How to Choose a Caregiver

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. 

Navigating the world of caregiving services can be overwhelming for family caregivers. Understanding the various types of care available is crucial when planning for the well-being of your loved ones, especially when faced with medical events or chronic conditions. Transitional care and senior care each serve different purposes, and knowing their key differences can help you make informed decisions. A Look at Transitional CareTransitional care serves as a support system during critical phases of recovery, such as after surgery or a severe illness. It bridges the gap between hospital and home, ensuring the smooth transfer of care. Typically, it includes assistance with medical needs such as managing medications, wound care, and physical therapy. Transitional care is ideal for situations where temporary, intensive support is needed to facilitate recovery and prevent complications.Exploring Senior CareOn the other hand, senior care focuses on ongoing support for individuals who require regular assistance due to aging or chronic conditions. This type of care is designed to enhance quality of life and maintain independence. From help with daily activities like bathing and dressing to companionship and meal preparation, senior care covers a broad spectrum of services. It's particularly beneficial for those needing continuous support to manage long-term health issues.Comparing Transitional Care and Senior CareThe primary difference between transitional and senior care is the duration and intensity of support. Transitional care is usually short-term, aimed at recovery and rehabilitation, whereas senior care tends to be long-term and supportive. Transitional care leans more toward medical assistance, while senior care focuses on everyday living. Each type of care addresses specific needs: transitional care aids in recovery, and senior care promotes a stable, independent lifestyle.The Benefits of Transitional CareTransitional care plays a pivotal role in recovery and rehabilitation. By offering tailored support, it helps your loved ones regain strength and resume normal activities. It also significantly reduces the risk of hospital readmissions, ensuring smoother recovery processes. Services in transitional care often include post-operative monitoring, pain management, and coordination with healthcare providers to meet medical needs efficiently.The Benefits of Senior CareSenior care, with its long-term focus, is essential for maintaining health and independence. It emphasizes personalized care plans that adapt to the evolving needs of seniors, offering them the comfort and security of staying at home. The support ranges from routine check-ins to comprehensive care coordination, ensuring the well-being of your loved ones. Personalized attention and the preservation of independence lie at the heart of senior care.Choosing the Right Care for Your Loved OneDeciding between transitional and senior care requires careful consideration. Evaluate the intensity and duration of the support your loved ones need. Assess their medical requirements, daily living challenges, and personal preferences. Discuss these options with family members to reach a consensus that best suits their situation. Consider consulting with professionals who can offer personalized recommendations based on your loved one's specific needs.Learn More About Available Senior Care ServicesUnderstanding the differences between transitional and senior care is essential in making the right choice for your loved ones. Transitional care offers intensive, short-term assistance during recovery, while senior care provides ongoing support tailored to everyday needs. Seeking professional advice can help ensure you choose the best care solutions. At Senior Helpers Fort Collins, we offer expert caregiving services across Fort Collins, Englewood, Littleton, Lone Tree, and Longmont. Reach out to us for personalized care options that enhance the well-being of your loved ones. Questions, please call us at 970-344-6227.

Deciding to move into a senior living community can be exhausting with worry and stress. Some of these feelings stem from the myriads of senior living options available in your local community.        Do you know what to look for in a senior living community?         Will you remember to ask all the right questions?         Is there anything you should be aware of that will impact happiness or standard of living? Finding the right senior living community is a daunting task. This is why many use a senior living advisor to help. We make the entire process easy and stress-free by doing all the work and presenting you with the best options for yourself or a loved one. What is a senior living advisor? A truly dedicated advisor will be with you every step of the way- Literally. Make sure the advisor is going to be with you by your side when you are touring each community. Make sure you ask this question when you speak to choices of advisors, as not everyone does it even though they say they will. We do not -do the intake and send you on your way. That is considered information gathering not top-notch service.Senior living advisors specialize in helping families make senior living arrangements. Their knowledge and experience save you time and worry by doing all the research on your behalf and providing you with a list of best-fit facilities wholly based on your needs.        Your needs are the primary concern:        We respect your budget: How much you can afford and how you pay (such as privately funded, Medicaid, or long-term care insurance.       There is no cost for you for services: Like how real estate agents work, senior living advisors get a commission from the senior living community you or your loved one move into. You risk nothing financially from their services,        They pull back the veil: You could sift through brochures and websites for hours and still be unsure whether a specific location is the right fit. Senior living advisors know all sides of every community in their network and can advise you if a particular community has had violations reported to their state board.        If the person wants to relocate to a new town, the senior advisor can help provide you with the best options in that local area.         We work at your pace: You might be planning a move in a few months. Conversely, elderly loved ones might be discharged from a medical facility and require assisted living immediately. In both cases, your senior living advisor can react accordingly and provide options that suit your immediate or long-term needs based on their knowledge and experience.        You get suitable recommendations:        We offer a trusted partnership: Advisors work with you from the very beginning and continue to help right up until the move-in day. Thats because they truly act as trusted partners who are as interested in finding the best living arrangements for you or your elderly loved one  Do you need a senior living advisor? At Assisted Living Locators of Northern Co/ North Metro Denver, we specialize in matching local seniors with senior living or assisted living communities that perfectly align with living requirements.Our team together has over 40 years of Administrator experience in all levels of Senior Care, with work experience in Independent, Assisted and Memory Care, Skilled Nursing Homes, Marketing, and kindness Contact us now at 970-310-4307 Maureen Walker - Megan Slusser at 970-286-0015 mwalker@assistedlivinglocators.com - assistedlivinglocators.com/noco