How to Convince Your Parent to Use a Walker or Cane

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. 

Caring for a loved one can be one of the most rewarding experiences, but it also comes with its challenges. Family caregivers often wear multiple hats, juggling work, family, and caregiving responsibilities. Knowing where to turn for help can make all the difference in managing the stress and ensuring your loved one receives the best possible care. Here are some essential resources every family caregiver should be aware of:Local Area Agencies on Aging (AAAs)AAAs provide a wealth of information and services tailored to seniors and their caregivers. From meal delivery and transportation to caregiver training and respite care programs, these agencies are a critical first step for many caregivers. You can find your local AAA through the Eldercare Locator.Support GroupsCaregiving can feel isolating, but youre not alone. Support groupsboth in-person and onlineconnect you with others who understand your journey. Platforms like Family Caregiver Alliance or local support groups can offer emotional support, practical tips, and a sense of community.Respite Care ServicesTaking care of yourself is vital to being an effective caregiver. Respite care offers short-term relief by providing professional caregiving services, either at home or in a care facility. Check with local senior care providers, such as our team at Elderlink Home Care, Inc., to learn more about these options.Financial Assistance ProgramsThe costs of caregiving can add up quickly. Programs like Medicaid Waivers, Veterans Aid and Attendance benefits, and local state assistance programs can provide financial relief. Additionally, many states offer stipends or tax credits for family caregivers.Technology Tools for CaregivingModern technology has made caregiving more manageable. Apps like CaringBridge and CareZone help you organize medical records, schedules, and communication with other family members. Medication reminder tools and wearable devices can also provide peace of mind.Caregiver Education and TrainingBecoming a caregiver often requires learning new skills. Organizations like the Alzheimers Association and AARP offer online courses, workshops, and guides to help you handle medical tasks, improve communication, and navigate the complexities of caregiving.Professional Home Care ServicesSometimes, partnering with a professional caregiver can provide the support you need. Home care services like those offered by Elderlink Home Care, Inc. allow your loved one to remain in the comfort of their home while receiving expert assistance with daily activities, personal care, and companionship.Legal and Financial Planning ResourcesHaving the proper legal and financial documents in place is crucial. Organizations like Legal Aid and National Academy of Elder Law Attorneys (NAELA) can guide you in preparing essential documents, such as powers of attorney and advanced directives, ensuring your loved ones wishes are honored.Caregiver Counseling ServicesThe emotional toll of caregiving is real. Many mental health professionals specialize in helping caregivers navigate stress, grief, and burnout. Look for local therapists or online counseling services to prioritize your mental health.Meals on Wheels and Nutrition ServicesEnsuring your loved one eats well is a top priority. Programs like Meals on Wheels provide healthy, affordable meals delivered right to their door. Many community centers and churches also offer meal services for seniors.Final ThoughtsBeing a family caregiver is no small task, but you dont have to go it alone. By tapping into these resources, you can find the support you need to provide the best care possible for your loved one while maintaining your own well-being.At Elderlink Home Care, Inc., were here to help. Whether you need professional caregiving services or advice on navigating the complexities of senior care, feel free to contact us for guidance and support.Remember: Taking care of yourself is just as important as taking care of your loved one. Dont hesitate to reach out for helpits a sign of strength, not weakness!Question, please call us at 303-734-0641.

As seniors age, many families seek in-home care solutions to help their loved ones remain safe and comfortable. However, the terms "home care" and "home health care" are often used interchangeably, leading to confusion. While both services offer valuable support, they serve different purposes. In this article, well break down the key differences between home care and home health care, helping you determine which option best suits your needs.Understanding Home CareHome care primarily focuses on non-medical assistance to support seniors in their daily lives. These services aim to improve the overall well-being and quality of life for aging adults who need help with routine tasks.Services Provided by Home Care:Personal Care Assistance Help with bathing, grooming, dressing, and toileting.Meal Preparation and Nutrition Support Assistance with cooking, meal planning, and feeding.Companionship and Emotional Support Providing social interaction and companionship to prevent loneliness.Light Housekeeping Cleaning, laundry, and maintaining a tidy home.Transportation Services Assistance with errands, grocery shopping, and medical appointments.Who Benefits from Home Care?Seniors who need help with daily activities but do not require medical care.Aging adults who want to remain independent in their own homes.Individuals with mobility limitations who need support with basic tasks.Understanding Home Health CareHome health care, on the other hand, provides medical services that are typically prescribed by a physician. It is often required for individuals recovering from surgery, illness, or managing chronic conditions.Services Provided by Home Health Care:Skilled Nursing Care Medication management, wound care, and medical monitoring.Physical, Occupational, and Speech Therapy Rehabilitation services to help regain mobility, speech, and strength.Medical Equipment Assistance Training on the use of medical devices and home modifications.Chronic Disease Management Support for conditions like diabetes, heart disease, and COPD.Post-Hospitalization Care Help with recovery following surgery or a serious illness.Who Benefits from Home Health Care?Seniors recovering from illness, surgery, or injury.Individuals managing chronic medical conditions.Patients requiring professional medical care in a home setting.Key Differences: Home Care vs. Home Health Care Feature Home Care Home Health Care Type of Care Non-medical assistance Medical care and therapy Provided By Caregivers or home aides Licensed nurses & therapists Main Focus Daily living support Medical treatment & recovery Requires a Doctors Prescription?      No Yes Who Pays? Private pay, long-term insurance        Medicare, Medicaid, private insurance     Choosing the Right OptionDetermining whether home care or home health care is the right fit depends on your loved ones needs. If they require assistance with daily activities, home care is a great choice. However, if medical care is needed, home health care will provide the necessary treatment and monitoring.Understanding the distinction between home care and home health care is essential for making informed decisions about senior care. Whether your loved one needs daily support or medical supervision, finding the right service is key to their well-being.For expert guidance on home care and home health care providers, reach out to Seniors Blue Book. Our team is here to help you navigate the senior care landscape with ease. Email us at hello@seniorsbluebook.com or call 800-201-9989 today!