Library

Make It Fun to Stay Connected with Elders in Your Family

 

As distressing as the feeling of uncertainty during this pandemic is, the most heartbreaking ordeal is the inability to get together with loved ones. Everyone is feeling the void of not being able to gather in person, but it can be even harder on seniors who have to be extra careful about distance.

Not only can’t older people spend time with their families, but other social activities have been curtailed or cancelled as well. Although the situation is challenging, there are many ways to connect with family and help soften the blow of separation. Here, we provide a list of tools to use along with some ideas to help you think about making your connection time more fun than ever in order to carry us all through the dry spells.

Tech tips and options

Once limited to the phone and snail mail, these days we can communicate instantly through our computers, phones and tablets. If you or your elder family are concerned about managing the setup of the technology, consider hiring someone to help or ask your tech-knowing family members to assist.

For seniors in retirement communities, there might be staff available and ready to assist with setting up devices to ensure they are simple to access. This could mean making sure the font is larger on the screen and the volume is louder, too.

For those with an in-home care service such as Home Health Companions, arranging your tech for video conferencing can be managed with your companion professional.

Your connection tools

Here is a short list of video conferencing tools to consider:

  • Zoom Meeting – This platform has been particularly popular these days, and it is also user-friendly. Decide who will organize the meetings, and then set regular dates to chat. Zoom has a 40-minute limit in the free version, but you are able to have more than one person on a Zoom call.
  • WhatsApp – This is a great application for visiting via video or voice, and it’s simple to open and use.
  • Facebook Messenger – This product can be simple, but a lot will depend if you and others are on Facebook.

If it’s the device that’s the issue, consider one designed with seniors in mind. One example is the GrandPad. This tablet is streamlined to provide access to applications in a straightforward format that makes it super easy for the user.

Email: It’s hard to believe that email is considered old-fashioned these days, but it is fairly easy and a direct way to communicate digitally. Although you don’t have the immediacy of video, regular emails can be a wonderful way of keeping in touch with your elder.

Snail Mail: We’ve lost our way when it comes to the joy of sending and receiving real letters. These days, sending cards and handwritten notes can be a marvelous way of connecting with someone, particularly anyone who has voiced feeling lonely. Think about asking questions and inviting a letter in return. Encourage your children to become pen pals for seniors in the community. Everyone can send artwork, too!

Get into online learning and activity

Over at Everyday Health in the article “Socializing in Place: Tips for Older People to Stay Connected and Safe,” author Quinn Phillips offers up several suggestions of online learning resources available including Coursera and even Harvard. To Phillips list, I’d add YouTube Learning, which offers videos on any subject you can imagine.

Another way to enjoy interaction with others is to explore online book clubs such as those listed on AARP. Also, check in with the groups you attended before the pandemic, and see if they are currently meeting virtually. You might be surprised at the local activities that offer connection via video chat.

 

Mix in creativity for added fun

The tools are available, and the interest is there, but creating a steady routine with purpose can heighten the excitement about visiting with a loved one. Making a plan of your calls and messages gives everyone something to look forward to, and that is a heady salve to feeling lonely.

Here are some ideas harvested from a number of sources, pulled together here to give you inspiration to make your connection extra meaningful:

  • Storytelling time photos: Make each visit a time to reminisce and share stories. You might pull out the old pictures and albums and ask questions, for instance. Who are in the pictures? What is the story behind each photo? Hold up the images during a video chat and see what stories the pictures inspire.
  • Intergenerational tutorials: Over at Franciscan Health in the article “5 Ways to Connect with Elderly Loved Ones From a Distance,” they suggest making regular visiting time an opportunity to learn something from each other. Maybe you’ve always wanted to learn to knit or crochet. Or maybe, it’s time to talk about the recipes and the secrets that make family favorites so good. Perhaps this will become a series of tutorials? Consider recording the videos (you can do this via Zoom) and sharing them with more friends and family later.
  • Virtual craft time: On the heels of the tutorials, you might want to spend time crafting from a distance. If your elder works on a project while you work on a project, make it a time you chat while you craft together virtually. People who are in knitting circles or coloring groups know that there is a relaxing quality to gathering to do creative things together (and letting the conversation go where it will).
  • Connect with ongoing newsletters: Honor someone you love by asking them questions about their past and family stories they’ve heard, and then record their answers. Share the answers with family and friends. Make each response a newsletter blast to selected recipients and then invite them to send more questions and comments to the storyteller.

Play games online together

Certainly, there are many games that can be played online individually, but for this post, we’re focusing on those that can be interactive.

  • KimKomando suggests Backgammon, among others, for which there is a free PC or Mac version.
  • Guide for Seniors provides a robust list games, and those you can play with others include chess, Multipopword, and Mahjong.

These are indeed challenging times, and we are all growing weary, some of us even getting a little stir-crazy from not gathering like we used to do. But we have the technology tools to make connection possible, and with some creativity we can stay in touch and make memories just the same.

 

Bibliography

https://www.grandpad.net/

https://www.everydayhealth.com/coronavirus/socializing-in-place-tips-for-older-people-to-stay-connected-and-safe/

https://www.youtube.com/learning

https://www.aarp.org/entertainment/books/info-2020/online-book-clubs-to-join.html

https://www.komando.com/tech-tips/best-games-for-people-over-55/565893/

https://guideforseniors.com/blog/senior-online-games/

Read More

How to Maximize Errand and Transportation Services

Hiring others to run errands and help with transportation might have been seen as a luxury for busy business professionals in the past, but these days, it’s a quality of life issue and necessity for those aging at home. During the pandemic, more people have realized the benefits of outsourcing their daily errands and hiring others to drive as a way to not only stay safe but to save money, too.

If you’ve struggled with the transition from doing everything for yourself to commissioning others to do for you, read on to learn how more seniors have made the switch and how to maximize the benefits of these tasks.

The power of elders

The aging population is growing in the United States. Per the Administration on Aging, as of 2016, those over 65 numbered more than 49 million with a projection to grow to 98 million by 2060. And of those in this age group, most are able to remain in the comfort of their homes today given the in-home care and companionship available.

With more elders aging in place, companies have stepped up to address the preferences and needs of this growing community. That is great news for our community, and means more options for services than ever before.

At Home Health Companions, we are experts in catering to the specific needs of elders and those with medical concerns. Because of our focus, our errand, shopping and transportation services are suited to work within our client’s individual expectations and budget.

Arranging for help with daily tasks and transport can be overwhelming. In this guide, we offer a quick overview of the kinds of errands most people need help to accomplish along with how to gain the most value out of these services.

Know what you need to accomplish

The reality that so many more seniors are staying at home as they age is good both economically and emotionally. But it means attention needs to be paid to the issues of mobility outside the home, especially as circumstances change.

The first step is to consider all the errands that most individuals require in order to care for themselves, and then to determine the level of risk and hassle with each. Right now, for instance, staying out of public areas for those over 65 and those with pre-existing conditions is a national health safety concern. So, hiring out for errands in public places is of particular importance.

That said, as the pandemic has revealed, many errands require energy and resources that on the balance might be better done by someone else as a rule for the sake of both safety and efficiency. That errand list can include projects around the house and even those quick dashes to stores nearby.

You might be surprised by the general tasks, and how much time and money it takes to accomplish these each week. A typical personal home list might list the following for his or her regular “to-dos:”

  • Pick up medications: average hours—1
  • Grocery shopping: average hours—1.5
  • General shopping, items for house, gifts, etc.: average hours—1.5
  • Paying bills: average hours—1
  • Mail handling: average hours—1
  • General deliveries: average hours—0.5
  • Arranging appointments: average hours—0.5
  • Taking out the trash
  • Pet care    average hours—1
  • Laundry services

When you factor in your time, plus waiting in lines and contending with crowds, the risk of injury while dealing with your errands means that hiring someone to do many of these chores regularly—and in a planned manner—can be both reassuring and an important consideration for your quality of life.

As you tend to your list, consider the amount of time and automobile resources involved, too. A professional errand service will efficiently address as much as they can in the span of an hourly rate to help you get the most done possible.

Affordable and safe transportation

Car ownership is not seen as the rite of passage it once was. More people have opted for the use of public transit or taken advantage of the myriad of shared transportation options available today.

For those who do own a car, you know how expensive the annual bill is to maintain it. Per Investopedia, which cites Consumer Expenditures in the U.S. Department of Labor’s U.S. Bureau of Labor and Statistics, the average vehicle costs $9,576 per year to own and operate. Even if a car is paid in full, the repairs, insurance, and regular maintenance add up to just the same.

Home Health Companions offers packages that make getting around an easy, hassle-free, and affordable alternative. Even if you’ve reduced your list of errands, you still need to go to doctor appointments and other activities, so access to a trustworthy transportation service is essential.

The advantages of a trusted service

Working with a trusted professional service will lighten your burden in hiring the right you need, also. Home Health Companions takes care of all the pieces of the puzzle that make finding the right person easy. We take care of all the employee management, including security screening and taxes. All you have to do is arrange your errand needs with us, and we take care of the rest.

Home Health Companions is a professional and accredited organization with expert staff, prepared to accommodate you for all your transportation and errand needs.

A comfortable goal

Hiring for help with errands and transportation might seem like a luxury at first, but once you realize how it help can improve your days and allow you to stay in your home, it’s a worthwhile investment. The goal for everyone is to stay as healthy and independent as possible—and for as long as possible. Reducing the risks of public settings with lots of people and congested parking lots and streets can help you achieve that.

As you age and circumstances change, it doesn’t mean you’re cut off from life. By creating a plan and accessing help for errands and transportation, you can reduce the risk and spend more time doing the things you love to do.

 

Bibliography

https://acl.gov/sites/default/files/Aging%20and%20Disability%20in%20America/2017OlderAmericansProfile.pdf

https://www.investopedia.com/articles/pf/08/cost-car-ownership.asp

Read More

Too Much PPE, Too Many Safety Measures? Or Never Enough?

As a professional in the in-home care or medical field, you know there is a massive amount of misinformation circulating about how to stay safe during the pandemic. Unfortunately, this has led to many people making poor decisions based on faulty information.

A big part of your effort might be to help dispel fact from fiction for your patients, as well as educate them on what is best to do to stay safe. We’ve talked about best practices when in-home care staff provide services. However, in this post, we’ll provide the basic information about who is most at risk, and the essential tips we must all take to stop the spread of COVID-19.

Who is most at risk?

There is still debate about who is most at risk from contracting COVID-19, but what the data has shown so far is that immunocompromised individuals are likely suffering greater setbacks and risk of serious complications and death.

And it makes sense. An immune system that can’t thwart off invaders increases the likelihood of compounding with additional infections on top of the first one any time these people get sick. This is why we hear about people ill from COVID-19 also fighting underlying conditions such as pneumonia.

And who are the immunocompromised? Those with pre-existing medical conditions such as cancer, diabetes, heart disease and simply being of an advanced age places the people involved. To be clear, COVID-19 is a new virus, so most of the population of the world has not been exposed yet, making everyone susceptible. But the reality that many of us walk around with underlying medical conditions as well (such as obesity, high blood pressure, or a smoking history) compound the threat.

It’s not a small portion of the population with these medical conditions, either. Per the Gallup’s annual Health and Healthcare survey, 33% of adults aged 65 and older reported pre-existing conditions, and well over two thirds of U.S. adults are overweight or obese.

The effort to mitigate the virus hinges on decrease its spread. The more of us who become sick with COVID-19 spread more of the virus into the spaces where we live and work. The analogy of compounding interest applies. The sicker people in our community, the more people are exposed, creating more infected people.

Over-active inflammation

Interestingly, as the article “What Does It Mean to Be Immunocompromised? And Why Does This Increase Your Risk of Coronavirus?” over at Medical Xpress explains, the more problematic issue beyond the infection rate of COVID-19 is a less understood variation of response for those who become ill.

A portion of those infected become extremely sick, including difficulty breathing and a myriad of other symptoms. Science isn’t clear as to why the response is more dramatic for some. But the key factors seem to relate to an overactive immune system, one in hyper drive that causes extreme inflammation. As individuals weigh the threat of COVID-19 personally, they cannot be certain how they may react to the virus if they become sick. And the gamble could be deadly.

Mitigate the spread with simple actions

Since the danger of infection is serious, it is important to review and educate your clients and colleagues as to the urgency of observing the basics of staying clear of illness. Here is the short list, each with a brief justification you can use to explain to others:

  • Keep your distance – Since we went into quarantine in March 2020, the experts have determined that the most significant source of spread is person-to-person. When we breathe, speak, shout or sing, we spread germs. Keeping a distance of six feet or more from others is an essential tool to stop the spread of the disease.
  • Air circulation – Closed-in spaces with minimal ventilation permit the particles of virus to linger in the air longer. Stay outside with others when you can, and if inside, open some cross windows to let the fresh air in.
  • Handwashing – Nothing cursory will do when it comes to washing your hands. A 20-second scrub including all fingers and in-between, plus the front and back of hands and even wrists, is most effective. Wash your hands diligently and often to avoid passing germs on to you and others.
  • Masks – So much has been made of wearing masks, but the bottom line is that covering the mouth and nose when you’re out shields a significant release of germs from you to others. The mask also acts as a block for you from others as well. Wear a mask in grocery stores, shops, medical offices and anywhere you are with a large number of people, particularly when inside.

Form your habits for the future

There is no telling how long this pandemic and the associated risks will last, but the good news is that you can take simple steps immediately to reduce your risk and go on about your business—albeit with modifications. You needn’t be seen as over-nervous if you adopt good hygiene. In fact, you are being prudent and wise.

And, in time, when the pandemic risk is under control, you can maintain some of these new behaviors since they are good for you in the long run. Actions such as washing your hands, covering your mouth and nose in public settings and maintaining good ventilation whenever possible will be seen as the new normal, because we all want to do our best to stay healthy.

 

Bibliography

http://www.homehealthcompanions.com/?s=COVID-19+safety

https://news.gallup.com/poll/269003/households-report-preexisting-conditions.aspx

https://medicalxpress.com/news/2020-04-immunocompromised-coronavirus.html

 

Read More

Have a Heart Condition? Turn Concern into a Plan

The build-up to the diagnosis of a heart condition is often sudden and unexpected. And when you or a loved one is dealing with the after-effects of a heart-related emergency, it can be understandably emotional.

Whatever the underlying cause for the emergency, if the diagnosis is heart failure or some other heart-related condition, you are faced with an avalanche of new information to understand, behavioral changes to make, and medications to incorporate. The good news is that most people will have many treatment options and can even take personal action to improve their situation.

 

How life changes after a heart condition diagnosis

Don’t be surprised if you’re overwhelmed initially with the ordeal of an event and all the new details to consider. You and your physician will talk through the changes that will impact your daily life. You will probably need to keep to a series of appointments initially until your recovery is further along.

At first, these steps might feel drastic, but expect it to take a while—forming new habits always does.

Depending on your diagnosis, for example, you might be instructed to do some combination of the following:

  • Track your vitals and physical changes. A new part of your routine may mean tracking your blood pressure, weight, temperature and heart rate. You might also be advised to be on the lookout for other signs of a problem such as shortness of breath, racing heart, and retention of fluid in your ankles. As per the article “Managing Heart Failure Symptoms” over at The American Heart Association, tracking alerts you to changes, and helps provide motivation to keep at your new lifestyle habits.
  • Improve your diet. The extent of your dietary changes will depend on your food choices before the diagnosis, but in most cases you’ll be advised to lower your salt intake, eat more unprocessed foods, cut back on alcohol, and stop smoking. These might very well feel like restrictions at first, but in many cases when it comes to your menu you can replace some foods with others and not notice much difference.
  • New medications. There may be new medications required to maintain and improve your situation, too. If you’re already taking medicines. it might not be an issue to add new ones—but a lot will depend on your diagnosis. Heart failure, for example, may require a number of additional prescriptions that are time-sensitive, so you’ll need to pay attention, particularly in the first few months of your new routine.
  • Increase activity. No matter what the underlying issues are of your heart condition, increased activity will be an important component in improving your health. This may be a difficult change. Over at Healthline in the article “7 Lifestyle Changes to Make After a Heart Attack,” they suggest having a friend or family member help hold you accountable to your commitment might help.

Here is how you can feel empowered in your plan

It can be tough to make the drastic shifts in lifestyle required rafter a heart condition is diagnosed—but there are treatments and options. And, if it seems too much to handle on your own, there is help on the in-home care front.

Once you have the medical instructions and a list of actions to take from your physician, it’s time to plan and prep your way to recovery. This is where services from a home service care provider can come into play for the short or long-term depending on your needs.

Over at Home Health Companions, we offer private duty nursing staff specifically prepared to assist with heart condition tracking and ongoing care. Often, this service means a shorter stay in the hospital, which saves expense. In-home nursing is often only needed for a short period of time until a transition to maintenance in your “new normal.”

Once you’ve recovered from the initial heart event, it will be time to transition to ongoing care as your personal situation requires. Our certified nursing assistants over at Health Home Companions provide medical care for tracking of vitals, medication monitoring and companionship, and even light household support.

How to find your “new normal”

No doubt, you might have feel like you were thrown a curve ball with the new heart diagnosis, but take heart (ahem) because there are many medical treatments available to ease you into a new normal and improved quality of life going forward. Be gentle with yourself, because recovery and lifestyle changes will take time.

And recognize you’re not alone, too. This could be a great time to advocate with family and friends around the reality that Americans are particularly impacted by heart disease. Over at Science Daily in the article “Nearly Half of All Adult Americans Have Cardiovascular Disease,” the stats are daunting, and the causes are no surprise. Factor such as diet, smoking, and inactivity have escalated the issues of heart disease most notable in high blood pressure for many.

Your plan of action is your lifeline to feeling in control of the situation, and making informed decisions will help set you at ease. Lean on friends and family as you need, and recognize that in-home care might be the perfect option—short or long-term—to get on with your daily life with the assurance you’re doing all you can to live your best.

 

Bibliography:

https://www.heart.org/en/health-topics/heart-failure/warning-signs-of-heart-failure/managing-heart-failure-symptoms

https://www.healthline.com/health/heart-disease/lifestyle-changes-after-heart-attack#4

https://www.sciencedaily.com/releases/2019/01/190131084238.htm

Read More

10 Tips to Become a Better CNA

The role of a Certified Nursing Assistant (CNA) is essential to teams that care for the wellbeing of clients, especially those teams delivering home-based care. As the frontline provider of these care services, a CNA is often the first professional to note both the physical and mental changes in clients.

The work of a CNA is rewarding, demanding, fast-paced and varied. If you are a CNA or aspire to be one, then you know there’s never a dull moment. Time passes quickly on any given day.

Honing your professional abilities will ensure you bring your best for the care of your clients. Continuing to learn and grow professionally will also position you for advancement in your career. Here, we offer ten professional tips to excel as a CNA.

  1. Be prepared with a plan for each day. At the top of any list for an effective CNA is the importance of being organized and prepared for your day. Be sure to have the equipment and supplies you’ll need so you won’t be delayed in performing your work at a client’s home. Write tasks and lists of steps out (or store them on your favorite note-taking app), and make your notes specific for each client.Over at Harris School of Business, they offer “6 Tips for Being a Good Patient Care Technician,” which breaks down this point and suggests that you carry a fanny pack to keep those most-essential supplies on you, including a pad and pen handy for making notes.

    “Until we can manage time, we can manage nothing else.”
    – Peter Drucker
  2. Share your compassion. In your work as an in-home CNA, your work usually involves assisting clients with highly personal tasks such as toileting and bathing. By remaining compassionate with your clients, you establish a climate of mutual respect.And since you bring care services to your clients in the sanctuary of their homes, the importance of establishing a high level of trust is even more essential. By demonstrating your compassion as a skilled nursing assistant, you set the groundwork for a positive experience, which sets your client at ease when they feel most vulnerable.
  3. Be a patient listener. Hand-in-hand with compassion comes the ability to be a good listener. We honor each other when we fully listen to others and demonstrate that they have been heard. At no time is this more important than when a person needs care.Take a pause, breathe and pay close attention to what your client is saying about their needs and concerns. You are not required to produce answers but to acknowledge what has been said. Perhaps a resolution is within your control or abilities, but when it is not, you may be the conduit to pass their information on to family and your team at the office. When you truly listen, you provide powerful medicine.“Most people do not listen with the intent to understand; they listen with the intent to reply.” – Stephen R. Covey
  4. Pay attention to details. As the expert who brings care to your client’s door most frequently, often you are the one who establishes the most significant relationship. You will have ongoing communication with the client, and your work will often entail keeping a thorough and accurate record of the care you provide as well as essential health data you obtain from the client. Your log of those details is what ensures uniformity of service, as well as changes which may need to be made in the future. Be sure you are following the protocols to log and report information.
  5. Understand basic medical terminology. Over at Indeed in the article “8 Skills for Your CNA Resume,” they suggest you leverage your knowledge of medical terminology. As you read this, you might either be CNA or working toward becoming a certified nursing assistant, so you will have learned a fair amount of terminology you can employ.Expect to increase your knowledge of medical terminology and pharmaceutical names rapidly as your career grows. The more you understand of the language used in medicine, the more you’ll understand your client’s specific needs and the care you provide in your role.“They certainly give very strange names to diseases.” – Plato
  6. Use your strongest communication skills. The ability to clearly provide information is critical when talking with your clients. Be precise and informative about everything you know and can report. As you observe and receive information, make sure to pass it along accurately when required by family and staff at the home office.
  7. Ability to follow protocols and work independently. You’ll work and communicate with a team at the office and as you serve your clients. But in many visits, you’ll be expected to provide care by working independently. Be sure you know the standards for all the services you conduct, as this protects both you and your clients.

    “Anyone who considers protocol unimportant has never dealt with a cat.”
    – Robert Heinlein
  8. Continue your education! Make it a point to learn more about the work you do, from the latest safety tips to any ongoing education offered through your employer or community college. Continued learning will keep you fresh and engaged in your career and prepare you for opportunities of advancement as well.
  9. Take good care of yourself. Eat a healthy diet and make sure to get good sleep at night. The right nutrition and rest helps protect you from getting sick, or (just as dangerous) burnt out. Physical conditioning in this job is important, as work as a CNA requires lifting and bending, especially in in-home care. Make sure you treat your body right with regular exercise and stretching.
    “As you grow older, you will discover that you have two hands, one for helping yourself, the other for helping others.” – Maya Angelou
  10. Do something positive for you. Find time to enjoy activities that give your mind and body either rest or excitement (or a little bit of both). The care you provide for others doesn’t always end when you complete your day of work as a certified nursing assistant, because you should take care of yourself, too. Making time for yourself gives you the energy and mental resources to go at it for another day. Read more self-care tips here.The Bureau of Labor and Statistics predicts that jobs for certified nursing assistants will grow by 9% through 2028, which is higher than the average for all other occupations. Work as a CNA is a promising career in demand for the foreseeable future, and being a good CNA will benefit you in your future career goals as well.

 

Bibliography:

https://www.thinkcnaonline.com/blog/advice-for-certified-nursing-assistants/

https://www.indeed.com/career-advice/resumes-cover-letters/skills-for-your-cna-resume

https://www.bls.gov/ooh/healthcare/nursing-assistants.htm

Read More

FAQ—Urinary Incontinence

The term urinary incontinence refers to unintentional urinary leakage caused by a variety of underlying factors. And because this is such a basic body function, any changes can create discomfort and embarrassment. Even talking about it is uncomfortable, and so the immediate response is often to ignore it.

However, urinary incontinence is a common issue for many, particularly due to specific medical conditions and aging. According to the Urology Care Foundation, “…about 1 out of 2 women and 1 out of 4 men, suffer from urinary incontinence symptoms.”

No one needs to endure this on their own, however, because there are many treatments available today. And when people are provided straightforward information, they are able to make the decisions that help improve their quality of their life and resolve or manage the situation without any more embarrassment or discomfort.

We believe that’s what everyone deserves. For that reason, we’ve compiled this FAQ article for urinary incontinence.

 

What is urinary incontinence and when should I see a doctor?

Urinary incontinence occurs when a person leaks urine unintentionally. You’ve seen the ads for panty liners and special underwear to protect against this leakage, if you don’t use those products already. These are mostly aimed toward women who deal with stress urinary incontinence caused by a cough or sneeze, which places immediate pressure on the bladder.

The National Institute of Aging distinguishes incontinence into three more categories, including:

  • Urge (a sudden need to go that you can’t control)
  • Overflow (leakage caused by a constantly full bladder)
  • Functional (leakage when you can’t get to the toilet because of another condition)

Sometimes, incontinence is temporary and resolves quickly (if the reason is due to an infection such as a UTI). However, if the symptoms persist, seeing a physician is essential to help resolve the situation.

 

What are the common causes of urinary incontinence?

For women over 50, the most common source of incontinence is weak rectal and bladder muscles due to menopause and childbirth. For men, an enlarged prostate might be the cause. But you won’t know for sure what is causing your symptoms until you see a physician.

 

How will the doctor determine the cause of my urinary incontinence?

The first step will be an interview. Your doctor will inquire about your medications, lifestyle habits, diet and other medical conditions. Tests such as a cough stress test and bladder ultrasound may be deployed to gauge the type of incontinence you’re dealing with as well.

 

Will surgery be the only option?

Surgery will not be the first or only option. Most likely you’ll have behavioral changes to try before you’d consider a surgical procedure. For example, your doctor may recommend losing some weight, monitoring your liquid intake or reducing or stopping alcohol or caffeine consumption.

You may be asked to keep a diary of your urinary frequency for a time, too, or perhaps work to train your bladder with timed restroom intervals. For many incontinence issues, there are actions that could resolve the matter so that surgery can be delayed or dismissed.

 

Will I have to take more medicines?

There are some medications that can tighten the bladder muscle or improve bladder void. You will want to consider these medications with your physician once you’ve exhausted other possible treatments and behavioral changes.

 

What are products I can purchase to guard against embarrassment due to incontinence?

In addition to the absorbent products (including liners and disposable underwear), there are indwelling and intermittent catheters available. More solutions come onto the market each year to provide choices so that people can continue to lead active lives. Be sure to discuss these solutions with your physician to determine the products best for your needs.

Who should I see beyond my doctor?

If your incontinence is caused by more complex issues, you’ll want to ask your doctor about seeing a specialist.

For men, you can ask about visiting with a urologist who specializes in diseases of the urinary tract and male reproductive system.

Women might ask for a referral to a pelvic floor therapist who works on rehabilitation of pelvic muscles. With the help of a therapist, you’ll work through understanding the current condition of your pelvic floor and learn the exercises—including Kegels—to do to help strengthen and improve muscle elasticity. Women may also discuss their incontinence concerns with their gynecologist for suggestions and referrals as well.

 

What is the most common surgical procedure for incontinence?

Once you’ve exhausted other actions, you might decide you’re ready to address your incontinence with surgery. The procedure will depend on the cause, but most common is a sling surgery where either your own tissue or synthetic material is used to support a prolapsed bladder or urethra.

Urinary incontinence is common, but it is understandable that people emotionally delay in seeking treatment. However, once you address the issue, you’ll begin to feel you’re on the path to better days without the nuisance or embarrassment. Talk to your physician and obtain the information you need to take action and do what is right for you.

 

Bibliography:

https://www.urologyhealth.org/urologic-conditions/urinary-incontinence

https://www.nia.nih.gov/health/urinary-incontinence-older-adults

Read More

Keep a Pulse on Your Mental Health While You Care for Others

We’ve all been rattled by the COVID-19 pandemic and stressed by the uncertainty of what comes next. And for those on the frontline, you and all others in healthcare, that load is especially heavy right now. You signed up to care for others, to apply your education and skills to help clients get well. But what do you do when the place where you go to work also puts you at risk?

When it comes to addressing Maslow’s Hierarchy of Needs (the theory in psychology using a five-tier model of human needs), healthcare workers are at special risk right now in the most fundamental areas of safety and rest. You’re running on heightened emotions and most likely aren’t taking time to check in with your thoughts and find healthy outlets.

“I don’t have time,” you might think. It probably does feel that way. It’s exhausting to try and even map out self-care. So that’s why we’ve started it for you.

 

Simple ways to keep tabs on your own emotional needs

To be effective for anyone else, you must care for yourself first. It’s tough to find the time and give yourself permission, so here are some tips, resources and inspiration.

  • Eat well first. Medical staff have been speaking to the generosity of family and friends as baked goods and ready-made meals come pouring into hospitals nationwide. It’s great to be recognized and appreciated, and there is no harm in grabbing a moment’s comfort in a cookie, but you need good nutrition to feed your brain and your body—especially for long shifts and periods of stress.

These days, numerous restaurants are giving you well-deserved deals, but be sure to take advantage of those that offer fruits, vegetables and healthy proteins first. By eating something healthy before a treat, you fill up and sometimes don’t need the treat at all. And when you do find a local, healthy promotion in take-out options, bring extras in to your colleagues or team.

  • Stay active and make it fun. You’re on your feet all day at work, but you can get moving on your own terms to make it fun again. Don’t worry about how much or what kind of movement, just get active for short spurts with the activities you’ve always loved. This is the best way to ratchet up your adrenaline and endorphins for short bursts of improved mood. 

There are many fitness outlets offering deals to healthcare workers right now, but if you just want to escape with something accessible right now, check out the YouTube channel for 305 Fitness and see if you don’t feel the urge to groove. 

  • Get trusted information only. Protect yourself from divisive and useless information. Spend your downtime talking and laughing with friends virtually through Zoom or other online platforms. Watch shows that are for pure enjoyment and entertainment without getting too deep. And when you must check in with the news, make sure the sources are the best for unbiased information. Forbes offers their list of best outlets here.
  • Rest your mind and body. Even a few peaceful minutes to focus your attention on breathing and solitude can help improve your sense of wellbeing. The app Headspace is now offering free access to healthcare workers at least through the end of the year. Headspace offers their complete library of guided meditations, along with sleep sounds and bedtime exercises.

  • Make a plan to do something enjoyable. The anticipation of an activity you can look forward to is a welcome salve for stress. Start by organizing a virtual dinner or two with friends and family. Perhaps you garden or have another hobby you’ve not worked on for some time. Plan and prepare for a project. Maybe you want to think a year or more out and dream and scheme for a trip. This pandemic will pass, and we will travel again. Pour through Airbnb for destinations and scout out and price what is possible.
  • Check in with a mental health professional. Over at MedPage Today in the article “Project Parachute Provides Free Mental Health to Frontline Workers,” they quote Jessica Gold M.D., a psychiatrist at Washington University, who notes that healthcare professionals are at risk for issues of depression and burnout under regular circumstances, and now exponentially more so. No matter your state of mind, it’s perfectly acceptable (and to your benefit) that you touch base with a psych professional to get a sense of what you’re thinking and feeling. Project Parachute is offering pro bono teletherapy for Covid-19 front-liners in 37 states already. Check in to see if this or another service is right for you. 

All the uncertainty compounds the stress of what you do. By acknowledging and doing something about the mental toll now, you can get ahead of the emotional duress. Be informed, check in with co-workers and mental health professionals, and care for your body, mind and spirit. Your goal isn’t to be superhuman but to be human and take care of yourself so you can help others, too. 

 

Bibliography:

https://www.medpagetoday.com/infectiousdisease/covid19/85938

https://www.simplypsychology.org/maslow.html

https://www.eleos.health/parachute

https://www.forbes.com/sites/berlinschoolofcreativeleadership/2017/02/01/10-journalism-brands-where-you-will-find-real-facts-rather-than-alternative-facts/#1c8bf718e9b5

https://www.headspace.com/science

Read More

Master Your Medication Regimen

If you have an existing medical condition or have had a recent change in your health, then you know you have a lot to remember and to incorporate into your life. Adding to an already-complex experience navigating your health plan and regimen, many plans get most confusing when factoring in all the pharmaceuticals. It can be a lot to take in all at once and can easily lead to information overload. And yet, you want to get the most out of those medications and your care.

It can feel like an avalanche of details, all those strange medication names and the list of them you have to take. You’ll want to understand the specific reason for each prescription, consider possible reactions, note any interactions between medications, and keep track of dosages and a schedule, too.

As overwhelmed as you might feel, you can gain greater control of your health by taking a handle on your medication regimen. Here, we’ve organized some tips and details to help you create a system that works for you. And remember, when it comes time to implement your plan or look for specialized advice, you can always count on Home Health Companions for your medication management, too.

 

Keep your list medication list handy at all times.

It’s pretty much a guarantee that when you go to see any medical professional, they’ll ask you about the medications you take as well as dosages. Don’t be surprised when the physician who prescribed most of the medicines asks for your list. Doctors do this to check and see if any other medicines have been added, and to match your list against their records.

It’s a good thing to review your medications frequently with your team of medical professionals. Over at Johns Hopkins in the article “Help for Managing Multiple Medications,” they suggest an annual review of all your medicines with your doctor. It’s essential to keep tabs on your prescriptions with your primary physician as well as with your specialists to be sure the doses are still in-line with your need.

 

Align your medication routine with the reasons you take them.

Over at Everyday Health in the article “How to Manage Your Prescription Medications,” they suggest establishing a routine for taking your medications. Every prescription you have provides instructions, such as the time of day it should be taken and whether it is to be on a full or empty stomach. A review of these specifics will help you determine when you’ll schedule the medicines that you need to take each day. And once it’s all on a schedule, the labels and instructions never have to be stressful again.

In addition, understanding the “why” of each medicine will help you set and maintain that schedule. Is the medicine helping to lower your blood pressure or reduce the impact of high cholesterol? Associating the reason for the medicine (along with the often-strange names) will further help you in tracking when you take them.

For added help, you can take advantage of several apps that offer “chirp reminders,” or you can even set your watch or clock to alarm as needed. The good news is that, with practice and just a little forethought thought, you can set a routine that will help you keep on schedule.

 

Use the same pharmacist, and check in with questions.

As much as possible, be sure to have all your prescriptions filled by the same pharmacy—and at the same location. Everything is computerized these days, so by going to the same location each time, you’ll talk with the pharmacist or pharmacy tech who can pull up your records to answer your questions. While the same company but a different location will have your records, too, you can quickly develop trust with the same pharmacist you see on a more regular basis.

Do you want to understand a specific interaction between medications, or add a supplement to your daily take? Your pharmacist is a great resource and can look over your records to help give you thorough information.

If you take several different medications at different times of day, then using a pill organizer is going to help you a great deal. The features of the organizer you choose will depend on the number of medicines and times of day you take them. Find a safe and easy place to store your medicines and your organizers and even your medication list so you can refill your organizers efficiently each week.

As you do fill your organizers each week, be sure to take note of those prescriptions that are due to be refilled, and then do so before you are completely out of any medicines. Check to see if you can order refills two months at a time to give yourself a wider margin before you run out of a medication. Check to see if your insurance plan, too, to see if it will permit you to order two months in advance, as this may save you money on the co-pay for refills, too.

Get medication support.

Almost as bad as not taking the medicines you need is taking them incorrectly. However, that overwhelming feeling that leads you to make mistakes in your dosages in the first place can be avoided. Home Health Companions offers medication management services for just that; our certified team can help you plan properly and stay on track with all your medications.

The medications you’re prescribed are meant to help you stay well. If you have difficulties setting a routine, ask for help from your in-home care provider. They can assist you in taking control of your medication management so you can move forward with confidence that you’re getting the most from your prescriptions.

Read more about medication management in our Library.

 

 

Bibliography:

https://www.hopkinsmedicine.org/health/wellness-and-prevention/help-for-managing-multiple-medications

https://www.everydayhealth.com/senior-health/managing-your-prescription-medication.aspx

 

Read More
Health Care Services

How to Age at Home with Confidence

Whether it’s you or someone you love, growing older means dealing with changes in health that can render daily living more complex. And if aging in place at home is one of your primary goals, it could still be difficult and scary to discuss what to do to reach that goal.

Health and aging mean dealing with new information, new specialists, more appointments and medications. These pile onto existing worries, including home maintenance, personal mobility, care of or by a spouse, and paying your bills. You want to stay in your home, but you’re not sure how you can make it work and still be safe.

You’re not alone in dealing with the struggle, and there are resources available to you. The first step is to plan and to form a strategy based on the services you need now—and as your circumstances change. This is exactly what we deliver in our Aging Life Care Services.

Advocacy for seniors, and those who have special medical needs, has become increasingly important in our society with so many aging loved ones. As per Population Reference Bureau: “Today, 40 million people in the United States are ages 65 and older, but this number is projected to more than double to 89 million by 2050.” More of us are older and more of us want to stay in our home, so gaining help to navigate the needs and services available has become critical.

If it seems daunting to create your age-in-place plan, there is help. A Home Health Companions Aging Life CareTM professional (also called a geriatric care manager) works with you and your family to make sense of all the moving parts of both the medical and personal care you need.

Here, we’ll explore why aging at home is beneficial, and how support from an Aging Life Care professional will make it possible.

Benefits of aging in place

Your desire to age in your home is understandable. You prefer to remain where you’ve lived in other chapters of life, and with the things and amenities that are familiar. You’d like to maintain your independence and keep as active a life as you can, too.

Over at Retirement Living, they’ve highlighted the top reasons aging is place is optimal in the article “5 Benefits of Aging in Place.” The list includes personal comfort, maintaining your cognitive health, and keeping your social networks. And to this list we can add the reality that retirement communities can be problematic for the spread of diseases, because people who are already susceptible to infection live there in greater numbers.

The primary reason most people want to stay at home, however, is that it is often the most affordable option. Long-term care facilities charge sometimes astronomical monthly fees, and even assisted living runs in the thousands of dollars per month.

In contrast, by staying in your home, you could keep living costs manageable, especially if your home is paid in full. Even the monthly mortgage would be a fraction of the cost of a retirement community.

 

The value of an Aging Life CareTM professional

The benefits of aging in your home are many, but coordinating all the pieces of medical and personal needs as you age can be a struggle. Whether it’s you or someone you love who needs to prepare to age at home, working with an Aging Life Care professional will assure everyone involved is confident of the plan put in place.

What can an Aging Life Care Professional do for you? Over at the Aging Life Care Association, they provide a detailed description of the myriad of areas where these experts offer an objective assessment.

Here, we highlight a few:

  • Medical concerns. This means they can act as a liaison with your physicians and specialists to determine the kinds of care you’ll require and how those needs can be managed at home.
  • Financial concerns. This can mean help with arranging bill payments, consultations with a Power of Attorney, or connecting families to local and governmental resources.
  • Family concerns. This can be a particularly challenging area, especially for families who live some distance apart. Conversations can be difficult when everyone is not heard or understood. Aging Care Professionals are skilled in working with families to help keep the focus on shared expectations and goals.

Aging Life Care Professionals walk hand-in-hand with their clients while taking a bird’s eye view of the circumstances and objectively working to tailor a specific proposal that will provide confidence for you going forward.

Oftentimes, it may take a consultation or two to chart out the communications of medical providers and other services. However, once you feel assured and understand your plan, that Aging Life Professional can step aside and come in again only as needed or when circumstances change.

At Home Health Companions, our Aging Life Care Professionals offer a seamless transition from plan to implementation. Once you’re set, other staff can step in to provide private duty nursing, personal and companion care as you need.

Aging Life Professionals help people stay at home longer, safer, and with greater quality of life. As we all continue to age, the services of these experts will be in even greater demand.

May was National Aging Life Care Month! The Aging Life Care Association and partners gathering touching stories from families who have benefited from working with Aging Life Care Professionals. You can find those stories on their Facebook page.

 

Bibliography:

https://www.prb.org/americas-aging-population/

https://www.retirementliving.com/5-benefits-of-aging-in-place

https://www.aginglifecare.org/ALCA/

https://www.facebook.com/AgingLifeCareAssociation

Read More

Lisa Shardon of Home Health Companions Interviewed on CBS

Lisa Shardon, President and CEO of Home Health Companions, spoke with CBS news in an interview this week. The subject of the interview was the company’s active hiring, even in this time when unemployment in the state and around the nation is at record highs.

Home Health Companions is currently looking for caregivers, certified nursing assistants, and nurses who love to work with elderly people. Requirements and other details for these openings can be viewed on the careers page.

Lisa’s interview

Lisa spoke with CBS earlier this week and talked about the company, its values, and the pressing need to hire. In-home care has always been an essential service, but now, with many families moving loved ones back home around concerns of COVID-19, the need for in-home services is greater than ever.

In the interview, Lisa talked about Home Health Companions and the reach of its private duty nursing, caregiver, and aging life care services. She talked about the specialized care offered for dementia, Alzheimer’s, Parkinson’s, cancer and hospice care that the company provides in 13 counties across the Metroplex.

Many of these open positions are supported by a unique Home Health Companion continuing education curriculum, too. The CNA, nurse and concierge caregiver roles each include access to the new Home Health Companions University that was launched earlier this year. This proprietary curriculum provides paid training to learn and grow into specialized levels of care.

Benefits

Lisa also had the opportunity to talk about the benefits offered by the company. Those benefits include:

  • Affordable medical benefits
  • Dental benefits
  • Vision benefits
  • Affordable life insurance
  • On-call incentives
  • Employee and client referral bonuses
  • A unique mentoring program
  • And continuing education

All training is provided by the company to new hires along with recognition and rewards for performance.

Pay is commensurate with experience.

 

How has COVID-19 affected the company?

Home Health Companions had to make immediate operational and structural adjustments to continue serving an at-risk client base in the time of COVID-19.

Some of the changes implemented have included rigorous infection protocols to protect both clients and staff, close compliance with all CDC and HHS guidelines, PPE provided to caregivers, plus testing and daily screening for COVID-19 and related symptoms.

In parallel with these necessary precautions, Home Health Companions has seen an uptick in client needs, though visits that can be performed via telemedicine now are following that new model. As a product of the increased need for in-home care services, Home Health Companions is now looking for those possible super-hero team members who are motivated to make a difference in the lives of local families.

 

Watch Lisa’s interview here:

Read More

11-Point Checklist for clients Needing In-Home Care During COVID-19

You know how vulnerable clients feel these days, especially those with pre-existing conditions who are also over the age of 60. Many of those pre-existing conditions require regular care, and this same population is struggling to balance the requirements of staying at home with getting the care they need.

The best cure for fear is solid and actionable information. And while it’s important to establish good hygiene practices and social distancing, essential maintenance for existing medical issues can’t be overlooked. 

In the article “In-Home Care During Covid-19 Crisis” over at AARP, the organization drives the point home that it is vital to continue home care services that will help keep clients healthy, safer, and out of the ER. In fact, many clients who otherwise might have received care in-clinic or at the hospital can have those services delivered in their homes instead, at least on a temporary basis.

To support clients’ overall sense of wellbeing and health, you can place control in their hands with this 11-point checklist designed to minimize their risk while receiving at-home care. Share it with clients, and encourage its use as a step-by-step guide to ease minds and keep more clients safe.

 

Before your in-home care providers arrives: 

  • Call your home care service provider and ask what regular steps they take to ensure you and their staff are all protected. Be sure to ask:
    • Do they touch base with staff daily to check exposure to others with COVID-19?
    • Do they run daily screenings with staff for temperature and symptoms? 
    • Do they call ahead to ensure the clients they serve are symptom-free? 
  • Ask: what is the Personal Protective Equipment (PPE) protocol? 
    • Do they change uniform coverings, gloves, masks and any other protective gear between visits with clients? 
  • Ask: is your in-home care provider getting extra help from staff splitting time between in-home and hospitals? In the article “Are Vital Home Health Workers Now a Safety Threat?” over at Kaiser Health News, recent studies have shown that there is an uptick in demand for at-home care services, and many nurses and nursing assistants are working extra hours in multiple health care settings.

Temporary providers who come from clinics or hospital facilities can be more aware of the CDC protocol than those working solely for the in-home services. Wherever your provider comes from, ask if the training at your in-home care service is consistent for all staff, both permanent and temporary.

  • Assess the essential services you need delivered in your home and what can be handled with telemedicine. You can work with your in-home care service and physician to find the balance between obtaining what is required while tracking the rest with telemedicine services between essential visits. By striking the right mix, the doctor and client can be assured that the care is being met.

Home Health Companions offers a virtual service assessment for clients in determining the best mix on a case-by-case basis, and also continues to evaluate options and best-practices as the situation and client needs evolve.

While your at-home care provider is in your home: 

  • Ensure your caregiver covers their shoes upon entering your home, then washes their hands initially and then frequently throughout the visit.
  • Ensure you and all others at home wear masks during the visit to protect everyone.
  • Maintain the 6-feet social distancing protocol between the care provider and others in the home who are not receiving care.
  • The care provider should abstain from any unnecessary actions such as hugging or handshakes to reduce physical contact.
  • Only the materials for care should be brought inside the home. 

 

In between home health care visits:

  • After your provider leaves, wash your hands as well as any surface in your home where the home care provider had contact.
  • Monitor your health metrics between home care visits to keep a record.

For hospitals, clinics and retirement communities, it’s important to have a candid conversation with each client that addresses anxiety about the pandemic in relation to specific health issues, as well as the relief in-home care can bring.

Factor in the heightened sense of isolation your clients may feel at this time, too, to assess if home care and telemedicine are needed to support this issue as well. At-home care is uniquely positioned at this time to help clients who are physically isolated feel less emotionally isolated as a product. Companionship, after all, is a vital requirement for whole health.

You can make the difference in countering the weight of helplessness with an actionable and attainable plan. Get ahead of fear or expectations with each client. And remember, most of what we’re living now will likely be part of a new normal for the foreseeable future, and many clients haven’t yet come to take that fully in. The steps taken today, however, will likely be the habits we all observe going forward for the safety of clients and staff alike.

 

Bibliography

https://www.aarp.org/caregiving/home-care/info-2020/in-home-care-during-coronavirus.html

https://khn.org/news/are-vital-home-health-workers-now-a-safety-threat/

 

Read More

6 Signs You’re Going “Isolation Batty” and What to Do About It

You already know that each new stage of life comes with new adventures.

In the times of COVID-19, however, we’re not so much in a new “stage of life” as we are all enduring a shared period of isolation. If you’re feeling a bit batty these days, we can just about guarantee it has little to do with you and a lot more to do with being human and alive in the times of lockdown and a pandemic.

That part about being alive is where we start in our discussion today. But just being alive is no longer enough. To make sure you live as well as you can, let’s dive into the six signs that you might be suffering pangs of “feeling batty” due to extended time in self-quarantine. 

These signs are a little anecdotal, but you can easily tweak the details to see if they’re symptoms you can relate to. You’ll get the idea. Fill in the blanks for your personal situation to see if what’s “got you” is really cabin fever.

  1. Your pet is suddenly a great conversationalist.
  2. You and your dog are in sync, both fascinated by what passes by your window. (You find yourself by his or her side on the couch, sitting the wrong way, craning your neck to get a better look past the curtain.)
  3. You’re napping more than your cat.
  4. You have no pets, never wanted any, but all the sudden a pet seems like a good idea.
  5. You’ve cleaned everything in your home and are now on your second time through. This time you’ll organize everything by color.
  6. You’re dreaming you live in quarantine.

So, what can you do about it?

For starters, you can contact us at Home Health Companions. We can provide not only the care but the companionship you need to feel more grounded in this unprecedented time.

Leading up to and between your appointments, even when you’re feeling over-the-edge, it’s important to remind yourself that this is temporary. Your goal is to stay safe and healthy.

Still, a boost to help you muddle through—and yes, even improve your mood—is possible, so here are our favorite ideas of actions you can take starting now. 

Learn something new.

This idea is shared along with an extensive list of other, equally valuable notions at Sixty and Me in the article “Stuck at Home? 20 Fun Ideas for Women to Do at Home.” And gentleman, the list of suggestions easily applies to you as well, so don’t let the title fool you.

We can all attest to how learning ratchets up your brain activity while helping time fly by. This is especially true when you stretch into areas outside your wheelhouse. Plus, learning something new helps you discover more things about you, too, which is a good thing if you’re spending most of your time with yours, truly.

Any number of learning opportunities await you with free online courses, too, via portals like Udemy and Coursera. You can explore these websites and scout out which is best for you in the article “14 Free Online Courses for Senior Citizens.” The tips are truly informative for a universal audience, whatever the title says!

Learn the tech you’ve always said you couldn’t learn.

And as long as we’re on the subject of learning new things, you could make learning something tech-related your goal. You might have said (and even believe) that you can’t learn to use your computer, phone, or tablet beyond what you know now, but you truly can if you have the right resources and take your time.

Sometimes what holds you back from becoming more skilled with technology is simply the wrong instructor. You know which ones we’re talking about—the impatient trainers who talk too fast and don’t offer steps to the process. 

Over at Aging in Place, the article “How to Become a Tech-Savvy Senior in 10 Days” offers you the basics of why learning your tech can help you enjoy access to the world of information. The article also provides resources that will help you learn in the way that works best for you.

Virtual dinner parties and happy hours.

This is an enormously popular option that can open a world of possibilities to keep in touch with people near or far. You can get together with friends and family using so many simple tools that don’t even require tech savvy. Facebook has something available in their Messenger application for video chats, for instance. The free application called WhatsApp is super easy. Zoom Meeting also works well and has a free version, too.

The point isn’t so much what you do during these virtual visits. You can get creative and will find that time flies when you meet. Just as important is that you plan the virtual visits and fill up your calendar. Scheduling fun in your future is a HUGE boost to your spirit and helps you keep feeling grounded in this bizarre time we’re living. 

If you are trying to avoid eating too much food during quarantine, make your virtual gathering hinge on something else instead. Book club? Karaoke? Dance party? That’s right—play tunes you and your group love and just shake it out!

Teach it, record it, and share it online.

If you’ve got a skill or talent, it’s time to share how you go about doing that thing. Seriously, you could be the next YouTube phenomenon—although that’s not really the point. It’s easy to get started creating videos and then uploading them to your own YouTube channel. 

Do you know how to knit, draw, or play an instrument? Maybe you love to read aloud or recite poetry. Record it and share it. Really, it’s not about finding the big audience but reaching out to your own audience of friends and family. They need something other than the news to watch, and if you have something to share—from family stories to how to change the oil in your car—offer step-by-step instructions in a video and hang it on your proverbial wall.

Join a group.

This might seem strange given many of us are currently in quarantine, but check out Meetup.com where groups form to share their interests. For example, you’ll find book clubs, knitting groups, writers and a wide variety of other groups looking for people to join them. Given the pandemic, many have migrated to creating virtual events that you can join in a click.

Make someone’s day with snail mail.

Remember you are not alone. You have friends and family in the same isolation boat with you. And, especially if you’ve been around for a while, you know how to write a letter. Some would say it’s a lost art. Drop a note in the mail and surprise someone. Write some thoughts down. Tell a story. Do something kind for someone else, and that will help you even more.

Your goal today and every day is to focus on what is right in front of you. We are living in historic times, but there are many advantages available to us as well. Finding outlets in learning, digital tools and connecting with others will help you find the bright spots and avoid that “batty” feeling. Hang in there!

 

Bibliography:

https://sixtyandme.com/stuck-at-home-20-things-to-do-if-youre-trying-to-avoid-the-coronavirus-covid-19-over-age-60/

https://www.aginginplace.org/how-to-become-tech-savvy-for-seniors-in-10-days/

https://www.zdnet.com/article/why-dont-more-people-over-60-have-youtube-channels/

Read More
Health Care Services

Caregivers in Isolation: Finding the Support You Need

If you are one of the 34 million Americans providing unpaid care for an elderly loved one, you may feel alone and exhausted by the overwhelming responsibilities you face. Add in the complications that COVID-19 has brought us, which makes even going to the grocery a risk to our health, and you may be feeling very isolated.

A caregiver support group can help you feel less alone by connecting you with others in the same boat. They can provide you with advice, useful resources, and a place to be heard. Many caregiver support groups previously held in person have moved online, making attending the meeting as simple as dialing a phone number or logging into a website.

Caregiver support groups available in the Dallas area 

Home Health Companions 

Our monthly Family Caregiver Support Group, normally hosted in our Dallas office, has moved online to continue the important work of supporting caregivers in a safe environment. The group meets on the second Friday of each month from 1:00-2:30 pm.

Our facilitator is Lisa Shardon, an Aging Life Care™ professional and president of Home Health Companions. Shardon is an Advisory Council member for the Center for Vital Longevity at the University of Texas in Dallas and an executive board member for the Aging Mind Foundation. Lisa also serves the Alzheimer Association of Greater Dallas as a Trailblazers facilitator for those who have been diagnosed with early-stage dementia and their care partners.

Other Dallas-area support groups 

Facebook support groups

There are many private Facebook groups dedicated to caregivers, both local and national. Here, you’ll find the opportunity to vent and ask questions 24-hours a day using your smartphone or computer, no matter where you are located.  

Note: most of these groups are not facilitated by geriatric care specialists. They are run by fellow caregivers with varying levels of expertise. These groups are best for sharing resources, sharing stories, and feeling heard. They are not a good source for medical advice or decision-making. 

Daily Caring has compiled a list of support groups that may fit your needs. You may also search Facebook directly.

Read More

An Amazing Trade-Off!

Ms. García at the annual Bishop’s Gala. Home Health Companions helps sponsor this event, partnering with many churches in the area.

I had been a successful healthcare executive for almost two decades when I first met Lisa, the CEO of Home Health Companions. She was my client while I worked in the post-acute care industry. I would have been thrilled to know then that I would work with her later, though I never would have imagined the way it panned out.

Lisa and I connected thanks to our shared passion for integrating innovative solutions into healthcare organizations. She opened up to me about her goals, and I guided her through the executive strategy to develop the solutions that would get Home Health Companions to the point that it could optimally meet their clients’ needs.

When Home Health Companions’ COO stepped down in January 2020, I was flattered and excited when Lisa called me about the position. I knew we could do tremendous things together, and I accepted her offer.

 

My transition to Home Health Companions

It was a big decision to move to the COO position after years of developing global partnerships and strategies. In the first weeks on the job, I found myself sitting in an office looking at P&Ls, HR materials, policies and operations. But I knew I was the best candidate to develop an innovative strategy with my experience in operations, oversight and marketing. I was determined to champion everything Home Health Companions stands for.
I quickly came to terms with the trade-off I made. Though the environment felt like a big change, I grew more excited day after day as I took on new projects. Our clients were going to enjoy a uniquely innovative and superior model of in-home care.

But then, I was faced with challenges I never expected. Just two months into the job, the nation was hit with the COVID-19 crisis. My expectations rapidly shifted from professional growth to a laser-focused approach to serve the healthcare community. I faced immediate business threats, like not being able to serve our elderly patients or the most medically at-risk, plus creating safety policies and procedures to keep staff healthy. We all worked longer and longer hours, and I grappled with the fear of financial and business operations ramifications.
Throughout this experience, I learned a precious lesson that I did not have on my list of big plans coming in: the true meaning of being a servant leader.

Projected growth versus actual growth

When I started at Home Health Companions, I had an agenda to grow the business through innovative and improved operations. I also had an agenda for my own professional growth. The biggest lesson I’ve learned these first four months, however, was the result of the novel coronavirus, and that lesson wasn’t in my game plan.
Some of the biggest challenges I faced as soon as the pandemic escalated included creating new COVID-19 workflows to keep staff, the healthcare community and our clients safe. I also had to keep up with every governmental and CDC change, which were updated daily, to ensure we were following all the rules and recommendations.

I had to step up as an organizational leader when we experienced a growing fear from our staff around visiting nursing homes—and even going into clients’ homes. Those of us on the executive team decided to implement daily conference calls and huddles with our staff to keep them informed on all COVID-19 changes and to ensure they understood the importance of infection control. There were several Saturdays where we even met staff in wide-open parking lots to safely provide them with more masks and gloves, always at the greatest possible social distance.

This exercise in regular leadership and actionable guidance was calming for staff, and it was an empowering lesson for me. By opening these additional lines of communication, we learned that many members of our staff also had a fear of losing their jobs. We were able to quell those fears and purpose all our conferences toward what positive action they could take right then. “What can you do today?”

The value I find in servant leadership

Servant leadership is not a new concept. At some point in our business careers, we all come across the many different leadership styles. While completing my MBA at Southern Methodist University as well as during professional development experiences at Harvard and Oxford, this and the many other styles of leadership were frequently assessed. And while these incredible conceptual models fascinated me academically, they became intimately and deeply applicable during this unforeseen epidemic.

By stepping up to Home Health Companion’s organizational needs during an unprecedented situation, COVID-19 taught me that growth is about transparent servitude in times of unforeseen challenges. My heart aches for all that our community has suffered, as well as the suffering that’s taken place nation and worldwide. I have found purpose, however, in doing what I can to ensure in-home care is available to those who need it, many of them now more than ever.

 

About Ariane García

Ariane Garcia COO of Home Health CompanionsFor 20 years Ms. García has served in several firms across the healthcare industry including: hospitals, medical device companies, post-acute healthcare, and medical technology. She excels in strategy & business development, contract negotiations, operations, P&L oversight, and marketing strategy. She has championed efforts to enhance capabilities in general management, new market identification, and finance.

It is with great gratitude that Home Health Companions welcomes Ms. García to our team, and applauds her capacity to apply all her skills to such immediately profound needs our organization has had.

“Having Ariane assume the COO role will enable me to do more strategic external-facing activities for Home Health Companions mission,” Ms. Shardon of the company said.

Ms. García earned an MBA from COX Business School Dallas Texas, a bachelor’s degree in Markets & Cultures, and second in Spanish from Southern Methodist University in Dallas Texas. Ariane completed a certification in open innovation strategy from University of Oxford in the UK and a certification on negotiation and leadership from Harvard Law School. She has served on various community organizations with responsibilities in governance, finance oversight and fundraising.

Read More

Meeting Home Health Needs During the COVID-19 Crisis

We’re so very proud of our team members and their continued dedication to safely caring for our clients. During unprecedented times, our staff continues to observe stringent hygiene and health protocols while providing caregiving and nursing services. They are a vital human connection for our clients, especially right now.

New: Virtual Services
Families who face a need for in-home health services for a loved one during the COVID-19 crisis also struggle with protecting their health. That is why we are now offering virtual assessments to determine which services are needed and assist families in selecting the most appropriate choices. We are also able to provide virtual nurse visits.

In some cases, families are delaying engagement of home health services during the crisis and choosing to provide care themselves in the interim, while they themselves are at home. Other families are moving loved ones out of facilities temporarily to avoid the virus. We understand!

If you or someone you know is providing caregiving for a family member until the COVID-19 crisis subsides, ensure you have a care plan in place.

Create a Care Plan
A care plan is a list of all the tasks the caregiver does for and with your loved one. If you’re a Home Health Companions client, you have a care plan in place. If you are not a current client or if your loved one’s health has changed significantly, our Aging Life Care certified professionals can create one for you. Contact us at 214-295-8213. Our phone is answered 24 hours a day.

Additional Resources
If you are now in the position of providing care yourself, this new guide can be a useful resource: “Helpful Family Resources for Dealing with COVID-19.”

Read More

Should you bring your loved one home?

Dallas County Judge Clay Jenkins asks families to consider bringing loved ones home from assisted living and skilled nursing facilities and caring for them at home. The Dallas Morning News reports that this suggestion is in response to confirmed COVID-19 cases among residents of a North Dallas senior-living facility.

Every situation is unique. Home Health Companions is here to help concerned families evaluate options and make informed decisions.

If you are thinking about moving a loved one home and providing in-home care – even temporarily – here are questions to address:

  • Can a nurse or caregiver help my loved-one at home daily?
  • What, if any, equipment would be needed, i.e. a hospital bed?
  • Do I have the resources available to help my loved one?

Please call us to discuss your concerns at 214-295-8213. Our phone is answered 24/7.

An Aging Life Professional® can help

If you are considering moving your parent home from a facility due to COVID-19, one of our certified Aging Life Care Professionals will work with you to create a plan of action, including logistics such as scheduling care and provision of any needed equipment.

An Aging Life Care™ certified professional, also known as a geriatric care manager, helps families with needs-assessment, plans of care, and arranging for services to meet their needs. They are experienced in several areas related to aging care, including counseling, gerontology, mental health, nursing, occupational therapy, physical therapy, etc.

To schedule an assessment, please contact us today at 214-295-8213.

Why Home Health Companions?

Home Health Companions has earned the Best of Home Care Employer of Choice Award two years in a row from Home Care Pulse, who collects unbiased feedback direct from employees. Our client satisfaction for March 2020 is an impressive 93.7%.

But don’t take our word for it.

“Home Health Companions prevent crises from occurring. They anticipate the needs of the client and meet those needs. They are always available and are quick to get on any issues,” Home Health Companions client.

 

Read More

Our response to the coronavirus (COVID-19)

Our hearts go out to those close to us and around the world affected by the coronavirus (COVID-19). With the virus continuing to impact communities throughout Texas, we want you to be aware of the diligence with which we approach caregiving.

Our #1 is priority is the health and safety of our clients and caregivers.

As a healthcare agency, we train our caregivers in best-practice hygiene protocols, including correct hand-washing technique and use of gloves in caring for our clients.

Read More
Health Care Services

Tips for Communicating with Seniors

Seniors crave social connection as much as the rest of us. Unfortunately, sometimes they are less able to verbalize their feelings as well as they used to or are self-conscious about slower speech or reduced memory. Some extra effort may be needed to strike up a conversation with them. 

It’s important to try not to treat seniors differently. Realize that they have had rich experiences, which you can tap into and learn from during your time with them. Your honest and loving curiosity about their lives will both help to trigger memories for them as well as provide a natural path for conversation. 

Planning for a Visit 

If you know ahead of time that you’ll be visiting a senior, consider bringing something to do or talk about that might help trigger memories for them. A few ideas include:

  • A family photo album 
  • Music from when the person was young 
  • A simple craft project or puzzle 
  • A homemade goodie 

If they have access to a kitchen and used to enjoy cooking, bring ingredients for a meal or snack you can enjoy making and eating together. This might spark conversations about favorite foods, cooking techniques, or recipes 

Speak Normally

Avoid talking down to elderly people. Do not use baby talk, a singsong voice, or inappropriately familiar terms of endearment. Talk to them as you would any other adult. Many seniors feel insulted when people talk to them as if they are children, even if those people don’t mean any harm.

Questions to Spark a Conversation 

If conversations don’t seem to flow naturally, here are some questions that might help: 

  1. Who influenced your life the most? 
  2. What is the happiest moment of your life? 
  3. What is your proudest accomplishment? 
  4. What is your earliest memory? Note that many people’s long-term memory stays intact much longer than their short-term memory. 
  5. Who were your friends when you were growing up? 
  6. Did you have a pet? 
  7. Did you travel when you were younger? Where was your favorite vacation? 
  8. What was your favorite hobby? 
  9. What was school like for you as a child? What were your favorite and least favorite subjects? 
  10. What do you wish you’d done that you didn’t? 

It might be tempting to finish sentences, fill in blanks, or correct inconsistencies, but it is more respectful to give your full attention. Be patient if they aren’t able to speak or think things through at their previous pace. 

Try to stick to one topic at a time. Limit distractions to allow time to collect their thoughts. Turn off televisions or phones and move to a quiet corner, if possible. 

This is a time of their lives that may be characterized by loss: loss of health, finances, friends, mobility, and control, to name just a few. If we let them talk about these losses, it often gives us opportunities to talk about alternatives that help them retain the control they have left. 

When planning time together, rather than asking open-ended questions, give a couple of options. For instance, instead of “What would you like to eat?,” try “Would you rather have tacos or spaghetti for dinner?” 

Be aware of non-verbal communication. As people lose the ability to talk clearly, they may rely on other ways to communicate. Facial expressions may show sadness, anger, frustration, or other emotions. Allow them to express themselves verbally and non-verbally in every way they can. 

The bottom line is that all humans crave connection. They want to feel valued, respected, and loved. The efforts you make to communicate with your loved ones and seniors that you spend time with may be valued far more than you even realize and maybe even far more than they can express to you.

Read More

How to Address Hearing Loss in Older Adults

Protecting or restoring your hearing is about more than just being able to hear the world around you. “Some research has come out stating that untreated hearing loss is correlated to dementia,” Kirsch says. “People who don’t stimulate their brain and people who are not stimulated by flowing conversation are more likely to acquire dementia. That’s a big issue, and it’s something that we’re trying to get the word out about so that people address the hearing loss.”

Read More
Health Care Services

Hearing aids can lower risk of dementia, depression in older people

People age 66 and older who got a hearing aid shortly after being diagnosed with hearing loss were less likely to receive a first-time diagnosis of dementia or depression, or be injured by a fall, in the following three years, a study published by the Journal of the American Geriatrics Society found.

Researchers from the University of Michigan examined insurance data from nearly 115,000 Michigan residents whose insurance covered part of the cost of hearing aids. People who got hearing aids had an 18 percent lower risk of being diagnosed with dementia, including Alzheimer’s disease, within three years of their hearing loss diagnosis, the study found. The risk of a depression diagnosis was 11 percent lower and the risk of being injured in a fall was 13 percent lower.

Read More
Health Care Services

Untreated Hearing Loss Linked To Loneliness And Isolation For Seniors

There may be no easy fix for the loneliness epidemic plaguing the nation, but helping people cope with hearing loss could be one key to tackling this complex problem. Hearing loss affects 1 of every 5 people and is strongly linked to loneliness: Every decibel drop in perception in people under 70 increases the odds of becoming severely lonely by 7%, one Dutch study showed.

Read More

Home Health Companions Among Fastest-Growing Private Companies

This year’s edition of Inc. magazine’s annual list of the 5,000 fastest-growing privately held companies in the U.S. featured a number of in-home care providers that have made jaw-dropping business gains.

Among the several in-home care companies to make the list was Home Health Companions, a Dallas-based licensed home health provider that offers in-home companion and caregiver services, private duty nursing and aging life care services.

Read More
Health Care Services

Researchers Explore Why Women’s Alzheimer’s Risk Is Higher Than Men’s

Scientists are beginning to understand why Alzheimer’s disease affects more women than men and why the disease seems to progress more quickly in women’s brains. The explanation appears to involve social, biological and genetic differences, researchers reported at the Alzheimer’s Association International Conference in Los Angeles.

One study looked at sex differences involving a toxic protein called tau, which tends to spread like an infection through the brains of people with Alzheimer’s.

Read More

Home Health Companions Named to the 2019 Inc. 5000 List of Fastest-Growing Private Companies

Home Health Companions, a licensed home health provider, announced it has been named to the prestigious Inc. 5000 as one of America’s most successful independent small businesses.

“It’s an honor to be recognized as one of the nation’s fastest-growing private companies,” says Lisa Shardon, President of Home Health Companions. “Our commitment to deliver superior home health care for our clients and their families is reflected in our growth. We look forward to serving the growing aging population in Dallas-Fort Worth with the highest quality in-home health care and skilled nursing services available.”

Read More

“They understand the client”

Home Health Companions was honored to hear how Richard Eiseman valued the caregivers and caregiving services delivered to his mom, Louise. He wanted others to know they can count the on the stellar service provided by Home Health Companions, too. He shares his thoughts in this video. Take a listen.

Read More

New Markers For Alzheimer’s Disease Could Aid Diagnosis And Speed Up Drug Development

Alzheimer’s disease begins altering the brain long before it affects memory and thinking.

So scientists are developing a range of tests to detect these changes in the brain, which include an increase in toxic proteins, inflammation and damage to the connections between brain cells.

The tests rely on biomarkers, shorthand for biological markers, that signal steps along the progression of disease. These new tests are already making Alzheimer’s diagnosis more accurate, and helping pharmaceutical companies test new drugs.

Read More
Health Care Services

A Late-Life Surprise: Taking Care Of Frail, Aging Parents

As life spans lengthen, adult children in their 60s and 70s are increasingly caring for frail, older parents — something few people plan for.

“When we think of an adult child caring for a parent, what comes to mind is a woman in her late 40s or early 50s,” said Lynn Friss Feinberg, senior strategic policy adviser for AARP’s Public Policy Institute. “But it’s now common for people 20 years older than that to be caring for a parent in their 90s or older.”

Read More
Health Care Services

Study: Falling for Phone Scams Could be an Early Sign of Dementia

Every year, $3 billion is stolen or defrauded from millions of seniors, according to the US Department of Justice. Sometimes, good judgment amounts to hanging up the phone: Older adults who find it difficult to end a conversation with bogus telemarketers may be at risk for dementia, new research suggests.

Within a large group of older people showing no signs of dementia, those with little to no awareness of possible telephone fraud proved to be at higher risk for mild cognitive decline and, in some cases, Alzheimer’s disease compared with those with a greater consciousness of potential cons, according to the study, published in the journal Annals of Internal Medicine.

Read more on CNN.com

Read More
Health Care Services

Seniors and Financial Scams

The adoption of electronic banking and credit card transactions have made financial services easy to manage 24-hours-a-day, 7-days-a-week, often from remote locations. But that same convenience gives scammers the access they need to prey on unsuspecting seniors.

According to a 2016 study, people 50 and older hold 83% of the wealth in America; households headed by people in their 70s and 80s tend to have the highest median net worth. Combined with loneliness and lack of a local support system, some seniors may be prime targets for financial scams and the effects can be devastating. One recent study has named this issue Age-Associated Financial Vulnerability.

Read More

Blood Pressure Drug Shows Promise for Treating Parkinson’s Disease

A prescribed drug to treat high blood pressure has shown promise against conditions such as Parkinson’s, Huntington’s and forms of dementia in studies carried out in mice and zebrafish at the University of Cambridge.

A common feature of these diseases — collectively known as neurodegenerative diseases — is the build-up of misfolded proteins. These proteins, such as huntingtin in Huntington’s disease and tau in some dementias, form ‘aggregates’ that can cause irreversible damage to nerve cells in the brain.

Read More

Yoga versus Traditional Treatment Methods for People with Parkinson Disease

A recent study has found that weekly yoga sessions may be as effective as traditional stretching and resistance training exercises for people with Parkinson Disease. Investigators concluded that mindfulness yoga can be an effective treatment option for patients with Parkinson Disease to manage both stress and symptoms. Read more.

Read More
Health Care Services

New Treatments for Parkinson’s Disease

The progressive nature of Parkinson’s disease, a disorder of the nervous system, can be confusing and frustration. Symptoms may start gradually, sometimes starting with a barely noticeable tremor in just one hand. The disorder may also cause stiffness or slowing of movement.

Although there isn’t a cure for Parkinson’s disease, several recent studies are beginning to identify promising therapies, including blood pressure medication and yoga, which may significantly improve movement and quality of life.

Read More

Meals On Wheels: VNA Helps Seniors to Remain At Home

One in six Dallas County seniors struggles with hunger and many seniors in Dallas County are homebound, as nearly 25,000 households headed by seniors have no access to a vehicle. Currently, 9% of seniors in Dallas County live below the poverty line, meaning 20,000 of those seniors may not know where their next meal is coming from and must choose between feeding themselves or paying bills.

VNA Meals on Wheels clients are the hidden hungry—homebound, aging and unable to access resources like food pantries and grocery stores. VNA’s approach to deliver more than just a meal, but also a connection to the outside world, creates a safety net reducing medical costs. Meals on Wheels keeps seniors healthy and provides added support allowing them to stay at home living a more fully nourished life.

Read More
Health Care Services

Understanding How Aging Affects the Heart

The body’s circulatory system moves blood, nutrients, oxygen, carbon dioxide, and hormones, around the body. The heart is at the center of this structure of blood vessels, arteries and veins. As the body ages, heart failure can set in and put a strain on a large part of the body’s functions.

Heart failure occurs when the heart is unable to pump enough blood throughout the body. It does not mean that the heart has stopped or is about to stop working. The condition develops over time and as the heart weakens, it may lose the ability to fill with enough blood, pump with adequate force or both.

Read More
Health Care Services

The Connection between Heart Disease and Falling

When a loved one falls, it is commonly considered to be just part of aging. But statistics show that more seniors experience falls related to heart conditions. It may be from an undetected heart disorder or related to medications being used to treat a heart condition.

The latest statistics from the American Heart Association indicate that 42.2 million Americans over age 60 have one or more types of cardiovascular disease. This includes coronary artery disease, heart attack, heart failure, abnormal heart rhythms, congenital heart disease and stroke.

Read More

Home Health Companions Receives 2019 Best of Home Care®–Employer of Choice Award

DALLAS, TEXAS – Home Health Companions has announced that it has received the 2019 Best of Home Care – Employer of Choice Award from Home Care Pulse for the second year in a row. The Employer of Choice Award is granted only to the top-ranking home care providers, based on caregiver satisfaction scores gathered by Home Care Pulse, an independent satisfaction research firm for home care. Home Health Companions is now ranked among the best employers of in-home caregivers in the region.

Read More
Health Care Services

1 in 3 Adults are Lonely, Survey Shows

By David Frank, AARP, September 26, 2018

One in 3 U.S. adults 45 and older are lonely, according to a new survey by AARP Foundation.

A study by AARP Research in 2010 found the same percentage of adult loneliness, but population growth since then means that about 5 million more adults in this age group are lonely.

“The increase in the number of lonely adults 45 and over is significant,” said Lisa Marsh Ryerson, president of AARP Foundation. “Loneliness, especially as it relates to social isolation factors, has real consequences for people’s health. Studies show that isolation and loneliness are as bad for health as obesity or smoking. This survey’s results send a clear signal that we need to direct more attention and resources to this complex and growing public health issue.”

Read More
Health Care Services

The Senior Epidemic of Loneliness

We can communicate with friends and family members across the country and around the globe with a few clicks of a mouse or taps on a phone. Despite these advances in technology and the increasing connectedness they bring, research indicates that we are lonelier than we have ever been, and no other age group faces loneliness more than the elderly.

Read More
Health Care Services

Benefits of Hiring In-Home Care for an Older Adult

When a loved one is still living at home but struggling with the loss of independence as they age, hiring in-home care can be a great solution. Professional caregivers provide older adults with the physical assistance they need for the routine activities of daily living (ADLs) such as meals, bathing and dressing. In addition, in-home care can offer peace of mind to your family as well.

Read More

Spinfinity Stainless Steel Wind Spinners

‎spinfinity On The App Store

Please check back soon as we continue to add new and exciting products to our inventory. Real Time Gaming is the software developer that provides the games for Spinfinity. These are a well-known company within the gaming industry. They have a reputation for providing high-quality, entertaining games. Players can also be assured that the titles are completely fair as they are checked every month by Technical Systems Testing.

  • In a majority of venues they are called promotions or bonuses, but in this one, they are named “Coupons”.
  • Therefore, you can write to Alternatively,the web form or serviceare at your disposal.
  • …below the title of every package, it is stated how many times a punter can claim that specific offering.
  • This isn’t the case case with Spinfinity Casino, which brings a custom RTG skin to their customers, making the site stand out from the competition.
  • Play, a website busy making a name for itself in the world of online casino.
  • Casino operators can choose live games that attract the right type of audience and offer the best casino experience.

Read casino reviews published on AUCasinosOnline, select the destination that Neteller accepts and create a casino account. Once the numbers have been drawn by the virtual machine, a new keno game will begin. We wouldn’t be a known casino if we didn’t have great deals for our valuable players. Many players have a series of bad luck that asks them if the games they play are really fair or coded with manipulative techniques in the software. 41 currencies covering 200 countries and territories, through a single partner. Play, a website busy making a name for itself in the world of online casino.

It is the player’s sole responsibility to inquire about the existing laws and regulations of the given jurisdiction for online gambling. All ZFWH Series casters are finished in red crimson and come standard with a choice of thirteen different wheel types. Wheel bearing selections are exclusive to double sealed precision ball bearings which like the swivel raceway are maintenance-free. Select with confidence knowing all of the casters in the chart below are classified as maintenance-free. The top plate and inner raceway are forged steel formed from one piece, providing a superior raceway for shock conditions. Once formed, the raceways are CNC-machined and then hardened to ensure a uniform depth in hardness of the swivel raceway.

Deposit Methods

Mobile casinos now contain promos and bonuses you can deposit with your phone bill, and are generally as effective at what they offer, as their online counterparts. However, you should know that there are few safe and reliable casinos and that you should be informed before choosing the best online casino in Bolivia. The terms and conditions reveal nothing about this element of the game in the casino. Online slot machines are not only one of the easiest casino games to play online, but it is also very popular. We have already published a detailed guide that helps verify the most important parameters of online casinos in order to assess the reliability of these casinos. New online casinos are constantly appearing on the market, and it can be difficult to choose the casino that suits you best.

Collection List

You can claim a 400% bonus up to $4,000 on your first two deposits. It is quite a generous bonus policy in comparison with offers you can find at other casinos. Cherry Jackpot also runs daily promotions and provides players with Bitcoin bonuses.

It is not necessary to download an app via Play Store or apk, making the usage easy. Using your tablet or smartphone, you are able to effortlessly go to the official site and start to play. As it is developed responsively, the website automatically adjusts to your device, no matter if you utilize an iPhone, Android smartphone, Google phone or even a desktop computer. Customer support can be reached using live chat and email, and can be reached 24 hours a day. I used the chat to inquire about bonus terms, and was quickly met with a response. The staff is pleasant, and I’d rate them about average with what we see from other RTG casinos.

Footer Start

Save up to 50% on thousands of Warehouse Sale products. There are currently no-known player issues pertaining to how Spinfinity Casino conducts their gaming operations. The terms and conditions are standard, with nothing standing out as being unfair or predatory toward players. Thanks to demo mode and fine mobile optimization, one has the opportunity to take a closer look and see what this parlor has to offer, even while on the more. …we can say that Spinfinity casino has more than the solid potential to be ranked well.

Spinfinity Maintenance

There are many different banking methods that https://www.casino-games-play.com offer their players. This makes it extremely easy to play for real money and to withdraw winnings if they get lucky. Options include Visa, EcoPayz, Neteller, Bitcoin, and Skrill. Deposit transactions are usually instant, but withdrawals can take 3-5 working days depending on the method. Players will usually have to verify their identity before they can make a withdrawal – if they haven’t already had to do so on the sign-up process.

…an RTG-powered lobby hosts all sorts of games- slots, progressives, specialties, table games, as well as video poker. Another recognizable characteristic of any hub equipped by this studio is a neatly arranged library, with several sections for the most convenient navigation. Be forewarned that U.S. withdrawals take time, usually 1-2 weeks. We feel Cherry Jackpot Casino meets all of the criteria. Realtime Gaming are part of the 1 software providers whose games you can test at the casino.

…below the title of every package, it is stated how many times a punter can claim that specific offering. Some of them are available on a daily basis, the others are unlocked once a month, and many more. Are there other native plants you seek not in our catalog? Spinfinity App allows users to access all of the existing functionality from web server in a convenient small form factor mobile app. Bobby Butler and Anita Evans started Spinfinity Designs in 2016 after being inspired by artfully designed metalworks they saw at a street fair. Drawn to the colorful light reflections, they got to work to develop, innovate, and shape products that bring color and dimensions to homes and gardens everywhere.

Read More

Technology: Health Care Solutions for Aging Adults?

Adopting elder-friendly technologies may level the health care playing field as shortages loom in the number of professionals equipped to care for older adults.

Older adults often say that technology is the realm of the young. Statistically, it’s true that people under the age of 65 use digital devices to a greater extent. However, it’s the older generations that stand to benefit most from all technology has to offer.

Read More

7 Ways Technology Has Improved Senior Care

Seniors make up more than 13 percent of the United States population (43 million people), according to the Census Bureau. That number is growing every year as a result of to the baby boomer generation. More than half of the baby boomers living in the country—around 76 million of them—are not classified as seniors yet, so it’s crucial that they become more aware of the many facets of senior care.

Read More

Aging Life Care Managers® Help Families Create Evacuation Plans

Disaster planning is an important part of caregiving. When the unexpected occurs, like a flood or wildfire, minutes can be the difference between a safe evacuation and a more dangerous situation. Aging Life Care Managers can help families create and implement disaster plans. These professionals can assess a families’ situation, locate resources and support, and coordinate care plans so that older adults or others in need of services can age safely and with confidence.

Read More

Caregiver Stress Syndrome: What’s Different for Men

If you’re a man who’s caring for an ailing loved one — wife, mother, father, grandparent — consider yourself warned. You’re vulnerable to some different experiences from your female counterparts, just by virtue of being a guy. And these have the power to add to your stress level, or reduce it, research shows.

Women still outnumber men when it comes to family caregivers. But the number of men caring for an older adult has doubled in the past 15 years, from 19 percent of caregivers in 1996 to 40 percent by 2009, according to data from the Alzheimer’s Association and the National Alliance for Caregiving (NAC). More men than women provided long-distance care in that time period, too.

Read More

Migraine Headaches – The Need For More Treatment And Research Later In Life

June is Migraine Awareness Month, which is designed to raise awareness about migraines and the need for research to understand the causes, find better treatments, and develop a cure.  

Encouraging developments include last month’s introduction of Aimovig, a monthly injection with a device similar to an insulin pen that blocks the protein fragment CGRP, which starts and perpetuates migraines.  

One in seven people worldwide experience migraines, among them 37 million Americans. By some estimates, migraines are the third most common disease in the world. It ranks among the top ten causes of disability because it is often accompanied by disabling symptoms like nausea and vomiting, difficulty speaking, and an aversion to light and noise that can last for hours or days. 

Read More