A Call to Order Professional Organizer in the realm of Senior Move Management

By Faith Protsman, MD, Regional Medical Director, VITAS HealthcareTwo recent studies highlight how sepsis impact often extends well beyond the acute event that led to a patients hospitalization. The studies emphasize two particular points that should inform physicians and clinicians as they consider referring these patients to specialized care: Medicare patient data gathered between 2012-2017 shows that sepsis patients face considerably poorer health outcomes following hospital discharge when compared to non-sepsis patients, including elevated risk for death and increased use of advanced healthcare services. Sepsis survivors exhibit strong indicators of persistent inflammation and immunosuppression for up to a year after hospital discharge, increasing their risk of readmission or death. Both studies indicate a significantly elevated risk of death among sepsis patients after they have been discharged and ostensibly cured. Of course, sepsis patientsparticularly those of the Medicare cohort, who are largely of advanced agerarely leave the hospital in better condition than they entered.The Yende study, in particular, shows that neuroendocrine and inflammatory responses to sepsis can continue long after the patient survives a septic episode. For patients with advanced or chronic diseasesas was the case with nearly 78% of participants in the studythese biomarkers are associated with decline.Post-sepsis Discharge: A Critical JunctureIn many cases, these individuals life expectancies upon discharge will be less than six months. This is a critical juncture: While comfort-focused hospice care could provide an ideal source of support for the eligible patient, their family, and their caregiver(s), most sepsis patients are simply sent home without even a discussion about palliative end-of-life care and its benefits.Frankly, such an oversight is a disservice to everyone involved. The sepsis patient is left with physical and/or cognitive dysfunction, often without significant options for symptom management. Their partner or family will either need to assume caregiving duties or turn to costly private services. And the physician and hospital staff will likely see the patient again following another acute event, a readmission that impacts performance scores, strains resources, and unnecessarily fills beds.By no means do I intend to lay the blame for these unfortunate circumstances on physicians. Timely hospice referrals require ongoing education about end-of-life care, and open, ongoing communication between hospice providers and referral sources.More Help: How to Talk About Hospice Care >Those of us in hospice are working hard to bridge the gap, but even as our healthcare system transitions to a value-based model, the mentality of fee-for-service still permeates our nations acute-care facilities, and many hospitalists see a discharge home as a success.Hospice: A New Way Of Judging SuccessIn hospice, we judge our successes on the patients quality of life and the fulfillment of their goals and wishes near lifes end. Usually, that means going home with 24/7 support from an interdisciplinary hospice team. Whether home is a traditional residence, an assisted living facility, or nursing home, the hospice team will assist caregivers (and/or facility staff) with direct clinical care and education, integrative services, bereavement support, and delivery of medication, equipment, and supplies.In other cases, improving quality of life means remaining in a general inpatient setting with hospice support, taking the burden off hospital staff until the patient is able to transition home or until the patient dies. Hospice offers complex modalities in any setting, so patients who would otherwise be confined to an ICU can usually return home to be among loved ones.With support from hospice, a sepsis patient and their family are more likely to report higher satisfaction of care and greater quality of life. The patients emotional and spiritual needs can be met alongside their physical needs, thanks to care from chaplains, social workers, music and massage therapists, and other integrative specialists. Finally, the patient is more likely to die at home, surrounded by loved ones, rather than in the hospital.Because sepsis is most common in patients with advanced or chronic diseases that indicate hospice eligibility, acute incidences of sepsis should always trigger a hospice eligibility assessment. We owe it to our patients, their loved ones, and our colleagues in healthcare, all of whom can benefit from the support that timely end-of-life care offers. 

Who Understands the Emotional Side of Senior Moves?Moving with Heart: The Emotional Journey of Senior TransitionsMoving is never just about packing boxes and relocating belongings. For seniors, transitioning to a new homewhether its downsizing, moving to assisted living, or relocating closer to familycan bring an emotional whirlwind. The memories tied to their home, the fear of change, and the uncertainty of whats ahead can feel overwhelming. At A Call to Order Professional Organizer, we understand that senior moves are about more than logisticstheyre about honoring a lifetime of memories while creating a comfortable and safe new beginning.Understanding the Emotional Weight of Senior MovesEvery home tells a story. A favorite chair where grandchildren once sat, a collection of souvenirs from years of travel, the kitchen where family meals were lovingly preparedall hold sentimental value. When seniors prepare for a move, they arent just leaving behind a house; theyre stepping away from a lifetime of cherished moments. This emotional attachment can make decisions about what to keep and what to let go incredibly difficult.Some of the most common emotional challenges seniors face during a move include:Fear of Losing Independence  Moving into a smaller home or assisted living can make seniors feel like they are losing control over their lives.Attachment to Possessions  Every item has a story, and parting with belongings can feel like letting go of precious memories.Anxiety About the Unknown  Change can be unsettling, and seniors may worry about adapting to a new environment.Grief and Nostalgia  Moving may bring up feelings of loss, especially if the home has been in the family for decades.Overwhelm and Fatigue  The sheer process of sorting, packing, and coordinating a move can feel exhausting and unmanageable.Having professionals who understand the emotional side of senior moves can make all the difference. At A Call to Order, we help navigate these feelings with compassion, patience, and expertise, ensuring that each senior feels supported every step of the way.How to Make the Senior Move Process EasierWhile moving is emotional, there are ways to make the process smoother and less stressful for seniors and their families.1. Start with Gentle ConversationsChange can feel intimidating. Begin by having open and reassuring conversations about the move. Focus on the positivesless home maintenance, a safer living environment, and new opportunities for socializing and engaging in activities. Its essential to listen to their concerns and validate their feelings throughout the process.2. Sort with SensitivityDecluttering and downsizing can be one of the most difficult aspects of a senior move. Instead of rushing, take time to go through items with care and patience. Use these strategies:The Three-Pile Method: Keep, Donate, or Pass Down. This helps seniors feel a sense of control over their belongings.Memory Preservation: Encourage taking photos of sentimental items before parting with them or passing them down to family members.Create a Special Keepsake Box: Allow seniors to keep a small collection of their most treasured mementos to bring to their new home.3. Enlist Professional HelpHaving a compassionate and experienced senior move manager can make a world of difference. A Call to Order Professional Organizer specializes in helping seniors and their families through every step of the moving process. From organizing and packing to setting up a new home that feels familiar and welcoming, we provide expert guidance and emotional support.4. Recreate a Sense of HomeThe transition to a new space doesnt have to feel like a loss. Help seniors feel at home by:Arranging furniture in a familiar wayBringing personal touches like favorite decor, blankets, or family photosEncouraging visits from loved ones to create warmth and connection in the new environmentCompassionate Support Makes All the DifferenceAt A Call to Order, we believe that moving should be about embracing new beginnings without losing sight of the past. We are here to support seniors and their families, ensuring that every move is handled with care, dignity, and understanding.If your family is facing a senior move, let us help ease the transition. Visit www.acalltoorderco.com or call 719-231-5425 to learn more about our compassionate senior move services.Because a move isnt just about changing homesits about honoring a lifetime while making space for new memories.

Aging Life Care / geriatric care management is a holistic, client-centered approach to caring for older adults or others facing ongoing health challenges. What is an Aging Life Care Professional? An Aging Life Care Professional, also known as a geriatric care manager, is a health and human services specialist who acts as a guide and advocate for families who are caring for older relatives or disabled adults. The Aging Life Care Professional is educated and experienced in any of several fields related to aging life care / care management, including, but not limited to gerontology, nursing, social work, psychology or occupational therapy. The Aging Life Care Professional assists clients in attaining their maximum functional potential. The individuals independence is encouraged, while safety and security concerns are also addressed. Aging Life Care Professionals have extensive knowledge about the costs, quality and availability of resources in their communities. Aging Life Care Professionals are members of the Aging Life Care Association (ALCA) and differ from Patient Advocates, Senior Advisors, Senior Navigators and Elder Advocates. ALCA members must meet the stringent education, experience and certification requirements of the organization, and all members are required to adhere to a strict code of ethics and standards of practice. What Services do Aging Life Care Professionals Provide? Aging Life Care Professionals provide guidance to help families ensure quality care and an optimal life for those they love through: Assessment and monitoring Planning and problem-solving Education and advocacy Family caregiver coaching Long-distance caregiving Aging Life Care Professionals are engaged to assist in a variety of areas, such as: Housing helping families evaluate and select the appropriate level of housing or residential options. Home care services determining the types of services that are right for a client and assisting the family to engage and monitor those services. Medical management attending doctor appointments; facilitating communication between doctor, client and family; and if appropriate, monitoring clients adherence to medical orders and instructions. Communication keeping family members and professionals informed as to the well-being and changing needs of the client. Social activities providing opportunities for the client to engage in social, recreational or cultural activities that enrich quality of life. Legal referring to or consulting with an elder law attorney; providing expert opinions for courts in determining level of care. Financial may include reviewing or overseeing bill paying or consulting with an accountant or clients Power of Attorney. Entitlements providing information on Federal and state entitlements; connecting families to local programs. Safety and security monitoring the client at home; recommending technologies to add to security or safety; observing changes and potential risks of exploitation or abuse. Long-distance care coordinating the care of a loved one for families that live at a distance, including crisis management. Local, cost-effective resources are identified and engaged as needed. A care plan tailored for each individuals circumstances is prepared after a comprehensive assessment. How do you know that you need an Aging Life Care Professional? You may need an Aging Life Care Professional if: The person you are caring for has limited or no family support. Your family has just become involved with helping the individual and needs direction about available services. The person you are caring for has multiple medical or psychological issues. The person you are caring for is unable to live safely in his/her current environment. Your family is either burned out or confused about care solutions. Your family has limited time and/or expertise in dealing with your loved ones chronic care needs. Your family is at odds regarding care decisions. The person you are caring for is confused about his/her own financial and/or legal situation. Your family needs education and/or direction in dealing with behaviors associated with dementia. You live at a distance from your loved one. Contact Elder Maze Solutions, an Aging Life Care provider, to learn more.