Posts Tagged ‘Home Care’

The Home Care Environment for Clients With Advanced ALS: Home Care of a Person With ALS

April 12th, 2011 by Doris Bersing

What makes physical care so challenging in advanced ALS is the absence of other indicators of change — the verbal and physical response to care. The physical changes are much more subtle, and the nurse is more likely to detect changes when there is a connection with the patient that allows a rhythm to unfold. Daily inspections included in the assessment are crucial if potential problems are to be avoided. Particular challenges of patients with ALS who are locked-in follow. It is important to provide a blueprint for supplies in establishing and maintaining a safe home care environment.
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House Safety: An Important Matter When Aging in Place

July 5th, 2010 by Doris Bersing

Our homes fulfill many needs for us. Often, the most basic need is for shelter from the elements and intruders. Once we are protected and secure, other needs can be met. Comfort and a place for self-expression are vital for our well-being. Home gives a feeling of independence. Our home should also be a place in which we can be safe from accidents and injuries.

Housing Safety Checklist for Older People prepared by Sarah D. Kirby, Extension Housing Specialist, and published by NORTH CAROLINA COOPERATIVE EXTENSION SERVICE. North Carolina State University and North Carolina A&T State University commit themselves to positive action to secure equal opportunity regardless of race,color, creed, national origin, religion, sex, age, or disability. The guide-checklist stresses that “…Home accidents are a major source of injuries and can cause death. Older persons, whose bones are often less dense and more brittle, are especially vulnerable to serious injuries from home accidents. A simple fall that results in a broken bone can become a serious, disabling injury that limits one’s independence…”

On the guide, you will find a series of checklists. Use these lists as you go through your home. Make a check mark next to those items or behaviors that you already have. If there are items that you do not check, then your home is not as safe as it could be. By improving those items not marked, you can make your home a safer and more comfortable place to live. While the suggestions in this publication are for older people, they apply to all age groups as well.

To Download the guide, click here.

Caring for The Elder at Home: The Need For a New Paradigm.

June 29th, 2010 by Doris Bersing

Family meetingThe increasing number of people turning 65, the high number of elders with health constraints, and the sky-rocketing price of health care posits the question of how are we going to care for all the elders who constitute, today the upcoming silver tsunami?

More than 40 percent of adult patients in acute care hospital beds are 65 or older. Seventy million Americans will have turned 65 by 2030. They include the 85-and-older cohort, the nation’s fastest-growing age group. Elderly people often have multiple chronic illnesses, expensive to treat, and they are apt to require costly hospital re-admissions, sometimes as often as 10 times in a single year. Living Well Assisted Living at Home has designed a new model of comprehensive care that will help care for elders at home, including those who are frail, recovering from surgery, accidents or any illness. The model also strives to care for those suffering from dementia, at home.

In an article written by Milt Freudenheim for the Health section of the New York Times, in June 28, 2010, we find how geriatricians and other professionals are lobbying for best practices in the field of aging.  In the article it is stressed the fact of how “ stay independent, the elderly will need to stay healthy. Many of these people could be back on the golf course and enjoying their grandchildren if we did the right thing for them,” said Mary D. Naylor, a longtime geriatric care researcher and professor of gerontology in the School of Nursing at the University of Pennsilvania. Her research showed that even fragile older people could avoid a quick return to the hospital if they are managed by teams of nurses, social workers, physicians and therapists, together with their own family members. Hospital re-admissions, which cost $17 billion a year, could be reduced by 20 percent — $3.5 billion — or more, she said…” Obviously a new approach to care for the elder is imperative if we wnat to promote wellness in this sector of the population and reduce the increasing costs of caring for seniors.

Mr. Freudenheim continues by saying: “…Many internists, family physicians and other primary care doctors are lobbying for payments for a team approach based in the physician’s office. The concept, which they call a patient-centered medical home, will be tried out under the new health care law by Medicare, Medicaid and some private insurers. Secretary Sebelius has called the medical home idea “one of our most promising models for improving the quality of care and bringing down health care costs…”

Read the article.

We Need a Different Approach to Alzheimer’s and Any Other Type of Dementia

April 7th, 2010 by Doris Bersing

There is a myth in the eldercare field: “people with dementia, including Alzheimer’s need to leave their normal lives…and being institutionalized for their safety..”

At Living Well Assisted Living at Home, we are happy to offer smart technology and comprehensive services that allow people with dementia to continue with their usual lives.

To support this concept, USA Today has been publishing the “Blackwells’ journey into Alzheimer’s”. “…USA Today: Focus on the present helps couple handle Alzheimer’s. The reality of Alzheimer’s disease is different for everybody. Bob Blackwell, an Alzheimer’s Association early-stage advisor, and his  wife, Carol, choose to focus on the present when dealing with his diagnosis. They travel together and blog about their Alzheimer experience, and Bob continues to exercise and partake in photography, his favorite hobby. The couple also traveled to Washington, D.C., to lobby their elected officials at the Alzheimer’s Association Alzheimer’s Action Summit. Read the USA Today article

An International Initiative to Enforce the Paradigm of Aging in Place

April 6th, 2010 by Doris Bersing

globe-86244_640United Jewish Communities has helped foster the development of NORC Supportive Service Programs (NORC-SSPs) throughout the federation system as part of its responsibilities to promote innovation, best practices, and program opportunities among the system’s health and social services providers. UJC’s National NORCs Initiative was derived from a grassroots movement out of New York (read more)

NORCs’ initiative supports Living Well Assisted Living at Home model by developing solutions that enable seniors to remain living at home for as long as safely feasible, is in keeping with their preferences, promotes their physical and mental wellbeing, and is a promising solution to help deflect the significant financial costs of long-term care anticipated with the retirement of the 78 million Baby Boomers. This issue is an immediate concern of the Jewish community, which is presently aging at nearly twice the national average. As such, it is a top priority of United Jewish Communities – the umbrella organization of the Jewish Federations of North America, one of the nation’s largest networks of nonprofit community-based health and social service agencies. Read more about the NORCs initiative components.