Saturday, June 26, 2010

Dehydration Prevention In Pasadena CA

Dehydration Prevention

Excerpted from The Comfort of Home for Alzheimer's
By Maria M. Meyer, Mary S. Mittelman, Cynthia Epstein, and Paula Derr, Contributing writers

As a person ages, he feels less thirsty, so a special effort should be made to provide enough fluids. A person's fluid balance can be affected by medication, emotional stress, exercise, nourishment, general health, and the weather. Dehydration, especially in the elderly, can increase confusion and muscle weakness and cause nausea. Nausea, in turn, will prevent the person from wanting to eat, thereby causing more dehydration.

Preventive measures include:

* encouraging 6-8 cups of liquid every day (or an amount determined by the doctor)
* serving beverages at room temperature
* providing foods high in liquid (for example, watermelon)
* avoiding caffeine, which causes frequent urination and dehydration

Original content

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Friday, June 18, 2010

Putting Home Care in Monrovia, California in Perspective

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The Evolution of Home Care
In the first century of our country's history there was no such thing as nursing homes or assisted living. Society was mostly rural and people lived in their own homes. Families cared for their loved ones at home till death took them. In the latter part of the 1800's because of an increasingly urban society, many urban families were often unable to care for loved ones because of lack of space or because all family members including children were employed six days a week for 12 hours a day. During this period many unfortunate people needing care were housed in County poor houses or in facilities for the mentally ill. Conditions were deplorable. In the early 1900's home visiting nurses started reversing this trend of institutionalizing and allowed many care recipients to remain in their homes. Nursing homes or so-called rest homes were also being built with public donations or government funds. With the advent of Social Security in 1936, a nursing home per diem stipend was included in the Social Security retirement income and this government subsidy spurred the construction of nursing homes all across the country.

By the end of the 1950s it was apparent that Social Security beneficiaries were living longer and that the nursing home subsidy could eventually bankrupt Social Security. But in order to protect the thousands and thousands of existing nursing homes Congress had to find a way to provide a subsidy but remove it as an entitlement under Social Security. In 1965 Medicare and Medicaid were created through an amendment to the Social Security Act. Under Medicare, nursing homes were only reimbursed on behalf of Social Security beneficiaries for short-term rehabilitation. Under Medicaid, nursing homes were reimbursed for impoverished disabled Americans and impoverished aged Americans over the age of 65. It has never been the intent of Congress to pay for nursing home care for all Americans. The nursing home entitlement for all aged Americans was now gone.

Over the last 40 years, there has been a gradual change away from the use of nursing homes for long-term care towards the use of home care and community living arrangements that also provide in-house care.

With Proper Planning People Could Remain in Their Homes for the Rest of Their Lives
We are seeing a trend towards working conditions like those in urban America in the early 1900's where both husband and wife are working and putting in longer hours. We are also seeing a return of the trend in the early part of the 20th century where outside visitor caregivers are becoming available to replace working caregiver's and allow the elderly to receive long-term care in their homes. In addition there is a significant trend in the past few years for Medicaid and Medicare to pay for long-term care in the home instead of in nursing homes.

Given enough money for paid providers or government funding for the same, a person would never have to leave his home to receive long-term care. All services could be received in the home. Adequate long-term care planning or having substantial income can allow this to happen.

We only need to look at wealthy celebrities to recognize this fact. Christopher Reeve, the movie star, was totally disabled but he had enough money to buy care services and remain in his home. President Ronald Reagan suffered from Alzheimer's for many years but received care at his California ranch. He was also wealthy enough to pay for care when needed. Or what about Annette Funicello or Richard Pryor? Income from their movie careers allowed them to receive care with their multiple sclerosis at home. We will be willing to bet that Mohammed Ali, who is severely disabled with Parkinson's disease, will probably never see the inside of a care facility, unless he chooses to go there to die. With the proper planning and the money it provides, most of us could remain in our homes to receive long-term care and we would never have to go to an institution or a hospital.

The Popularity of Home Care
Most of those receiving long-term care and most caregivers prefer a home environment. Out of an estimated 8 million older Americans receiving care, about 5.4 million or 67% are in their own home or the home of a family member or friend. Most older people prefer their home over the unfamiliar proposition of living in a care facility. Family or friends attempt to accommodate the wishes of loved ones even though caregiving needs might warrant a different environment. Those needing care feel comfortable and secure in familiar surroundings and a home is usually the best setting for that support.

Often the decision to stay in the home is dictated by funds available. It is much cheaper for a wife to care for her husband at home than to pay out $2,000 to $4,000 a month for care in a facility. Likewise, it's much less costly and more loving for a daughter to have her widowed mother move in to the daughter's home than to liquidate mom's assets and put her in a nursing home. Besides, taking care of our parents or spouses is an obligation most of us feel very strongly about.

For many long-term care recipients the home is an ideal environment. These people may be confined to the home but continue to lead active lives engaging in church service, entertaining grandchildren, writing histories, corresponding, pursuing hobbies or doing handwork activities. Their care needs might not be that demanding and might include occasional help with house cleaning and shopping as well as help with getting out of bed, dressing and bathing. Most of the time these people don't need the supervision of a 24/7 caregiver. There are, however, some care situations that make it difficult to provide long-term care in the home.

Please note from the first graph below that a great amount of home care revolves around providing help with activities of daily living. Note from the second graph below that the average care recipient has need for help with multiple activities of daily living. Finally, it should be noted from the second graph that well over half of home care recipients are cognitively impaired. This typically means they need supervision to make sure they are not a danger to themselves or to others. In many cases, this supervision may be required on a 24-hour basis. (Graphs were derived from the 1999 national caregivers survey, courtesy www.longtermcarelink.net.)

It is precisely the ongoing and escalating need for help with activities of daily living or the need for extended supervision that often makes it impossible for a caregiver to provide help in the home. Either the physical demands for help with activities of daily living or the time demand for supervision can overwhelm an informal caregiver. This untenable situation usually leads to finding another care setting for the loved one. On the other hand if there are funds to hire paid providers to come into the home, there would be no need for finding another care setting.

Problems That May Prevent Home Care from Being an Option
Caregivers face many challenges providing care at home. A wife caring for her husband may risk injury trying to move him or help him bathe or use the toilet. Another situation may be the challenge of keeping constant surveillance on a spouse with advanced dementia. Or a son may live 500 miles from his disabled parents and find himself constantly traveling to and from his home, trying to manage a job and his own family as well taking care of the parents. Some caregivers simply don't have the time to watch over loved ones and those needing care are sometimes neglected.

The problems with maintaining home care are mainly due to the inadequacies or lack of resources with informal caregivers, but they may also be caused by incompetent formal caregivers. These problems center on five issues:

  1. Inadequate care provided to a loved one

  2. Lack of training for caregivers

  3. Lack of social stimulation for care recipients

  4. Informal caregivers unable to handle the challenge

  5. Depression and physical ailments from caregiver burnout


In order to make sure home care is a feasible option and can be sustained for a period of time, caregivers must recognize these problems, deal with them and correct them. The responsibility for recognizing these problems and solving them is another function of the long-term care planning process and the team of specialists and advisers involved.

Adequate Funding Solves Most Problems Associated with Providing Home Care
None of the problems discussed in this article would be an obstacle if there were enough money to pay for professional services in the home. These services would be used to overcome the problems discussed in the previous section. If someone desires to remain in the home the rest of his or her life, adequate preplanning could provide the solution.

This planning must occur prior to retirement. The most obvious way to provide sufficient funds for home care is to buy a long-term care insurance policy when someone is younger, healthy and able to afford the lower premiums. If insurance is not an option, then money must be put aside early in life to pay for care in the future. The only other option is to be rich.

Unfortunately, very few people address the issue of needing long-term care when they are older. This leads to a lack of planning and in turn leads to few options for elder care when the time comes. Lack of planning means most people do not have the luxury of remaining in their homes and must rely on Medicaid support in a nursing home to finish out the rest of their lives.

Friday, June 11, 2010

The Benefits of Senior Home Care Services in East San Gabriel, California

Senior Home Care Services Has Many Benefits Over a Nursing Home

By Chuck Parsens



As the United States people age, the focus on the number of looked for services will have to line up with the quality of the care rendered. For many years a spotlight has been placed on how well residents who reside in a nursing home are treated. Some understand that the level of care an individual obtains is dependent on how much family members are involved. Some mature children have trouble with placing their senior parents in a nursing home because of the negative press. Price is also a part in making this choice. An alternative to nursing homes is senior home care services, which allow a person to stay put in their home and receive the level of care that they will need.

Along with determining the price and care, the types of elderly home care services are chosen based on an individual's situation. Insurance companies have sought ways to trim down the costs of hospitalization and therapy services, which has opened the door for service providers who concentrate in giving these services at an individual's home. This reduces health care costs and allows an older adult to remain in their homes. The home care landscape has grown into a cutthroat business, giving greater options for people to choose from.

The advantages of having home care services rather than staying in a nursing home cannot be miscalculated. The intellectual portion of being able to keep some level of liberty can go a long way to improving the excellence of life for numerous elder adults. Most elderly only require assistance with regular, daily activities which may include transportation to doctor's appointments, grocery shopping, or bathing. Still, others may require more steady care, depending on their disease and how far it has developed.

A person who receives senior home care services can have more private attention than someone who lives in a nursing home. In a nursing home, a partial number of personnel must attend to a number of different people with varying degrees of needs. Receiving care at home can cost less than it does in a nursing home because of equipment costs that are factored into nursing homes. The annual costs of a nursing home differ by state, but in most cases, the costs far go above and beyond the median income of many older people. Those with Medicare soon find out that it only covers a little portion of long-term care, and that treatment is limited to the sort and number of days. The people that cannot come up with the money to supplement the costs of a nursing home could want to give home care services serious thought.

The topic of elderly home care is very broad in nature and I enjoy looking at all the aspects of it. Feel free to look at my other post about the options of senior home care services for your loved ones.



Article Source: http://EzineArticles.com/?expert=Chuck_Parsens

For caregiving help available in the East San Gabriel CA area, visit www.esangabriel.comforcare.com.

Sunday, June 6, 2010

Prevent Senior Fraud in Arcadia, California

Senior Fraud Prevention

“Seniors can make easy targets for fraud, whether it’s for unbelievable investment returns or fraudulent sweepstakes prizes. Fraud on seniors can happen by phone, mail, in person, or, less commonly, the Internet (because seniors are online in smaller numbers). It can happen to wealthy seniors, and those of limited means. According to the Federal Trade Commission, studies show con artists are more likely to target senior citizens than other age groups because they believe seniors are more susceptible to such scams. The FTC reports that fraudulent telemarketers direct from 56 to 80 percent of their calls at seniors. The need for senior fraud prevention has become greater than ever.”

Follow the link below to read the rest of this very informative article.  If you have any questions or need help in the area, visit www.esangabriel.comforcare.com.

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