Showing posts with label Home Care. Show all posts
Showing posts with label Home Care. Show all posts

Wednesday, August 10, 2011

Tell-Tall Signs Your Loved One Needs Help

For many of us, acknowledging that an aging parent or loved one needs help is a difficult process. As our parents age, they depend on us more and more and eventually will need additional help at home. Tell-tale signs that your parent or loved one could benefit from home care include the inability to comfortably perform routine tasks including bathing and dressing, neglect of housekeeping tasks, and the inability to run errands or drive.
In general, consider the following areas:
  • Mobility Issues – Difficulty walking, unsteady when standing, falling down, stumbling.

  • Disinterest in Personal Health – Changes in eating or cooking habits, spoiled or outdated food in the refrigerator, lack of nutritious food in the pantry or freezer.

  • Disinterest in Personal Hygiene – Wearing the same clothes, wearing soiled or unkempt clothing, lack of bathing or oral care, unkempt hair or nails.

  • Changes in Personal Habits – Loss of interest in hobbies, reluctance to socialize, unopened mail or unpaid bills, changes in housekeeping methods, lack of home or car maintenance.

  • Loss of Mental Acuity – Memory loss, confusion, difficulty in concentration, poor judgment, forgets medication or has become confused about dosage, unusual purchases of goods or services, mood or other personality changes, increase or decrease in sleep, fatigue.


If you feel your aging loved one falls into one of the categories above, there are many different senior care options your family can look into. You can contact a local geriatric care manager to help assess your family’s needs and determine the best option. Some options include:
  • Adult day care – A daily program, usually Mon-Fri from 9am-5pm, that offers participants the opportunity to socialize, enjoy peer support and receive health and social services in a safe, familiar environment.

  • Senior/Retirement communities – An independent living option featuring apartments or single family homes in a small community setting for seniors who need little if any help with their daily activities.

  • Assisted living facilities – A residential option for seniors who want or need help with some of the activities of daily living such as cooking meals, keeping the house clean and bathing.

  • Home care – Non-medical home care services include companionship, light housekeeping, cooking and many other household activities and chores provided in the comfort of a senior’s own home. Home Care Assistance provides highly trained caregivers for your loved one in their home on an hourly or live-in basis.

With this knowledge, think about your loved one’s health and wellness and discuss options early.



Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon), Hamilton and surrounding areas.

Tuesday, July 26, 2011

Shelly Lucas with Home Care Assistance of Halton-Peel/Hamilton Receives Caregiver of the Year Award

Lucas beats out 4,000 caregivers to receive the Caregiver of the Year Award at the annual Home Care Assistance Franchise Convention in Vancouver


Oakville, ON (PRWEB) July 04, 2011
Home Care Assistance, North America’s leading provider of non-medical, in-home care for seniors, is excited to announce Shelly Lucas as the winner of the 2011 Caregiver of the Year award. The award will be presented by Lily Sarafan, COO of Home Care Assistance, at the annual Franchise Convention in Vancouver, BC this week. The process that determines the Caregiver of the Year is competitive; Shelly was selected out of 4,000 caregivers. She was chosen because of her compassion and her ability to connect with her clients.
“Shelly was not only Harold’s caregiver and companion, but she was also a strong pillar of support for his family,” said Judy Bennett, Owner of Home Care Assistance Halton-Peel/Hamilton. “Shelly was highly perceptive and responsive as a caregiver and greatly enhanced Harold’s quality of life. She treated him as a family member, not just someone who needed supervision. Although Harold has passed away, his family knows how much he enjoyed his time with Shelly.”
From the first day care started, Shelly and Harold had an instant connection. She would fix nutritious meals and snacks for him, take him and his beloved dog for walks outside and do arts & crafts projects with him at his home. All of these activities and services are based on Home Care Assistance’s Balanced Care Method, a scientifically based approach that promotes healthy longevity, physical activity, stress reduction and social interaction for older adults so they can age in the comfort of their own homes.
Shelly would plan frequent outings for Harold, usually to get coffee or tea, and once spent the day at the local fire station with him. She would often take pictures of the places they visited and placed them in frames to give to the family. Shelly made the most of the time she spent with Harold. One day she purchased some plaster and together they made an imprint of Harold’s hand. They turned this into a plaque engraved with a special message and gave it to his granddaughter.
“I am continually impressed by the exceptional level of care our caregivers provide their clients,” said Dr. Kathy Johnson PhD, CMC, Founder and Chief Operating Officer of Home Care Assistance. “I am thrilled that Shelly is the winner of the Caregiver of the Year Award. Her devotion to Harold and compassion toward him and his family make her an example that I strive to follow.”
To learn more about services provided by Home Care Assistance of Halton-Peel/Hamilton visit us at:http://www.homecareassistance.com or call 905-337-1200.
ABOUT HOME CARE ASSISTANCE
Home Care Assistance of Halton-Peel/Hamilton was founded in 2010 and currently employs a staff of more than 100 full and part-time caregivers. Their office is located at 90 Lakeshore Road West in Oakville. A leading provider of non-medical home care for seniors, the company has earned a strong reputation for specializing in both live-in and hourly care. A 2011 Franchise500® Company, Home Care Assistance has also been named a Fast 55 Company by The Franchise Times. As recognized leaders in cloud computing technology, proprietary caregiver training and targeted consumer marketing, Home Care Assistance’s management team seeks strong partners to help develop the brand in new markets. For more information about Home Care Assistance and available franchise opportunities, please visit franchise.homecareassistance.com or http://www.homecareassistance.com.



Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon), Hamilton and surrounding areas.

Friday, May 13, 2011

10 Everyday Activities for Seniors to Boost Memory

Changes in your thinking processes and memory are inevitable as we age. According to the 2011 Alzheimer's Association's Annual Report, someone in the U.S. develops Alzheimer's disease every 70 seconds. Luckily, simple lifestyle activities, both physical and mental, can decrease your chances of dementia and keep your mind sharp as a tack!

Also note that debilitating memory loss doesn't happen to everyone. Here are 10 ways to boost your memory power. You will notice that most of these activities are probably already incorporated into your daily routine.

1.    Take the stairs – Exercise benefits your brain as well as the rest of your body. Increasing blood flow to the brain results in less brain shrinkage and lowers the risk for Alzheimer's disease.

Remember, one step at a time – it all adds up.  Avoid elevators, park at the far end of the lot and try taking an evening walk around your block.

2.    Take a nap during the day – Memory storage happens while you sleep, which is why a good night’s sleep is so valuable. A six-minute nap is as valuable for short-term recall as a 90-minute nap has been shown to speed up the process that helps the brain consolidate long-term memories.

3.    Play a ‘brain’ game - A study in the Journal of the American Geriatric Society shows that people over 65 who used a computerized cognitive training program for an hour a day, over a period of eight weeks, improved memory and attention more than the control group.

4.    A Cup of Joe - Green and black teas have a protective effect on memory by influencing enzymes in the brain while the caffeine sparks concentration. People who drink moderate amounts of coffee, as many as three to five cups, have lower odds of developing dementia later life.

5.    Eat your greens - People who are deficient in folate and vitamin B12 have an increased risk of developing dementia. Great vegetable sources for folate include romaine lettuce, spinach, asparagus, turnip greens, mustard greens, parsley, collards, broccoli, cauliflower and beets. Don’t like vegetables?  An abundant amount of Folate can also be found in lentils, calf's liver, pinto and black beans. Home Care Assistance offers a great health-oriented program for clients that caregivers are trained in called the Balanced Care Method.

6. Learn something new - Pursue a new type of  activity using skills far different from those you are accustomed to using. Learn a new language or try a sculpting class!

7. Eat chocolate! - In 2007, a study by the Journal of Neuroscience reported on the memory-boosting effects in rats from a plant compound called epicatechin. In addition to cocoa, epicatechin is found in blueberries, grapes and tea.

8. Put everything in its place - Your memory needs a certain amount of familiarity to keep your life functioning smoothly. Place your keys and glasses in the same place every time. Write notes to yourself as a reminder (the very act of writing will help your recall).

9. Don’t retire – Volunteer. A satisfying work life offers social stimulation and decision-making opportunities, exercises and problem-solving skills. Volunteering after retirement involves learning new material and interacting with others.

10. Spend time with loved ones – Being around other people who keep you engaged and stimulated lowers your risk of developing dementia.

By setting aside time each day to walk, learning something new and munching on chocolate, you can help boost your memory for years to come.

(via Home Care Blog)

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon), Hamilton and surrounding areas.

Friday, April 8, 2011

The challenges of caring for someone with Alzheimer's

Caring for an older loved one is never easy, but caring for someone with Alzheimer’s presents special challenges. The Alzheimer’s Association reports that 40% of these caregivers suffer a “high” level of emotional stress. And according to a study published by The Journal of Immunology, caring for someone with Alzheimer’s can actually shorten a caregiver's life by up to 8 years!

The truth is that individuals with Alzheimer’s are extremely difficult to care for. Seeing someone you love slowly slip away takes an incredible emotional toll.

Given the seriousness of symptoms like memory loss, wandering and hallucination, people with Alzheimer’s often require “around the clock” care. They cannot be left alone for a minute. And most family caregivers who try to provide this level of 24/7 care eventually feel overwhelmed and exhausted.

Dr. Kathy Johnson, PhD, CMC, Certified Geriatric Care Manager and Founder and Chief Executive Officer of Home Care Assistance offers the following suggestions to those caring for a loved one with Alzheimer’s:

1. Contact the Alzheimer's Association or your local senior center. Both will help you find the appropriate resources and support groups to join.

2. Arrange for respite care. Do not hesitate to call relatives, neighbors or friends and ask for help. Put together a weekly schedule of people you trust. This will allow you the time you need to run errands, buy groceries, or take a few hours off from caregiving. Home care agencies like Home Care Assistance are experts when it comes to respite care. Whether you need a caregiver for a few hours or 24/7, we are there for you.

3. Research Adult Day Care Centers. These are daily programs that typically run from 9am-4pm. Families will drop off their loved one for the day, knowing they are in a safe, professional environment.

4. Hire a Geriatric Care Manager. Visit www.caremanager.org for a list of care managers in your area. These professionals will coordinate all the services you need. As a result, your stress level will be reduced and your loved one will have your full attention.

5. Read a book, medical journal or go online. The more you know about Alzheimer’s the better. Those who are highly informed on this disease will make smarter decisions when it comes to caregiving.


Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon), Hamilton and surrounding areas.

Saturday, February 5, 2011

Caring for caregivers

By the Numbers
66: Percent of family caregivers who are women
20: Hours of in-home care family caregivers provide each week (often unpaid)
4 to 8: Number of years caring for an Alzheimer’s patient can shorten your life
46: percent of caregivers who are clinically depressed

Roughly 65 million people in the United States are caring for a chronically ill, disabled or elderly family member. The vast majority of these people are also raising kids and holding down full-time jobs and consequently they’re burning out.

“So many caregivers suffer from stress and health issues,” said Susan Baida, 42, co-founder of eCareDiary.com, a website that offers online tools to help caregivers understand the diverse aspects of their duties, including medical legal and financial issues.

Baida’s father-in-law, who had Parkinson’s disease, saw his condition worsen in his early 80s. Baida and her husband, John Mills, took intense care of him the last few years of his life. He died in 2007. Now, Baida’s 92-year-old grandfather is living in a nursing home with dementia.
“My husband and I both have experience in the healthcare and technology fields, and we were stunned at how decentralized the services are. The hospitals don’t talk to the long-term care service providers who don’t talk to the insurance companies. The caregiver becomes the CEO.” -- Susan Baida
To prevent burnout, Dr. Kathy Johnson, founder and chief executive officer of Home Care Assistance, suggests a number of steps caregivers can take to protect their health and stress levels. She recommends that caregivers stay involved in personal hobbies, eat a well-balanced diet, join a caregiver support group, and rotate the caregiving responsibilities (bathing, eating, medication) among family members to vary the duties. If you feel guilty for taking time for yourself, stop. “The best role you can play is that of son, daughter, loved one and to rekindle the original relationship you had with the person you’re caring for. There is no guilt in that,” said Johnson.

To help manage their own health and stress levels, Baida and her husband exercised together. “It got to the point where there was so little time for any focus on ourselves as a couple—we couldn’t take vacations—that exercise was our respite. We would go to the gym and work off our stress and anger.” Baida’s husband also sought counseling, which turned out to be a saving grace. “I couldn’t be his sounding board because I wasn’t a neutral party,” Baida said.

Diane Kelley, 55, a resident of Germantown, is caring for her parents, both in their early 80s, who live on Lake Winnepesaukee in New Hampshire. Kelley made the nine-hour trip once a month this past summer after she noticed her mom and dad, who both suffer forms of dementia, struggled to manage their daily activities. She called them daily until it became too much. “I was trying to coordinate their medical care, their calendars, and help them with their meds.” Her parents would get confused and often forgot the conversations Kelley had had with them just the day before. Kelley solicited the help of her siblings and her parents’ grandchildren. This winter, the family came to a mutually agreeable decision to put Kelley’s parents in a temporary care facility.

Now, Kelley wishes she had talked about long-term care issues with her parents in the past, when they were able to make rational decisions. Baida thinks that’s a good idea. “If there is a history of stroke or heart disease in your family, ask your parents what their wishes would be if they were afflicted,” Baida said. And get legal documents in order. Called advanced directives, the documents allow people to dictate who they want to be in charge of their health care if they become physically or mentally incapacitated, and allows people to choose what life-sustaining measures they do—or don’t—want. Finally, Baida recommends long-term care insurance. “The earlier you sign up, the less expensive it is.”

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon), Hamilton and surrounding areas.

Friday, January 7, 2011

Caregiver interventions crucial in treating Alzheimer's and dementia

With a new year, comes new innovations in the healthcare industry. The New York Times reports that recent research is stressing the importance of caregiving to those with Alzheimer’s. With no effective treatment for Alzheimer’s, dementia therapy comes from caregiving performed by families, or at nursing homes.
“There’s actually better evidence and more significant results in caregiver interventions than there is in anything to treat this disease so far” -- Lisa P. Gwyther, education director for the Bryan Alzheimer’s Disease Research Center at Duke University.
Research suggests that creating positive emotional experiences for Alzheimer’s patients reduces distress and behavior problems. Emotions exist even after cognition deteriorates, so changing things like food, art, exercise, or the aesthetics of a room can generate positive emotions. The Journal of the American Medical Association found that brightening lights in dementia facilities decreased depression and cognitive deterioration.

Additionally, the research is stressing the importance of a caregiver’s emotional state, so much that agencies are developing programs to provide caregivers with education and emotional support. This type of support is not only beneficial to the caregivers themselves, but to their patients as well.

Home Care Assistance similarly stresses the importance of emotional support to both the patient and the caregiver. This type of innovative research is an exciting start to 2011. Hopefully we will continue to see even greater breakthroughs in the treatment of those with Alzheimer’s and dementia.


By Dr. Kathy Johnson



Source: Home Care Blog

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Monday, December 20, 2010

Financial planning advice for your 80s, 90s, and 100s

As more seniors live well into their 80s, 90s, and 100s, the need for long-term financial planning becomes more imperative. Particularly, those stricken with deteriorating health or mental diseases must deal with a multitude of costs such as living arrangements and medical care. In the case of dehabilitating mental diseases such as dementia, arrangements should be made as soon as possible while they still can be made.

Perhaps the most important decision to be made is where you intend to live in your elderly years. If you already have a home that is paid for, it is still important to have money saved to cover the costs of health care. In many unofrtunate circumstances, seniors have been forced to sell their homes to sover these costs. Often times, living alone in a house can be dangerous and arrangements should be made for home health care or residential care. All of these factors should be considered when planning for your future.

Make sure to watch out for elder financial abuse by having an enduring power of attorney. It is a good idea to require the attorney to provide full transperancy of financial information with those involved. If a family member can demand a financial update from your attorney it makes stealing and other abuses much harder to commit. Use your power of attorney to get someone to do the banking for you rather than have a joint account. This reduces the tension and complications involved with sharing finances with family members and loved ones.

The need for compassionate, independent legal and financial advice is just as critical at this stage of life as it is at any other. The difficulty lies in the loss of control that some seniors experience because of failing health or simply by being too trusting.

Source: The Globe and Mail

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Saturday, October 23, 2010

Maria Shriver: A Woman's Nation Takes on Alzheimer's

New findings regarding elder care have been released by the Families and Work Institute. Findings were such that 42% of the U.S. workforce — nearly 54.6 million employees – have cared for an elderly parent or relative over the past five years. That means that approximately one in five people are caring for someone with Alzheimer’s, dementia, or other neurological disorder.

The Families and Work Institute highlights Maria Shriver’s report: A Woman’s Nation Takes on Alzheimer’s, which was created with the Alzheimer’s Association. The report goes on to say that “the annual per patient cost of Alzheimer’s is $56,800, with 60% of those costs being borne by families. The estimated societal cost is $300 billion a year.”

The Shriver Report further supports past research that women are more likely to provide care - 44% of women compared to 38% of employed men provide care on a regular basis rather than on an intermittent basis.

In the coming years, an increasing portion of the workforce will be providing care to parents and other family members, so it is important to start factoring this into future plans.

Courtesy of Home Care Blog

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Sunday, October 17, 2010

How Small Businesses Prepare for Elder-Care Emergencies

What do small businesses and elder-care emergencies have in common? Well, according to an article in the Los Angeles Times, about $33.6 billion reasons. Less than 10% of companies offer elder-care resources which makes it difficult for employees. These employees are caught in the middle, working for their employers and being caregivers to their parents, plus taking care of their children, if they have any. When an individual is the primary caregiver for a parent, it is not uncommon for him or her to occasionally miss work. Productivity can decrease, thus affecting other team members and the organization as a whole.

In 2006, the MetLife Mature Market Institute and the National Alliance for Caregiving released a study stating the cost of $33.6 billion that is associated with elder-care emergencies is based on employees' “absenteeism, workday interruptions, work leaves and cutbacks in hours, among other factors. Some workers quit altogether when faced with parents’ illnesses, causing employers to spend money to replace them.”

As the number of people 65 and older continues to rise rapidly, the issue of small businesses preparing for elder-care emergencies continues to move to the forefront of conversation. Below are ways small businesses can prepare for this societal change:

• Free Information. Providing information on resources can save employee’s time and employer’s money. Websites, including www.eldercare.gov and www.n4a.org, can help find local services such as transportation, meals, home care, caregiver support and legal and financial assistance.

At a National Council on Aging site, www.benefitscheckup.org, an employee can determine which federal and state assistance programs their relatives and loved ones are eligible for. Encourage employees to learn about options for their parents before an elder-care emergency strikes.

• Paid leave. Be informed about employee rights. In California, businesses with two or more employees must allow their employees up to six weeks of leave annually to care for a seriously ill parent or family member. During that time, the employee receives partial pay, but it comes out of a state fund for this purpose (employees pay into the fund while working). The employee has to obtain a doctor’s certificate confirming the family member’s illness in order to get this benefit.

According to Labor Attorney Richard S. Rosenberg, California employers with paid sick leave programs are required to allow workers to take up to 50% of the worker’s annual allotment of sick days to care for family members, no matter the size of the organization.

• Job training. Cross-training employees on different jobs at a small business can head off elder-care problems

• Flexible work arrangements. Job sharing, telecommuting and alternative career tracks can also be options for employee caregivers who need more flexibility at work.

Courtesy of Home Care Blog

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Tuesday, October 5, 2010

Ignatieff outlines national home care strategy

October 5, 2010

OTTAWA -- Today Liberal leader Michael Ignatieff detailed his national home care strategy which he calls the "next frontier" of policy after his "number one priority" a national child-care program. Ignatieff argues that the Conservative government is not looking out for the priorities of everyday Canadians. In contrast, Ignatieff is attempting to portray the Liberal party as being in touch with Canadian voters.
"[The] government is spending $1.3-billion on a G8-G20 summit, $16-billion on planes without a competitive bid, triples the publicity budget of the government and is about to give big corporations a $6-billion tax break...When is the government going to pay some attention to the growing needs of Canadian families for home care assistance? When is it going to get its priorities right?”" -- Liberal leader Michael Ignatieff in Question Period
In the October 4 Question Period Ignatieff invoked a story about a woman from Montreal that he met who was caring for her two ailing parents at home with little support from the government. Ignatieff roughly estimated that there were three million women in similar situations in Montreal alone.

Ignatieff gave a preview of his home care strategy to Postmedia News last month which features tax credits for caregivers and more funding for professional caregivers to visit patients living at home.

Senior Liberal officials assure that the home care strategy will be balanced and fiscally responsible however Ignatieff has not offered any answers to how the program would be funded. His proposal to reverse all of the $6-billion in corporate tax cuts - $1.8-million of which is will become law on January 1 - has already been devoted to increase financial support for aboriginal students, invest in skills and language training for immigrants and the aforementioned national child-care program.

Sources: National Post - "Liberal promises adding up", Macleans Magazine - "The Commons: There once was a woman from Montreal"

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Monday, September 27, 2010

How to Make a Home Safe For an Elderly Person

Howcast.com has a useful how-to tutorial on making a home safe for an elderly person. Some of their ideas include replacing knobs and faucets with levers, non-skid carpets, install brighter lighting, and installing hand rails and grab bars in bathrooms. Although these precautions can do wonders for elderly safety, it is always important to understand when it may be time to get professional home care.




Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Home Care Assistance Case Study: "Taking the Stairs"

CASE STUDY: TAKING THE STAIRS


SUMMARY

  • Client A suffers from Parkinson’s Disease
  • Struggled with mobility after returning from hospital
  • Our lifestyle plan helped client regain motor skills
Client A is in his late 70′s and has always prided himself on being independent. As a journalist for most of his career, he was used to a fast-paced lifestyle that kept him on the go. When Home Care Assistance was asked to care for Client A by his concerned family, he was suffering from the challenging symptoms of mid-to-late stage Parkinson’s. A sudden trip to the emergency room for heart failure only made his Parkinson’s worse. To help his transition back home from the hospital, the Home Care Assistance Director of Nursing met with Client A’s wife, family, case managers, and social workers. Working with Client A’s close family, Home Care Assistance supervised the retrofitting of their own home and the installation of an electric stair lift to help with mobility. Seeing how his health had deteriorated during his hospital stay, Home Care Assistance was determined to give Client A some of his independence back. Settling him into his new home, the Director of Nursing developed an intensive program of diet and exercise, and, most importantly, a plan to help Client A get his life back, all based up on the unique Balanced Care Method of holistic care. Every day, when Client A would make a request for assistance with a movement related task, the aide would respectfully urge Client A to try to do it on his own. Gradually, with close supervision and help from the aide, Client A had a major victory: he did the laundry himself, and then, to delight and surprise his wife, did hers, too. It was a moment of joy for the entire household, as he began to regain some of his independence once again. Eventually, the wheelchair sat, unused, in the corner, while Client A walked confidently with his walker. When the Home Care Assistance Director of Nursing visited Client A’s home after the record snowfall of this past winter, she asked how his electric stair lift had survived the cold. He replied, confidently, that he didn’t know because he never used it. Indeed, he explained, the stair lift was no longer needed now that he could walk up and down stairs on his own. If not for Home Care Assistance, he said, he would still be in the wheelchair that now sat in the corner.

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Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Tuesday, September 21, 2010

Dementia's Crippling Effect on the Canadian Economy

The global cost of caring for the 35.6 million people worldwide with dementia is $604-billion - equivalent to the revenues of Wal-Mart and Exxon Mobil combined - as it is fast becoming one of the world's biggest health challenges. Its prevalence will increase at an "alarming rate" for at least 40 more years according to a study by Alzheimer's Disease International, a London-based consumer group. By 2030, the report estimates that the number of people with dementia will nearly double to 65.7-million with annual global costs totalling $1.1 trillion (US). In Canada, dementia costs the economy about $15-billion a year and is expected to grow to $153-billion by 2038 while case will jump from 500,000 to 1.1 million.
"The figures are cause for great concern, and we hope that this report will act as a call to action for governments and policy-makers across the world. It is vital theat they recognize that the cost of dementia will continue to increase... and we must work to improve care and support services." -- Marc Wortmann, executive director of Alzheimer's Disease International
Currently, the cost of caring for dementia is split between direct medical care ($96-billion), residential and nursing care ($255-billion) and unpaid labour by family caregviers ($253-billion). The costs of dementia equal roughly the economies of Turkey and Indonesia making it the world's 18th largest.

Dementia affects developed and developing countries alike however there is a stark discrepancy in costs between high- and low-income countries. The average cost of caring for a person with dementia in a high-income country like Canada is $32,865 annually compared to $868 for a low-income country like Bangladesh. Low-income countries which account for 14% of global dementia cases make up only 1% of the costs whereas high-income countries have 46% of the cases and 89% of the costs. A major difference is the lack of accessibility to professional medical and nursing care in low-income families where the burden typically falls on family members. This is expected to become a serious problem for developing countries where dementia is expected to grow at a faster rate than developed countries. For example, in the next 20 years dementia cases are expected to increase 63% in North America compared to 117% in East Asia and 146% in Latin America.

The report recommends developing a national strategy to deal with dementia with policies that explicitly focus on supporting family caregivers and to reorganize health systems so that they better meet the needs of patients with chronic conditions such as dementia.

Source: Picard, Andre. "'Alarming' Rise in Dementia Comes with a Crippling Price Tag." Globe and Mail. 21 Sept. 2010. A1-A2

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Saturday, September 18, 2010

Dementia Could Be Next National Health Crisis

I'd give anything to see inside his mind, to know just for a day, what's going on in there" -- Donna Macdiarmid, whose husband Roger suffers from dementia.

Currently, a half-million Canadians have a form of incurable dementia including Alzheimer's disease and there are approximately 100,000 more cases every year. This rate is expected to grow the number of dementia cases in Canada to 1.1 million by 2038. The direct costs of caring for dementia would be expected to grow from $8-billion a year today to $92-billion in 2038. Add in the lost productivity from higher rates of dementia and Canada could have a significant domestic health issue on its hands.

One-hundred and ten years of research have produced few practical results for prevention or treatment. Some argue that demention is merely a part of aging and treat it as less a disease and more an inevitability. Countries such as the United Kingdom, Australia and Norway have publicly opposed this passive approach whereas at the Canadian federal level there is no official strategy and provincial strategies are varied at best. The Canadian Institutes of Health Research (CIHR), the government's medical research funding body, has a $5 million annual budget for an international project on dementia. In comparison, Finance Minister Jim Flaherty recently announced $225 million for Grand Challenges Canada, a five-year health project designed to provide creative solutions for developing countries. Although Grand Challenges Canada should be lauded for its aspirations one can't help but question whether the money could have been allocated to rescuing the thousands of Canadians who are holding onto their body, minds and lives under the grasp of dementia.

"Kick at the Darkness." Editorial. The Globe and Mail [Toronto] 18 Sept. 2010: A26. Print.

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Tuesday, September 14, 2010

A Holistic Approach to Longer Life

Our population is growing older at the fastest pace in history. These demographics, combined with a rapidly increasing life span, make it critical and necessary to re-evaluate how we plan for old age. Based on groundbreaking scientific research of the longest-living people on Earth, a new book, “Happy to 102,” lays out all the factors that affect not only how long we live, but how well we live.

Kathy N. Johnson, a certified geriatric care manager, James H. Johnson, a licensed clinical psychologist and author, and Lily Sarafan, a corporate executive and advocate in the senior care industry, wrote this book, which looks well beyond caregivers and emphasizes not only proper nutrition and exercise, but also sociability, independence, mental challenge and sense of purpose.
“The mental side is absolutely key. Maintaining healthy cognitive function will help you focus your lifestyle on longevity, not just life span. In fact, the earlier you start taking control of your health, the less time your immune system will have to spend fighting disease in your later years.” -- Lily Sarafan, Co-author of Happy to 102.
“Happy to 102” is very accessible to people of all ages. She added that even though there is a lot of push to eat right and exercise, many people still don’t fully understand the link between waist size and quality of life.

The book also does a great job of pointing out the benefits of in-home senior care as opposed to facility-based care. “Nine out of 10 seniors would rather live at home than anywhere else,” Sarafan said. “However, it all starts with the individual. Seniors need to learn and accept the best options out there.”

Forrest Scogin, chairman of the American Psychology Association’s Committee on Aging, said in the book there is a need to incorporate content on aging into all levels of schools’ curricula. A 2005 study by the School of Family and Consumer Sciences at Illinois State University reveals students’ negative attitudes toward older adults significantly decreased and their positive attitudes increased after taking a course on aging and family.

The book goes on to explain that empathy for seniors includes understanding that even simple daily tasks can become extremely difficult if you become frail. The consequences of a fall can be disastrous.
“This is why we urge everyone (young and old) to incorporate walking and stretching into their daily life so they can help the body maintain circulation, balance and bone density” -- Lily Sarafan
Exercise not only helps the heart, bones and muscle, but it alleviates depression and can slow Alzheimer’s disease and other forms of dementia by improving blood flow to the brain.

“Happy to 102” reminds readers that independent living does not necessarily mean doing everything yourself. It means being in control of how and when things are done. From birth to old age, we live and thrive in interdependent communities; there is no justifiable reason for modifying our lifestyle drastically just because we require some personal assistance in our later years.


Courtesy of the Washington Examiner


Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Sunday, September 5, 2010

Home Care After Hip Surgery Aids Survival

old couple
Providing home care to elderly people after they've had hip surgery improves their chances of survival, finds a new study.

Canadian researchers looked at 11,326 men and women age 65 and older in Quebec who had partial hip surgery between 1997 and 2004. Those who received home care after leaving the hospital were 43 percent less likely to die within three months after their surgery than those who didn't receive home care.

But the study, published Aug. 16 in the Canadian Medical Association Journal, found that home care was given to less than 16 percent of the elderly patients who were discharged home after partial hip surgery.

Patients who received home care were younger; more likely to have been treated in teaching hospitals or lower volume hospitals; and more likely to have stayed more than seven days in the hospital. They were also more likely to have acute kidney failure and a heart rhythm condition called atrial fibrillation.

The study also found that men were more likely than women to die, and patients hospitalized longer had higher survival rates.
"This indicates perhaps that receiving this care may depend on availability, rather than need of the service," -- Dr. Elham Rahme, Epidemiology, Research Institute of the McGill University Health Center.
With the exception of atrial fibrillation and acute kidney failure, co-existing health conditions didn't seem to influence the chances of receiving home care, the researchers said in a news release from the publisher. The finding has significant public health implications and requires further investigation, the authors said.

Source: MSN Health

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Monday, August 23, 2010

Canadians Fear Boomers Will Cripple Health System

A Canadian Medical Association poll, released on August 23, 1020, reveals that 75% of Canadian respondents fear that growing health costs will result in significant tax hikes and an inability of seniors to afford health care as they age. Furthermore, approximately 80% of respondents believe that aging baby boomers will cause reduced access and lower quality care in Canada. However, Canadians, particularly those born after 1966, are willing to buy private health insurance as a supplement to public health care. Of course, as the youngest and healthiest cohort of the public insurance pool this would do little to fix the problem of growing costs. To cover those costs, respondents born after 1966 said they would prefer going into debt and using retirement savings to pay for health care for their parents and themselves. A growing alternative that many Canadians are turning to is home health care for preventative care and treatment.
What we see...is a refreshing acknowledgement of reality. Canadians are not giving up on medicare but they're recognizing that medicare needs to be transformed to deal with current realities, demographic and otherwise. [Canadians] are being extremely realistic about the limits of medicare and so-called free health care" --Anne Doig, president, Canadian Medical Association
The CMA argues that the current system is unsustainable and cannot meet the future needs of aging baby boomers. Canadian health care costs in 2009 are estimated to be $183 billion according to the Canadian Institute for Health Information. The report recommends significant changes to make health care most patient-centric such as a universal prescription drug plan, a charter of patient rights, an independent body to monitor health care spending and monetary incentives for hospitals and doctors to see more patients. Dr. Doig expressed concern that the baby boomers would be used as a scapegoat for rising health care costs.
I worry that the blaming will happen. We don't want intergenerational tensions, we want intergenerational fairness.
The poll is conducted annually by the CMA and this year Ipsos Reid polled 3,483 Canadians to answer questions about their views on the future of Canadian health care and to award the various levels of government in managing the system for the report. The scores have been relatively stable: 41% of respondents gave the federal government an A or B (versus 40% from 2009) and 41% of respondents have their provincial government an A or B (versus 42% from 2009).

Source: "Most fear boomers will cripple health system" The Globe and Mail, August 23, 2010 (A5)

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Thursday, August 19, 2010

Home Care After Hip Surgery May Aid Survival

Providing home care to elderly people after they've had hip surgery improves their chances of survival.

Canadian researchers looked at 11,326 men and women age 65 and older in Quebec who had partial hip surgery between 1997 and 2004. Those who received home care after leaving the hospital were 43 percent less likely to die within three months after their surgery than those who did not receive home care at all.

The study, published Aug. 16 in the Canadian Medical Association Journal, found that home care was given to less than 16 percent of the elderly patients who were discharged home after partial hip surgery.

Patients who received home care were younger; more likely to have been treated in teaching hospitals or lower volume hospitals; and more likely to have stayed more than seven days in the hospital. They were also more likely to have acute kidney failure and a heart rhythm condition called atrial fibrillation.

The study also found that men were more likely than women to die, and patients hospitalized longer had higher survival rates.

With the exception of atrial fibrillation and acute kidney failure, co-existing health conditions didn't seem to influence the chances of receiving home care, the researchers said in a news release from the publisher.
"This indicates perhaps that receiving this care may depend on availability, rather than need of the service," wrote Dr. Elham Rahme, a researcher in epidemiology at the Research Institute of the McGill University Health Center in Montreal, and colleagues in the release.
This finding has generated significant public health implications and will require further investigation.

Courtesy of MSN Health

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Thursday, August 5, 2010

Are Hospitals Deadlier in July?

According to researchers at the University of California, San Diego, “deaths from medication errors increase by 10 percent in July.” This also happens to be the time that many medical graduate students end their time at school and begin their residencies. Furthermore, mortality rates seemed to especially spike in July in counties with teaching hospitals.

Many experts suggest that this may be due to the newfound pressure that many residents experience in their new jobs, making them unwilling to express their concerns when they do not know what to do. The National Patient Safety Foundation therefore issued recommendations to improve the hospital environment for residents in order to make residents feel more comfortable with asking questions.

Many doctors have spoken up on this research, and don’t want patients to feel unsafe in hospitals. Prescriptions go through at least one physician aside from residents, and according to pharmacist Michael Cohen, the study “looked at data before electronic prescriptions and reduced hours for medical residents.”

Regardless, experts suggest several tips, especially for the elderly, when visiting the hospital in order to avoid suffering from a medical error:

• Voice your concerns
• Choose your hospital wisely
• Don’t assume the medicine you receive is correct
• Ask questions!

Source: CNN Health

Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.

Tuesday, August 3, 2010

Adapting the Habits of Centenarians

A grocery store in Okinawa, Japan consists largely of plant-based foods
Genetic factors are undoubtedly an important element in long-living populations. Different studies have shown that genetics play anywhere from 10 to 50 percent of the role in determining lifespan in all animals. However, most studies of human populations conclude that genetics determine about one-third of people’s life span. This still means that lifestyle factors play a larger role than genetic factors in influencing how long a person will live.

An Okinawa Centenarian Study that Home Care Assistance is sharing with its caregivers found over 900 verifiable centenarians who not only experience impressively long life spans, but have admirably good health and independence into their eighties, and nineties.


DIETARY FACTORS

Okinawan elders engage in a practice of hara hachi bu, meaning they eat until they are 80% full. This results in a low-calorie that may promote healthy, longer lives. One of the main demands we make on our bodies is consuming and digesting food, a process that ultimately leads to the production of free radicals, or unstable molecules. By limiting caloric intake, we limit how much food our bodies need to process, thus decreasing the amount of free radicals in our bloodstream.

THE IMPORTANCE OF A PLANT-BASED DIET

Eighty percent of the calories in the Okinawan diet is plant-based. They eat a lot of rice, a wide range of vegetables, fruits, sea vegetables (i.e. seaweed), and soy products. Of the 20% of animal-based calories they do consume, it is mostly cold-water fish or stewed meats from which the fat has been rendered. The fats they eat – from fish, soy products, or cold-pressed canola oil – are largely mono-unsaturated or rich in omega-3 fatty acids. Alcohol consumption is moderate and sweets are occasional treats. Green tea, a very healthy choice, is sipped regularly.

There are many things about the Okinawan diet that contribute to the long lives and good health of its elders. First of all, high fiber is a central pillar in many healthful diet guidelines. A high fiber diet helps maintain a sense of fullness and keeps people from overeating. It also aids in proper, efficient, and pain-free digestion. Fiber comes from whole grains and fruits and vegetables. These complex carbohydrates (versus the simple carbohydrates in refined flour and sugar that break down more slowly) help maintain healthy glycemic load so that the pancreas can produce enough insulin to process the spikes in blood sugar levels caused by eating simple carbohydrates. Along with providing fiber, the large amount of fruits and vegetables in the traditional Okinawan diet provide these elders essential minerals and antioxidants, which in turn fight free radicals in their systems.

ADAPTING THE HABITS OF THE WORLD’S CENTENARIANS

The Okinawan high-fiber, vegetable-laden diet is low in protein. Most North Americans eat between two and four times as much protein that they need on a daily basis. Much of this protein takes the form of meat and dairy products, which also contain saturated fat. Saturated fat leads to unhealthy cholesterol levels and the production of artery-clogging homocysteine. When a high level of animal product consumption is combined with a lack of folate, an essential mineral found in dark, leafy green vegetables that helps regulate homocysteine levels, the problem compounds on itself. Furthermore, when we eat protein, our bodies also need to process the by-products: ammonia and urea. Both of these toxins are processed through our kidneys, which are dependent on the liver functioning properly. An excessive amount of protein puts pressure on a host of vital organs.

THE DIFFERENCE BETWEEN PROTEINS

The protein Okinawan elders do eat tends to come from two sources: cold-water fish and soy.

Cold-water fish tends to be fatty, but that fat needs to stay liquid even in cold temperatures. Unlike other animal fats that solidify, the fat in cold-water fish remains free flowing. It is polyunsaturated and has omega-3 fatty acids, but doesn’t have the same artery-clogging properties as saturated fat. Okinawans eat, on average, three servings of fish – mostly cold-water fish like mackerel, salmon, and tuna – a week, causing them to have higher levels of omega-3 fatty acids in their systems than North Americans do. Omega-3s are seemingly miracle workers; they are cancer preventing, brain-function-enhancing, and heart-protecting.

Okinawan elders also eat several servings of soy – tofu, miso, and tempeh – products daily. Along with being an excellent source of low-fat protein, soy contains high levels of flavonoids, strong antioxidants that fight free radicals in any system they inhabit. Flavonoids also provide a source of natural, weak estrogens that can block the body’s own estrogen that causes breast and prostate cancer. In short, Okinawans high consumption of soy may explain their remarkable low rates of cancer. It also helps maintain bone density and muscle mass, keeping older Okinawans looking, feeling, and acting younger than Westerners of the same age.

TEA, SUGAR, AND ALCOHOL

Antioxidants and flavonoids are also found in tea, which Okinawan elders drink regularly in large amounts. Along with consuming limited red meat and almost no dairy products, drinking low to moderate amounts of alcohol helps further protect Okinawan elders. Some alcohol, especially when enjoyed with food, has been shown to have some health benefits. Yet alcohol increases the body’s estrogen production, which in turn can increase the possibility of developing hormone-dependent cancers. High alcohol consumption also destroys folates in the systems, which are important players in maintaining heart health, avoiding stroke, and promoting proper brain functioning.

Refined sugar and other sweets have a limited role in the traditional Okinawan diet, helping them avoid blood sugar spikes, stress on the pancreas, empty calories, and unnecessary cravings. Following a principle of hara hachi bu (eating until only 80% full) is much easier when the foods one is eating are wholesome, nutritious, and don’t induce a physical desire to overeat.


 Home Care Assistance offers the highest quality 24/7 live-in home care in the Region of Halton (Oakville, Burlington, Halton Hills, and Milton), Region of Peel (Mississauga, Brampton and Caledon) and Hamilton.
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