Home Health Care and Home Care Services
Home health care is provided by skilled medical professionals, such as nurses, therapists and medical social workers, and includes a wide range of services that are provided in your home to treat an illness or injury. The focus of home health care is to help you get better, regain your independence and become as self-sufficient as possible. Many times, home health care is less expensive, more convenient than and as effective as the care you would receive in a hospital or a skilled nursing facility. It often follows a doctors visit or a stay at a hospital or rehabilitation facility. For Medicare beneficiaries, doctors orders are needed to initiate home health care, and you must be considered temporarily homebound. If your doctor or referring health care provider determines that you are a candidate for home health care, they should give you a list of agencies that offer these services and allow you to choose the one you would like to use. A home health care agency will make an appointment to visit you at home, ask pertinent questions about your health and do an assessment of your medical situation. The home health care professional will talk to your doctor about your care and coordinate services. Examples of home health services include monitoring of serious illness or unstable health, wound care, intravenous therapy, injections, pain management, medication management and physical, occupational or speech therapy. Your home health care provider will regularly check what you're eating and drinking, monitor your blood pressure, heart rate, breathing and temperature, make sure you are taking your medications correctly, ask if youre having any pain, check your home for safety precautions and teach you about self-care to encourage you toward greater independence.
Home care services are the non-medical services that can help maintain your quality of life while living at home in a comfortable environment. Assistance can range from companionship to hands on care, depending on the need. This can be accomplished by regular weekly visits or by a 24/7 live-in caregiver. Help which can be provided includes assistance with dressing, bathing, mobility, feeding or meal preparation, medication reminders, light housekeeping, shopping and errands. Often this kind of assistance allows a person to remain in their own home, with appropriate help, as an alternative to relocating to a residential facility. Some home health care agencies can provide both medical care and non-medical home care services for their clients. Other agencies offer non-medical home care services exclusively. Both home health care and home care agencies have the goal of keeping you safe, comfortable and healthy at home.
Submitted by Theresa Santoro, MSN, RN, CHCA, President & CEO, Ridgefield Visiting Nurse Association.
Every day at Harmony at Diamond Ridge we serve families with loved ones who are diagnosed with dementia, Alzheimers disease, and other memory loss diseases. There is a lot of information about memory loss in seniors and the research process can be overwhelming. Dementia is not a specific disease but rather a general term for the impaired ability to remember, think, or make decisions that interfere with everyday activities. Alzheimer's disease is the most common type of dementia The exact cause of Alzheimer's disease is not fully understood, but it is believed to be a combination of genetic, environmental, and lifestyle factors. Some of the known risk factors for Alzheimer's disease include a family history of the disease, head injuries, and certain medical conditions such as high blood pressure, high cholesterol, and diabetes. The symptoms of Alzheimer's disease typically develop slowly over time and worsen as the disease progresses. Some Alzheimers indicators include: Memory loss, especially of recent events Difficulty with language and communication Impaired judgment and decision-making Difficulty with problem-solving and planning Mood changes, such as depression or irritability Personality changes, such as becoming more withdrawn or aggressive Loss of interest in activities or hobbies Difficulty with basic activities of daily living, such as dressing and grooming Research into the causes and treatments of Alzheimer's disease is ongoing, and there is hope that future developments may lead to a better understanding of the disease and new treatments that can improve the lives of those affected by it. Harmony Senior Services Signature Memory Care Program Harmony Reflections is built on elements that support a senior living with Alzheimers disease. The Reflections Program has 5-Key Components; Family Focused, Wellness, Reflections Program: Art and Music, Dining with Dignity, and Harmony Square. Each component engages the resident's present-day experiences while stimulating positive memories through therapeutic visual and tactile aids. We partner with each resident's family to create their individual life story profile - a process for collecting and sharing the resident's life history, preferences, routines, and habits. If you are researching solutions for a loved one living with dementia or you would like to learn more about Harmonys Signature Memory Care Program, call a Harmony community today to speak with one of our dedicated caregivers.
A terminal diagnosis brings a whirlwind of emotions and uncertainties, but it also presents an opportunity to take control of the future. Thoughtful estate planning can ease the burden on loved ones, ensure wishes are honored, and provide peace of mind during a difficult time.If an estate plan is already in place, now is the time to review and update key documents. A will or trust should reflect current intentions, ensuring assets pass according to ones wishes. Beneficiary designations are just as important as the documents themselves. Beneficiaries named on retirement accounts and life insurance policies should be checked to avoid unintended distributions. And remember, if you have a trust, ensure it is funded - meaning, the assets you intend are transferred or retitled to the trusts name. Ensuring that powers of attorney for both financial and healthcare matters are in place is critical. A trusted individual should be named to handle financial affairs if incapacity occurs. Similarly, a healthcare power of attorney and living will should clearly outline medical preferences including the types of heroic measures you want taken as your health fails. This reduces uncertainty for family members and medical providers. Depending on the circumstances, certain trusts may be beneficial. A revocable living trust can provide continuity in managing assets without the delays of probate. For those with minor children or dependents with special needs, a trust ensures funds are managed responsibly for their care. Irrevocable trusts may also be beneficial, depending on your familys goals and whether you anticipate needing long-term care. If nursing home care becomes necessary, proper Medicaid planning can help preserve assets for a spouse or family. While Medicaid rules are complex, strategic planning may allow individuals to qualify for benefits while protecting certain assets from being spent down on care costs. A terminal diagnosis also presents an opportunity to shape a personal legacy. Whether through charitable giving, a letter of wishes, or recorded messages for loved ones, taking time to plan for these personal aspects can provide lasting comfort and meaning.While its understandable to feel overwhelmed, delaying these important steps can create unnecessary stress later. Consulting an experienced estate planning attorney ensures that legal and financial affairs are in order, providing clarity and confidence in navigating the road ahead. Taking these proactive steps allows individuals to focus on what matters mostcherishing time with loved ones and finding peace in knowing that their affairs are settled.
The current administration has introduced policies that may significantly affect seniors, particularly concerning Medicare and Medicaid. Understanding these changes is crucial for seniors and their advocates to navigate potential challenges in healthcare access and affordability. Medicare: Shifts Towards Privatization The current administration has expressed intentions to shift Medicare towards a more privatized model, emphasizing Medicare Advantage plans. This approach aims to foster competition among private insurers, potentially driving innovation and reducing costs. However, critics argue that increased privatization could lead to disparities in coverage and access to care, as private plans may not uniformly cover all services essential to seniors. Medicaid: Proposed Budget Cuts and Their Implications Recent budget proposals from the administration include significant cuts to Medicaid, totaling approximately $880 billion over the next decade. These reductions could directly impact services vital to seniors, such as long-term care, personal assistance at home, and nursing home care. Given that Medicaid is the primary payer for long-term services and supports, these cuts may result in reduced access to necessary care for low-income seniors and increased financial strain on families.Regulatory Changes and Potential Consequences The establishment of the Department of Government Efficiency (DOGE), led by Elon Musk, has led to swift actions targeting various federal agencies, including those overseeing healthcare programs. Notably, the Centers for Medicare and Medicaid Services (CMS) have experienced administrative funding cuts and workforce reductions. These measures could hinder the agency's ability to effectively manage and oversee Medicare and Medicaid programs, potentially affecting service delivery and program integrity. Predictions and Considerations for Seniors While some of these policy changes are proposals and have yet to be enacted, seniors should remain vigilant and proactive:Stay Informed: Regularly monitor updates on Medicare and Medicaid policies to understand how changes may affect your healthcare coverage and access.Advocate for Needs: Engage with local and national organizations that represent seniors' interests to voice concerns and advocate for policies that protect essential healthcare services.Consult Professionals: Seek guidance from healthcare advisors or legal experts specializing in elder law to navigate potential changes and make informed decisions about your healthcare options.