What is Hospice Care?

Hospice care is a bit of a mystery to many, but it is an underused – and undervalued – part of our healthcare system. It is not a place where people go, rather, it is a service that combines a multitude of different forms of care. In the case of senior hospice care, the overarching goal of hospice is to provide the highest level of comfort, basic medical care, and support as a loved one passes from life into death, allowing him/her to live their remaining days with as much dignity as possible.

In this blog, we will discuss some of the common questions and concerns surrounding hospice care for seniors.

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What qualifies a senior for hospice care and how is it paid for?

In most cases, a doctor must certify that a patient has an end-of-life diagnosis and the prognosis is usually 6-months or less. When patients meet the qualifying criteria, hospice is covered by Medicare, Medi-cal, and most private health insurance policies. Once hospice care begins, the services run indefinitely, or until a doctor no longer feels the situation is terminal. If you or a loved one is considering enrolling in a hospice care program, contact your insurance providers to discuss the financial details so there are no surprises.

Please note: Hospice does not provide full-time care. It does provide daily check-ins from a medical professional and access to 24/7 hotlines. However, the bulk of the caregiving is expected to come from a spouse, family members or professional caregivers. In some cases, hospice programs will not enroll a patient without proof of full-time care provision.

Isn’t hospice care a death sentence, or a form of giving up?

No and no. Firstly, hospice care isn’t the cause of death. The conditions leading up to the end of one’s life can be very simple or very complex, ranging from an acute illness or a slow decline from Alzheimer’s disease. There are a multitude of treatments, medications, procedures and machines that can prolong an individual’s life, but there comes a point where the individual and/or family members must determine that the quality of life is now more valuable than the number of days remaining.

As soon as this point is reached, hospice is a wonderful option because it alleviates much of the stress of the clinical medical world, and prioritizes the comfort and desires of the patient. Although hospice usually is considered a form of palliative (end of life) care, there are situations where patients improve so much with hospice care that they are removed from hospice. However, this is less common in the case of senior hospice care.

Is hospice care always provided at home?

Hospice care is most commonly provided at home, as this is usually the patient’s preferred place to be. Seniors usually want to be surrounded by the ones they love, in the home they know,  with their favorite belongings, scenery and their beloved pets. However, senior hospice care can also be provided in a nursing home, retirement community, or the hospital.

What types of services does hospice provide?

Hospice care is provided by a team of professionals including:

  • Your primary physicians and medical specialists
  • Family, friends, and volunteer caregivers
  • Professional caregivers
  • Social worker
  • Spiritual/religious counsel
  • Bereavement counselors
  • Palliative care specialists
  • Physical therapists

Together, they form a strong support network for both the patient and the patient’s immediate family.

One of the largest complaints we hear from seniors and their families is that they didn’t enroll in hospice care soon enough. Contact HomeAide Home Care, Inc. to learn more about our home care services.

The Benefits of Geriatric Massage

Who doesn’t love a massage? It’s a way to step out of the world-as-we-know-it, free the mind of its ceaseless chatter, and enjoy the soothing and pleasurable feeling of having your tension erased from your physical body. However, massage is not just about the general satisfaction of physical pleasure, studies have shown that there are significant medical and health benefits to having a massage on a regular basis. This is especially true for the senior population.

Geriatric massage is a special niche, designed to provide a relaxing therapeutic treatment that has residual health benefits specifically targeting the physical and emotional ailments that can plague seniors.

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What is geriatric massage?

The principles of geriatric massage – laying down and having a trained masseuse use lotion or oils to manipulate the muscles, connective tissues, and even the skeleton itself – are the same as traditional massage therapy. However, geriatric massage usually involves a lighter touch, to be sensitive to the thin skin and physical sensitivities that often increase with age.

If the client is wheelchair bound, or finds the massage chair uncomfortable, a geriatric massage can be performed while the patient is seated. Geriatric massage often spends a longer time on the hands and feet, in order to increase circulation, but can be adapted to meet the specific needs of the client. This may also include reflexology techniques, which stimulates specific pressure points on the hands and feet that coordinate to specific parts of the body. Reflexology has also been shown to provide natural pain relief.

What are some of the benefits of geriatric massage?

Similar to Yoga and other healing practices that focus on clearing the mind, relaxing the body, and gentle motion, massage has been shown to alleviate depression, improve circulation, and reduce pain and stiffness in the muscles and joints. Also, it can just plain feel good to be touched. Consider that many seniors, especially those whose spouses have died or whose loved ones live far away are without the regular comfort of human touch, hugs, or kisses that most of us enjoy on a semi-daily basis.

Massage enhances emotional well-being. At the bio-chemical level, massage stimulates the release of multiple “feel good” hormones, such as adrenaline and oxytocin. This is one of the reasons many people feel a sense of relaxed euphoria for a day or two following their massage. These chemicals help to relieve anxiety and depression. In fact, massage has been shown to help bereaved relatives cope with their grief

Improved circulation. This is a biggie. Our heart pumps blood for a reason – to feed our bodies cells with much needed oxygen, water, and nutrients. It is also required to eliminate the CO2 and toxins out of our cells and out of the body. When the circulatory system is ailing, the rest of the body is too. Massage can be especially helpful for seniors who have diabetes, certain heart conditions, or whose mobility limitations prevent them from being able to move comfortably or safely; all of these conditions contribute to poor circulation, which can snowball into other undesirable side effects.

Reduced pain and stiffness. It’s hard to find a senior citizen that doesn’t suffer from some amount of pain or stiffness. The same chemicals mentioned above, adrenaline, oxytocin and other “feel good” hormones also help to combat pain. As your lymph system is stimulated, inflammation will begin to decrease, which helps the joints move more comfortably.

So go ahead, treat yourself to a geriatric massage. You might even find it’s partially or fully covered by your healthcare insurance.

Everything You Need to Know About Sundowner’s Syndrome

everything-you-need-to-know-about-sundowners-syndromeSundowner’s Syndrome, also called Sundowning, is a clinical phenomena that occurs in approximately 20% of senior citizens with Alzheimer’s or dementia. It is a state of agitation or confusion that begins as the sun sets. For many patients, this upsetting state of mind will last through the night. While it is obviously disturbing for the person experiencing Sundowning, it can be equally or more disturbing for caregivers who have to watch a person they love in distress, and who become exhausted from lack of sleep and constant worry.

Unfortunately medical science does not know exactly what causes it. It is thought that the cognitive physiological changes that cause Alzheimer’s and dementia may also damage the area of the brain that controls our circadian rhythm – the internal clock each of us has that maintains a certain rhythm to our waking and sleeping cycles.

What are the symptoms of Sundowner’s Syndrome?

As the sun begins to set adults affected by Sundowning may become:

  • agitated
  • forgetful
  • confused
  • anxious
  • restless

As a result, they will have difficulty sleeping, which can further exacerbate their Alzheimer’s or dementia symptoms during daytime hours. It can also cause them to wander, yell, become delirious, angry or combative.

There are also factors that seem to increase Sundowner’s symptoms. If a person is already tired or fatigued they can experience more dramatic Sundowning. Low-lighting, a disruptive or noisy sleeping environment, and poor nourishment are also factors. It has also been linked to certain medications, severe constipation, or a disruption in daily sleeping and waking patterns.

Is there a way to avoid or mitigate Sundowning Symptoms?

Because the exact cause of Sundowning has yet to be known, there isn’t a specific fix. However, there are things that can help to prevent it and/or ease the symptoms.

Adequate Lighting. Nighttime lighting is already important in senior housing as it improves sight for seniors with poor vision, and prevents trip and fall accidents. However, lighting is even more important for those with Alzheimer’s and dementia. Shadows and dark places can intensify their agitation and anxiety. The more you can prevent shadowing, the more it will help the senior feel secure.

A Healthy Diet. As mentioned above, malnutrition and constipation seem to trigger more Sundowner’s Symptoms. Make sure your senior loved one is eating a well-balanced diet to remain nourished. A high-fiber diet and adequate hydration will help as well. Have dinner early and then offer a light snack before bedtime. Limit caffeine and other stimulant intake during the afternoon and evening hours.

Be Active. Keep your senior busy and active during daylight hours so they begin to feel tired at night. A sedentary lifestyle causes sleep troubles at any age, but seniors and those with Alzheimer’s or dementia are especially prone. Daytime exercise, hobbies and mental stimulation will help to trigger a healthy sleep response.

Familiarity. Use night lights in the bathroom and bedroom at night so they can orient themselves when they wake up. If they are in the hospital or away from home, bring pictures as well as favorite and familiar objects that will lend a sense of security to a new location.

Melatonin. Ask the senior’s healthcare provider about melatonin supplements. Recent studies have shown low doses of melatonin can inhibit the development of Sundowner’s Syndrome, decrease its symptoms, and help patients sleep. In turn, this has seemed to slow down their general cognitive decline.

If your loved one is experiencing Sundowner’s Syndrome, speak to a healthcare professional immediately so you can begin to find what works for your client or loved one.

How to Help a Client or Loved One Avoid the Holiday Blues

While television ads and societal cues tell us the holidays are full of cheer, the reality is that depression rates increase this time of year. Senior citizens are especially prone to holiday blues. Whether your loved one lives alone, or in a senior living community, this season presents several depression triggers, ranging from the biological to psychological.

Decreased sunlight and shorter daylight hours can have a naturally depressive effect on the body. Combined with cabin fever, loneliness, and memories of days gone by, seniors can feel they are the only cheerless humans in a sea of holiday-crazed happy people.

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The following tips can help prevent your senior client or loved one from succumbing to the holiday blues.

  1. Light therapy. The first step is to battle the biological triggers for depression that occur around the season and time changes. Our bodies can become depressed when deprived of natural sunlight. This condition has been given a name, Seasonal Affective Disorder, with an appropriate acronym – SAD. Light therapy has been proven to help combat SAD by triggering the same biochemical response caused by natural sunlight. A small light therapy box can sit on the table during breakfast, or while reading the paper. Just 15 to 30 minutes a day is usually sufficient. Talk to the senior’s healthcare provider before starting treatment.
  2. Diet and exercise. Make sure your senior client or loved one is eating well and getting enough exercise. If their exercise routine used to involve daily walks outside, start looking for indoor alternatives. Senior living communities usually offer exercise classes, dance classes, or indoor aquatic exercises. Otherwise, speak with your local senior center to inquire about other options.
  3. Ask and listen. The holidays can bring a mix of feelings for all of us. Many seniors hide their negative feelings because they don’t want to distress their family and friends. If you feel comfortable, ask the senior to share their feelings, sad or otherwise. Let them know you feel holiday nostalgia as well. Then patiently listen. The more you are willing to listen and support their feelings, the more comfortable they will feel opening up.
  4. Bring out the albums. Another way to help seniors process their feelings is to let them tell stories triggered by photos. Take an afternoon or evening to sit down and pour over old photo albums. It’s a wonderful opportunity to spend time outside of the holiday rush and learn more about your clients or relatives interesting lives. We all have stories to tell, and allowing seniors to share theirs can help them process sad or lonely feelings, while they are being kept in good company!
  5. Call more frequently. There is a good chance that you live far away from your aging relatives, in which case their loneliness may be more poignant. Make an effort to call more frequently, send card or flowers, or send your holiday gifts in small batches over the course of a few weeks. This can help them to feel more connected and cherished.
  6. Volunteer. We often think of volunteering for senior citizens. However, able-bodied senior citizens make wonderful volunteers in their own right. They have time on their hands, and there are plenty of community outlets that need help this time of year. Contact organizations like Senior Corps, homeless shelters, or local food banks where you and your senior loved one can lend a helping hand.

These tips can help seniors to remain in better spirits before, during, and after the holidays, allowing them to find the peace and joy this season is all about.

What You Need to Know About Advance Directives

Advance care planning is something that every adult should undertake, regardless of age. Unfortunately, too many adults put it off, assuming they can do it tomorrow, or next week, or in 10 years. The reality is that an unforeseen medical emergency, terminal health diagnosis, or an accident can occur at any time. Advance care planning, which includes an Advance Directive, is a vital step in protecting your family, as well as your own well-being should you become incapacitated or unable to speak for yourself.

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Your own advance directive is a very personal and legally binding document (or set of documents) that is set in place to act as your voice when your voice can’t be heard. Situations considered and addressed in an advance directive include:

  • Whether or not you want to be resuscitated and by what means. This may include a form regarding which scenarios you want to be resuscitated, and in which scenarios you do not (requires a DNR order).
  • Do you give permission for your organs and tissue to be donated?
  • The types of life support you are or are not interested in using to sustain your life.
  • The length of time you would want extreme measures to be taken to sustain your life.
  • How you feel about blood transfusions or dialysis.
  • What is your stance on artificial nutrition and artificial hydration?
  • What do you want in terms of comfort care?
  • End-of-life care?
  • Alzheimer’s and dementia care?

While these scenarios are never easy to contemplate, it is significantly easier on your loved ones if you have made this choice before they are faced with very stressful decisions in the event that something should happen to you.

A second part of the advance directive is called a durable power of attorney. This document identifies one person whom you have decided to be your spokesperson at the point where the advance directive would come into play. Choose this person very carefully, and make sure she or he has assured you your wishes will be respected.

How do I create and advance directive?

The first step is to learn all you can about advance directives and the types of information you want included in yours. Once you have decided, it is important that you communicate your wishes with the ones closest to you, such as your spouse, children, and siblings, to ensure they are aware of your wishes and will (hopefully) agree to abide by them.

Once you are ready to draw up the legal advance directive, you can work with an attorney, paralegal, or you can fill out pre-printed advance directive forms yourself. Here is a link to the Advance Healthcare Directive Form for the State of California. When you have completed your advance directive forms, make multiple copies. Unfortunately, if you are in a car accident, medical personnel aren’t going to have access to your advance directive unless or until a loved one provides it. You may want to keep a copy in your glove compartment, purse, briefcase, etc. Also give one to your attorney, family members, and your primary healthcare providers.

If you are living in a retirement community of any kind, provide copies to the administration and/or management personnel. If you use the assistance of a home health care provider, it is a good idea for him or her to have a copy, as well as their employer.

The sooner you take the time to get your advanced care plans in order, the sooner you can rest assured that your wishes will be honored in the event of an unforeseen accident or medical crisis. It can provide peace of mind to you and the ones you love.

Home Health Care: Principles and Practices

Interested in learning more about Home Health Care? Take a look at this book available at Amazon.

Twenty-nine practitioners combine their expertise to bring clarity to an issue that is at the forefront of discussion – home health care.The field is emerging and is growing faster than most professionals and their patients can keep up with. Here is a text in which the authors make every effort to provide readers with the latest thinking and technology that can better the home health care field. Spiralling costs have forced all aspects of illnesses to be closely scrutinized for possible home care applications and financial savings.The industry is growing rapidly, fueled by increasing service and constant technological breakthroughs, but the overriding philosophy must be focused on cost containment with maintenance of high quality care. This book is directed at providing highly practical, up-to-date information that health care professionals can use in their daily practices.

Check out the first few chapters from the Google library. If nothing else, take a look the preface, which is very enlightening.

Is Live-In Home Care the Answer for You?

There are certain signs that make you think about where you want to live for the rest of your life and what kind of help you will need to live it. Thinking about such things is definitely not an easy task as it brings to mind questions about one’s mortality. If you are faced with a situation when your children and relatives are hounding you about getting help, it is time for you to really think about what YOU want.

Have you stopped driving? Are simple tasks which you never thought about when you wee younger becoming a problem for you? If you find yourself taking showers less frequently because you are afraid that you will fall or if you have stopped going to the club which used to be your regular hang- out zone just because you find it difficult to go there, it is time to give your age a serious thought. Losing confidence in one’s abilities is not pretty, and it is important that you understand and reconcile to the fact that you may need support. Of course, you could go and spend the rest of your life at a residential facility for elderly people. But these days there are lots of senior people who choose to live at home and hire live- in caregivers to take care of them.

Choosing to stay at home is definitely not as easy decision. There are many considerations to think of, not least of all which is that home care givers are not exactly cheap to come by and may even cost up to $27. You need to understand that if a residential facility for the elderly is not your cup of tea, home care is what you have to opt for. Why? Well, here are the risks elderly people face if they stay alone at home.

  1. Injury: This is extremely common as senior people are prone to fall while showering or going around the house.
  2. Social isolation: Most senior people stop socializing and the regular places they used to visit when they were younger are given the sore look. Sometimes it even becomes difficult to talk to the neighbor who lives across the yard as it seems that everyone other than you is busy with their lives. Slowly, social isolation grips.
  3. Poor living conditions: This happens because senior people find it almost impossible to keep up with house- cleaning activities.
  4. Poor nutrition: This happens when senior people cannot cook regular meals. Some even can’t read expiration labels on food products and end up eating stale food.
  5. Poor hygiene: This is something a majority of senior people face as taking showers everyday becomes a monumental task.

There are other reasons why living alone is a risk for the elderly. Opting for live- in home caregivers is a great idea. Not only will it let you live in your own house, it will also give you the independence you desire so much.

Why Consider Hiring Home Healthcare Agencies?

If you have ageing parents who need your round the clock assistance and help, it would serve you well to hire home healthcare agencies to take care of their needs when you are not around. Even though we would all like to be there for our elderly or infirm parents or relatives, this may not always be possible due to demanding job schedules and other daily tasks like taking care of the kids, completing chores around the house, etc. Hiring a home healthcare agency is possibly the best bet as your parents need not be away from you in an old age facility but can spend their last moments in the comfort and company of their family.

Home healthcare agencies provide a number of benefits that make your life easier and relatively stress-free. You do not have to worry incessantly about your parents’ health even when you are away from home. This gives you more time to relax and take out some time for your own needs which is not possible if you have to be at their beck and call at all times. This can make you irritated and unhappy and the emotional atmosphere in your household can go into disarray causing worries and tensions for the whole family. Home healthcare agencies send professionals who are well suited to aid people who may be suffering from degenerative diseases that are a byproduct of old age. They understand the needs of such people and can help you to maintain a perfect balance in your house.

Home Healthcare AgenciesSometimes, the elderly can become overcome by feelings of loneliness and solitude because of little interaction with the outside world. If they have lost the use of certain limbs or are bedridden, the situation becomes all the more difficult for them. This can cause severe depression and significantly reduce their quality of life. Home healthcare professionals are armed with enough experience to effectively deal with the same. They provide constant support and company and help make their lives better.

Home healthcare agencies send a member of their staff to stay in your house for as many hours as you sign them up to. You can either hire a home healthcare professional on an hourly basis or have them come in for the whole day. In certain situations where the elderly in your home are not even able to accomplish simple, everyday tasks like partaking their meals or having a bath, healthcare staff can be hired to put up residence in your home for a specified period of time.

Once you employ a home healthcare agency, you no longer need to worry about any emergencies, medical or otherwise that may arise in your home whilst you are away. You can concentrate fully on your work and remain secure in the fact that those in your house are well looked after. Home healthcare professionals are certified workers who are adept at taking care of the less fortunate. Home healthcare agencies can also easily perform simple household chores like cleaning, cooking and washing up.

Hello world! We’ve Got a Blog!

Home Care BlogWelcome to the brand new blog of HomeAide Home Care! Thanks for taking a look!

Our goal here is to create a channel for our clients and friends to get closer to us as a company, to understand more about us, and share with everyone lessons learned and helpful information we’ve collected over the years as one of the foremost independent home care services in the East Bay.

Please feel free to comment on any of the stories we post, we’d love to hear from you!