Comprehensive Massage for Seniors

Joliet Area Community Hospice Considered the model for quality compassionate care for people facing end of life, hospice provides expert medical care, pain management, and emotional and spiritual support expressly tailored to each patients individual needs and wishes.Hospice can improve a persons quality of life when curative treatments and technology are no longer effective or desired. Like various sectors of the medical community, Joliet Area Community Hospice (JACH) includes complementary therapies in patient care plans and with family bereavement. Currently music, art, pet, massage, Reiki and aroma therapies are offered to our patients. These non-invasive therapies promote comfort and well-being and complement the medical and social support they already receive from their interdisciplinary care teams. Complementary therapies promote relaxation and rest, minimize anxiety and stress, release tension, reduce pain, helps with agitation and improve functional status and quality of life.Aromatherapy has minimal side effects and is ideal in hospice care. Not only does it benefit the patient but also family members and caregivers. Our trained staff choose the right essential oils and method of application. They incorporate aromatherapy through touch and massage or through diffusers. Massage in itself is beneficial and when paired with aromatherapy, canboost the mood and ease the tension many hospice patients experience.Reiki treats the whole person. It is a Japanese therapy for stress reduction and relaxation. Reiki is a popular and beneficial healing modality that is utilized for health and wellness. It is based on energetic principles and is practiced in many hospitals, medical settings, and in private practice all around the world.Music can be a powerful tool at end of life by bringing peace and harmony to a hospice patient. Studies have shown that patients at end of life engage more easily when music is playing. Music therapy has always proven to enhance verbal and motor abilities for adults, teenagers and children.Pet therapy promotes conversation, activity and emotional connections during a visit. Some patients enjoy petting the animal and having them lay by them to cuddle. Others like to throw a ball and play fetch, while some give the dog commands to do. People who love animals and have had pets of their own can feel a sense of normalcy from a pet therapy visit.Art therapy is also beneficial to hospice patients as well as their family member and can help when dealing with anticipatory grief. Art is a perfect outlet to express feelings and in turn reducing anxiety. Adults, teenagers and children benefit from art therapy as a means of relaxation and stress relief. Therapies offered to JACH patients and families are administered wherever home is and by licensed staff or volunteers as required. Editors Note: As a hospice patient or family member, ask your care team about these additional therapies that may provide additional bene?ts to you. Submitted by Joliet Area Community Hospice, 250 Water Stone Circle, Joliet, IL 815.740.4104.

As we age many things are different and it is important to realize that our age is an advantage mainly in terms of time and experience. Physiological and psychological age is a variable result in the formula of life where your attitude towards personal health and activity determine the quality, endurance, efficiency and longevity of your life. The complex of minor disorders and injuries, collected for a lifelong period, appear as chronic pain syndromes, limiting our physical activity and darkening our sense of surrounding beauty.However, the number of disorders lowering our quality of life has functional and reversible character. It means that a positive attitude can make a drastic difference to the quality of your life. Manual therapy, can give you efficient impact and a weapon for struggle with aging and weakness in the most knowledgeable, natural, physiological, efficient and joyful way without side effects. Massage can be different from anything that you knew before. Massage can be used like surgeons tool; exactly and precisely focused on that structural and physiological condition in your body which causes discomfort, pain, activity restrictions and even disability.Comprehensive massage is a powerful fusion of the most effective techniques of massage and bodywork. Comprehensive means inclusive, flexible, universal, and efficient; this is true of knowledge, education and wisdom at the base of professionalism. It is targeting our common enemies pain and weakness, depression and aging.For seniors a specialized 30 - 40 min geriatric procedure is a unique way of rehabilitation and rejuvenation during and after a wide variety of disorders. It works as a symptomatic and preventive while maintaining measure with amazing effect.Geriatric Massage is a holistic type of therapy that treats the whole person, not just condition. It is focused on vascular, nervous and muscular systems, improving metabolism and cellular regeneration in the organism, literally; it fills you with energy while restoring neuromuscular functionality, relieving pain and increasing physical performance. It fights depression and anxiety, improves sleeping, confidence, and motivation. It is not a miracle! The miracle is you, your mind, and your organism that enables you to overcome any disease. We just cooperate and assist.Editors Note: This article was submitted by Victor Likhobabin, PhD, LMT, and NCBTMB of 1st Comprehensive Massage Clinic. He may be reached at 801-274-0462

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.