For more information about the author, click to view their website: Senior Care Authority
I spend a lot of time in the hospital. No, I am not fighting a rare disease or having some “work done.” In my line of work, it is well known that hospitals are full of people who need help figuring out the next right step. In my role as Advisor, Senior Living and Care with Senior Care Authority, I know a lot about helping people in difficult situations. It was during one of those hospital visits in late 2023 that I met David. I spend a lot of time in the hospital. No, I am not fighting a rare disease or having some “work done.” In my line of work, it is well known that hospitals are full of people who need help figuring out the next right step. In my role as Advisor, Senior Living and Care with Senior Care Authority, I know a lot about helping people in difficult situations. It was during one of those hospital visits in late 2023 that I met David.
I was walking the halls with my social worker colleague when I noticed a man aimlessly wandering the hall behind a group of hospital residents. He was dressed in clothes that screamed, “I am not a medical professional!” but the group of eager physicians seemed content with their tagalong. I asked Mary about what I was seeing, and she said, “Oh, that’s just David.”
She went on to tell me that David was in what they refer to as “health care limbo,” and that is it more common than many know. A variety of factors can lead to patients being left in a hospital with no discharge options including language barriers, mental illness, or simply being abandoned by family. In David’s case, he had some new medical needs that his caregiver could no longer handle at home and his financial resources were limited for bringing in help. Because a hospital cannot discharge a patient without a safe place to go, David spent more than 9 months occupying a hospital bed long after being medically needed as the team of social workers and discharge planners tried to find a solution.
Patients in health care limbo cost hospital systems upwards of $2,600 a day. In David’s case, his 325 day stay came with a nearly $850,000 price tag. Not to mention the toll it took on his well-being, spending his days in a clinical setting reserved for the sickest individuals. Mary and I decided to team up and find David a better alternative.
Before anything could be done to assist David with finding a new home, he first needed a legal representative, someone to assist with making health care decisions in his best interest. A guardian is a surrogate decision maker appointed by the court for just these situations. While guardians are largely known for their help with minors, adult guardianship is a growing need, especially in Florida, the state with the second largest number of older adults, expected to grow to almost 33% of its entire population by the year 2030.
The process to obtain a guardian for an adult includes a petition being filed by an attorney to deem competency to make a decision, a hearing is held and if deemed necessary, a guardian is appointed. David’s guardian was appointed. But, just because he had a guardian did not mean care could be found.
In many cases patients in health care limbo, nursing facilities and assisted living communities are apprehensive about admitting a patient that has been in the hospital for an extended amount of time. These patients can be labeled as difficult or raise red flags, at no fault of their own. Just making phone calls and inquiring about openings was not enough in David’s case. The team needed to build a story of need so an assisted living community would consider taking a second look.
And I found just that community nestled in North Collier County. A new team of Executive Director and Sales Manager were open to meeting David and seeing how they could help. On their first visit, David was in the 4th-floor hospital lobby, watching the news and paging through the newspaper. He could have easily passed as a nervous family member awaiting news of his first grandchild. After spending time with David and learning about his needs, they saw that David needed out of the hospital and into a room of his own with comfy furnishings, home-cooked meals, and daily activities to stimulate his brain and body. They were on board!
The thumbs-up from the community was a big hurdle, but not the biggest. We had to figure out how to pay for it. The process of applying for Medicaid is lengthy. If we waited for approval, David could spend another three to six months institutionalized. The team met and the plan was set….we would ask the hospital system to cover the cost of his care until Medicaid services could be approved.
Hospital systems have what is known as a benevolent care program, with a purpose of supplementing the expenses of medical care, which could include writing off hospital bills, finding accommodations for a mother who needs a place to stay while her newborn is receiving life-saving care, funeral and burial arrangements, and in our case, paying for the assisted living community until Medicaid could be finalized.
The hospital system approved our proposal, so our final stumbling block had been toppled. We planned discharge for the patient who has three full seasons on the intermediate care floor.
On the day of discharge, the hospital staff threw David a going away party, with balloons, noise makers and his favorite meal of roast beef and mashed potatoes, made special by the hospital dining services. His doctors, therapists, nurses, discharge planners, custodians, and hospital administrators showed up to see him off. We found a transport company willing to donate their services to the man who had pulled on all our heart strings. His first full day at his new assisted living home was marked with eggs to order, cuddles with baby goats, and happy hour with dueling pianos. What a stark change from the clinical halls of the hospital to the homey living room of the assisted living community.
I love what I do, but never more than when I was able to build a team of like-minded professionals with one goal: to find David a place to live that was warm, comfortable, and safe.
Navigating Hospital Stays and Rehabilitation for Parkinsons Patients. This article is part of The Parkinsons Care Compass: A Caregiving Roadmap Guiding Families Through Every Stage, an educational series presented by At Your Home Caregiving of Texas. We are honored to walk beside families, offering specialized in-home care solutions to support every step of the Parkinsons journey. Hospital stays are a stressful experience for any family, but for individuals living with Parkinsons disease, hospitalization poses unique challenges that can significantly impact recovery and long-term health. When a Parkinsons patient requires surgery, treatment for complications, or recovery after a fall, family caregivers must act as advocates, organizers, and partners in care. Being prepared and informed is the key to ensuring a safe hospital stay and a smooth transition back home.At Your Home Caregiving of Texas understands these complexities and stands ready to help families through every step of the journey, providing expert support for rehabilitation and home-based recovery.Unique Hospitalization Challenges for Parkinsons PatientsParkinsons disease complicates hospital care in several critical ways: Medication Management: Parkinsons medications must be administered on a strict schedule to manage symptoms effectively. Delays or missed doses can lead to severe motor symptoms, confusion, and even hospitalization complications. Mobility and Fall Risks: Hospital environments are unfamiliar, and Parkinsons patients face an increased risk of falls due to balance issues and muscle rigidity. Cognitive Changes: Hospitalization can sometimes trigger or worsen confusion, memory problems, or delirium, especially in older adults with Parkinsons. Communication Difficulties: Some patients experience soft speech (hypophonia) or facial masking, making it difficult to express needs clearly to hospital staff unfamiliar with Parkinsons care. Being aware of these risks allows families to take a proactive role during the hospital stay, minimizing complications and ensuring the best possible outcome.Preparing for a Hospital Stay: Advocacy and PlanningIf hospitalization is scheduled (for surgery or planned treatments), preparation can make a significant difference:1. Create a Hospital Parkinsons PlanPrepare a simple one-page document outlining your loved ones: Current medications and exact times for administration Mobility limitations and fall risk status Communication needs Cognitive changes or dementia symptoms Preferences for therapy, rehabilitation, and home care after discharge Provide this information to the hospital staff immediately upon admission.2. Bring Medications to the HospitalBring a full list and ideally the actual medications in their original containers. In some hospitals, families can administer Parkinsons medications if theres a risk of delays.3. Assign an AdvocateDesignate a family member or professional caregiver to be present as much as possible, especially during medication times, shift changes, and physician rounds. Having a consistent advocate can prevent critical mistakes and advocate for the patients specialized needs.The Importance of Medication TimingOne of the biggest risks for Parkinsons patients in the hospital is missed or mistimed medications. Parkinsons medications like carbidopa-levodopa must be administered exactly as prescribed, sometimes multiple times a day, to prevent a sudden worsening of motor and non-motor symptoms.Tips for ensuring proper medication administration: Clearly document the medication schedule and insist it be incorporated into the hospitals care orders. Politely but firmly remind nursing staff of the critical importance of on-time dosing. Advocate for medication self-administration if allowed by hospital policy. Watch for any substitutions generic or alternate medications can sometimes affect symptom control. Families should feel empowered to respectfully advocate for their loved ones medical needs. Delay in Parkinsons medication can lead to avoidable setbacks in recovery.Understanding Rehabilitation OptionsAfter hospitalization, rehabilitation is essential for helping Parkinsons patients regain strength, balance, and function. Depending on the situation, rehabilitation may occur in: Inpatient Rehabilitation Facilities (IRFs): Specialized centers offering intensive physical, occupational, and speech therapy. Skilled Nursing Facilities (SNFs): Short-term stays focused on medical monitoring and therapy. Home-Based Rehabilitation: Therapy provided at home, which may be the best option for patients with significant mobility challenges or those at high risk of hospital-acquired infections. At Your Home Caregiving of Texas partners with rehabilitation therapists to support continuity of care at home, ensuring that exercises, safety measures, and care plans are followed consistently.Key Rehabilitation Goals for Parkinsons Patients Improving strength and flexibility Reducing fall risk through balance and gait training Enhancing fine motor skills (handwriting, eating, dressing) Improving swallowing and speech if affected Maintaining independence as much as possible Early rehabilitation after hospitalization is crucial for Parkinsons patients. Without it, the risk of decline, injury, and readmission significantly increases.Transitioning Safely Back HomeThe transition from hospital to home is a vulnerable time. Planning ahead is critical to prevent setbacks.Steps for a Successful Transition: Arrange Home Care Services Early: Schedule in-home caregiving services to assist with mobility, medication reminders, and personal care. Conduct a Home Safety Evaluation: Adapt the home environment to minimize fall risks remove tripping hazards, install grab bars, ensure proper lighting, and use assistive devices. Coordinate Medication Management: Update prescriptions, confirm medication supply, and create a clear medication schedule. Schedule Follow-Up Appointments: Ensure post-discharge physician and therapy visits are scheduled before leaving the hospital. Implement a Rehabilitation Plan: Continue physical therapy and exercise routines at home, guided by professional caregivers and therapists. At Your Home Caregiving of Texas specializes in providing comprehensive transitional care for Parkinsons patients. Our caregivers work alongside families and healthcare professionals to ensure that recovery continues safely and effectively at home.How At Your Home Caregiving of Texas Supports RecoveryFamilies managing Parkinsons care dont have to do it alone. Our services are designed to ease the burden of post-hospitalization recovery by providing: Personalized Care Plans: Tailored to the individuals stage of Parkinsons and rehabilitation needs. Medication Reminders and Assistance: Helping maintain the critical medication schedule. Mobility Support: Assisting with walking, transferring, and exercises to rebuild strength and prevent falls. Nutrition and Meal Support: Preparing nutritious meals that support energy and healing. Companionship and Emotional Support: Reducing anxiety, confusion, and isolation during the recovery process. Coordination with Healthcare Providers: Keeping families informed and ensuring therapy recommendations are carried out at home. We work hard to create an environment where patients can heal comfortably, maintain dignity, and reduce the risk of hospital readmission.Final ThoughtsHospital stays are never easy, especially when Parkinsons disease adds another layer of complexity. But with the right preparation, strong advocacy, and a smooth rehabilitation plan, families can help their loved ones achieve the best possible recovery.At Your Home Caregiving of Texas stands beside you every step of the way from hospital bedside to a safe and healing home environment. Our specialized Parkinsons care services ensure that patients get the compassionate, expert support they need to regain strength, confidence, and independence.When its time to transition home after hospitalization, trust At Your Home Caregiving of Texas to be your partner in care and recovery. At Your Home Caregiving of Texas is proud to support families living with Parkinsons disease through compassionate, expert care. For more resources and personalized caregiving solutions, explore the full Parkinsons Care Compass series or contact us today at 469-830-8414. Together, we can create a safer, stronger path to recovery one step at a time. If someone you care about is facing the challenges of Parkinson's, know that you're not alonewe're always here to help.
How Does Occupational Therapy Improve Life for Home Health Patients?April is Occupational Therapy Month, a time to celebrate the professionals who help individuals regain independence and improve their quality of life. In home health care, Occupational Therapists (OTs) are vital in helping patients live safely and comfortably in their own homes. In this post, we'll explore the important role OTs play in home health services and how they support patients in managing daily activities and overcoming challenges related to their physical or cognitive conditions.Occupational Therapists in home health care are trained to evaluate patients' ability to perform activities of daily living (ADLs), such as bathing, dressing, cooking, and housekeeping. They assess the environment and identify any barriers that may prevent patients from carrying out these tasks independently. Whether it's through recommending assistive devices or modifying the home, OTs create solutions to help patients live more comfortably and safely.One of the primary goals of Occupational Therapy is to help patients regain independence. OTs work with patients on rehabilitation techniques, encouraging them to practice tasks that were once routine, such as getting dressed or preparing meals. With personalized therapy plans, OTs empower patients to take back control over their daily routines, making them feel more confident in their abilities.In addition to physical recovery, Occupational Therapists focus on cognitive rehabilitation. Many patients may struggle with memory, attention, or problem-solving skills after a stroke, brain injury, or other medical conditions. OTs create strategies and exercises that help patients improve these cognitive functions, making it easier for them to navigate their home environment and perform essential tasks.Home safety is a top priority for Occupational Therapists. OTs conduct home assessments to identify potential risks and hazards, such as loose rugs, inadequate lighting, or inaccessible bathrooms. They offer recommendations for modifications like grab bars, ramps, or improved lighting to ensure the home is a safe space for patients to recover and thrive.Occupational Therapists also provide support and education to family members and caregivers, helping them understand how to assist patients with their daily activities safely. OTs teach caregivers proper techniques for transferring patients, managing equipment, and offering emotional support. This guidance ensures that both patients and caregivers feel confident in managing care at home.Occupational Therapists play a crucial role in home health services, enabling patients to maintain their independence and live safely at home. Through personalized therapy plans, home modifications, and cognitive exercises, OTs help patients regain control over their lives and continue to engage in the activities they enjoy. During Occupational Therapy Month, we celebrate the tireless work of OTs who improve lives and make a positive impact on their patients' well-being. Aveanna Home Health has two locations in Mobile and Baldwin counties. Contact Aveanna for your home health needs at 251-304-3158 to learn more.
Embrace the Winter Season: Stay Safe, Warm, and Healthy with These Essential Tips!As the cold winter season approaches and temperatures begin to plummet, its natural to feel a little apprehensive. But instead of dreading the chill, why not prepare for it with confidence? With a few simple strategies, you can safeguard your health, stay cozy, and even enjoy the beauty of winter. Heres how to stay safe, warm, and healthy all season long!Warm Up with a Comforting Drink Theres nothing quite like wrapping your hands around a steaming mug of your favorite beverage on a cold day. Sipping a hot drink not only warms your body from the inside out but also lifts your spirits. Herbal teas, hot chocolate, or warm apple cider are perfect choices. Try to avoid excessive caffeine, as it can lead to dehydration. Opt for decaffeinated or herbal options that provide warmth without the jitters.Hydrate, Hydrate, Hydrate! Its easy to forget about drinking water when its cold outside, but staying hydrated is just as important in winter as it is in summer. Indoor heating and dry, chilly air can quickly lead to dehydration. Make a habit of drinking plenty of water throughout the day. Warm lemon water or broths are excellent alternatives that keep you both hydrated and warm.Cover Up Your Head and Neck Did you know that a significant amount of body heat escapes through your head and neck? Keep these areas protected by wearing a cozy hat and scarf when venturing outside. Not only will you feel warmer, but youll also reduce your risk of catching a chill. And dont forget a good pair of gloves to keep your hands toasty!Layer Up for Maximum Warmth The secret to staying warm outdoors isnt one thick coatits layering! Wear multiple thin layers of clothing that trap warm air close to your body. This method is more effective at maintaining warmth than wearing a single bulky layer. Plus, layers are easy to remove if you start to overheat indoors.Maintain a Cozy Indoor Temperature To keep your home warm and comfortable, set your thermostat to at least 65 Fahrenheit. If heating your entire home isnt feasible, focus on keeping the rooms you use most often at a cozy temperature. Space heaters, electric blankets, and thermal curtains can also help maintain warmth without overloading your heating system.Stay Active to Beat the Chill Cold weather often makes us want to hibernate, but staying active is one of the best ways to keep warm and healthy. Indoor exercise like yoga, stretching, or even walking in place can get your blood flowing and help prevent muscles from becoming stiff in the cold. Take short movement breaks throughout the day to stay energized and warm.Know the Signs of Hypothermia Understanding the warning signs of hypothermia is crucial during the winter months. Early symptoms include pale skin, swollen face, slurred speech, irritability, confusion, and cold extremities. If these symptoms progress to difficulty walking, clumsiness, a slow heartbeat, or shallow breathing, seek medical help immediately. Call 911 if you suspect hypothermia in yourself or a loved one.Winter Wellness: Mental Health Matters Too Winter isnt just hard on the bodyit can take a toll on mental health as well. The National Institute on Aging reports that up to 20% of older adults experience seasonal depression or mood changes due to shorter days and colder weather. Feelings of sadness, loneliness, or fatigue are common, but they dont have to take over the season.If you care for an aging loved one, watch for signs like a lack of interest in activities, lower energy levels, and social withdrawal. These could indicate that they need extra support. Seniors face a higher risk of depression and anxiety, but mental health often goes unchecked.Finding Support with Trinity Health PACE The good news? There are ways to combat winter blues and keep spirits high. Trinity Health PACE (Program of All-Inclusive Care for the Elderly) offers seniors a vibrant community where social interaction and mental stimulation thrive. Activities like pet therapy, dance classes, bingo, and trivia provide connection and fun, helping to reduce feelings of isolation.Veronica Guidry, a Recreation Coordinator at Trinity Health PACE Alexandria in Louisiana, sees the positive impact these activities have on participants' mental health. Some say that at first they never wanted to leave the house, but now they are ready to get up, start their day at the center, and do activities, Veronica shares.Not only do the seniors benefit from these interactions, but Veronica herself finds fulfillment in seeing their joy. It is a blessing to work with participants and see their mental health improve. It makes me smile to see them happy, and little do they know, they help me just as much as I try to help them! I have received so much wisdom from them, and I love being part of their day.Caring for the Whole Person Mental health is a key piece of overall well-being. When seniors join a PACE program, they receive comprehensive care for both their mental and physical health. A dedicated team of expertsincluding registered nurses, physical therapists, and dietitiansworks together to treat the whole person, ensuring each participant feels supported and valued.Stay Warm, Stay Well, and Make the Most of Winter Winter may bring snow and chilly winds, but with a little preparation, it can also be a season of warmth, connection, and joy. Whether youre sipping a hot cup of tea, bundling up in cozy layers, or sharing a laugh at a PACE center activity, embracing the season can help you stay healthy and happy. If you have any questions for us or would like to sign up for emails about health and wellness, please reach out to Mercy Life of Alabama at 251-287-8420. Lets make this winter a season of comfort, care, and community!
We know that navigating senior care options can be overwhelming for you and your family. As your advocate, we can do the homework for you.Well help you sort through and understand all your care options, traverse a complex healthcare system, get accurate and up-to-date information, and connect you to vetted local resources. How can we help you make the best choices for your loved one?
We know that navigating senior care options can be overwhelming for you and your family. As your advocate, we can do the homework for you.Well help you sort through and understand all your care options, traverse a complex healthcare system, get accurate and up-to-date information, and connect you to vetted local resources. How can we help you make the best choices for your loved one?
We know that navigating senior care options can be overwhelming for you and your family. As your advocate, we can do the homework for you.Well help you sort through and understand all your care options, traverse a complex healthcare system, get accurate and up-to-date information, and connect you to vetted local resources. How can we help you make the best choices for your loved one?