Kindness Knows No Age: Embracing Empathetic Communication with Senior Spirits

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.

You may have heard about senior placement agencies, but if you are not sure how they work or what they do, you arent the only one. Most families are not sure how to help elderly loved ones when they need to find an assisted living community or how to choose nursing homes that will provide loving care and have reasonable occupancy rates.Heres what you need to know about making an informed decision about communities in your local area so your elderly loved one can have the best possible living situation. Keep things like cost, personalized assistance, and quality of life in mind. How Online Senior Placement Agencies OperateIn todays world, its natural to research products and services online. However, when it comes to researching assisted living and memory care options for your loved one, beware! It can be confusing to understand how online senior placement agencies operate. When youre not clear on what senior placement services will do for you and your loved one or whether senior living placement services have your loved ones best interests in mind, its best to take a step back and do some additional research before committing to an agency. Whether you want to move your loved one into an assisted living community or somewhere else, heres what you need to know. An Example of Assisted Living ConfusionWhen you search for assisted living communities in your search engine, you may see numerous websites that are not assisted living facilities. Rather, theyre online agencies contracted with multiple assisted living providers in the given area. As you access their website information, you will notice that you are not reviewing the services and amenities of a specific assisted living or memory care community.If you call or enter your contact information into an online agencys website, your information may be emailed to multiple assisted living providers. This results in numerous phone calls and emails inquiring about your loved one and inviting you for a tour. Additionally, you may never meet their senior advisor other than by phone or email.While this process may be perfectly acceptable to you, please remember that it can occur during a stressful period when you must make a quick care decision for your loved one. It could also happen when youre not ready to decide because you are just doing some initial investigating.Theres certainly no risk to searching an online agencys website. Still, a good practice is to click on their privacy link at the bottom of their homepage to understand how they will disclose your information before providing your contact information. Should You Just Pick an Assisted Living Community?Some family members will choose a random senior living community for their loved ones. The decision may be because the community advertises independent living, is close to home, or the reviews look good. Unfortunately, thats not really a good way to select a senior care facility.Theres much more to finding quality independent or assisted living communities than a quick search. In general, you should look at senior living options with an eye toward medical care, financial burden, quality of senior care, living arrangements, desired location, and whether they can create a smooth transition for your loved one.If you think that sounds overwhelming, youre not alone. Making informed decisions can be hard, especially with so many senior living option considerations. Many seniors cannot safely make their own choices and rely on a family member to help them. Even if you do your own research, you may still not be confident that you are choosing the best place to support your aging loved one. How CarePatrols Senior Care Advisors Are Different Trying to go it alone when choosing a senior living community can be too difficult, but what if you dont want to give your contact information to senior placement services that are going to inundate you with calls during an already stressful time? Are those the only two ways you can find a senior living space for your loved one?Fortunately, theres a third option: CarePatrol.At CarePatrol, your contact information is treated confidentially until you wish to disclose it to a senior living provider to whom we introduce you. We offer a local, personalized, hands-on approach by preferring to meet with you in person, pick you up and accompany you on tours, and meet with your loved one at home, the hospital, a rehab facility, or wherever they are.Were not your typical senior placement agency. Were highly focused on helping people find assisted living communities or other senior living options for their loved ones. Our goal is to provide you with a stress-free process that doesnt add to your confusion or concern during an already difficult time.Our free service was started by a social worker after seeing the trauma inflicted on a family whose loved one was placed in the wrong kind of facility for their needs. We worked hard to become the pioneer organization and referral agency for placing loved ones in senior care, and we continue to focus on seniors and their families when they need us most.As a national network of local small business franchise owners, CarePatrols mission statement is to provide safer care options for seniors. What You Can Expect from Working with UsOur local senior care advisors are franchise owners who understand the value of protecting older adults and want to provide them with essential care options to meet their needs. If you have a loved one ready to move to a senior care community or need more than in-home care can provide, working with us can give you information and options.The aging process is complex, and many factors work together to influence the outcome of a senior living decision. We can help you navigate social, health, and financial concerns to find the right care option. Our local senior care advisors pre-screen all our facilities, so youll know what youre getting when we connect you.Working with us takes all the guesswork out of finding the right care options for your senior loved one so both of you can relax and enjoy more time together. Were honored to provide the value we offer to seniors and their families and are deeply committed to ensuring that your loved one will get the care they need in a comfortable place they can truly call home. Ready to Learn More?Reach out to us at CarePatrol of Western PA to discuss senior care options in your area. Our placement agency offers a free service to help you and your loved one find the right senior care option for their needs. The senior care industry can be difficult to navigate at times, especially for older adults, but with a little extra help, valuable insights, and a free consultation, you can decide if CarePatrols help is right for your loved one.Reach out to us today at 724-631-4950.