An Angel Among Us: Donna Bird

Caregiver of the Month

Donna Bird named A Place At Home’s August Caregiver of the Month.

She recently became a caregiver with A Place At Home a couple of months back, but in that time, she has gone above and beyond to give her clients the best care possible. “What I love most about being a caregiver is the people I work with. All of them are sweet, sweet people,” said Donna.

Donna is from southwest Kansas where she was working on her Master’s Degree in Social Work. She said, “I was one semester away from being an RN. It really makes me better in the homes because I understand what I’m working with medically.”

Donna has been a caregiver for 27 years. She said one of the most touching moments in her career happened recently with a gentleman she was assigned to provide care to by A Place At Home.

“We really bonded. He went into hospice shortly after we met and from that point on, he let go. What was so beautiful through that whole thing was I knew he needed to see me one last time before he died. That’s just how close we were. The last day I went in there, I shaved his face really good with the razor, gave him a really nice sponge bath, I would talk to him and his eyes would open and he’d look directly at me so he understood what I was saying. I would always sit by his bed and put my hand on his so he knew he was never alone. It was very touching. When I left the next day he passed away. But he needed to see me one more time before he died.”

The family was extremely grateful that Donna came into his life, even if it was briefly. “His wife thought I was the best thing that ever happened to him. His daughter said I was an angel, as much as I helped her cope through this process. The card they sent me, what they said…I’ll save it for the rest of my life. I will never ever forget this family.”

Donna felt this connection and timing was a miracle. “The Lord put me there for that very reason.”

While the family expressed how important Donna was to them, she said the impact on her was equally moving, “They were thankful to me…but do you know what they did for me? There are no words to describe it. They thought I did a lot for them…but oh, what it did for me. There’s not enough words or tears that could ever tell anyone what it meant to me to be with him.”

Become A Caregiver

A Place at Home caregivers genuinely enjoy caring for others. Together, we work to provide each senior the opportunity to live their best life. Apply now or contact us to inquire about becoming a caregiver with us.

Avoiding Sepsis in Seniors

Often when a senior comes down with an infection, their immune system will respond to protect them. Infections could include anything from pneumonia, influenza, or a UTI to kidney, abdominal, or bloodstream infections. Sepsis occurs when the chemicals released into the bloodstream via the immune system overreact and end up causing inflammation throughout the entire body instead.

If you or a loved one has recently been in the hospital for a procedure, use a catheter or other invasive apparatus, there are three stages of sepsis to be aware of so you can seek medical attention and receive treatment sooner. Severe cases of sepsis in seniors can lead to septic shock, which is a medical emergency.

Stage 1: Sepsis includes 2 or more of the following symptoms.

  • Infection
  • High fever above 101ºF or below 96.8ºF
  • Heart rate higher than 90 bpm
  • Rapid breathing higher than 20 breaths per minute

Stage 2: Severe Sepsis occurs when there is organ failure and one or more of the following symptoms.

  • Difficulty breathing
  • Decreased urination
  • Changes in mental state
  • Low platelet count
  • Patches of discolored skin
  • Abnormal heart speed and rate
  • Chills due to falling body temperature
  • Unconsciousness
  • Extreme weakness

Stage 3: Septic Shock happens when the symptoms of severe sepsis go untreated. In this stage, the blood pressure will dramatically drop, and the results can be fatal.

You can prevent sepsis by staying up to date on your vaccinations for the flu, pneumonia and other infections, practice good hygiene, and get immediate care if signs of an infection develop. Always treat urinary tract infections promptly and clean all skin wounds promptly.

While anyone can get sepsis, seniors are at a greater risk since their immune system weakens as they age. Sepsis can quickly progress to septic shock if not treated. If two or more of the symptoms above raise red flags, seek immediate medical attention. If you or a loved one experiences frequent infections, reach out to us today to see how we can help you manage your care.

Veterans Benefits: Paying for Senior Care

When Mom or Dad reach retirement age and are in need of ongoing assisted living services from professional caretakers, it can sometimes be difficult to find the best way to pay for it. But for many seniors who are also veterans, spouses of veterans, or surviving spouses of veterans, the VA’s Aid & Attendance pension benefit can bridge the financial gap to make this kind of care more affordable.

Even though around one out of every four US seniors would likely qualify for the Aid & Assistance program, only around one in seven who qualify have actually claimed their benefits. There are two main reasons for this shortfall: lack of awareness that the program exists and being intimidated by the long, complex application process.

Who Can Qualify For The VA Aid & Assistance Program

Not all seniors or even all veterans can qualify for Aid & Assistance, but many do, and since the benefit is often around $2,000 per month, it’s well worthwhile to find out if you qualify.

To be eligible, all of the following must be true of the applicant:

  • Was honorably discharged from military service.
  • Served 90 or more days of continuous active duty, including at least one day during a time of war.
  • Meets the “countable family income” limits. This is the total monthly/annual income minus unreimbursed medical expenses and certain public benefit payments.
  • Has a medically documented need for assisted daily living, such as help eating, bathing, or getting dressed.
  • Any of the following are also true of the applicant: is 65 or older, is totally/permanently disabled, is currently a patient in a nursing home, or is currently receiving SSDI or SSI benefits.

The VA will also take account of the applicant’s total net worth. There is no specific rule here – it goes on a case-by-case basis. A home, car, and basic assets are not counted, but a high total asset value on non-essentials could bar approval for the program.

Navigating The Application Process

On average, it takes nine months from start to finish to gather all necessary documents, fill out all forms, apply, and finally, receive approval for Aid & Attendance benefits from the VA. The total list of necessary documentation is quite long, including such papers as veteran discharge originals, proof of assets and income, a physician’s note detailing what type of care the applicant needs, or the marriage certificate for a veteran’s spouse seeking benefits.

However, this process is well worth it if you ultimately get approved. Monthly benefits for single veterans has a maximum of $1,830 currently, while for a veteran plus his/her spouse, the maximum is $2,170 per month. Plus, you get reimbursed retroactively for the months you spent waiting for your application to be approved.

Also note that, if a veteran is approved for Aid & Attendance and then passes away, the application process for his surviving spouse is much shorter – around three months on average.

Let Us Help You

To learn more about the VA Aid & Assistance program, to find out if you or your loved one qualify, or for help and advice on wading through the application process, do not hesitate to contact A Place at Home today! We have in-depth knowledge of this program and of other possible means of securing financial assistance for veterans or for others in need of assisted living care.

5 Benefits of Aquatic Therapy for Seniors

Aquatic therapy is a great solution for seniors to exercise regularly while reducing the impact on joints.

We know that regular exercise and staying active is key to aging well and staying healthy. Associated with an improved overall wellness, reduced risk of falls, dementia prevention, and even a lower risk of death, regular exercise is non-negotiable for seniors seeking to stay healthy as they age. But sometimes health conditions can make traditional exercise challenging. Learn more about aquatic therapy and its unique benefits for seniors below. 

What is Aquatic Therapy?

People of all ages benefit from aquatic physical therapy (APT), finding that it is a great way for seniors to maintain or achieve fitness and rehabilitation goals. According to the American Physical Therapy Association, APT is “the evidence-based and skilled practice of physical therapy in an aquatic environment by a physical therapist.” APT can serve seniors seeking treatment from an injury, rehabilitation, prevention, health, wellness, and fitness.

Aquatic therapy includes a wide range of exercises done in the water including water aerobics, strength training, yoga, water jogging, and swimming. There are thousands of variations of aquatic therapies using various types of equipment and exercises. This makes APT extremely versatile and adaptable for people of all ages and ability levels.

1. Mood Enhancing & Anxiety Reducing

Like most forms of exercise, APT releases endorphins (“feel good” hormones) that can improve mood and reduce anxiety. However, in addition to the endorphins released by exercise, being in the water has relaxation benefits that can reduce anxiety even more. And, because APT is usually done in a social setting, there are social benefits to the therapy, including increased confidence and a strong sense of well-being.

2. Natural Resistance Reduces The Impact On Joints

Water provides natural resistance and natural buoyancy that makes reduces the stress on joints. Many seniors who live with arthritis find that APT is a great way to stay active and lessen the pain on their joints. In fact, some seniors find that they are able to do certain exercises in the water that they are not able to do on land.

3. Improved Cardiovascular Health

Even though APT is more gentle, it can still be an intense form of exercise and can raise the heart rate enough to burn fat and improve overall cardiovascular health. APT specifically trains the lungs and heart to use oxygen more efficiently and may reduce the risk of heart attack and heart disease.

4. Increased Strength & Balance 

Certain conditions put seniors at an increased risk for falls, which can have catastrophic outcomes for seniors. In fact, the CDC reports that 20 percent of falls cause a seiners injury, like a broken bone or a head injury. Aquatic therapy done in water that is at least waist deep will build strength as seniors fight water movements to stay balanced. Moving quickly through water can provide natural resistance that builds muscle endurance and strength, reducing the risk of falls.

5. Hydrostatic Pressure 

Hydrostatic pressure is the force fluid molecules place on the body when immersed in water. This pressure exists even with no movement. It has been shown to help decrease swelling in pain, increase range of motion, and improve circulation.

As with any exercise program, it is best to consult a doctor before beginning aquatic therapy.

Hospice Way: CARE During End of Life Stages

Considered to be the model for quality, compassionate care for people facing a life-limiting illness or injury, hospice care involves a team-oriented approach to expert care, pain management, and emotional and spiritual support expressly tailored to the patient’s needs and wishes. Hospice focuses on caring, not curing and in most cases care is provided in the patient’s home.

“At the center of hospice and palliative care is the belief that each of us has the right to die pain-free and with dignity, and that our families will receive the necessary support to allow us to do so,” Aubre Phillips, Director, A Place at Home Omaha.

Aubre understands first-hand what it’s like for a family member to go through hospice. While providing majority of the care for both of her grandparents during their end of life stages – she witnessed just how challenging it can be for the patient and patients family.

“There are families all over the place with a loved one in their last days. It can be incredibly difficult to see someone during this time – many people experience hallucinations, and overall, it’s just a painful process,” Aubre expressed.

Although she realizes the hardships that come with a loved one passing, she doesn’t view death as the end, but rather a new beginning.

“I don’t believe that death is necessarily the end – it’s the passing to the next stage of our life. And I would imagine that that’s really painful and stressful. We need people who can be here helping to support and guide those that are passing on to reassure them that it’s okay and to make sure that they are comfortable when they are on this journey,” Aubre said.

Aubre’s passion for providing end of life care birthed A Place at Home’s Hospice Way – a program dedicated to supporting hospice patients with the compassion and care they deserve.

“A Place at Home has a team of specially trained caregivers that hospice is a passion for them. They understand that the journey is different for everybody, but that their role is to help the person passing on do so in as comfortable and with as much dignity as possible,” Aubre said.

What services are provided?

  • Manages the patient’s pain and symptoms;
  • Provides needed drugs and medical supplies
  • Coaches the family on how to care for the patient;
  • Delivers special services like speech and physical therapy when needed;
  • Makes short-term inpatient care available when pain or symptoms become too difficult to manage at home, or the caregiver needs respite time; and
  • Provides bereavement care and counseling to surviving family and friends.

Beyond Hospice Care

Our devotion to the seniors we care for continues even after they have passed away. In their loving memory and honor,  we plant a tree through the Arbor Day Foundation. The newly planted tree memorializes the family’s loved one forever, living on to provide future generations an enduring symbol of lasting peace and comfort.

A Place at Home is rooted in CARE.

Join us in expanding our roots by becoming a franchise partner.

5 Tips For Handling Mental Illness in Seniors

According to the Institute of Medicine report, untreated mental health conditions lead to poorer physical health outcomes, higher costs and longer hospital stays. Seniors with untreated depression, for example, are less likely to properly take medications for other problems like diabetes or hypertension.

Having a conversation regarding care for seniors with mental illness may not be an easy feat, but it is essential to ensuring the health and safety of your loved one. If you are unable to care for you senior loved one by yourself, then it may be necessary to bring in a home care agency with professional caregivers. Here are some tips that can help you start a difficult discussion:

Make sure they are taking their medication.

Some older adults struggle to take all their medications properly. Depending on which medications are missed, this can cause serious effects on an older person’s health. Ensure they take their medication on time with an electronic application or with the help of a certified medication aide.

 Choose a time when both of you are calm.

Discussing the state of your loved ones mental health could be triggering for them and emotional for you. For this reason, it’s important that you handle the conversation as delicately as possible. Calmly let them know your concerns, and be sure to hear them out. They may not agree with everything you suggest, so be prepared to compromise.

Take resistance in stride.

When it occurs, shift the conversation to less inflammatory aspects of your concerns. Threats or emotional outbursts will only add anxiety and shut communication down. Remember not to take outbursts personally and know that they often stem from the feat of the unknown.

Take a breath and come back to the conversation

Your loved one may not want to discuss the topic when you first bring it up, the Mayo Clinic advises trying again later. The same goes for conversations that go wrong. If you feel yourself becoming emotional, the best advice is to take a break from the conversation and choose another time to discuss the topic.

Get the paperwork you need to properly care for your loved one.

In cases where an elderly parent is a danger to themselves or others, adult children may want to acquire a medical power of attorney for their elderly parent so they can make medical decisions on their behalf.

Combat Elderly Depression With Quality In-Home Care

Whether your senior loved one is dealing with the loss of a spouse, experiencing the grieving process, struggling with family conflict, or declining health, emotional and physical stress can have a big impact on their mental health.

If untreated, elderly depression can lead to early death and lower quality of life. In-home care provides an excellent remedy to prevent senior depression while improving senior longevity and daily life.

How In-Home Senior Care Helps Seniors Live Better Lives

Prevents Isolation and Loneliness 

In-home care companions provide a symbiotic relationship that enables the senior to thrive. On a social level having friends and companions enables seniors to talk about challenges, express grief, and to find resources to solve problems.

Assistance with Errands and Extracurricular Activities 

Seniors with mobility problems often stay home rather than visiting with others because it’s too much trouble, painful or even impossible for them. An in-home care worker can take them out for errands, to visit others, or just for fresh air.

Combats Caregiver Fatigue

If you’re caring for your loved one solo, the stress harms you, your senior parent and your family. Mom will notice and could feel guilty about caregiver overwork leading to depression or family strife. Our at-home caregivers relieve everyone of troublesome, unhealthy stresses.

Visual Problems and/or Declining Health

Vision problems can go undiscovered when seniors live alone, and depressed seniors may not admit to them. A regularly visiting in-home care worker can uncover health issues or behavioral changes, and alert our care coordinators or family.

Relieves Chronic Exhaustion

Senior listlessness/exhaustion can be a side effect of senior depression or a cause. Seniors may feel too tired to contact others, creating vicious cycles of loneliness, neglect, depression and poor overall health. We find senior parents look forward to our in-home provider’s visits, becoming more enthusiastic and energetic.

Eliminates Reluctance to Burden

Your senior loved one often don’t want to both you with their problems including depression and poor health, so she may hide them. Seniors know the in-home care worker’s job is to help, so they feel less guilt or burdensome

We’re Omaha Senior Care Experts, Ready to Help

Let A Place at Home help you and your family live better, without anxiety and elderly depression. We provide compassionate, friendly, capable, and carefully screened in-home care aides for your senior parent. We also offer care coordination helping you decide which services your parent needs, and help you access all needed services on the senior care continuum. A Place At Home is ready to assist you.

Staffing with CARE

As the Staffing Coordinator, Nick pairs caregivers with local health care agencies who need an extra helping hand.

It’s important to him that the company he works for aligns with his personal values, and A Place at Home does just that.

“I’m able to help people every day and we’re also doing things the right way here,” Nick said.

A fully staffed office or community is critical to the overall care of the patients or residents and to the proper functioning of a facility. Our service provides CNAs and CMAs to senior communities and health offices to fill in when there are staff shortages for short- or long-term needs.

The availability of a certified staff member to step in and understand how to care for clients, be it checking vitals, running medication carts, clothing or bedding changes, dementia care, or bathing, gives peace of mind to families and the facility managers.

A Place at Home: Trust Us for Compassionate Senior Care

At A Place at Home senior care, we know that sometimes you need a break from your caregiving duties. That’s when we step in. Whether you just need a few hours or 24/7 care—we are here to provide compassionate care solutions, where and when you need us. We offer a continuum of care for seniors ranging from in-home care services and care coordination to senior living alternatives. Contact us today for more information.

How New Medicare Advantage Changes Could Affect You

Medicare, in general, is more focused than ever on positive health outcomes, specifically on keeping seniors out of the hospital.

Medicare Advantage plans have been responding to this by adding extra coverage. For the first time, these extras may include basic (non-medical) in-home senior care.

This newly-offered type of care may provide for household support activities for seniors that help them live comfortably and healthily at home. These essential tasks could include light cleaning, cooking, dishwashing, grooming and more. Home safety equipment may also be included. For more detail and background, read on.

About Medicare Advantage

Also called Medicare Part C, the Advantage plans are offered by private insurance companies and replace Medicare Parts A (hospital), B (doctors, office visits and tests) and sometimes D (drug coverage). You may have a choice of several Medicare Advantage plans, depending upon where you live. If you choose an Advantage plan, you must follow their rules and must typically use their network of doctors.

The private Medicare Advantage insurance plans must cover the same medical care that traditional Medicare does, but may charge more (or less) for specific services. These plans may also impose extra rules, such as requiring a referral to see a specialist, etc. (Referrals are not currently required in traditional Medicare.)

Medicare Advantage may charge an additional monthly premium, over and above your regular Medicare premium ($135 monthly in 2019), and some Advantage HMOs charge no extra premium.

New Medicare Advantage Offerings

For a few years now, Medicare Advantage has been touting “extra benefits” like vision care (optometry and prescription eyeglasses), dental cleanings, hearing aids and/or free gym memberships. They hoped the extras would encourage people to switch from traditional Medicare, to Medicare Advantage.

Recently, the private insurers that offer Medicare Advantage plans have been given permission to add even more extras, which vary from one plan and company to another.

What is so interesting for seniors who need home caregivers is this: In the past, seniors could only get limited, skilled medical in-home care from traditional Medicare or Medicare Advantage. They would not cover any “non-skilled” in-home care that seniors need. Now, these items may be included. Examples of new in-home supportive services Medicare Advantage may cover:

  • At-home custodial care (grooming, meal preparation, bathing, and more)
  • Transportation to medical appointments
  • Meal delivery
  • Shower grab bars and other home safety devices
  • Caregiver support
  • Adult daycare
  • And more

Keep in mind that coverage varies significantly by plan, so be sure to read the details before choosing among the Medicare Advantage plans, or deciding to stick with traditional Medicare.

Study Coverage Details and Rules Carefully

This extra at-home coverage is welcome news for seniors and their family caregivers. It’s very important to be aware, however, that different plans will have different specifics, varying rules about accessing these benefits, and limits on the maximum number of home visits allowed. Medicare’s guide to Advantage Plans may help you.

By adding this extra coverage, Medicare Advantage is acknowledging what we have known for so long—that proper in-home care (beyond skilled medical/nursing care) improves long-term health for seniors. This type of care can keep seniors living successfully at home, which saves seniors money and helps the senior to enjoy greater independence, as well as enhanced quality of life. It’s about time, and we hope for even more positive changes in the future.

Transition Care for Seniors

Often times, Medicare does not cover, A Place at Home is here to fill the gaps in coverage and prevent unnecessary readmissions through our Transition Care Management (TCM) program.

Our TCM program ensures a safe and smooth transition home by complying with discharge orders, providing personal care, transportation, helping with errands, follow-up appointments, and light housekeeping.

If you or a loved one are in need of transition care, contact us for more information.

A Place at Home: Strongly Rooted, Dedicated to CARE

Trees hold significant symbolism which represents our strong dedication to compassionate care for seniors in our community. The Tree of Life concept spans multiple schools of thought, running through art, religion, and literature.

In essence, the Tree of Life represents the intertwining of all living things. At A Place at Home, we believe in extending our branches to the senior community – giving them a continuum of loving care throughout the aging process.

Our Mission: Caring for the Family Tree of Life

Like others, we see beautiful, enduring trees as a symbol of the vitality of life, connecting those that came before us, and those that will carry on after we are gone. The tree brings to mind the idea of generations of families and ancestors. It stands for strength, stability, and nourishment.

The term family tree is so appropriate—like natural trees, its branches grow and extend. The leaves rustling in the wind appear similar, yet each has its own uniqueness and texture. Deep roots keep the tree stable and extract nutrients from the earth, helping it to develop, grow, repair and renew. We are devoted to developing the best care plan for our seniors and renewing hope for families.

For A Place at Home Senior Care, Trees Carry Powerful Meaning

The care that we provide to families and seniors in need are the roots supporting the family system–at a time when the added strength is most needed. For us, dedicated senior care is a means to help nourish the lives of loved ones, assisting families when they can’t do it all themselves. We believe that caring, above all else, is the path to ensuring generations can live on, through past, present and future, with hope and happiness.

From Symbolism to Imagery: Our Tree Logo and Living Memorials

The A Place At Home tree represents our commitment to improving the lives of all that we serve. Our devotion to the seniors we care for continues even after they have passed away. In their loving memory and honor,  we plant a tree through the Arbor Day Foundation. The newly planted tree memorializes the family’s loved one forever, living on to provide future generations an enduring symbol of lasting peace and comfort.

A Place at Home is rooted in CARE.

Join us in expanding our roots by becoming a franchise partner.