Getting Home and Staying Home (Guest Blogger!)

October 3, 2019Filed Under: Long Term Care, Misc Advice, Senior Health and Wellness

Post-Discharge Home Care – Getting Home And Staying Home

by: Robin Krause, Home Care Consultant, Home Helpers Home Care

Home Care has one major goal—to enable seniors to remain at home where they are most comfortable. At Home Helpers, we understand that most readmissions to the hospital could be avoided if the patient simply has the help and care they need to recover at home and return to life as they know it. Home Helpers is always available to help bridge that gap from being in the hospital to returning to the comfort of home!

We are leaders in the field of home care that does not require medical intervention! We want to keep seniors living at home, independently, where they are most comfortable. Our expertise is second to none when it comes to the use of non-medical care at home that will enable seniors to be discharged earlier into the comfort of familiar surroundings. We work alongside of hospitals, home health, and physician offices to accomplish this goal.

The role that non-medical Caregivers play in the overall success of the patient is often overlooked. We recognize the significance of these important Caregivers and will provide assistance to the family to ensure a successful and happy transition from the hospital to home. This includes helping to support medical goals and minimizing the burden of hospital administration during the discharge process.

How Does Home Helpers Home Care Accomplish These Goals?

Home Helpers Caregivers are true experts at providing compassionate care, including but not limited to:

Maintaining documentation of daily care, medication management, etc.
Assistance with personal hygiene, such as bathing, grooming, and dressing.
Assistance with providing nutritious meals.
Transportation to and from doctor visits and other appointments.
Monitoring any problems or signs of change that arise in the patient’s condition.
Light housekeeping.

How Transitional Care Benefits Families

Far too often, the bulk of transitional care falls completely on the family, creating more stress to an already stressful situation. As a result, important factors in the senior’s care can easily be overlooked. Home Helpers Senior Home Care assumes this responsibility and provides the services needed to assure a safe and happy transition from hospital back home. Perhaps the greatest benefit of all is the peace of mind we provide for families who also have to find balance in their own lives. Our services will eliminate the stress placed on families, such as conflicts with employment and taking care of their own families. We are here to help!

Robin Krause

Home Helpers / Direct Link

Phone: OH 513.754.1182 NKY 859.801.1510

Fax: 513.754.1108

Cell: 513.858-9541

E-mail: Robin@premierhelpers.com

Web: http://www.homehelpershomecare.com/cincinnatinky

Antipsychotic drugs and the elderly – Oasis study

June 13, 2017Filed Under: Elder Law, Misc Advice, Senior Health and Wellness

OASIS Study

Antipsychotic drugs are known to have a number of severe side-effects, but they carry even greater risks for the elderly and those diagnosed with dementia or Alzheimer’s. Unfortunately, antipsychotic drugs continue to be used as first-line treatments for the control of challenging behaviors in elderly patients.

A 2015 study in JAMA Psychiatry found that elderly patients prescribed antipsychotics had significantly higher mortality rates than previously thought, and that mortality was found to increase as doses increased. In addition, a research article, published in the Journal of Clinical Psychiatry, Mark Olfson and his colleagues concluded that about 80% of the prescriptions to those over 65 were for atypical antipsychotics concluding that more than three-quarters of elderly patients receiving antipsychotics do not have a psychiatric diagnosis and the likelihood of taking these drugs increases with age.

In an effort to reduce the use of antipsychotic drugs in nursing home residents, researchers tried training staff on innovative methods to meet the needs of residents with dementia. “This intervention focused on treating the residents as human beings with needs, not as patients with problems,” said lead author Dr. Jennifer Tjia.

The new study included 93 nursing homes in Massachusetts. Staff, including nurses, nursing assistants, dietary staff and receptionists, were trained to recognize that difficult behavior by residents with dementia is a sign that they have unmet needs. The program, called OASIS, provides employees with the knowledge, skills and attitudes to meet the needs of residents with dementia using drug-free methods, according to the report.

After nine months, results from nursing homes using OASIS were compared with those at over 800 nursing homes in Massachusetts and New York that were not enrolled in the program. Nursing homes enrolled in the OASIS program had a 7% drop in antipsychotic prescriptions, compared with a 4% decline at the other nursing homes.

“We don’t medicate babies when they cry or act out, because we assume that they have a need that we need to address. However, when people with dementia are unable to communicate, the current approach medicates them when they have undesirable behaviors,” said Tjia. She is an associate professor of quantitative health sciences at the University of Massachusetts Medical School.

“The OASIS program asks nursing staff to create care plans that include what residents can do, shifting away from the model that focuses on what they can’t do,” Tjia added in a university news release. “This is a fundamental shift in how to think about caring for persons with dementia and we showed that it is effective.”

OASIS trains and implements programs across the nation to utilize a person-centered approach to dementia care for residents in nursing homes. OASIS teaches staffers that aggressive behavior by a resident who is no longer able to speak may be that person’s way of communicating pain, and to search for the source of the pain. The program also teaches staffers to comb residents’ pasts to learn their preferences, hobbies, and accomplishments, tapping bedrock emotions that endure long after memory fades. That helps workers tailor activities and surroundings for each resident, to make the place familiar and comforting.

Improve Balance in the Elderly and Prevent Falls

December 19, 2016Filed Under: Elder Law, Long Term Care, Misc Advice, Senior Health and Wellness

Falls are the leading cause of death from injury among seniors, and the risk increases with age. Fully one third of those over age 65 fall each year, and many suffer severe or even fatal injuries.

Researchers at the Mobility and Brain Function Program at the Institute for Aging Research (Harvard Medical School) are concentrating on understanding what causes older adults to fall, which will hopefully lead to development of preventive measures. They have found a direct correlation between balance and reduction of fall risk in older adults.

In a recent article, Dr. Brad Manor, the program’s director, explains that as we grow older, our ability to efficiently perform multiple tasks at the same time start to slowly deteriorate. Even the simplest of simultaneous activities, such as walking and talking, can disrupt our balance and put us at risk for a serious fall-related injury.

Mobility, the researchers conclude, is both physical and mental. The physical part relies on the ability of your muscles and reflexes to create the movement necessary to help maintain balance. The mental part relies on your ability to pay attention to the world around you, your short-term memory of where your legs and feet are located related to the ground, and your ability to make the correct decision to change your movements when needed, such as when a sidewalk is wet or covered with snow.

In an effort to find ways to prevent falls by seniors, researchers at the Center have started looking at exercises that target both the physical and mental fundamentals in mobility. They found that the purposeful movements and fluid repetitious motions in Tai Chi not only boost muscle function but also stimulate the mental functions that make mobility easier. Yoga and dance also have great mind-body interactions and work well to improve balance in older adults. While walking on a treadmill, riding a bike or strength training are all beneficial exercises, they were found to not have the balance component necessary to most effectively prevent falls.

Often, older adults will fall, become injured and then be less active. This chain of events causes further balance deterioration and greater risk of suffering another fall in the future. Dr. Manor stresses that it’s never too late or too early to start exercises to help improve balance and prevent the debilitating results that can come with a balance-related injury later. He does caution that any balance-based exercise should be done in a group or with a partner for safety reasons, and to check with your doctor before beginning a new exercise.

Shared (with permission) from ElderCounsel

Designating a guardian of your child

November 28, 2016Filed Under: Child Custody, Estate Planning, Misc Advice, Post Divorce/Custody Issues

A question I get fairly often is: “If I die can I designate someone other than the biological parent to care for my child”.

The short answer: Yes, but it probably won’t matter.

The long answer: When creating your Last Will and Testament, you will be asked who you want to be the guardian of your child if you die while that child is a minor. In situations where the parents are married/together, the parents may contemplate the case where they die in the same accident. Often times the parents choose an aunt or uncle or close friend to be the guardian. Otherwise, it is usually a given that the child would go to the living parent in the case that only one spouse/partner passed away.

Things get a little more dicey when you are divorced or not together with the other parent and you don’t think that parent is fit to take care of the child on his/her own. You are free to name whoever you want as a guardian in your Last Will and Testament, however, at the end of the day the law prefers parents to raise their children. If you die the Probate Court will be made aware of your designation. However, in order to have the Court designate someone other than the parent as a guardian, the person seeking to be the guardian would have to prove that the parent is unfit. Then, the Court would have to analyze whether placing the child with the want-to-be guardian is in the best interest of the child. Proving a parent is unfit is a substantial burden to prove. As you can see, there are several hurdles that must occur before your wishes will be able to be honored.

If you have concerns, it is recommended to name your preferred guardian in your Last Will and Testament because if the other parent is unfit, you will want the Court to know your preferences.