Living Well Blog

Posts Tagged ‘Living Well best practices to 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.

How to Be Safe at Home and Prevent Falls?

Sunday, June 27th, 2010

Seniors and fall riskOne of the most common reasons why seniors are forced to leave their homes and move into an institution is the occurrence of a fall or the existence of a high fall risk. Adult children and friends are scared of finding their loved one, who has fallen, a little too late. Time is important when a senior falls and help an immediate response  is needed.

Despite of the widely use of the “emergency response buttons”, we realized that most of the times these devices are  not being used at the moment of the fall. The risk of falling increases with age and falling is the number one cause of injury in adults over 65. These numbers are cause for great concern, but awareness and prevention can help decrease the likelihood of falls in the senior citizen years.

Living Well Assisted Living at Home has researched thoroughly different alternatives to bring safety at home and enable seniors to live independently while keeping seniors safe at home and providing real time report and request for assistance. We partner with Grand Care System, Halo Monitoring, and Universal Design to tailor made the house to the senior’s needs and bring peace of mind to the family members and friends.

ABC News recently featured a video about how preventing dangerous falls.

Watch ABC News Video on Preventing Falls

Trisha Kellog supports independent living with some assistance and in a recent blog entry, Trisha stresses the need for systems that supports safety. She states that “…With age comes the risk of falls and falls can lead to serious injury or death. Improving health and being aware of potential hazards will help ease the mind of you or your loved-one…” Read the article

When to Tell Your Parents: They Cannot Drive Any Longer!

Sunday, June 27th, 2010

adult children burdenSome of the baby boomers who also are “adult children” taking care of an aging parent face many challenges when taking care of this task. bringing awareness to our parents can be a challenging situation full of old and new family dynamics.

In an article for Forbes magazine, Living Well Assisted Living at Home mediator, Carolyn Rosenblat, Esq. calle it a new burden for boomers and states “…Denial is a very common reaction to the early warning signs of an older driver who is becoming dangerous. This denial can occur both among the elderly, who may get frantic at the idea of this privilege being taken from them, and among their adult children, who don’t want to have to deal with the consequences of Mom or Dad becoming a burden when it comes to transportation.

So make sure you start the driving conversation with your parent before he or she is 85–and preferably, when the parent is still safe to drive. My own mother-in-law is 87 and still drives…” 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

A Diversity Toolkit for Providing respectful Services for Any Diverse Community

Sunday, June 20th, 2010
Living Well supports Diversity on Aging

Living Well Supports Diversity on Aging

The Administration on Aging just released A Toolkit for Serving Diverse Communities.

This Toolkit provides the Aging Network and its partners with a replicable and easy-to-use method for providing respectful, inclusive, and sensitive services for any diverse community. The Toolkit consists of a four-step process and a questionnaire that assists professionals, volunteers and grassroots advocates with every stage of program planning, implementation and service delivery for older adult communities, their families and caregivers.

The core principles of the toolkit include respect, inclusion and sensitivity as the hallmarks of quality service. This Toolkit is an invitation to make a cultural shift in service provision, to learn, to grow and fully appreciate the diverse community of older adults that agencies and their partners serve.

Download the AoA Diversity Tool Kit

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