Living Well Blog

Posts Tagged ‘age in place’

Caring for The Elder at Home: The Need For a New Paradigm.

Tuesday, June 29th, 2010

Living Well at HomeThe increasing number of people turning 65, the high number of elders with health constraints, and the sky-rocketing price of health care posits the question of how are we going to care for all the elders who constitute, today the upcoming silver tsunami?

More than 40 percent of adult patients in acute care hospital beds are 65 or older. Seventy million Americans will have turned 65 by 2030. They include the 85-and-older cohort, the nation’s fastest-growing age group. Elderly people often have multiple chronic illnesses, expensive to treat, and they are apt to require costly hospital re-admissions, sometimes as often as 10 times in a single year. Living Well Assisted Living at Home has designed a new model of comprehensive care that will help care for elders at home, including those who are frail, recovering from surgery, accidents or any illness. The model also strives to care for those suffering from dementia, at home.

In an article written by Milt Freudenheim for the Health section of the New York Times, in June 28, 2010, we find how geriatricians and other professionals are lobbying for best practices in the field of aging.  In the article it is stressed the fact of how “..to stay independent, the elderly will need to stay healthy. Many of these people could be back on the golf course and enjoying their grandchildren if we did the right thing for them,” said Mary D. Naylor, a longtime geriatric care researcher and professor of gerontology in the School of Nursing at the University of Pennsilvania. Her research showed that even fragile older people could avoid a quick return to the hospital if they are managed by teams of nurses, social workers, physicians and therapists, together with their own family members. Hospital re-admissions, which cost $17 billion a year, could be reduced by 20 percent — $3.5 billion — or more, she said…” Obviously a new approach to care for the elder is imperative if we wnat to promote wellness in this sector of the population and reduce the increasing costs of caring for seniors.

Mr. Freudenheim continues by saying: “…Many internists, family physicians and other primary care doctors are lobbying for payments for a team approach based in the physician’s office. The concept, which they call a patient-centered medical home, will be tried out under the new health care law by Medicare, Medicaid and some private insurers. Secretary Sebelius has called the medical home idea “one of our most promising models for improving the quality of care and bringing down health care costs…”

Read the article.

The Importance of Medical Advocacy for Hospitalized Elders

Sunday, June 27th, 2010

Liivng Well medical advocacy for eldersThere is evidence that even short episodes of hospitalization on elders can hinder recovery from patients’ initial conditions, extending hospitalizations, delaying scheduled procedures like surgery, requiring more time and attention from staff members and escalating health care costs. Afterward, patients are more often placed, whether temporarily or permanently, in nursing homes or rehabilitation centers.

Medical advocacy is a key component of Living Well’s approach to care that has been demonstrated to lead to improved quality of life and avoid further complications for seniors’ health. It is vital to avoid unnecessary visits to the ER and prolonged home stays.

Pam Belluck offers advice on how to prepare when an elderly patient is headed to surgery or a hospital stay in a recently post in The New York Times. She offers  Six Questions to Protect Elderly Patients.

Read the article.

Baby Boomers May Need to Find New Care Networks to Care for Their Golden Years.

Sunday, June 20th, 2010

In a paper presented at the 2010 Congress of the Humanities and Social Sciences, held this week at Concordia. University in Montreal, Jacques Légaré and other researchers at the Université de Montréal, stated that Baby Boomers will need to be creative when it comes to find new alternatives to senior care.

“…Who are tomorrow’s seniors going to call when the going gets rough? Today’s young adult may not have a child to help out when they become older? Today’s adult is having less children. Because of this when they are elderly they may need to have non-traditional support networks or pay for the care that past generations relied on their own children for. That’s the findings of Jacques Légaré, professor at the Université de Montréal. Légaré studies

Aging in Palce for Boomers

Baby Boomers Aging

aging baby-boomers. Baby Boomers are a generation that had fewer children and were less likely to have a stable marriage. Légaré  stated that until 2030 the family circle involving senior citizens will be evolving. For about 70 percent of today’s frail seniors the family circle provides care. Generally that care comes from the children or their spouse. They are the last population before the baby boom after World War II. Today’s Baby Boomer generation is rapidly hitting the golden years but not with the same family security that their parents had. With divorce, blended families and common-law unions the family scheme is vastly different than in their parents’ day. Adding in medical advancements that have increased life span brings an unclear picture of who is going to care for those unable to care for themselves. “Tomorrow’s elderly – today’s boomers – had far fewer children. Who will take care of them?” Légaré asked, “They risk finding themselves in difficult circumstances and might have to turn to the public system or pay their way.”

Read Legare’s Paper

Avoid Sending Your Loved One Back to the Hospital!

Sunday, June 20th, 2010
Liivng Well one-stop-shop

Liivng Well one-stop-shop

The New York Times published on June 18, 2010, an article by Lesley Alderman that stresses the need of a coordinated and comprehensive discharge plan. The article states that “…According to a study published last year in The New England Journal of Medicine, one in five Medicare patients returns to the hospital within 30 days of being discharged. The problem is an expensive one: in 2004, these readmissions cost Medicare $17.4 billion dollars, the researchers also found.

Hospital stays certainly are shorter now: the average stay was 4.6 days in 2007, down from about 5.7 days in 1993. But the readmissions problem is not simply the result of compressed care, experts say…” Read More

There is No Evidence that Current Strategies Prevent Alzheimer’s

Tuesday, May 18th, 2010
Living Well with Alzheimer's

Living Well

In a recent article published on the Wall Street Jurnal online, by Shirley Wang (April 28, 2010), we learn that after a panel discussion led by specialists at the National Institute of Health (NIH), there are not clinical or other interventions that had proven effective in the prevention of Alzheimer’s disease. They concluded “…There’s not enough evidence to suggest that medicines or dietary supplements prevent Alzheimer’s disease or cognitive decline, an independent committee of experts convened by the National Institutes of Health concluded today.

The three-day meeting of 15 experts took a critical look at the state of science surrounding the memory-robbing disease, which is now the sixth-leading cause of death in the U.S. The main conclusion: there’s not enough good research out there to show that any intervention prevents the disease. Read the panel’s draft statement here.

Some factors that appear to be related to decreased risk of Alzheimer’s include “cognitive engagement” like training people in reasoning and memory, walking and a Mediterranean diet. But there’s no consistent evidence that multivitamins, gingko biloba or other supplements can do anything to stave off the disease.

The experts didn’t find evidence that Alzheimer’s drugs like Pfizer and Esai’s Aricept and Forest’s Namenda, approved to treat memory loss and other symptoms of the disease, are also effective in slowing or preventing dementia. Read More

There is Hope….New Tools to Detect Alzheimer’s

Sunday, May 16th, 2010
Avid, Bayer, General Electric Push Agents to Spot the Disease From Brain Scans.

Living Well has been doing research for the best practices to assist and support people with Alzheimer’s. Now we have good news.

In an article by Shirley Wang,  in the Wall Street Journal on April 15, 2010, we learned that “…companies specializing in medical imaging are pushing to develop chemical agents to detect Alzheimer’s disease from brain scans, a process that one day may make it possible to predict who will suffer from the progressive ailment before symptoms appear.

Avid Radiopharmaceuticals Inc., a tiny imaging company based in Philadelphia, and multinationals like Bayer,  AG and General Electric Co., are among those working on imaging compounds to help doctors spot signs of the memory-robbing disease. Such chemical compounds would be a first of their kind and would help their makers tap into the multibillion dollar Alzheimer’s diagnostic market. These diagnostic tools will be important to developing new treatments as well. Many experimental Alzheimer’s treatments appear to work better in patients with less severe forms of the disease but are too weak to have an effect on patients by the time they are diagnosed today…” Read more

Assisted Living Facilities Can Not Be the Havens We Think!

Friday, May 14th, 2010
You do not need to leave your home

Aging in Place: You do not need to leave your home!

In an article by Rochelle Oliver, published on Psych Central, we learn that although “… a  large number of the elderly population spends their remaining years in assisted living facilities, new studies have brought to light the effects these sorts of facilities have on an older person’s mental and physical wellbeing.

The research conducted in Los Angeles by lead author Jennifer Martin, PhD of the University of California Los Angeles and VA Greater Los Angeles Healthcare System suggests that 65 percent of the elderly in assisted living facilities aren’t able to get the necessary amounts of sleep they need to maintain good health… read more.