paying for parents to stay at home

Senior Care: Keeping an elderly parent with dementia active

paying for parents to stay at homeIt’s important to keep an elderly parent with dementia active to benefit their overall health and well-being. This being the case, it’s the duty of the caregivers to put in the effort to find activities that are stimulating. Perhaps the biggest challenge is finding things to do that are fun for both you and your parent with dementia.

AgingCare.com shares some general guidelines on how to best approach this:

Creating meaningful activities

  • Design activities that safely involve your parent’s interests. For example, if they enjoy games, have a regular game night. The severity of the dementia can make the difficultly and length of these activities vary.
  • If your parent lacks the physical or cognitive capability, make the necessary adjustments to allow them to participate in their favorite activities. Maybe taking them out to bingo is no longer an option, but playing bingo or other games in the home is.
  • Make activities meaningful is important — this contributes to your parent’s overall health, even if they don’t necessarily remember every moment of the experience.

Keeping up with old routines

  • People are creatures of habit — and routines are important for people with dementia as it gives them a sense of purpose. Activities that make your parent feel needed and useful can add greatly to their overall happiness. Allowing them to keep up with old routines like cooking and cleaning — even to a small degree — helps them hold on to their sense of independence.

Exercise

  • Taking your parent with dementia on daily walks or other forms of light activity, as AgingCare.com states, can reduce agitation and wandering, which can be triggered by lack of exercise.

Social interaction

  • Just the same as people are creatures of habit, so to are they pack animals. This is why social interaction fills a basic need within us all. Sadly, dementia leads far too many people to lives of isolation. Involving your parent in everyday tasks, like going to the store, will be something they enjoy and appreciate time and again.

Physicians Choice Private Duty can help

Physicians Choice Private Duty — currently serving Omaha, Eastern Nebraska and Western Iowa provides seniors and their families a complete understanding of the options available for those with dementia and related conditions like Alzheimer’s.

All Physicians Choice Private Duty services are directed by registered nurses or social workers with no long-term contracts.

Contact us today with your senior care needs.

“Physicians Choice Private Duty solves the problems families face in finding home health care providers they can trust. Providers who will focus on strategies that keep parents in their homes. To learn more about our health care services, visit https://private-duty.pchhc.com/services/.

home-care-service-aged-care-family-health-care

Elderly care: Planning ahead for longterm care

home-care-service-aged-care-family-health-careEven if your parents are still in good health in their latter years, it’s still wise to plan for their future longterm care needs. By planning now, you, your siblings and your parents will know exactly what to do and what is expected of each person individually when health complications do arise.

When to plan

Occasions when all or most of the family gathers is a prime time to start planning for your parents’ longterm care. Whether it’s a birthday, holiday or summer vacation, the more family involved in the process from the beginning, the less complicated things will be when care needs become greater.

How to plan

When everyone is in one place, assign roles. This is especially important for siblings or other family that live far away from the parents. Family who live close by with regular contact will be able to better recognize sudden and subtle changes in the health of elderly loved ones and can keep the entire family updated on day-to-day happenings.

Assigning roles also helps avoid potential conflicts between siblings and other family members. For example, instead of becoming embittered by possible inheritance sibling rivalry, one sibling can be in charge of financial and legal matters while another is in charge of the more hands-on day-to-day help.

Related: The importance of long-term care planning (via Creighton Law Offices)

Recognize that longterm care can be expensive

Planning ahead for longterm care can also be very expensive, so being prepared financially is crucial. Here’re some tips from longtermcare.gov on what should to be addressed:

  • Services available from your family and in your community
  • Special conditions (such as age or income) that may apply for receiving services
  • Costs of services
  • Public or private payment options available to you

Physicians Choice Private Duty can help

Physicians Choice Private Duty ”currently serving Omaha, Eastern Nebraska and Western Iowa” provides seniors and their families a complete understanding of the options available for those needing longterm care, whether in-home or in a nursing facility. When it’s needed, our professional staff can help properly implement the necessary lifestyle changes that will ensure the best quality of life for your aging loved ones.

All Physicians Choice Private Duty services are directed by registered nurses or social workers with no long-term contracts.

Contact us today.

“Physicians Choice Private Duty solves the challenges families face in caring for aging parents, with a focus on strategies that keep them in their homes. To learn more about our solutions, visit us today..”

Elderly care: Medicare not always the solution

Elderly care: Medicare not always the solution

	 Elderly care: Medicare not always the solutionMedicare = Mediocre

Medicare, like most entitlement programs, only provides minimal services. Other government-sponsored programs, like Food Stamps and Social Security, provide basic support without the intent of covering the entire solution. There are no government entitlement programs that provide all serves that are needed. They were created to provide basic needs to vulnerable populations.

Because of this basic premise, Medicare dictates what a participant receives in many areas. For example, Medicare decides how long a person can stay in the hospital after a particular health event and whether or not additional rehabilitation is warranted. If additional rehabilitation is needed, Medicare dictates where the rehab takes place — at home or in a facility, what type of therapy is indicated and how long a person can participate in therapy. Again, providing the basic amount of services — not what may be in the best interest of the particular patient.

Oftentimes, seniors believe that the services covered by Medicare are all they need, but in reality it is all that is authorized by the funding source. Many people benefit greatly from additional therapy and help in the home as they recuperate from surgery or other health crisis. Most of the time, this additional assistance is paid for privately and increases the chances of the patient becoming stronger and more independent over time.

Medicare is a very important part of any senior’s health care, but shouldn’t be viewed as the only solution.

By continuing in-home assistance (i.e. bath aides, home health care and physical therapy) privately, the patient is able to grow stronger and is often able to regain function and maintain it more effectively than those who stop receiving these services once Medicare decides to stop paying for them.

Physicians’ Choice Private Duty Assisted Living has a staff dedicated to maintaining a person’s independence and enabling them to stay in their home for as long as they are safe. By providing in-home services, they are able to create a safe environment and assist them in remaining in their home.

Medicare is a very important part of any senior’s health care, but shouldn’t be viewed as the only solution. By looking at all the options and continuing therapy and in-home care until independence is reached should remain the ultimate goal. It is vital that, with your help, your aging parent takes charge of their own health and designs their own plan.

Physicians’ Choice Private Duty Assisted Living is just a phone call away – 402-331-2273. We want to work with you to regain your strength and independence.

“Physicians’ Choice Private Duty Assisted Living solves the challenges families face in caring for aging parents, with a focus on strategies that keep them in their homes. To learn more about our solutions, visit http://www.private-duty.pchhc.com.

How can I help my elderly parent with COPD

How can I help my elderly parent with COPD?

How can I help my elderly parent with COPDMillions of elderly people suffer from Chronic Obstructive Pulmonary Disease (COPD), which is characterized by persistent, limited airflow, apt to inflammatory reactions to noxious particles and gases present in the airways and lungs. Sadly, COPD is a progressive disease with no cure, one that can only be slowed down by treatments and changes in lifestyle.

What causes COPD?

The most common cause of COPD is inhaled cigarette smoke. Still, other noxious particles like “smoke from biomass fuels and occupational dusts and chemicals can also contribute to the chronic inflammation encountered with COPD,” according to Aging Well Magazine. The chronic inflammatory response can cause emphysema due to damage done to parenchymal tissue. Eventually, normal repair and defense mechanisms are compromised, resulting in small airway fibrosis, according to Aging Well. Eventually, pathological changes occur, making it harder to take air in as well as get it out.

What are the symptoms of COPD?

As mentioned before, inhaling smoke or other noxious particles can cause COPD. Here’s a list of common symptoms from the National Heart Blood and Lung Institute:

  • Constant coughing/”smoker’s cough”
  • Excess sputum (mucus from coughing) production
  • Feeling unable to breathe
  • Unable to take a deep breath
  • Wheezing

In severe cases of COPD, shortness of breath and the other above symptoms can make the simplest of tasks — walking, bathing, dressing and even eating — extremely difficult.

How is COPD treated?

While COPD can’t be cured, the aim of treatment is relieving symptoms, slowing the progress of the disease as well as preventing and treating complications and improving overall health (this includes staying as active as possible).

Lifestyle changes go hand-in-hand with treating COPD, including the following:

  • Quitting smoking
  • Avoiding secondhand smoke
  • Keeping home as dust free as possible
  • Avoiding the use of products with strong chemical odors
  • Avoiding the use of fragrant sprays and lotions
  • Using a humidifier (especially if living in a dry climate)
  • Keeping necessities nearby, especially those with less mobility due to COPD

Related: The COPD Caregiver Guide (via Caring Today)

If the correct changes are made, a person can live a relatively normal life for several years to come. Still, other diseases and illnesses — from flu to pneumonia to cancer — can greatly enhance the risk of death poised from COPD.

Physicians Choice Private Duty can help

Physicians Choice Private Duty ”currently serving Omaha, Eastern Nebraska and Western Iowa” provides seniors and their families a complete understanding of the options available for those with COPD. Our professional staff can help properly implement the necessary lifestyle changes that will ensure the best quality of life for your aging loved one.

All Physicians Choice Private Duty services are directed by registered nurses or social workers with no long-term contracts.

Contact us today.

“Physicians Choice Private Duty solves the challenges families face in caring for aging parents, with a focus on strategies that keep them in their homes. To learn more about our solutions, visit us today..

End of life care: When is hospice needed?

End of life care: When is hospice needed?

End of life care: When is hospice needed?When an elderly parent or loved one nears the end of his or her life, hospice care may be a viable option. A person is eligible for hospice care when the doctor determines life expectancy to be six months or less. Also, hospice may be an option if it’s determined that further tests and treatments are no longer effective, and will instead add to or cause suffering.

What is hospice?

The Hospice Foundation of America defines hospice as “a special concept of care designed to provide comfort and support to patients and their families when a life-limiting illness no longer responds to cure-oriented treatments.” Hospice care is provided by professionals with specialized knowledge of medical care — including pain management (palliative care) — and doesn’t prolong or hasten death, according to the HFA. Rather, the main goal of hospice is to offer a person suffering from chronic or terminal illness comfort and dignity. Emotional, social and spiritual support is also available for the patient and his or her family during this sensitive time.

A person’s hospice care likely takes place in a care facility, but can occur at home if circumstances allow it.

Related: HFA’s Understanding Hospice Fact Sheet

Home hospice

When home hospice care is provided, nurses are either on hand or on call 24 hours a day, seven days a week. These hospice care professionals can perform most of the procedures provided by a hospital or care facility, including administering medicine, set up IVs, do blood work, etc. Hospice professionals also keep family members informed on the progress of their loved one’s condition.

Related: Hospice: Conquering common misconceptions (via Chicago Tribune)

Physicians Choice Private Duty can help

Physicians Choice Private Duty — currently serving Omaha, Eastern Nebraska and Western Iowa — provides seniors and their families a complete understanding of the options available for those in need of hospice care and related end of life conditions.

All Physicians Choice Private Duty services are directed by registered nurses or social workers with no long-term contracts. Contact us today.

“Physicians Choice Private Duty solves the problems families face in finding home health care providers they can trust. Providers who will focus on strategies that keep parents in their homes. To learn more about our health care services, visit https://private-duty.pchhc.com

What to do if an elderly parent won’t take medication

What to do if an elderly parent won’t take medication

What to do if an elderly parent won’t take medicationMary’s mother had been stubborn her entire life — with money and opinions (right or wrong), with driving routes and restaurants to eat at (a rare treat for a frugal woman like Mary’s mom). Now since dad was gone, Mary’s mother was living alone.

One thing Mary’s mother was never stubborn about was listening to the doctor. So on a recent visit, Mary found it odd that her mother was no longer taking her medication for her high blood pressure.

“Is something wrong?” Mary asked.

Her mother, usually stubborn as the cabinets bolted to the kitchen wall, seemed confused and shook off the fact that she’d forgotten to take her medication.

Mary was concerned, wondering how long this had been going on for. Her mother couldn’t give her a solid answer, so Mary took action. She went down to the pharmacist and asked for a printout of the medications her mother purchcased and if they were refilled on schedule. The results weren’t good.

It had been months since Mary’s elderly mother had taken her high blood pressure medication, which without it put her at far greater risk for heart attack and stroke. Her mother’s increased confusion was raising an alarm as well.

So what did Mary do?

After a doctor’s visit, it was discovered that Mary’s mother was showing the early signs of Alzheimer’s. Since Mary had a full time job and children of her own to take care of, she couldn’t make sure her mother was taking her medication on time and properly taking care of herself. After many stressful days of balancing far too many things at once than a healthy adult should, Mary was forced to consider taking her mother to a nursing home. Luckily, she found relief by seeking the advice and services of an in-home senior care provider.

An elder care manager provided great support, helping to set up doctor appointments and scheduling regular in-home visits from experienced registered nurses to make sure medications were taken on time, ensuring the overall care of Mary’s mother. As difficult as it was for Mary and the rest of her family to see their stubborn matriarch slowing down, there was great peace-of-mind knowing she was in the good hands of an elder care provider, and would be able to enjoy her final years happy, and in her own home.

Physicians Choice Private Duty can help

Physicians Choice Private Duty, currently serving Eastern Nebraska and Western Iowa, provides seniors and their families a complete understanding of the options available for people like Mary’s mother.

All Physicians Choice Private Duty services are directed by registered nurses or social workers with no long-term contracts. Contact us today.

“Physicians Choice Private Duty solves the problems families face in finding home health care providers they can trust. Providers who will focus on strategies that keep parents in their homes. To learn more about our health care services, visit https://private-duty.pchhc.com

How to take care of yourself while caring for an elderly parent

How to take care of yourself while caring for an elderly parent

	 How to take care of yourself while caring for an elderly parentCaring for an elderly parent can be an overwhelming experience. For one, there’s the stress related to seeing the health of someone close to you deteriorate. Two, the role reversal of caring for the person who cared for you so much of your life can be emotionally unsettling, to say the least. Not to mention the time it takes to give your elderly parent proper care — balancing work, family and friends all along the way.

That’s why in order to give the best care you need to first take care of yourself.

Help is always available from the knowledgable and experienced staff of senior care providers, such as Physicians Choice Private Duty.

An article in the Huffington Post by author John Shore offers “15 Ways to Stay Sane While Caring For an Elderly Parent.” Below, we’ve summarized the key points of the article for you.

  • Don’t neglect yourself. Make the time to go for a walk, watch your favorite shows, eat healthy and spend quality time having fun away from caregiving. This will help rejuvenate you and likewise will make you a better caregiver.
  • Take things slow. It’s new territory for both you and your elderly parent. Shore suggests you both let the process reveal itself and unfold organically.
  • Accept change. The role reversal of who’s-caring-for-whom can be very difficult to adjust to. Shore advises to “write a whole new script,” where old methodologies, emotions and roles may not apply.
  • Don’t expect any emotional revelations. While it would certainly be wonderful if your parent suddenly opened up to your emotionally and spiritually, don’t expect any sort of thing to happen. Rather, go in with no expectations and be surprised.
  • Show them respect. Even if you’re calling most of the shots, by offering your elderly parent as much autonomy as possible — giving options versus ordered — it’s a sign that they still have control over their own life. Likewise, don’t be surprised if they act angry or upset, give them the same respect they’ve earned from you your entire life. Also, asking their advice on various things shows you still trust, love and respect them.
  • Shore: “Love your health care providers.” The expert advice and support provide by the healthcare professionals also taking are of your elderly parent is priceless at such a sensitive time in both you and your parent’s life. Remember to treat well all who are helping — nurses, doctors, social workers, physical therapists, etc.
  • Look to your spouse for support. Oftentimes, according to Shore, your parent may be more comfortable relating to your spouse than you. This is likely because your parent has never been a dominant force in your spouse’s life, making them peers in a way. Let this relationship work the best it can for all parties involved.
  • Expect insane siblings. Aside from the emotional roller coaster associated with dying parents, there’s all that come along with it: your parent’s will, their possessions, their house, money and assets, etc. Shore is right on to suggest you stay away from participating in the madness, so long as you protect yourself.
  • Don’t let your parent get under your skin. Your parent is a master of driving you crazy, as they know exactly what your triggers are. Protect yourself from petty emotions episodes. Shore suggests using the Seinfeld-esque motto, “No buttons for you!”
  • Find outlets to let go of the stress. Things such as talking regularly with a friend and praying/meditating can go a long way in helping you not only deal with the stress of caregiving, but also helps your emotional health. Remember, no one really knows what happens when we die — there are bigger things out there.

Are there any tips for staying sane that Shore missed? Let us know in the comments.

Physicians Choice Private Duty solves the problems families face in finding home health care providers they can trust. Providers who will focus on strategies that keep parents in their homes. To learn more about our health care services, visit https://private-duty.pchhc.com/services/

What are the early signs of elderly kidney failure

What are the early signs of elderly kidney failure?

What are the early signs of elderly kidney failureKidneys play a vital in the overall health of a person at all stages of life. The bean-shaped organs that lie just below the ribcage in the back of the abdomen help purify the body of toxins as well as regulate bodily fluids such as electrolytes, stabilize blood pressure and even produce red blood cells. The elderly are at higher risk for renal failure than younger people — as the body ages so do the kidneys, especially after decades of working to cleanse the body of all sorts of impurities. Even though the early signs of renal failure can be subtle, when taking care of an elderly loved one it’s important to be aware of seemingly un-worrisome symptoms such as loss of appetite or increased/decreased urination.

There are two types of renal failure: acute and chronic.

Acute renal failure

As it suggests, acute renal failure comes on rapidly, with symptoms noticeable with in days, weeks or months. The elderly are more prone to acute failure, especially if they have a history of diabetes, high blood pressure, problems with weight and/or heart, kidney or liver problems. If symptoms are recognized and treated early, conditions resulting from acute renal failure are usually curable.

Common symptoms include:

  • Decreased urine output
  • Fluid retention causing swelling in the feet, ankles and legs
  • Increased urination at night
  • Drowsiness/fatigue
  • Nausea
  • Confusion
  • Back pain (above the waist, below the ribcage)
  • Loss of appetite
  • Chest pain/pressure
  • Nosebleeds
  • Bloody stools

Some cases of acute renal failure show no symptoms and are detected through lab tests.

Related: Who’s at risk for kidney disease (via National Kidney Disease Education Program)

Chronic renal failure

Unlike acute renal failure, chronic renal failure is a gradual process, taking place over years. People who are at increased risk include those diagnosed with diabetes, lupus, bladder cancer, scleroderma, vasculitis and a variety of kidney problems. Since the onset of chronic renal failure is so subtle, it often goes unnoticed until it’s too late to reverse the symptoms, resulting in eventual death. Many symptoms are shared between chronic and acute renal failure, with chronic symptoms increasing in severity.

Common symptoms include:

  • Change in color of urine
  • Increased urination at night
  • Water retention in the body (face, hands, legs, feet, ankles)
  • Unusual fatigue/weekness
  • Itching and dry skin
  • Loss of appetite
  • Nausea/dizziness/headaches
  • Vomiting (typically in morning)
  • Breathing problems
  • Back pain
  • Bone aches
  • Muscle pain/cramps
  • Paleness of skin/nails
  • Excessive thirst
  • Unusual weight loss
  • Numbness in the hands and feet
  • Bad breath
  • Easy bruising
  • Bloody stool
  • Sleeping problems

Related: Chronic kidney disease (via National Library of Medicine)

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Physicians Choice Private Duty can help

Physicians Choice Private Duty, currently serving Eastern Nebraska and Western Iowa, provides seniors and their families a complete understanding of the options available for your elderly loved one who showing symptoms of kidney failure.

All Physicians Choice Private Duty services are directed by registered nurses or social workers with no long-term contracts. Contact us today.

“Physicians Choice Private Duty solves the problems families face in finding home health care providers they can trust. Providers who will focus on strategies that keep parents in their homes. To learn more about our health care services, visit https://private-duty.pchhc.com/

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How Physicians’ Choice helps with elder care

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Who we are and what we can do

The professionals at Physicians’ Choice Private Duty Assisted Living provide comprehensive in-home assessments, services and resources to people with the goal of helping them remain in their home environment.

Physicians’ Choice Private Duty Assisted Living was developed by a social work professional who has years of experience working with people who are elderly and/or have disabilities, is familiar with the Omaha and Council Bluffs areas and who is connected with quality personnel at the local agencies who can help your loved one. Today, Physicians’ Choice is staffed by a team of professionals to personally work with each client and their family.

We strive to provide education and support to help your loved ones make their own decisions as long as possible, and enabling them to be as independent as possible. We advocate for your loved one while providing emotional support and assistance. We work with you to create a customized service solution which maximizes quality of life and peace of mind for both you and your loved.

Physicians’ Choice can help with a variety of elder care needs, including when:

  • Your loved one seems isolated or lives far away from those who can help.
  • Your loved one is receiving services from several different sources and could benefit from increased communication between them.
  • Your loved one seems to need assistance making decisions.
  • Your loved experiences multiple crises and nothing seems to help.
  • Your loved one seems to need assistance but is not sure which services to seek or how.
  • Family members disagree on decisions regarding the care of your loved one.
  • You suspect your loved one may be vulnerable to abuse, neglect or exploration.
  • Your loved one has a medically complicated situation that is becoming overwhelming.
  • Your loved one desires to stay in their home but needs help meeting their needs.

By utilizing a multi-disciplinary team, Physicians’ Choice Private Duty Assisted Living is able to see the big picture unique to every family. After the assessment we can give a clear picture of what is going on and what needs to happen in order for your loved one to remain as independent as possible. Our plan, or guide book, not only looks at all the options available, it also allows the family to make the necessary decisions to ensure their elderly loved one remains in their home safely for as long as possible. The answer may be just a phone call away.

Physicians’ Choice Private Duty Assisted Living solves the challenges families face in caring for aging parents, with a focus on strategies that keep them in their homes. To learn more about our solutions, visit http://www.private-duty.pchhc.com.”

elder-elderly-heatstrok

Elderly and heat stroke

elder-elderly-heatstrokWith a record-setting high temperatures currently sweeping across large portions of the United States, heat stroke is a rising concern among people over the age of 65, who are more prone to heat stroke then younger people. According to the Center for Disease Control, this is due to a number of factors. For one, elderly people do not adjust to sudden changes in temperature as well as young people do. Two, elderly people are more likely to have medical conditions that changes how their bodies respond to heat. Likewise, they are more likely to take prescription drugs that inhibit perspiration or make it harder for their bodies to regulate its temperature.

What is heat stroke?

Heat stroke is a type of hyperthermia that occurs when the body can’t control its temperature. When someone’s body temperature rises rapidly, it loses the ability to sweat and can’t cool down properly. Heat stroke comes on fast: in 10 to 15 minutes, body temperatures rise to 106°F or higher. Without emergency treatment, heat stroke can cause permanent disabilities and even death.

What are the signs?

Early signs of heat stroke are the same as heat exhaustion, followed by symptoms similar to those of a heart attack. Other common symptoms include:

  • High body temperature
  • Lack of sweat
  • Breathing difficulty
  • Flushed, dry skin
  • Confusion/disorientation
  • Strange behavior/hallucinations
  • Agitation
  • Seizure/coma

How to prevent heat stroke

Making sure an elderly person is in a cool place and is hydrated will help prevent heat stroke. If you know your aging parent is at risk and you’re unable to physically be there to take care of them, make sure someone is checking in on them once or twice daily. Some more ways to help prevent heat stroke include:

  • Keeping hydrated
  • Avoid drinking alcohol or fluids with high amounts of sugars — these can cause the body to lose more fluid
  • Staying indoors in the air-conditioning
  • If air-conditioning isn’t available, electric fans can help
  • Wearing loose fitting, light-colored and lightweight clothing
  • Limiting outdoor activity
  • Keeping well-rested
  • Avoiding strenuous activities

Physicians Choice Private Duty can help

Physicians Choice Private Duty, currently serving Eastern Nebraska and Western Iowa, provides seniors and their families a complete understanding of the options available for your elderly loved one who is possibly at risk for heat stroke and related complications.

All Physicians Choice Private Duty services are directed by registered nurses or social workers with no long-term contracts. Contact us today.

“Physicians Choice Private Duty solves the challenges families face in caring for aging parents, with a focus on strategies that keep them in their homes. To learn more about our solutions, visit us today..”