How do language barriers impact home health care? An article posted on Daily Nurse describes a new study that yielded an interesting result. “For people with limited ability to communicate in English, having the same home health nurse across visits significantly decreases hospital readmissions, regardless of whether the patient and nurse speak the same language,” according to the article.
The study consisted of 22,103 patients receiving home care in NYC after a hospitalization. Each of these patients did not speak English as their primary language; their primary languages were Spanish, Russian, Korean, or Chinese. The researchers concluded that having a nurse that spoke the same language as the patient yielded the best results and had the best chance of reducing the risk of readmission to the hospital. However, the consistency of the nurse regardless of language spoken also helped reduce hospital readmissions. Hospital readmissions cost the U.S. healthcare system more than $41 billion annually. Previous research has indicated that home care patients that speak a language other than English are at a higher risk of:
The article states, “The researchers conclude that healthcare providers should maximize continuity of care after hospitalization—particularly when language barriers cannot be addressed directly through staffing.” Nurses who regularly see the same patients get to know not only the patient, but their family, friends, and caregivers. This gives a unique advantage despite possible language barriers. Researchers emphasize the importance of continuity of care to reduce hospital readmissions. The study indicated that while results varied per language, continuity of care still reduced the risk of readmissions. In instances where the healthcare provider doesn’t speak the same language as the patient, interpreter services may be needed. Home care agencies often rely on telephone translation services as many seniors may not have internet access needed for video calls. Also, interpreter services are not always covered by insurance. Many insurance companies only reimburse for interpreter services if mandated by state law. In a perfect world, each home care agency would have nurses that speak all the languages of their clients. However, this is unrealistic because there are not enough nurses to meet that sort of demand. If you have any questions about home care for your loved ones, you can contact us. You can also check out the rest of our blog posts on our website.
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We have all likely heard the phrase “kids keep us young,” but what if there were health benefits to interacting with children? A study conducted in South Africa explores how playing with kids can help improve the mental wellbeing of retirement home residents.
Elizabeth Jane Earl and Debbie Marais of Stellenbosch University conducted a study at a retirement home in South Africa. Results suggest that “programs promoting interaction between residents and children may provide mental health benefits and could help manage common mental health conditions such as anxiety and depression.” “Earl and Marais conducted a study at a retirement home in South Africa where residents can interact regularly with children who attend an onsite preschool,” according a summary of the study on the scientific news website EurekAlert!. “Activities include playing games, doing puzzles, reading, or singing with the children. The program is in line with a philosophy of elder care called the Eden Alternative, which aims to minimize factors that contribute to anxiety and depression.” This study consisted of 10 women, including four who possibly have anxiety, depression, or both. It is important to note that previous research has indicated that common mental health symptoms go undiagnosed and untreated in retirement homes. At the conclusion of the study, the same 10 women completed a questionnaire to describe their experiences as well as their symptoms of anxiety and depression. Their responses indicated that their interactions with children increased their sense of purpose and belonging, increased positive emotions, and triggered fond recollection of their own childhoods. As previously noted, many common mental health conditions go undiagnosed. The American Medical Association provides tips for integrating behavioral health care for older adults. Many primary care physicians may have an integrated behavioral health practice where there is a psychiatrist or social worker in the office that can address mental health concerns in more depth. If you have any questions about home care for your loved ones, you can contact us. You can also check out the rest of our blog posts on our website. Written by Madison Chalmers
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As we age, many of us will begin losing mobility. A lot of older adults will begin using mobility assistance devices such as canes, walkers and wheelchairs, or even invest in an electric scooter.
The majority of seniors want to remain living in their homes as they age, but is an electric scooter suitable for at-home living? Things to consider before purchasing an electric scooter:
Considering your environment and lifestyle can help you decide if an electric scooter is right for you and what specific scooter will be best for you. For example, if you have an active lifestyle you may benefit from a compact and easy-to-maneuver model. On the other hand, if you have uneven surfaces in your home or are constantly outside on rough terrain, you may be better served by a heavy-duty scooter. An article in the Miami Herald newspaper this week recommended three electric scooters that meet a variety of needs: Zip’r 3-Wheel Traveler Scooter, Zip’r Breeze 3-Wheel Heavy Duty Mobility Scooter, and Zip’r Roo 4-Wheel Mobility Scooter. The Zip’r 3-Wheel Mobility Scooter has a compact design with a 25.4-inch turning radius, making it one of the best choices for older adults who are active and live in tight spaces. This scooter is lightweight and easy to transport and has a folding tiller and removable seat to fit in standard-size vehicle trunks. This scooter is also known for quick charging and can travel up to 12 miles on a single charge. The Zip’r 3-Wheel Heavy Duty Mobility Scooter drives up to 4.5 mph, runs up to 20 miles on a single charge, and has a maximum weight limit of 300 pounds. This scooter is known for its durability and can be driven inside and outside. It also offers storage compartments and cupholders. The Zip’r 4-Wheel Mobility Scooter is known for stability due to having 4 wheels instead of the standard 3. The extra wheel provides the stability to safely navigate tight corners and uneven surfaces. From uneven sidewalks or grassy areas to carpeted rooms, rides on this scooter will be smooth and comfortable. This scooter has all-terrain tires making it an ideal scooter for those who want the independence to travel around their homes as well as outside. Whether you are looking for a scooter to navigate smaller areas or maintain an outdoorsy lifestyle, there is a scooter for you. Losing your mobility is a difficult thing to cope with, but investing in an electric scooter can restore your freedom and independence. If you have any questions about home care for your loved ones, you can contact us. You can also check out the rest of our blog posts on our website. Written by Madison Chalmers
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There are many factors that cause older adults to enter nursing homes including declining health and the ability to care for themselves independently. A recent study indicates that social isolation is tied to a higher risk of older adults entering a nursing home. A recent article on the news website Medical Xpress explains how Mary Louise Pomeroy, Ph.D., from Johns Hopkins Bloomberg School of Public Health and her colleagues evaluated whether higher levels of social isolation are associated with overnight hospitalization, skilled nursing facility stays, and nursing home placements. “The researchers found that approximately 15 percent of community-dwelling older U.S. adults experienced social isolation, which was significantly associated with increased odds of nursing home placement and skilled nursing facility stays over two years,” according to the article. Social interaction and inclusivity can be vital to improve health trajectories and outcomes for older adults. Older adults should seek involvement in community settings to enhance social interactions. Friends and family regularly visiting older adults can help as well. Although social isolation is correlated with nursing facility stays and nursing home placements, home care continues to grow in popularity. But what do boomers want? The American Seniors Housing Association released a survey to determine who boomers are and what they want as they age. Over 7,000 people aged 55 to 74 completed the survey between December 2021 and March 2022. About 60% of respondents answered that they were considering transitioning to a senior living community within the next 4 years, and about 25% stated that they preferred staying in their own home. However, 25% increased to 55% when some sort of care or assistance was needed. Most respondents stated that remaining independent and self-sufficient was most important. Things that boomers find most important in their living areas include:
Benefits of a senior living community include having activities and events for residents to partake in which can help keep seniors engaged and socialized. Many senior communities place emphasis on events for residents to mingle so they are not alone. Additionally, many senior buildings will also provide transportation for trips into town, grocery stores, and the like. Social isolation can be a big barrier that seniors face in maintaining their health and independence. In the next several years, many of the 76 million boomers living in the U.S. will be transitioning into senior housing. If you have any questions about home care for your loved ones, you can contact us. You can also check out the rest of our blog posts on our website. Written by Madison Chalmers
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Many areas across the country have been experiencing record breaking temperatures. During heat waves it is imperative to stay hydrated and cool. As we get older, it is more difficult for our bodies to regulate our body temperature.
According to the National Institute on Aging, people 65 years and older are more susceptible to heat-related issues. Reasons for this include chronic medical conditions and medications making it more difficult for our bodies to adjust to sudden changes in temperature. Being overheated for an extended period of time can cause many health issues. Some of these include:
Although the conditions above are indicative of being too warm or being exposed to the sun too long, more serious conditions include heat exhaustion and heat stroke. When someone is experiencing heat exhaustion, they may feel thirsty, weak, nauseated, uncoordinated, dizzy, and rapid pulse. Heat exhaustion can progress to heat stroke. Heat stroke is a medical emergency characterized by the body’s temperature rising above 104 degrees Fahrenheit. Signs of heat stroke include fainting, confusion, and flushed skin. Anyone who is experiencing any of these symptoms should immediately seek medical help, move to a cooler place, and attempt to lower their body temperature by taking a cold bath or shower. Medical attention should be sought for any heat related illness when signs and symptoms persist. Although spending too much time in the heat or in the sun can have serious implications, it doesn’t mean you can’t enjoy your favorite warm weather activities. What can you do to prevent heat related illness?
If you have any questions about home care for your loved ones, you can contact us. You can also check out the rest of our blog posts on our website. Written by Madison Chalmers
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As we age, it’s important to not only keep our bodies strong, but our minds sharp as well. As medicine and technology continue to improve, the average life expectancy increases. According to the US Census, in 1920 about 5% of the population was over 65. In 2020, that number more than tripled. Although people are living longer, it does not necessarily mean they have a good or active quality of life.
How well we age is largely due to genetics, but there are many things we can do throughout our lives to maintain optimal physical, cognitive, and mental health as we age. Cleveland Clinic explains that illnesses like congestive heart failure, diabetes, and some forms of dementia can be delayed or prevented in some cases, and so can the loss of muscle strength. How can this be done?
Having optimal physical health is so important, especially as we begin to age. Some of the best ways to promote healthy living include:
The National Institute on Aging explains “that keeping your brain engaged in stimulating activities may help compensate for some of the changes that lead to things like dementia and memory loss.” What are some of the best ways to exercise your brain?
Every goal requires planning, and what you want your life to look like as you age is no different. It’s important to think about your wants and desires as you age – and that those desires are understood by those around you so that you. Some important things to think about as we age include:
Getting older and having many decisions to make doesn’t have to be scary, but planning is important. If you have any questions about home care for your loved ones, you can contact us. You can also check out the rest of our blog posts on our website. Written by Madison Chalmers
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To ease the burden family caregivers experience, Oklahoma passed the Caring for Caregivers Act last month, becoming the first state to adopt an expansive caregiver tax credit initiative. Oklahoma State Representative, Tammy West, explains that the purpose of the law is to “allow tax credits for people who are caring for older loved ones in their homes.”
West is hoping that this tax credit helps thousands of Oklahoma residents and acknowledges the hardship families can go through when caring for their loved ones. The Caring for Caregivers Act will help caregivers with expenses that are not covered by Medicaid such as adult diapers and home modifications (e.g., ramps, handlebars). "It is very difficult for caregivers, on average, a family that's taken care of older loved ones at home, it costs about $7,200 a year, just meeting those needs," West said, "So this is a way to kind of take a little bit of that pressure off." The Caring for Caregivers Act will allow a tax credit of up to 50% of eligible caregiver costs. However, there are limits. For example:
Although Oklahoma is the only tax break state with such a program currently, there are other resources out there to help seniors remain independent or help take the burden off caregivers. For example, there are community-based programs that can provide healthy meal deliveries. Meal delivery services generally cost between $8-$13 per meal but are often covered under Medicaid and Medicare Advantage. Verywell Health rated the best meal delivery companies for older adults:
Having healthy prepared meals delivered saves caregivers time and energy while also ensuring that their loved one is still eating a nutritiously dense diet. Having a well-balanced diet is important for overall health. If you have any questions about home care for your loved ones, you can contact us. You can also check out the rest of our blog posts on our website. Written by Madison Chalmers
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No business or industry is immune to staffing issues and the problems they cause. But what’s being done to ensure that nursing homes are staffed properly?
Jessica R. Towhey of Mcknights Long-Term Care News ereports that “New Jersey nursing homes that violate the state’s staffing minimums could be fined up to $500 per violation under new regulations proposed by the Department of Health.” Towhey continues: “Facilities that are found in violation of the staffing minimums would be required to submit a corrective action plan to the Department of Health. A second violation would require another correction plan and could see the facility fined up to $500 per violation per shift, plus being charged with additional violations equal to the number of staffers for which the shift is short.” There are some people who do not agree with this proposed plan, arguing that it may be counterproductive to enact such penalties. Other states have been more lenient due to concerns about fines and penalties causing more facilities to go out of business. In February 2021, staffing ratios for certified nurse aides (CNAs) were approved by the state, but no penalties have been imposed. The Health Care Association of New Jersey has stated that facilities are having a very difficult time meeting the minimum requirements due to staffing shortages. What are the minimum staffing requirements for CNAs?
How is the state of New Jersey trying to help facilities meet these minimums? The state has updated the criteria needed to certify CNAs. For example, someone who has been employed at a long-term care facility and has completed the skills and written test or has completed training and been given conditional approval pending a criminal background check. Additionally, the criteria were updated to include certified homemaker-home health aides who are also enrolled in a CNA program and actively working towards becoming a CNA. Staffing shortages in facilities means that residents may not be getting the time, attention, and care that they deserve. With a live-in aide, your loved one has constant one-on-one attention. If you have any questions about home care for your loved ones, you can contact us. You can also check out the rest of our blog posts on our website. Written by Madison Chalmers
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Imagine this: You have a loved one who is experiencing symptoms of Alzheimer’s disease or dementia. They have a car because they have always been independent. One day they take the keys like they normally would run their errands, and suddenly many hours have passed and you’re unsure where they are. You call the police to report them as a missing person hoping that someone has spotted them or will be able to find them.
You’re relieved to learn that if your loved one is confirmed as a missing person, a digital billboard will be posted about their disappearance. “According to the New Jersey State Police, a Silver Alert is activated when an individual with cognitive impairment, who's operating a motor vehicle and is believed to be in danger of death or serious bodily injury, has been listed as a missing person,” explains Dino Flammia of NJ101.5. Currently, the public is alerted of a Silver Alert through digital billboards, after law enforcement has confirmed that the person who went missing was driving a vehicle. However, N.J. Assemblywoman Angela McKnight believes the current system is not doing enough and is pushing for the expansion of Silver Alerts. Her goal is to have Silver Alert notifications be similar to Amber Alerts when a child goes missing. If new legislation is passed, the way we currently see Silver Alerts will change, but how? Flammia explains that Silver Alerts would need to be issued with a distinctive sound tone and the statement, “This is a missing person Silver Alert.” This alert would be broadcasted “as often as possible” during the first three hours and in appropriate intervals thereafter. Although Silver Alerts are meant to reunite loved ones safely, it is important to do your part to keep your loved ones safe. One way to do this is by having difficult conversations about whether it’s safe for them to drive. Discuss with your loved one what it means to lose that independence and how they will continue to have their needs met. As diseases like Alzheimer’s progress, your loved one will become more forgetful, putting their safety at risk. When thinking about how to maintain your loved one’s quality of life while keeping them safe, having a live-in aide may be best route for you and your family. A live-in aide can prevent your loved one from becoming a missing person because someone will always be with them. If you have any questions about home care for your loved ones and, you can contact us. You can also check out the rest of our blog posts on our website. Written by Madison Chalmers
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As we age, our senses may begin to age. According to the Centers for Disease Control and Prevention, hearing loss is the third most common chronic physical condition in the U.S. The National Institute on Deafness and Other Communication Disorders reports that 1 in 3 Americans aged 65 to 74 have hearing loss and about half of people older than 75 have hearing loss.
What can you do to support optimal hearing?
Choosing foods that are high in potassium (e.g., banana, pineapple, spinach), magnesium (e.g., almond, avocado, broccoli), zinc (e.g., shellfish, cashews, whole grains), folic acid (e.g., beans, lentils, citrus fruits), omega-3 fatty acids (e.g., salmon, sardines walnuts), and antioxidants (e.g., berries, leafy greens) can help support good hearing. Furthermore, Nancy Mitchell, RN explains the importance of remaining hydrated. “Drinking enough fluid ensures your body, including your inner ears, stays hydrated. Sufficient hydration supports your blood circulation and drives oxygen to your ears. As a result, that maintains your auditory functions and promotes overall health.” It’s imperative to drink enough water, especially during the summer months and doing outdoor activities. Additionally, getting regular exercise is also important, not only to support good hearing but for optimal health as well. When you think about exercise, you probably think about running or going to the gym. However, exercise can come in various forms. Finding an activity that you enjoy that is also a form of exercise is the best way to incorporate exercise into your daily routine. Mitchell Nyser of Hartford HealthCare says, “Exercise doesn’t have to be boring. And your exercise journey does not have to look like someone else’s. Your fitness goals are forever changing for one reason or another, so do the activities that you enjoy.” What are some fun ways to get in your exercise and the resulting benefits?
As we age and lose our mobility, exercising may look different – e.g., taking short walks, using low weights while sitting, and utilizing bike pedals. If you have any questions about home care for your loved ones, you can contact us. You can also check out the rest of our blog posts on our website. Written by Madison Chalmers
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