff.

If your guna just argue to be a cunt then atleast know what you are talking about.

Before I go into detail explaining how it actually works, I have to know, how much?

How much to wash old liver spotted asses covered in shit and piss every time you do rounds which is 3 times per shift for as many as 15 residents per round; then between rounds clean more shit off the lucid residents that didn't make it to the can on time.

How much to pull oldman foreskin back to clean their dick cheese for the dudes; and for the girls, wash all the old lady perineum and boob flaps. All while they make the same gross, nasty, or ashamed comments. This might come as a surprise but even away from the dementia/alzheimer units, when people get stripped of their independence they tend to get really fuckin mean. Don't believe me, go up to any old person and strike up a conversation about them surrendering their license because they can't see good anymore. See how that plays out lol.

If youre not phased by the stomache curling grossness that is apart of your routine responsobilities, then youll love getting bitten, punched, kicked, or all around physically abused trying to feed, bath or any other basic care for your residents.

Added bonus if you're a female cuz you can add sexually harassed by disgustingly old men CONSTANTLY while being punished if you do anything but file a report that isn't going to go anywhere because it would mean kicking every old man out of the home and on the streets if they actually did anything about the reports.

But it's OK because you are just 15 mins away from clocking out, yay! BUT WAIT THERES MORE! The travel nurse agency that was sending staff for the shift that follows you calls and says soandso isn't going to make it in, leaving the next shift below the legal caretaker to resident ratio leaving you to be mandated for a minimum 4 more hours if the next next shift answers their phone and is willing to come in 4hrs early. If they don't, you get to do 8hrs, double yay!

Yes, these examples are specifically being drawn from my experience working in an under financed under staffed facility. With that being said, I will add that the ONLY real difference between my time working in low income/low staff facility and any of the top tier facilities in our area was just the pay, the benefits, the quality of tools/utilities/activities, plus the coworkers were better to work with because of how much better they treat the residents.

The pay and overtime pay was always excellent all the places I worked. Like I said it was right out of highschool working 60+ hours a week.

So one last time before I jump into explaining why you were wrong to help prevent you from looking dumb when you have erroneous opinions of how things you know nothing about work... how fuckin much? How much would it take for what i outlined to be your every single day life? Any number you name it because this might come as quite the surprise but there isn't any money sitting around in any of the under staffed, under funded nursing homes for their private owners to fet rich.

Good nursing homes pay for good nursing staff, to continue filling rooms with residents with good insurance, all because they are in wealthier communities with a history of caring for wealthy residents who fill beds with better to best tiers of insurance coverage.

Nursing homes that are rural or in any lower income-ish areas are going to have a much much much higher amount rate of residents where all they have is Medicare/caid.

Medicare isn't too bad but Medicaid pays the homes on average 1/3 less per resident than medicare which still isnt close to private insurances. A nursing home can't set their pricing at whatever they want either. They could price each bed at $1,000,000 a month but at the end of the month they are only guaranteed income they can count on is the amount a resident's insurance is going to cover. If any resident's 100 day window that Medicare covers runs out, the facility is dependent on the resident's family making payments on time for someone they barely spend 5 hrs a year with. Even if they go the Medicaid route after medicare or supplemental insurance too, unless it was pre-established, the facility will be stuck without income for that resident until they get approved.

Then they also turn over owners at a much higher rate too. Each usually assuming they can turn around these low priced private homes like some turn key business. The problem being, everything that happens in elderly homes, group homes and assisted care facilities is all dictated by regulations. So even if they wanted to lower operating costs, they're very very limited in their flexibility on everything. From material costs to salary/wage costs. They submit reports for every expense and revenue allocation.

I've wasted enough time on this topic. If you need sources, look up any number of medical journals available that look into the reason under funded and under staffed facilities rarely improve no matter how many new owners come in.

TLDR1: You should learn about how shit works before you argue about about it so you prevent yourself from sounding so stupid to people who have experience on the matter.

TLDR2: Nursing homes don't operate like private businesses do in an open market because of their only dependable source of income is determined by how much insurance companies are willing to cover. If people were getting rich off nursing homes there wouldn't be such high turnover rate in ownership.

Yeah I apologize but I'm not even really sure what your context or message is with this comment. I don't even know what or who you are calling the white master cuz I assumed Trump but you go on to reference like the only crime he hasn't committed by saying "do a genocide?" I dont even know what fuckin cities you mean by saying "got erased."

If your guna just argue to be a cunt then atleast know what you are talking about.

Before I go into detail explaining how it actually works, I have to know, how much?

How much to wash old liver spotted asses covered in shit and piss every time you do rounds which is 3 times per shift for as many as 15 residents per round; then between rounds clean more shit off the lucid residents that didn't make it to the can on time.

How much to pull oldman foreskin back to clean their dick cheese for the dudes; and for the girls, wash all the old lady perineum and boob flaps. All while they make the same gross, nasty, or ashamed comments. This might come as a surprise but even away from the dementia/alzheimer units, when people get stripped of their independence they tend to get really fuckin mean. Don't believe me, go up to any old person and strike up a conversation about them surrendering their license because they can't see good anymore. See how that plays out lol.

If youre not phased by the stomache curling grossness that is apart of your routine responsobilities, then youll love getting bitten, punched, kicked, or all around physically abused trying to feed, bath or any other basic care for your residents.

Added bonus if you're a female cuz you can add sexually harassed by disgustingly old men CONSTANTLY while being punished if you do anything but file a report that isn't going to go anywhere because it would mean kicking every old man out of the home and on the streets if they actually did anything about the reports.

But it's OK because you are just 15 mins away from clocking out, yay! BUT WAIT THERES MORE! The travel nurse agency that was sending staff for the shift that follows you calls and says soandso isn't going to make it in, leaving the next shift below the legal caretaker to resident ratio leaving you to be mandated for a minimum 4 more hours if the next next shift answers their phone and is willing to come in 4hrs early. If they don't, you get to do 8hrs, double yay!

Yes, these examples are specifically being drawn from my experience working in an under financed under staffed facility. With that being said, I will add that the ONLY real difference between my time working in low income/low staff facility and any of the top tier facilities in our area was just the pay, the benefits, the quality of tools/utilities/activities, plus the coworkers were better to work with because of how much better they treat the residents.

The pay and overtime pay was always excellent all the places I worked. Like I said it was right out of highschool working 60+ hours a week.

So one last time before I jump into explaining why you were wrong to help prevent you from looking dumb when you have erroneous opinions of how things you know nothing about work... how fuckin much? How much would it take for what i outlined to be your every single day life? Any number you name it because this might come as quite the surprise but there isn't any money sitting around in any of the under staffed, under funded nursing homes for their private owners to fet rich.

Good nursing homes pay for good nursing staff, to continue filling rooms with residents with good insurance, all because they are in wealthier communities with a history of caring for wealthy residents who fill beds with better to best tiers of insurance coverage.

Nursing homes that are rural or in any lower income-ish areas are going to have a much much much higher amount rate of residents where all they have is Medicare/caid.

Medicare isn't too bad but Medicaid pays the homes on average 1/3 less per resident than medicare which still isnt close to private insurances. A nursing home can't set their pricing at whatever they want either. They could price each bed at $1,000,000 a month but at the end of the month they are only guaranteed income they can count on is the amount a resident's insurance is going to cover. If any resident's 100 day window that Medicare covers runs out, the facility is dependent on the resident's family making payments on time for someone they barely spend 5 hrs a year with. Even if they go the Medicaid route after medicare or supplemental insurance too, unless it was pre-established, the facility will be stuck without income for that resident until they get approved.

Then they also turn over owners at a much higher rate too. Each usually assuming they can turn around these low priced private homes like some turn key business. The problem being, everything that happens in elderly homes, group homes and assisted care facilities is all dictated by regulations. So even if they wanted to lower operating costs, they're very very limited in their flexibility on everything. From material costs to salary/wage costs. They submit reports for every expense and revenue allocation.

I've wasted enough time on this topic. If you need sources, look up any number of medical journals available that look into the reason under funded and under staffed facilities rarely improve no matter how many new owners come in.

TLDR1: You should learn about how shit works before you argue about about it so you prevent yourself from sounding so stupid to people who have experience on the matter.

TLDR2: Nursing homes don't operate like private businesses do in an open market because of their only dependable source of income is determined by how much insurance companies are willing to cover. If people were getting rich off nursing homes there wouldn't be such high turnover rate in ownership.

Lol why would you repeating exactly the same shit I already wrote in the comment you are responding to be something worth bearing in mind? Either you think your arguing against me or you don't know what bear in mind means🤣🍻

How is supply and demand legal? Or investing in realestate instead of the market should be illegal? Or am I missing something all together like the pictures being AI or something cuz I can never tell but those two posting look fake as fuck so I apologize if I'm way off cue here. You didn't really provide much context.

You must not remember 9/11 or the events that followed. Any attack on American soil is open season on tearing up American rights and freedoms. We are still getting buttfucked by the Patriot act and it's been 24 years since it was signed. You really think Trump is going to ignore all his fellow potheads hothead and turn the other cheek to infallible power?

Edit: lol autocorrected hothead to pothead🤷‍♂️

Spoken so surely from another person who has never done the fucking job🤣

Yeah it's definitely that and not your obvious case of Trump derangement syndrome. Why would you think saying "Fuck every single one of those assholes right in the face." To anyone who didn't vote for the same person as you would change their mind in who they vote for? Do you hate everyone who lacks the cognitive ability to draw the same conclusions as you?

It's ok tho they're making server complexes out of wood now!

/s

Lol spoken from someone who has never worked in nursing homes. It's not a population issue it's a horrible job cleaning shit off old people ass. There is never enough people willing to fill that role. Source: worked as a CNA after highschool for 5 years. Used to get mandated double shifts every week because the following shift to whichever shift I would be working would be short staffed.

Jesus fuck that really puts it into perspective how much larger the United States military complex is. I want to to see this combined with the Israeli financing. I mean is what we bitch about being bad over budgeting of the defense budget or whatever it falls under really just a means of paying other countries to fight battles they used to send US soldiers to fight? Did I just become pro-military complex?

Google is going to get broken up. To what extent is the question. Companies positioning themselves for the aftermath of the Google break up like this isnt too wierd. Who knows what companies will aquire which Google assets so having your own means to seperate yourself from Google is just playing it safe.

Idk. I'm the only nerd out of my family and friends and a bunch of them watched and loved the fallout show. Including my parents who are 60 years old and haven't played an "idiot games," what my mom calls video games, since Robotron lol.

Plus they made a fuckton on new fo4 purchases when show released for zero additional cost. Steam had a killer sale for all the fallout games when the show released. Seems like no brainer especially because you never know if a show will be a hit. Look at Witcher, it never really caught on to the larger market outside of its already existing fans.

Omg fuckin yes. It was so awesome. It was during a brief period when mp3 hit the stage but before ipod was God, there were mp3 players that would just pop up like a memory stick in windows and you could limewire whatever you wanted for music onto the players.

IDK if the software was Sony but the player was and you could put your whole limewire library in a small single CD per page zip up binder things. The mp3 saved on the cd was nothing special. The special was no audio players could play mp3 files at that time. Exceptions being: gaming consoles, pc's and maybe your surround sound if it was new. Cars were still nobs and buttons.

Gotta have something growing under the Elms and real Maples. Shiiit if the Japanese Maples are putting out 20:1 leaves of the big leafers and the big leafers are a buck then I might be better off planting 5 Lil Japanese Maples per big leafer.

Really tho the money is in the purple leaf Maples. Those fuckers make it rain leaves, are dwarves of pure Maples but still bigger than Japanese (idk if those are even real maple trees). Best of all tho, all their leaves are the same size as pure maple trees.

That rules out the onvious... plant a fuck ton of Japanese maples. Whatever it is giving them value, the little weed shaped leaves are guna be top dog.