Helping Seniors Stay At Home
By Diane DiGiorgi, GateHouse News Service

Most seniors would prefer to live at home rather than in a nursing facility. A goal of many Medicare and Medicaid programs is to help seniors remain in their own homes.

We are frequently asked about Medicare’s home health benefit. It is widely thought that Medicare’s home health benefit is short-term and limited to elders who are recuperating from illness or injury; but this is not the case. In fact, Medicare’s home health benefit is available to all seniors who meet program eligibility criteria and has no durational limit, which means the benefit does not end after a certain amount of time. Under Medicare, seniors do not have to pay an additional deductible or any other fee for the Medicare home health benefit in order to receive skilled nursing and home health aide care, in their own home, as authorized by a physician.

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The caregivers at Andelcare are available to talk with you and your family about all of your  in home care needs including ways to reduce caregiver stress. Andelcare is a home care agency providing quality, affordable caregivers in Seattle WA and the surrounding communities. Call us at 888-788-3051 for more information.

Avoiding Slips And Falls By Using Home Care Services

When it comes to preventing falls in the home, you want to make sure that you take all necessary precautions to ensure that the person you’re caring for. The fear of having someone or yourself fall is something that you might think comes with aging, but it is not. Learn how home care can help protect your loved one.

More than 1 in 3 people fall each year that are age 65 or older, and the falling risk is greater for women than men. When the body ages, it decreases the bone density which contributes to these falls and can result in serious injuries if not properly prevented or cared for when it comes to senior care. Elders who fail to exercise regularly is one of the leading contributions since this brings about loss of bone mass and flexibility and a decrease in muscle tone and strength. If you work in home care, or are a home caregiver, preventing falls should be one of the highest priorities on your list.

Factors to Consider to Prevent Falls in the home

• Are medications causing dizziness on a day to day basis? Are they sleeping medications?
• Do they get up in the middle of the night to get a drink of water or perhaps use the bathroom without supervision or help?
• Do they feel off balance throughout the day from time to time or regularly?
• Have they fallen before, or almost fallen before?
• Do they grip and hold onto items as they walk around the home?

Safety Factors to Prevent Falls

Improve the lighting in the home. There should be enough lighting throughout the house so when it is dark, and they need to get up to use the bathroom or get water, they can easily access a light. This includes adding railings to stairwells that they might have to go down during the middle of the night. Nightlights are a perfect addition throughout the home that can provide an adequate amount of light.

Install handrails and grab bars throughout the home where necessary, such as by stairs or in the shower.

Move any and all items from top shelves so they are easier to access. Use non skid floor mats and rugs on the floors to create slip resistant areas to walk on, and try not to wax the floors. Remove any rugs or mats that are in direct walkways throughout the home.

Put the thresholds down lower in the doorways to prevent any trips or falls that might occur. Use low and thin piled carpeting throughout the home. You do not want the person to trip and fall on the carpets because they were too thick and make sure they are not worn out or torn up.

Any and all cords and wires should be off the floor since these can cause anyone to trip, not just a person in senior care. They shouldn’t even be placed under rugs since this creates a roll in the rug.

Chairs and furniture around the home should be easy to get up out of, and into without a lot of effort. They should not propose a risk because they are too deep or too low to get in and out of.

Remove clutter to avoid blocking passage ways throughout the home. Have a phone in each and every room with emergency numbers by them or programmed just in case something was to happen.

It does take some effort to make one’s home safe for an aging loved one, but it is worth it.

If you or someone you love needs help with in home care in Seattle or the surrounding area, please contact the caregivers at Andelcare. We are a home care agency providing care and assistance to seniors, veterans and the disabled. Call us at 888-788-3051.

Caregivers In Need of Some Care
By Michelle Singletary

WASHINGTON – America is facing a crisis that will make the federal budget deficit look like a simple bank overdraft fee.

If we don’t figure out how to provide financial support to the millions of family members taking care of seniors with chronic conditions or disabilities, we will have caregivers so overwhelmed that they will be forced to stop helping their elderly relatives. That cost of care will then transfer to the government, and this would mean astronomically higher health care costs or more people being placed in nursing homes, according to a new report from AARP’s Public Policy Institute.

In 2009, about 42.1 million family caregivers provided assistance to an adult with limitations in daily activities such as going to the bathroom, preparing meals or making it to a doctor’s appointment. The AARP report estimates the economic value of family caregiving at $450 billion in 2009, based on those 42.1 million caregivers age 18 or older providing an average of 18.4 hours of care per week at an average value of $11.16 per hour.

Just imagine if much of this voluntary care were gone.

Historically, providing care to the elderly wasn’t such a dire public policy issue.

People didn’t live as long as they do now. But what happens when the need for long-term care goes on for years or decades?

The long-term care needs of many of our elderly are straining families, just as family structures have changed and during one of the worst economies in decades.

There are more women in the workforce, making it harder for them to provide care.

Almost two-thirds of family caregivers are female. More than eight in 10 care for a relative or friend age 50 or older.

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The caregivers at Andelcare are available to talk with you and your family about all of your live-in home care needs. Andelcare is a home care agency providing quality and affordable home care in Seattle and the surrounding areas. Call 888-788-3051 for more information.
 

Medications May Be Damaged By Storage Mistakes
By WALECIA KONRAD

What does extreme heat do to medications? I found out while we were sweating out the recent heat wave in a lake cabin in New Hampshire and my 10-year-old son’s allergies kicked up.

I gave him a dose of over-the-counter medicine that usually brings quick relief. But this time the drug had no effect. The same thing happened the next day, and the next.

When I returned home, I asked a pharmacist about it. Was my son becoming immune to this particular medicine? Were his allergies getting worse?

The pharmacist asked where I had stored his pills as the temperatures soared. On the bathroom shelf in the cabin, I said. And on the sweltering six-hour drive to the lake? The medicine was in my suitcase in the trunk of the car.

And that’s when I learned this: No drug should be exposed to temperatures higher than 86 degrees. Some days the bathroom at our vacation house and certainly the trunk of the car were well above that mark.

Extreme temperatures can have a big effect on both prescription and over-the-counter drugs.
Pharmaceutical manufacturers recommend most of their products be stored at a controlled room temperature of 68 to 77 degrees, said Skye McKennon, clinical assistant professor at the University of Washington School of Pharmacy. In truth, that is the range in which manufacturers guarantee product integrity. Anywhere from 58 to 86 degrees is still fine, she said.

“During heat waves and cold spells, storage locations can go above or below those ranges, causing medicines to physically change, lose potency or even threaten your health,” McKennon said.

For patients with such chronic illnesses as diabetes or heart disease, a damaged dose of a crucial medicine, like insulin or nitroglycerin, can be life-threatening. But even common medicines can break down with potentially harmful effects, and you can’t always tell by looking at the pill or liquid that a problem has occurred, said Janet Engle, a pharmacist and past president of the American Pharmacists Association.

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Andelcare caregivers are available to answer all of your home care questions. We are an elder care agency providing live in home care in Seattle WA and the surrounding areas. Call us at 888-788-3051.

Family Caregivers Part I: “I Feel Good That I’m Able To Help”
Written by Melissa Galvez

What will happen to Mom when she can’t care for herself? Every year, millions of Americans join the ranks of family caregivers to look after an aging parent, spouse or other relative.

They take on several unpaid jobs they never applied for — chauffeur, financial adviser, personal care attendant, nurse. They spend hours in relatives’ homes and at doctors’ offices. Caregivers often report real satisfaction in knowing that Dad is eating right or that Grandma has her medicine. But they also report high levels of stress, financial difficulties and health problems.

In this special series from News21, five families describe the worries and rewards of long-term care.

Silvia Ortiz, Houston, Texas
Silvia Ortiz spends her days ensuring that her mother has eaten properly and that her father has taken a walk. Ortiz lives in Houston’s Greater Fifth Ward, down the street from her parents, Maria Guadalupe Perez, 68, and Gregorio Perez, 67.  Her mother has diabetes, arthritis and depression; her father has had knee surgery and heart problems.

The Perez family works with a case manager from the senior program at Neighborhood Centers Inc. Ortiz, who’s 41, has held a paying job for just three years, choosing instead to focus on her children — now all attending or graduated from college — and her parents.

Though she is relatively young for the role, Ortiz is hardly alone. Estimates of the number of caregivers in America vary widely, but AARP has calculated that at any point in time, 42.1 million Americans provide care for an adult with “limitations in daily activities.” That care can include anything from driving and paying bills to helping someone out of bed or to the bathroom.

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For more information about receiving care for your loved one at home. Contact the caregivers at Andelcare. We can help your family with all of your care needs. We are a home care agency providing quality and affordable live in home care in Seattle WA and the surrounding communities. Call 888-788-3051.

Keeping Seniors Safe: Know the Signs of Dehydration in the Elderly

While summer means pools, vacation, and tanning for most, it can also mean overheating and dehydration for others. Summer can be a dangerous season for all ages, but it can be especially dangerous, even fatal, for the elderly. One of the most common, yet deadly, concerns for seniors can be attributed to dehydration. Dehydration is the result of insufficient liquid in the body for proper functioning. Dehydration is a larger concern in the summer due to hot temperatures, which consequently leads to more sweating. If an adequate amount of water is not consumed to balance the water lost in perspiration, dehydration can set in.

In seniors, dehydration is much more common than younger people. The older you are, the less fluid that is contained in the body. Elder people have as much as 10% less liquid than that of a healthy adult. There are several symptoms and side-effects of dehydration that can be taken into consideration if you suspect it in an older family member or friend. Signs of dehydration include, but are not limited to: confusion, weakness, constipation, dizziness, fever, increased heart rate, weight loss, less urine, and disorientation. In more severe and progressed cases, one may experience sunken eyes, severe diarrhea, severe fever, and fainting spells. The sooner you suspect dehydration, the better. If these symptoms are visible and you suspect dehydration, it would probably be in your best interest to consult a doctor or other qualified physician. The sooner dehydration has been brought to one’s attention, the easier it is to manage and cure. If dehydration is permitted to progress in an older patient, there is a much higher chance of further medical complications including kidney failure, electrolyte imbalances, heart diseases, shock, coma, and even death.

Fortunately, dehydration is a preventable sickness that no one should fall to if the correct measures are taken. Be sure to drink plenty of water and other nutritious drinks that are high in electrolytes, sodium, and potassium. Even consuming foods that are high potassium are encouraged to be eaten, as these provide extra electrolytes for the body. In the summer, when dehydration becomes more of a concern, it is recommended to increase the amount of fluid intake even more. While the heat and sun can help lead to dehydration, it is also your own personal responsibility to make sure you and/or the people the around you maintaining healthy levels of liquid intake.

As your parents, friends, or other family grow older, it is a great idea to consider hiring home care or other professional help. If nursing homes are out of the question, it is certainly a good idea to find someone that can check on a loved older person daily. You yourself can provide daily checkups and visits to the household. If this is not an available option, there are definitely other people to turn. Professional home care is a service that is certainly on the rise now that more and more people from the “Baby Boomers” era are growing old and handicapped. While you may not need to hire someone for constant care, checkups are certainly a great idea and can help prevent accidents and other ailments, like dehydration. In order to prevent dehydration, have someone stop by daily to record weight and fluid intake. Daily monitoring can detect miscues in weight and BMI, which can lead to earlier detection of dehydration. Give the person providing the home care a schedule of fluid intakes at a given time interval. Dehydration is a preventable sickness, and should never have to threaten the lives of family, friends, and other elderly people.

For more information about how the caregivers at Andelcare can help your family with your home care needs, call 888-788-3051. We are a home care agency providing quality and affordable live in home care in Seattle WA and the surrounding communities.

Plumber Understands Aging In Place Modifications

(WiredPRNews.com) As you grow older, your body and abilities change along with your social needs. Having a plan for moving from your senior to elderly years can facilitate greater control, quality of life, and independence. Local area plumbers are learning how they can help you set this plan in motion through aging in place services.

Simply put, aging in place is electing to live in the place of one’s choosing as they age while having necessary support services available as personal needs change over time. With home health care services on the rise, many elderly and other people of need are finding comfort in choosing to stay at home instead of move into a retirement facility or other type of care center. Home health care affords individuals the convenience of having nurse care on site.

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For more information about how the caregivers at Andelcare can help your family with your home care needs, call 888-788-3051. We are a home care agency providing quality and affordable live in home care in Seattle WA and the surrounding communities.

5 Must-Do Rules for Preventing Medication Mistakes
How to protect yourself in advance from drug interactions
By Melanie Haiken, Caring.com senior editor

If 1.5 million serious medication mistakes happen every year, and 100,000 people die from them, how do you make sure you and your loved ones aren't among the casualties? Take these five steps to make sure medication mistakes don't happen to you.

1. Be prepared.

Make a list of prescription drugs, nonprescription drugs, and any supplements such as vitamins, minerals, or herbs that you and your family members are taking. Keep a copy in your wallet, and update it regularly.

2. Have regular medication reviews.

At least once a year, have your general practitioner or primary doctor review your list of medications to make sure there are no dangerous combinations, incorrect dosages, or medications inappropriate for your age and circumstances.

Remember, as time goes by, your body changes, and a medication that was perfectly fine five years ago may not be healthy — or even necessary — today.

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If you or someone you know needs help with elder care in Bellevue WA or the surrounding area, contact the caregivers at Andelcare. We provide quality and affordable in-home care for many disabled and elderly loved ones in our community. Call us at 888-788-3051 for more information.

The Awkward Talk: Engage parents in planning for old age
By Angela Hill, The Oakland Tribune

It's the age-old question: When and how do we have "the talk?"

No, not that one, but the dialogue on the other side of the lifetime spectrum, often just as difficult and delicate – the one about an aging family member's driving abilities, housing transitions, costs of long-term care and even end-of-life instructions.

Most of us, on either side of the discussion, would rather chew on nails than delve into these subjects. Yet as more and more baby boomers step into senior citizen territory and life expectancies continue to increase, such issues loom large.

Even so, these talks don't always have to be harrowing. While each individual, each family, each situation is different, most in the field of geriatric care agree the process is easier the earlier you start – when all parties are fully engaged – and say you should approach loved ones with respect and compassion, appreciating an individual's need to retain independence.

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If you need help with answers to caregiving questions, call the caregivers at Andelcare. We help many individuals who wish to remain at home with home care. We are an in home care agency dedicated to providing quality and affordable home care in Seattle and the surrounding communities. Call 888-788-3051.

9 Investigates: The Soaring Costs Of Medicaid

WFTV investigated the soaring costs of Medicaid, and government watchdogs said one simple change could save hundreds of millions of dollars.

Michael Claudio has trouble remembering basic tasks after encephalitis damaged his brain. The state could have spent $5,000 a year for in-home care, or $65,000 a year to send him to a nursing home. State Medicaid managers chose the nursing home and would have sent taxpayers the bill.

"I went on a waiting list for over two years just for some kind of assistance," said Michael Claudio.

Without help, Claudio's wife Linda kept serving as his full-time caregiver for as long as she could.

"My house is in foreclosure now, but I made a choice. He mattered more," said Linda Claudio.

The same situation happened to Carmen Martinez, who wanted a home health care aide to help with laundry and meals for her elderly father. Medicaid wouldn't pay for the help, but it would have payed up to 13 times more to send Martinez's father to an institution.

"The help I need, I don't have it," said Martinez.

An AARP survey showed that 84 percent of seniors prefer home care over a nursing home, and the group Florida Taxwatch said the state could save up to $397 million a year by switching more patients to in-home care.

The nursing home industry lobbied against it.

"I believe that some industries have a stronger voice when it comes to policy-making than maybe the average family has," said Mary Ellen Grant of Share The Care nursing home.

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For more information about home care for your loved one, contact the caregivers at Andelcare. We help many elderly, disabled and veteran loved ones with quality and affordable home care in Seattle and the surrounding communities. Call 888-788-3051.