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About A Place at Home

Our mission is to be an in-home care agency providing Compassionate Care delivered by Passionate Professionals who advocate for the health and wellness of those who want to remain in the comfort of their own home. We believe that seniors are happiest when they are able to remain in the comfort of their own homes. When you need us, we are also there to offer care coordination of the healthcare system.

A Place At Home’s current coverage area in Nebraska includes the communities of Omaha, Bellevue, Papillion, La Vista, Elkhorn, Fremont, Blair, Wahoo and Gretna. With the completion of our second branch office in Council Bluffs in June 2015, we have expanded our reach to Nebraska’s neighboring communities in Iowa.

Blood Pressure: Is a Lower Number Not Necessarily Better?

While many adults struggle to adapt their diets and lifestyles to try to reduce blood pressure, it is easy to overlook the dangers that can sometimes accompany lower-than-normal blood pressure.

Regardless of your age or health, monitoring blood pressure is a preventative measure that should be performed frequently. These readings give insight into the heart’s ability to move blood throughout the body. Lower-than-normal readings can be detrimental to your health. They can deprive the brain and other organs of the oxygen and nutrients delivered in the blood. Keep in mind that a single lower-than-normal reading does not indicate there is a serious complication if there are no additional symptoms.

If you monitor your blood pressure at home on your own, it is important to know how to interpret the numbers that make up your reading:

  • Systolic pressure is the top number in a typical blood pressure reading. It measures the amount of pressure within the heart as it pumps blood out through the arteries to the rest of the body.
  • Diastolic pressure is the bottom number in a typical blood pressure reading. It measures the amount of pressure within the arteries when the heart rests between beats.

The American Heart Association suggests more attention is usually given to the top (systolic) number as it can be an early indicator of heart disease for those over the age of 50. However, most people experience a rise in systolic blood pressure as they age. This can be due to the increasing stiffness of large arteries, long-term build-up of plaque, and increased incidence of cardiac and vascular disease.

The optimal blood pressure for adults is less than 120/80 (systolic/diastolic). In healthy people, low blood pressure without any symptoms is not usually a concern. It can, however, signal the possibility of an underlying problem, especially for the elderly. In general, seek medical attention if you are experiencing lower than normal blood pressure along with any of the following symptoms:

  • Fatigue
  • Depression
  • Fainting
  • Dizziness or lightheadedness
  • Dehydration or Unusual thirst
  • Lack of concentration
  • Blurred Vision
  • Nausea
  • Cold, clammy, pale skin
  • Rapid, shallow breathing

Severely low blood pressure readings may be caused by underlying heart, endocrine, or neurological disorders. Always check with your doctor to make sure your medication is not the cause of any new or unexpected symptoms. As we age, it is important to become aware of the effects of changes in blood pressure along with how to safely monitor them.

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A Place at Home specializes in providing Compassionate Care delivered by Passionate Professionals. Our skilled caregivers advocate for the health and wellness of those who want to remain in the comfort of their own homes.

CPR Basics for Friends and Family

CPR is a life-saving technique that can be used in a number of emergency situations when an individual’s breathing or heartbeat has stopped. It is encouraged that everyone learn basic CPR, however you do not need to take a class in order to administer basic chest compressions in an emergency.

In fact, the American Heart Association recommends performing CPR to the best to your ability before paramedics can arrive on the scene. Simple hands-on CPR (chest compressions) at the rate of about 100 a minute can be enough to save a life before help can arrive.

Assess the Situation in an Emergency

CPR-basics

Making decisions during an emergency can be extremely stressful. If you are in the company of a loved one whose breathing or heart beat has stopped, stay calm. Regardless of that person’s age, keep these three tips in mind before administering CPR:

  1. Identify if the individual is still conscious or not. Ask “are you OK?” in a loud voice while clapping or tapping the person’s arm.
  2. Ask a friend to call 911 while you begin CPR. If you are alone, always call 911 first unless you are dealing with a victim of drowning or suffocation. It is imperative to deliver immediate CPR to someone who is unresponsive because of suffocation.
  3. Use an AED if it is available. Follow the instructions on the device to deliver a single shock before starting CPR.

Keep this Acronym in Mind: CAB

Memorize this simple acronym to properly administer CPR. Remember, even if you are not formally trained, you can still administer hands-on CPR in the form of chest compressions.

  • C for Compressions. Chest compressions aid with restoring blood circulation after breathing has stopped. These should begin immediately.
  • A is for Airway. Clear the airway by tilting the head backwards while lifting the chin forwards as the individual is laying down flat on his or her back. (See photo)
  • B is for Breathing. Rescue breathing is the final step in administering CPR and should only be done by those trained to do so. Use only when an injury prevents the airway from opening. If you have reason to believe the person is unconscious from a heart attack, forgo rescue breathing and continue chest compressions until help can arrive. Rescue breaths are administered in cycles in combination with chest compressions. One full cycle: 30 chest compressions followed by two rescue breaths.

Perform up to five cycles before using an AED, if available. If you have access to an AED, administer a single shock, then continue CPR. If no AED is available, continue administering full cycles until help arrives.

A Place at Home specializes in providing Compassionate Care delivered by Passionate Professionals, including urgent care. Our skilled caregivers advocate for the health and wellness of those who want to remain in the comfort of their own homes. Contact us today!

How To Prevent Heart Disease At Any Age

Taking proper care of your heart requires a lifestyle commitment that not everyone is willing to make.

People of all ages can get caught up in bad habits like smoking, unhealthy eating, and lack of exercise. Celebrate American Heart Month this February with the American Heart Association by evaluating your focus on heart health.

Live smoke-free

Smoking remains the leading cause of preventable death and disease in the United States. Smoking kills more than 480,000 Americans each year.

The act of smoking is extremely harsh on our hearts and blood vessels. Smoking gives way to increased blood pressure and depleted oxygen levels. In just 20 minutes after that last drag, blood pressure levels and pulse rates begin dropping. After a full year of quitting, a person’s chance of a heart attack is diminished by half. Reducing the risks associated with CVD begins with putting out that last cigarette, for good.

Remember, quitting tobacco products completely is the only working strategy to fully protect your heart from the negative effects of smoking.

Eat Healthy

Did you know that protecting yourself from heart attacks and other heart diseases can begin with a simple change in diet? Diets high in sodium can lead to increases in blood pressure and further complicate symptoms of an existing cardiovascular disease.

Limit consumption of unhealthy, solid fats and cut down on recipes that are high in cholesterol. Substitute plain fruits and vegetables into your shopping list for items that are high in sodium, like instant dinners. Consider buying from local producers to add an extra dash of freshness to your next meal.

Looking for a new culinary direction for your meals? Check out the delicious, heart healthy dishes that are common to the Mediterannaean Diet. Seniors can greatly benefit from the food choices associated with a Mediterranean diet, as well as the cultural emphasis on enjoying meals with friends and family.

Exercise Daily

One of the greatest challenges is pairing a nutritious diet with regular exercise. Older adults, who are at the greatest risk of heart disease, must engage in regular physical activity for lower, safer blood pressure and cholesterol levels.

If you are looking for ways to stay active, don’t underestimate the value of simply going for a walk if the weather is tolerable. Many adults with joint pain and arthritis will turn to yoga or water aerobics as their outlet for physical activity. Water provides a kind of low-impact resistance training capable of targeting your joints and muscles.

As always, family members and caregivers should work to improve mobility and fall prevention by finding exercises that target the skills and abilities that can keep seniors safe during their daily routines.


A Place at Home provides a range of at home services, as well as R.N. advocacy and care coordination to the aging communities around Omaha and Council Bluffs.

The Seven Stages of Alzheimer’s Disease – Dr. Reisberg

The Seven Stages of Alzheimer’s was developed by Barry Reisberg, M.D.. Reisberg is a clinical director of the New York University of Medicine’s Aging and Dementia Research Center.

These seven stages make up a general guide to show the progression of Alzheimer’s. Each person responds differently to the onset of the disease, therefore making it difficult to place a person within one specific stage. Also, the symptoms may overlap.

Stage 1

First, Alzheimer’s begins before there is any evident impairment or memory problems. Dementia symptoms are not seen at this stage.

Stage 2

Next, the patient may experience mild cognitive decline. This can appear as normal age-related changes in addition to early signs of the disease.

Stage 3

Those around the patient may soon especially begin to notice memory issues. These may include:

  • Trouble scheduling plans
  • Remembering correct words or names
  • Misplacing objects

Stage 4

Moderate cognitive decline and symptoms in line with an Alzheimer’s diagnosis are easily seen at this stage. Some may notice the following:

  • Lapse of recent events
  • Trouble remembering one’s personal history
  • Difficulty doing complex tasks
  • Becoming moody or withdrawn, in socially or mentally challenging situations

Stage 5

Soon after, patients may exhibit obvious gaps in memory and thinking. In addition, they may require assistance with some day-to-day activities, including:

  • Stating the days of the week
  • Recalling basic personal information; addresses and phone numbers
  • Choosing proper clothing for the current weather or season

Stage 6

This stage marks the beginning of severe cognitive decline. Patients at this point require a great deal of assistance with daily tasks. Patients may:

  • Lose sight of recent experiences and their surroundings
  • Tend to wander or become lost
  • Trouble remembering personal information
  • Not be able to match a name to a familiar face
  • Require help in the bathroom
  • Have issues with bladder and bowel control

Stage 7

And finally comes the person’s inability to respond to their surroundings or carry on a conversation. In some cases, control of movement and motor functions disappear.

For help caring for your loved one with Alzheimer’s, contact A Place at Home today.

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The Benefits of Yoga for Aging Adults

Finding activities that keep seniors active in their daily lives can be challenging. Recent studies have shown how yoga can be beneficial for both the minds and bodies of aging adults. If you or a loved one are looking for low-impact, low-resistance exercise, consider taking a yoga class or learning the positions at home with a friend or family member.

Build Strength and Improve Balance or Mobility

We all know that falls are the leading cause of injury among aging adults. But did you know that the movements and poses taught in yoga can improve muscle strength and balance over time? Practicing yoga can save seniors from future falls; guaranteeing mobility for years to come.

Minimize hypertension and Protect Your Joints

Yoga is a low-impact exercise that aides with the lubrication of joints that may have become stiffer with age. Regular yoga can slow the onset of painful joint disorders like carpal tunnel syndrome or arthritis. One key element of yoga is breathing. Slow, controlled breathing accompanied by the proper movements and poses can decrease nervous system activity and even tackle high blood pressure rates associated with hypertension.

Sharpens Mind, Reduces Anxiety, Boosts Mood

Focusing on an activity like yoga allows seniors to achieve a certain level of mindfulness in their daily lives. When your mind and body work together to perform a pose, it is common to enter a calming state of relaxation. Take this opportunity to block out negative thoughts and feelings that complicate your ability to focus. You may notice a boosted mood following your workout, and the ability to carry this focus into other activities in your life outside of yoga.


Do you need a care provider for yourself or a loved one? Here at A Place at Home, we understand the importance of a regular schedule of exercise and offer at home care services that can accommodate your needs.

Tips for Treating and Diagnosing Hypoglycemia – Need to Know

Hypoglycemia is a common problem for diabetic patients, however people without diabetes can suffer from it as well. Regardless of your risk, it is important to learn about safely preventing, detecting, and treating its symptoms.

According to the American Diabetes Association (ADA), hypoglycemia is a condition distinguished by abnormally low blood glucose (sugar) levels. Blood glucose levels should stay above 70 mg/dl, however symptoms of hypoglycemia differ dramatically from person to person.

A combination of factors can cause sudden drops in blood glucose levels. These include diet, medication, and exercise. Talk with your doctor and become familiar with how your body reacts to an episode of low blood glucose.

If Left Untreated

If left untreated, severe hypoglycemia can have fatal consequences. Hypoglycemic patients are prone to accidents and injuries as a result of the swift onset of dangerous symptoms, including:

  • Unconsciousness
  • Weakness or fatigue
  • Anger, sadness
  • Lack of coordination
  • Nightmares / crying out during sleep
  • Seizures
  • Nervous or Anxious Feeling
  • Sweating, Chills, Clamminess
  • Irritability / Impatience
  • Confusion, including delirium
  • Rapid heartbeat
  • Feeling lightheaded / dizzy
  • Hunger or Nausea
  • Blurred / Impaired Vision
  • Tingling / numbness
  • Headaches

How To Treat

While hypoglycemia can sometimes turn into a medical emergency, it is rather easy to treat from home if done immediately. The ADA suggests consuming 15-20 grams of glucose or simple carbohydrates to help boost blood sugar levels. Be sure to recheck your glucose levels after eating. If the symptoms continue, repeat the process.

Without immediate treatment, hypoglycemia can cause seizures and comas. If a patient becomes unresponsive, the hormone glucagon must be used to return glucose levels to normal. Glucagon signals the liver to release stored glycogen and change it back to glucose. Because of this, blood sugar levels return to the normal range.

In some cases, a person may have few or none of the above symptoms, even though their blood glucose level may be lower than normal. This is called Hypoglycemia Unawareness (HU). HU can affect patients who often experience low blood sugar episodes or those who have had diabetes for a long time.

Wearing a medical ID can help increase the response time for a person having a hypoglycemic episode. In the event of an emergency, a medical ID communicates valuable information to first responders, therefore helping to make sense of an emergency situation.

Most of all, learn to understand the signs and symptoms of hypoglycemic episodes. Inform those close to you of the necessary precautions needed to handle such emergencies.

 

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Improving Breast Cancer Awareness for Seniors

The National Institute for Health recognizes breast cancer as one of the most deadly forms of cancer for American women between the ages of 45-85.

As technology and health care have improved, the fatality rate for breast cancer has decreased. However, the number of new cases of breast cancer has increased steadily for years.

Increasing Awareness Is the Key to Early Detection

Increasing awareness of breast cancer screening methods among women (and men) as they age is incredibly important to guarantee they have the knowledge and preparedness to take action.

In general, cancer cells are known for their rapid, abnormal growth. While these harmful cancer cells may develop locally in one area of the body, they can quickly spread to other vital organs and prevent normal bodily functions that support life. For all forms of cancer, early detection is critical to the success of patient outcomes.

Helping Seniors Understand Screening Methods for Breast Cancer

Mammograms: The best way to confirm any suspicions that you have about the health of your breasts is to schedule an appointment where screening can be performed using mammography. According to the National Institute for Health, a mammogram is a special x-ray of the breast that often can detect cancers that are too small for a woman or her doctor to feel. Due to the density of women’s breasts before menopause, mammograms are typically only given to women over the age of 50.

Clinical Breast Exams: In addition to receiving mammograms annually, regular clinical breast exams (CBE) should be performed by a health professional, such as a doctor, nurse, or physician’s assistant. During a clinical breast exam, the breasts will be inspected for abnormalities in size and shape, as well as changes in the skin or nipples. The examination will also require the health professional to feel the breasts to inspect tissue for lumps or irregular shapes or textures.

Breast MRI: Using magnetic imaging, MRI’s are used to get a detailed look at the breast health of women with higher risks. Typically used as a follow-up method after the discovery of suspicious physical symptoms.

Breast Self Exam: While it should never replace a mammogram or CBE from a doctor, a self examination of one’s breasts can be performed at home alone. Known as a Breast Self Examination (BSE), women can inspect their own breasts for abnormalities in size and shape by gently palpating the breasts one at a time in front of a mirror. If you choose to perform regular BSE’s at home, remember that there are a number of reasons why you might notice changes in the size or shape of your breasts. These changes can often be attributed to:

  • Pregnancy
  • Aging
  • Menopause
  • Menstrual Cycles
  • Birth Control Pills
  • Hormones

Despite the fact that there are differing opinions in the medical community about the effectiveness of self-exams at home, women of all ages need to understand the risk factors and physical warning signs for breast cancer.  You can read more about the risk factors and physical warning signs of breast cancer here.

Helping Seniors Get Screened for Breast Cancer

Seniors might need special attention to make sure they receive the necessary screening for breast cancer as they age. Caregivers, companions, and family members can help schedule doctor’s visits and ensure transportation is in order to guarantee that missed mammograms are not missed opportunities for early detection.

Other times, seniors might hesitate to have screenings done out of fear that they cannot afford them. The Center for Disease Control and Prevention outlines eligibility for these individuals to receive low-cost and even free screenings.  Since September 2010, the Affordable Care Act has required all new health insurance plans to cover yearly mammography (with no co-payment) for women ages 40 and older.

A Place at Home provides RN Advocacy services that can include coordinating your health care needs and acting as a liaison between you or your senior and various medical professionals.  This ensures that communication is understood and followed while providing the peace of mind that no stone is left unturned when it comes to your care. Contact us today to learn more.

VIDEO: Understanding the Major Problems with Typical Senior Living Situations

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About A Place at Home

Our mission is to be an in-home care agency providing Compassionate Care delivered by Passionate Professionals who advocate for the health and wellness of those who want to remain in the comfort of their own home. We believe that seniors are happiest when they are able to remain in the comfort of their own homes. When you need us, we are also there to offer care coordination of the healthcare system.

A Place At Home‘s current coverage area in Nebraska includes the communities of Omaha, Bellevue, Papillion, La Vista, Elkhorn, Fremont, Blair, Wahoo and Gretna. With the completion of our second branch office in Council Bluffs in June 2015, we have expanded our reach to Nebraska’s neighboring communities in Iowa.

Living with Cardiovascular Disease (CVD)

Throughout my high school years, the dean would typically end the morning announcements with the same reminder: to pursue “in all things, ladies and gentlemen, moderation.” But for young teenagers who smirked at any suggestions of restraint, his message was often lost in translation throughout the course of that very same day.

Sometimes we need constant reminders in order to shape our behavior for the better. Other times, we aren’t given the opportunity of a second chance to make those necessary changes. If you or a loved one is currently living with cardiovascular disease, now is the time to make the lifestyle changes needed to prolong life. These helpful tips offer a comprehensive, health-conscious strategy for managing cardiovascular disease.

Quit Smoking

One of the most important steps anyone can take towards managing cardiovascular disease is to quit smoking. While quitting cold turkey does not technically follow a trend of moderation, there is no “moderately healthy” amount of smoking.

Smoking is extremely harsh on our hearts and blood vessels by giving way to increased blood pressure and depleted oxygen levels. In just 20 minutes after that last drag, blood pressure levels and pulse rates begin dropping. After a full year of quitting, a person’s chance of a heart attack diminishes by half. Reducing the risks associated with CVD begins with putting out that last cigarette, for good.

Healthy Eating

Besides kicking unhealthy habits like smoking, living with CVD also requires extra dietary monitoring. Limit consumption of unhealthy, solid fats and cut down on foods that are high in cholesterol. Even without the threat of disease, everyone should be trying to include a moderate amount of protein by consuming lean meats, poultry, fish, low-fat dairy and eggs.

Remove that saltshaker from the table come dinnertime. Diets high in sodium can lead to increases in blood pressure that can further complicate symptoms of CVD. Substitute plain fruits and vegetables into your shopping list for items that are high in sodium, like instant dinners.

One of the greatest challenges is pairing a nutritious diet with regular exercise. Although a person’s ability to perform certain activities may lower with age, the importance of exercise does not. Older adults, who are at the greatest risk of heart disease, must engage in regular physical activity to enjoy lower, safer blood pressure and cholesterol levels.

Regardless of age, enjoying a comfortable level of control over CVD cannot happen before having a conversation with your doctor. Active monitoring, a dietary adjustment, and extra emphasis on exercise are essential for seniors looking to enjoy a greater level of control over their CVD.

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