For seniors, managing to find the time or energy to exercise on a daily basis can be hard enough. But when the wind is blowing and the snow is falling, low temperatures and icy conditions can prevent everyone young and old from getting active during the dreaded winter months.

Remember, physical activity increases blood flow to your whole body. Staying active is important for your whole body, including your brain. Performing a minimal amount of daily physical movement and exercise can even help to prolong some of the memory loss and cognitive decline associated with aging.

Focus on Realistic Goals

The key to finding the appropriate activity and exercise for you or your aging loved ones is to firstly focus on realistic goals.

What do you want to accomplish through the pursuit of a particular workout?
For older adults, exercises should help to target important skills and abilities that will keep them safe in their daily routines.

Improve Fall Prevention

Each year, one third of Americans age 65 or older experience an accidental fall that could end their lives. For seniors, living in fear of falling should not have to be a part of the daily routine. Aging adults can mitigate both fear and risk by dedicating a small window of time towards working on balance each day.

For a comprehensive list of movements geared towards fall prevention, check out Medline Plus’ entry on balance exercises. The workouts are easy enough to perform from the comfort of your own home or at work with little space. Examples of appropriate balance exercises include standing on one foot or using a chair to perform leg raises.

Choose Low Impact Activities

Looking for an excuse to venture away from your usual spot at home or work? Don’t underestimate the value of walking for your strength training.

If the sidewalks are plowed and the temperature is bearable, then take a stroll around the block. If winter conditions are discouraging, visit a large store or indoor mall and get your exercise done while shopping for groceries or new clothes. Stairs within your home or office can also provide the necessary challenge for a quick, effective workout.

As an alternative, many adults with joint pain and arthritis will turn to water aerobics or other similar exercises that can be done in the pool as their outlet for physical activity. Water provides a kind of low-impact resistance training capable of targeting your joints and muscles.

Retain Your Flexibility

Most importantly, begin your exercise routine with a simple stretching warm-up. As we age, our muscles become shorter and lose their elasticity causing a decreased range of motion.

For seniors, stretching is essential for staying limber and flexible enough to perform the basic activities needed to get through the day. Yoga can provide the necessary movements and kind of low impact workout needed to increase flexibility as we age.

Retaining good flexibility and range of motion through stretching can be even more important when wearing layers to combat cold temperatures.

Don’t Give Up

If these exercises feel overwhelming at first, don’t simply quit. It can take your body weeks to adjust to a new routine of physical activity. Be sure to start with reasonable and realistic goals based on your current abilities and limitations.

Article Sources:

• Falls Among Older Adults – Center for Disease Control
• Exercise for Seniors – Medline Plus
• Elder Flexibility – Eldergym
• Pool Exercises for Seniors – LIVESTRONG
  

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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.

Providing quality care for aging adults begins at home. Our homes represent so much more than just physical places filled with our possessions. Homes reflect their owners’ identities and give a sense of comfort.

According to AARP, an overwhelming 89% of older Americans said they wish to remain in their current home for as long as possible. While a person’s mobility may decline with age, the level of accessibility at his or her current residence should not. With the right approach, home modifications can be done quickly and at a relatively low cost.

Before making any changes within the house, evaluate access to your main entrance. Consider the importance of universal design for your home. Universal designs create a safer and more comfortable home for everyone, regardless of age, size, or ability.

Do you or a loved one require full wheelchair accessibility? If so, modifications will not only allow that person to reach the door, but also to pass through it while remaining comfortably seated. In order to increase accessibility for wheelchairs, consider adding a ramp leading up to the house from ground level. A vertical lift is a possibility if you lack the space for a ramp. The cost depends on the size and choice of materials, however there is financial aid available for those who qualify.

If you or a loved one cannot afford the cost of a necessary repair, consider these options:

• Medicare, Medicaid, and your current health insurance plan
• Contact your local Area Agency on Aging regarding the availability of funds to help you get started.
• Look for grants available through your church or local community as well as the federal government.
• Lastly, consider loan options from your bank based on your home equity.

Adapting your home to your abilities through the use of universal design principles does not stop at the front door of your house. Many modifications can be made to increase the level of accessibility for your home’s interior as well. In some cases, an occupational therapy assessment can help identify which aspects of your home pose the greatest challenges to your mobility.

Stairs tend to pose a challenging risk for aging adults. A stairway lift can provide full independence, especially for upstairs bedrooms. Guarantee accessibility to communication devices by using cordless phones or cellular devices to place nearby in case of an emergency. If necessary, install an intercom system in place of a standard doorbell.

Bathrooms and kitchens can also be complex areas to navigate for those with limited mobility. Lowering sinks and counter tops, installing appliances and light switches that are easy to reach, and adding assistive devices are all possible solutions that an assessment may suggest.

If limited mobility is contributing to your loved one’s inability to perform daily functions, financing the necessary renovations to diminish environmental threats is crucial for both happiness and survival. Ask your doctor or care provider about the possible benefits of receiving an occupational therapy assessment for your place of comfort today. Contact A Place at Home today to learn more.

If you follow trends in healthy eating, then you may have heard the buzz about the recently popularity of the Mediterranean diet. The Mediterranean diet offers a plan for healthy eating that is based on the traditional food and drink of countries near the Mediterranean, such as Greece.

Preparing delicious, healthy food and spending quality time with family are concepts that are central to the culture of the Mediterranean people. The diet encourages a social eating experience, characterized by the consumption of red wine, nuts, and whole grains, as well as the thoughtful substitution of healthy oils instead of fats.

Seniors can benefit positively from the food choices associated with a Mediterranean diet, as well as the cultural emphasis on enjoying meals with friends and family.

What are the health benefits of a Mediterranean Diet?

Following a new diet can have some unexpected outcomes regardless of your age, however; the  Mediterranean diet relies on foods that are safe and heart-healthy for all ages.

According to the Mayo Clinic, research has also shown how the traditional Mediterranean diet reduces the risk of heart disease: “Through an analysis of more than 1.5 million healthy adults, following the Mediterranean diet was associated with reduced risks of death from heart disease, cancer, as well as reduced incidence of Parkinsons and Alzheimers diseases.”

Keep in mind, there are more reasons to consider following a new diet beyond how good the food tastes.

How to make the switch to a Mediterranean Diet?

Making the switch to a new diet may seem like a daunting task and can pose some health risks if not handled properly. With the Mediterranean diet, your meals don’t have to become any less tastier and there is very low risk for seniors beyond avoiding existing food allergies. To follow a traditional Mediterranean diet, keep these tips in mind:

• Find healthy alternatives, like olive oil, to replace the fats you are used to eating. Butter and margarine contains saturated fats and trans fats.
• Substitute herbs and spices to flavor your foods and cut back on sodium intake (link)
• Consume red meat only a few times a month
• Make it a priority to consume fish and poultry twice a week.
• Consider all of these recommendations along with a regular schedule of exercise or physical activity.
• Consume more nuts and whole grains.

Ask a friend or family member to partake in the same diet to ensure your mutual success. Also, check out magazines like Good Housekeeping for some delicious Mediterranean recipe ideas that will keep you on the right track.

Are you or a loved one in need of home health care services? Our Certified Nursing Assistants (CNAs) provide assistance with activities of daily living, Alzheimer’s & Dementia care, grooming, and meal preparation as well as serving as a reliable companion. Contact us today to learn more!

A lot has been written recently about the difference between being considered an inpatient or outpatient when it comes to hospital stays and what medicare will and will not pay for.  And, the difference could greatly impact what you owe.

Note: if you have a Medicare Advantage plan or other insurance, your cost and coverage may be different.

Inpatients vs. Outpatients

According to medicare.gov, you are considered an inpatient when “you’re formally admitted to the hospital with a doctor’s order.” And, you are an outpatient when you are “getting emergency department services, observation services, outpatient surgery, lab tests, x-rays or any other hospital services and the doctor has not written an order to admit you as a patient.” In fact, you can be considered an outpatient even if you spend a night or more at the hospital.

What about “Observational Services?”

One of the more challenging parts of this definition is that of “observation services.” Observation services can take place anywhere within the hospital, however, many usually stem from a trip to the emergency department where a patient can be placed on observation status so that a physician can evaluate whether an inpatient stay is warranted.  The challenge with this is that although you may be in a hospital gown with an ID bracelet, receiving hospital care, and potentially spending a night or two under observation, you are not considered an inpatient.  This is where it gets tricky.

Medicare Coverage for Inpatients and Outpatients

For inpatients, Medicare Part A covers inpatient hospital services with Medicare Part B covering most of your doctor services (paying a one-time deductible for Part A and 20% of the services and a deductible for Part B.)

For outpatients, Medicare Part B covers the outpatient hospital services, the caveat being that you pay a copayment for each individual outpatient hospital service, and the amount can vary based on service provided.

But wait! It gets even trickier if you require a skilled nursing facility (SNF) after your stay.  Medicare will only cover care you receive in a (SNF) if you have a qualifying inpatient hospital stay.  Medicare states that “A qualifying inpatient hospital stay means you’ve been a hospital inpatient (you were formally admitted to the hospital after your doctor writes an inpatient admission order) for at least 3 days in a row.” This 3 days counts the day you were formally admitted but not including the day of discharge.

If you were in the hospital under observation and it was determined that you needed a SNF, your outpatient status means that Medicare will not pay for SNF.  Even if you were in the hospital for a day under observation and then admitted as an inpatient for two days, you would not meet the 3 day “inpatient” requirement for Medicare to pay.

So what can you or your family members do?

• Always ask your doctor or the hospital staff if you are considered an inpatient or outpatient.
• If you are in the emergency room or receiving services for longer than a few hours, let the medical staff know that you would prefer that continued treatment be done on an in-patient basis.
• If SNF is needed, ask if Medicare will cover the stay.
• Ask if you can get care in other settings such as home health care.
• Ask if other programs such as Medicaid or Veteran’s benefits might cover some SNF costs.
• Request to speak with the hospital social worker to help determine your options and costs involved with the options.

Sources:

• medicare.gov – Are you a Hospital Inpatient or Outpatient?
• Central Texas Caregivers – Medicare and Inpatient vs Outpatient Treatment Costs
• Healthcare Reform Magazine – Inpatient vs Outpatient Observation Hospital Status
• Wall Street Journal – Beware Medicare’s Observation Status
• AARP – Medicare: Inpatient or Outpatient?
• Centers for Medicare & Medicaid Services – Inpatient Hospital Reviews

A Place at Home offers R.N. Care Coordination services that can help you through some of these situations.  We have found that families, especially those who do not live in the same immediate area as their senior, are relieved to have someone they can trust and who knows the ropes of the medical industry to assist seniors through these times when an advocate is truly necessary. Contact us today for more details.

A sudden heart attack demands immediate action. Heart attacks can be treated right on the scene by friends, family members, and caregivers present in the area with some quick thinking and calm decision-making.

What is an AED?

An Automated External Defibrillator, or AED, is a device used to immediately treat victims of cardiac arrest. The device uses an electric shock to “wake up” the heart so it can resume its regular heartbeat rhythm.

When to use an AED

AED’s should only be used after attempting to revive an individual with CPR. First, 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. Have a friend or family member 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.

Check out our blog post on administering CPR safely for an overview of proper techniques. You should perform up to five cycles (One cycle: 30 chest compressions, 2 rescue breaths) 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.

In the state of Nebraska, AEDs can legally be used by anyone, regardless of training or previous experience.

How to Locate an AED Nearby

Every second matters when dealing with a victim of cardiac arrest. If you are in public, look for signs that would indicate where to find the device. Many schools, gyms, and doctor’s offices are required to keep the devices onsite. Other local establishments such as restaurants, government buildings, and offices commonly keep AED’s in the event of an emergency.

• Symbols with the heart shape, electricity or lightning bolts.
• The abbreviation AED, which is universally accepted beyond medical settings.

Administering the First Shock with an AED

Before administering the first shock with an AED, remember:

• Never operate an AED under the effects of alcohol or drugs.
• Never operate an AED in an explosive environment.
• Never operate an AED near puddles or sources of water.
• Never touch a patient when the shock is administered.

Try to stay calm. AEDs can be used without any prior training. The devices are designed in a way that is easy to understand and use, even under great duress.

Expose the person’s bare chest to attach the electrode pads. The device will indicate exactly where to place the adhesive pads on the unconscious individual. Ensure that the adhesive AED pads are attached to a cable which is plugged into the machine. After giving the first shock, check to see if the victim is breathing again. Inspect the individual’s airway again and provide CPR rescue breaths if needed.

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.