For more information about the author, click to view their website: Carson Eldercare Consulting & Management
Introduction:
I felt strongly compelled to write this blog on heart failure as it is such a pertinent issue in the aging population today. Before I go into details on this, I’d like to address the definition of this disease process. Heart failure occurs when the heart doesn’t pump well and fails to deliver adequate oxygen to the body. As a result, fluid builds up in the body and vital organs don’t get the blood that they need. This can make it harder for individuals to perform everyday tasks and can lead to eventual overall decline.
Problem:
Heart failure is the number one reason for hospital
admissions in older adults, and often leads to multiple readmissions (Agarwal
et. al., 2021). As a cardiac nurse for many years, I can attest to the fact
that heart failure is the biggest reason for multiple hospitalizations in
seniors. Patients come in and out for problematic symptoms, sometimes coming
into the hospital as often as every month. The three biggest symptoms I see
that result in hospital admissions are shortness of breath (particularly when lying
flat), weight gain, and swelling in the legs.
One reason for such frequent admissions is the complexity of
heart failure itself. It is a complicated clinical syndrome and is notoriously
difficult to manage. A lot is put on patients to manage their heart failure at
home, and this can be a challenge. In addition, individuals may have some level
of cognitive impairment or multiple other comorbidities, making it even more
challenging to perform the extensive monitoring needed to prevent heart failure
from worsening.
The importance of education:
Education is also important in the treatment of heart
failure. Unfortunately, this often does not get done. When I first started
working in acute care back in 2004, every patient received
extensive education in managing their heart failure prior to discharge. Nurses
would provide lengthy verbal education on the importance of medication
adherence, daily weights, low salt diet, and other factors, in addition to
providing the patient with a heart failure educational pamphlet prior to
discharge. Over the years, however, hospitals have increasingly faced staffing
shortages and high nurse turnover. As a result, a lot of important patient
education is not getting addressed. A lack of awareness and understanding in
patients on how to manage their heart failure is definitely a key reason for
worsening heart failure and repeated hospitalizations.
Management:
From a clinician standpoint, the goal in addressing heart
failure is twofold: we want to reduce symptoms and prevent mortality. The best
way to do this is through patient/family education and implementation of a
treatment plan. A proper treatment plan will include such lifestyle
modifications as a low salt diet, quitting smoking, and getting regular
physical activity. A low salt diet can be incredibly helpful in preventing
further fluid build up in the body. The American Heart Association recommends
that all individuals consume no more than 2,300 mg of sodium
per day (AHA, 2024). In today’s era of processed and packaged food, a majority
of the American population consumes much more than that, and it comes in the
food itself rather than the saltshaker. Maintaining a low sodium diet has one
other priceless benefit that I often do not see emphasized enough in heart
failure: it can help reduce blood pressure. Almost half of all heart failure
patients have uncontrolled hypertension (Heart Failure, 2022). It is a major
risk factor in the development of heart failure and managing it can greatly
reduce heart failure symptoms and decrease stress on the heart. Current
guidelines recommend maintaining a systolic blood pressure of less than 130.
Medication management is another important factor in the
management of heart failure. This often includes the use of diuretics, beta
blockers, and other medication classes that I will not go into detail on. I
wanted to discuss diuretics and beta blockers because these are the two
medications in heart failure that I see non-compliance with the most. I witness
individuals often not taking one or the other for two main
reasons: they either don’t understand the importance of them or they
don’t like the side effects. Seniors can often have difficulty getting up to go
to the restroom. Diuretics cause frequent trips to the restroom because their
purpose is to get excess fluid off the body. Many individuals do not comply
with their prescribed diuretic because of the hassle of frequent bathroom
trips. Unfortunately, ineffective diuresis causes heart failure to worsen and
puts further stress on the heart. I often see non-adherence to beta blockers
due to their side effects. The two biggest symptoms that get reported to me are
fatigue and dizziness. As in the diuretic, a beta blocker can also help reduce
the stress on the heart, and heart failure symptoms can worsen if the
prescribed dose is not adhered to. It’s important to maintain prescribed
medication regime and if any negative symptoms are experienced to discuss them
with the doctor.
One final thing:
I wanted to touch on one final monitoring recommendation for
heart failure because it so often gets missed: daily weights. Weighing oneself
daily is of tantamount importance in heart failure and can identify early on if
heart failure is worsening. This can lead to early intervention, thus
decreasing potential hospitalization. Adherence to this all too often does not
occur. I see patients come into the hospital for large amounts of weight gain…
often 20 or more lbs. Many patients report that they never stepped on the scale
to assess for weight gain and often do not get admitted to the hospital until
symptoms are severe such as severe weakness and shortness of breath. In heart
failure it’s recommended to contact the doctor if weight goes up by more than 2
pounds in a day or greater than 4 pounds in a week. The doctor can make
modifications in the treatment regime and hence reduce potential
hospitalizations and mortality.
Conclusion:
Heart failure is complex but manageable. Early action can prevent hospital admissions, reduce mortality, and optimize quality of life. Having ongoing guidance from an experienced clinician can be of great benefit if you or your loved one is having difficulty managing heart failure and other disease processes. Please do not hesitate to reach out to me if you have any further questions. I want to help and make the process of aging as stress free as possible while promoting positive health outcomes.
My name is Laura Carson and I have been a Registered Nurse (RN) for over 20 years and have witnessed firsthand the challenges and complications that aging presents. It affects not only the aging themselves but also their families and loved ones. Health care is complex, and in this increasingly fragmented and overburdened system, it can be extremely helpful to have a professional oversee all aspects of care. As your eldercare manager, I will comprehensively assess the needs of your loved one and we will work together in establishing a care plan. I will assist you and your family with difficult decisions and help promote healthy communication on issues that are often difficult to address and navigate. Contact me for a 20 minute free consultation at 714-403-7040.
References:
Blood Pressure and Glycemic Control Among Ambulatory US Adults With Heart Failure: National Health and Nutrition Examination Survey 2001 to 2018 (April 28, 2022). Heart Failure. Almost half of heart failure patients have uncontrolled hypertension and diabetes
Agarwal, M., Fonarow, G., & Ziaeian, B. (February 10,
2021). National Trends in Heart Failure Hospitalizations and
Readmissions From 2010 to 2017. https://pmc.ncbi.nlm.nih.gov/articles/PMC7876620/
Weber, C. (May, 2023). Heart Failure Pharmacology. How much sodium should I eat per day? (2024). American Heart Association. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sodium/how-much-sodium-should-i-eat-per-day
A skilled nursing facility is administered b6 professionals under the direction of a physician. Many facilities also offer sub-acute, respite, rehabilitation and other short-term care. Rehabilitation services can be especially helpful for individuals who are recovering from surgery, an illness or any other life-changing event. These communities service as permanent residences for those who are too sick or frail to live at home, or as temporary facilities during a recovery period. Some residents enter a nursing care for a short-term stay after a surgery or illness, while others enter on a more permanent basis. Medicare, Medicaid, private pay insurance and personal assets are all used under various circumstances to pay for services in a skilled nursing facility. If a facility if is not certified by Medicare and Medicaid, the care will have to paid entirely with personal funds. In general, Medicare pays for skilled nursing care following a hospitalization for the same illness or condition at 100% of the cost for days 1-20. Some long-term care insurance pays for nursing care centers; insurance payments are usually a fixed amount for a specified number of qualified days. The basic daily rate is the standard charge the nursing care centers bills to all residents, which covers the fundamental services every resident receives, including rent for the room, housekeeping, meals and general nursing care. It is important to understand all the services that are not included in the basic daily rate. Below is a checklist to review options:PHYSICAL ENVIRONMENT Are public areas and resident rooms clean and comfortable?Is ample parking available for visitors? Are private rooms available? Does the community have a pet?Does the community have safety features, such as handrails and grab bars? Are the exits clearly marked?RESIDENT AND STAFF INTERACTIONHow many Registered Nurses (RNs) and Certified Nursing Assistants (CNAs) are on staff? What type of education and training do staff members have?Do all staff members undergo screenings and background checks prior to employment?How does the community handle residents who need additional care and support?Is there a care plan developed for every resident?Are care plans reviewed and updated by providers and family members?Is the interaction between residents and staff members warm and respectful?What is the staff-to-resident ratio for each level of care?Do staff members respond to residents' requests for assistance promptly?What is the staff-to-resident ratio at night and on weekends?CERTIFICATION AND LICENSUREWhat levels of care does the community offer?Skilled nursing care?Short-term rehabilitation?Memory care?LOCATION Is the community conveniently located for friends and family to visit?Is the community near preferred medical providers?OVERALL IMPRESSIONDoes the community look and feel like a place you could call home?Sources: www.whereyoulivematters.org, a resource powered by the American Seniors Housing Association (ASHA) and www.medicare.gov, Medicare's Nursing Home Checklist
Choosing a Personal Care Home is one of the most important decisions a family can make. While many people immediately look at large facilities, there's something special about smaller, more intimate care environments that can make all the difference in a senior's quality of life.The Heart of Personalized CareSmaller Personal Care Homes offer something that larger facilities simply can't match: genuine, individualized attention. Imagine a place where your loved one isn't just another resident, but a valued individual with unique needs and preferences.What Makes Smaller Personal Care Homes Special?Individual AttentionStaff members know each resident by nameCare plans are truly customizedMore time spent understanding personal needs and preferencesComfortable EnvironmentFeels more like a home than an institutionFamiliar, warm atmosphereReduced feelings of being overwhelmedBuilding Real ConnectionsIn smaller Personal Care Homes, relationships matter. Residents aren't lost in a sea of faces but become part of a close-knit community. They form genuine friendships with both staff and fellow residents, creating a supportive network that feels like family.Social Benefits Include:More meaningful interactionsEasier to participate in group activitiesLess isolation and lonelinessStronger sense of belongingSafety and MonitoringSmaller facilities provide enhanced safety through:Closer staff supervisionQuicker emergency response timesMore attentive health monitoringPersonalized safety protocolsFinancial ConsiderationsContrary to popular belief, smaller Personal Care Homes can be more budget-friendly. With lower overhead costs, they often provide:More flexible pricingTransparent fee structuresPotential for customized payment plansBetter value for personalized careEmotional Well-Being MattersThe emotional impact of a smaller Personal Care Home cannot be overstated. Seniors who feel seen, heard, and valued experience:Increased happinessBetter mental healthHigher quality of lifeReduced anxiety about living away from homeChoosing the Right HomeWhen evaluating Personal Care Homes, consider:Staff-to-resident ratioQuality of interactionsFacility layout and designActivity programsResident testimonialsFamily involvement opportunitiesRed Flags to Watch For:Impersonal treatmentLimited activity optionsRigid schedulesLack of individual attentionThe Human TouchUltimately, the best Personal Care Home feels like an extension of family. It's a place where:Residents are respectedIndividual personalities are celebratedDignity is preservedCompassion guides every interactionSelecting a Personal Care Home is deeply personal. While larger facilities might seem impressive, the magic often happens in smaller, more intimate settings. The goal is finding a place that doesn't just provide care, but truly feels like home.Take your time, visit multiple facilities, ask questions, and trust your instincts. The right Personal Care Home will feel welcoming, warm, and full of genuine human connection. Remember: It's not about finding a place to live, but discovering a community where your loved one can thrive. Contact us today at REWARD Senior Care to learn more and to visit with us for a tour! We are small, family-owned and run community based out of Turtle Creek.
When searching for a Personal Care Home, many families overlook a crucial factor: the difference between a national chain organization and a local, family-owned and -operated community. This distinction can significantly impact the quality of life for residents and their loved ones.Family-run businesses in the senior living industry often prioritize the well-being of residents above all else. A family-owned Personal Care Home typically focuses on making a meaningful difference in people's lives, creating an environment that feels more like home.Lets explore five key benefits of choosing a family-owned Personal Care Home:1. Resident-Centered CareFamily-owned Personal Care Homes often prioritize the needs of residents. The primary goal is to ensure that each individual receives the care and attention they deserve. In these settings, residents are treated with compassion and respect, akin to how one would care for their own family members. This resident-centered approach leads to higher satisfaction and improved quality of life.2. Hands-On LeadershipOne of the standout features of family-owned Personal Care Homes is the active involvement of owners in daily operations. This hands-on approach fosters a culture of accessibility and responsiveness. Owners who are engaged with both staff and residents create an atmosphere that resembles an extended family. They often know employees by name and work alongside them, which inspires teamwork and dedication throughout the facility.3. Personalized AttentionIn family-owned Personal Care Homes, residents and staff are not just numbers; they are individuals with unique identities and needs. This personalized approach is often lost in larger corporate settings, where layers of bureaucracy can hinder effective communication and care. In a family-run community, staff members are empowered to make decisions that best serve the residents, leading to more responsive and tailored care.4. Positive Work EnvironmentFamily-owned Personal Care Homes place a strong emphasis on staff well-being, recognizing the direct correlation between employee satisfaction and resident happiness. When staff members feel valued and respected, they are more likely to provide compassionate and attentive service. This supportive work environment fosters camaraderie among employees, which ultimately benefits the residents they serve.5. Affordable PricingUnlike large corporate chains, family-owned Personal Care Homes often have more flexibility in their pricing structures. This can result in more affordable options for families without compromising on care quality. Family-run communities typically prioritize caring for their residents and staff over profit margins, allowing them to offer competitive pricing while maintaining high standards of care.Family-owned Personal Care Homes offer a unique blend of personalized care, engaged leadership, and a warm, family-like atmosphere. These qualities can significantly enhance the living experience for seniors, providing them with a true home rather than just a care facility. When exploring options for Personal Care Homes, considering family-owned establishments could lead to finding a more nurturing and supportive environment for your loved ones. By prioritizing resident-centered care, fostering positive relationships among staff and residents, and maintaining affordability, family-owned Personal Care Homes stand out as excellent choices for those seeking quality care in a compassionate setting. Learn what makes Reward Senior Care unique by giving us a call today.
Are you feeling overwhelmed by the complexities and difficulties associated with aging? Have the responsibilities in caring for your loved one become unmanageable? Do you live far away and are unable to provide reliable senior care management? If you answered yes to any of the above questions, you may want to consider hiring an eldercare manager. Hi, my name is Laura. I have been a Registered Nurse (RN) for over 20 years and have witnessed firsthand the challenges and complications that aging presents. It affects not only the aging themselves but also their families and loved ones. Health care is complex, and in this increasingly fragmented and overburdened system, it can be extremely helpful to have a professional oversee all aspects of care. As your eldercare manager, I will comprehensively assess the needs of your loved one and we will work together in establishing a care plan. I will assist you and your family with difficult decisions and help promote healthy communication on issues that are often difficult to address and navigate. An expanded version of my core services are summarized below: MANAGE health care needs, chronic conditions, illnesses, and coordination of careOPTIMIZE health outcomes via my extensive knowledge and experience in the healthcare system. I provide necessary education on chronic diseases and treatment plans, promote collaboration and communication amongst the health care team, ask the right questions of health care personnel, and any other needed activities in order to promote the safety and wellness of my clientsNAVIGATE the complex health system ADVOCATE for individuals to receive high quality care. I do this by such actions as asking the right questions of health care personnel, requesting a referral, second opinion, or further resources when appropriate, and anticipating/ planning for future health care needsTRANSITION clients to appropriate living conditions and proper levels of care. This may be from out of a private home into independent or residential living. It can also entail transition to a skilled nursing facility, assisted living, long term acute care, and hospice. There are many factors and variables to be considered when making these changes, and I provide assistance and support. The above services represent the bulk of my client/family needs. Some other services provided are:Comprehensive health status assessmentAssistance with medication complianceAssessing safety of the home and providing measures to reduce falls Helping clients/ families make difficult health decisions while navigating familydynamics and promoting effective communicationBeing present with client during doctor appointments etc. to ask the rightquestions and help assimilate health informationVisiting and interacting with clients at hospitals and facilities to assess healthstatus, monitor progress, and assist with any needs upon discharge or transfer Contact me today for a free 20-minute consultation!