Non-Medical Home Care: An Industry Update

Alzheimers is the most common type of dementia and occurs when plaques and bundles of proteins build up between nerve cells in the brain, ultimately causing brain cell death. Individuals often experience confusion, memory loss and inability to care for themselves. The disease is physically degenerative and is often mentally and emotionally draining on both the individual with the disease, as well as family members around them. If you or a loved one has been diagnosed with Alzheimers, you likely have a lot of questions. At BrightStar Care, our team has experience in working with clients and families dealing with Alzheimers and want to help you better understand the road ahead.Causes & Diagnosis of AlzheimersWhen caring for a loved one with dementia, knowledge and understanding of their condition can be invaluable. Although every case of Alzheimers disease is unique, there are some commonalities in terms of causes, symptoms and general prognoses.What causes Alzheimers?For people diagnosed with Alzheimers, the exact timeline, symptoms and primary causes will vary. There are many possible causes of Alzheimers disease that include genetic, environmental and/or lifestyle factors. Diet, sleep patterns and a lack of both cognitive and physical exercise may all play a role in the causes of Alzheimers.What is the difference between Alzheimer's and dementia?Dementia is not a disease itself, but rather a group of symptoms that impact brain functionality caused by various diseases and conditions. Alzheimers disease is the most common form of dementia, accounting for 60-80% of dementia cases.What is the 12-question test for Alzheimers? The 12-question test for dementia, also known as the Mini-Mental State Examination (MMSE), is a clinical tool used to evaluate cognitive impairment. It assesses several cognitive functions including memory, orientation to time and place, language abilities, and calculation skills. By asking a series of 12 questions, healthcare providers can gauge a person's cognitive status and help determine the likelihood of dementia.Alzheimers Symptoms & PrognosisThe earliest detectable signs of Alzheimers include memory trouble, apathy and depression. People in the early stages of Alzheimers might have problems completing familiar tasks or misplace things and be unable to retrace their steps. As the disease progresses, more severe symptomsincluding impaired communication, poor judgment and disorientationmay emerge. Each individuals experience with Alzheimers is unique. Your doctor and medical team can help you better understand your condition, symptoms and any treatment options as they relate to you. What are the symptoms of Alzheimers?Alzheimers is most commonly characterized by mental confusion and forgetfulness. Some common tell-tale behaviors are forgetting familiar names, getting lost in familiar places, and an inability to complete routine tasks.How can I tell the difference between Alzheimers and typical signs of aging?While forgetfulness and confusion are associated with Alzheimers, these symptoms also accompany normal aging. So, how can you tell the difference? The Alzheimers Association lists memory loss as a challenge that disrupts daily life, challenges in planning or solving problems, and difficulty completing familiar tasks. They also differentiate these symptoms from the milder signs of normal cognitive decline. For instance, while a normal older adult might occasionally struggle to balance their checkbook or forget an important name or date and then remember it later, these difficulties are more persistent or extreme for an Alzheimers sufferer.For example, occasionally losing your keys or forgetting what you had for breakfast that morning is common among older adults. However, a person with Alzheimers may show even more pronounced lapses in memory. For instance, they may not only lose their keys, but also completely forget what keys are for, showing a stark decline in cognitive connections. Whats the typical Alzheimers prognosis? For people diagnosed with Alzheimers, the exact timeline, symptoms, and severity of their disease can vary. However, the trajectory of the disease tends to flow through seven distinct phases, originally outlined by Dr. Barry Reisberg of New York University.The arc generally begins with symptoms similar to those of normal aging, proceeds through gradually worsening stages that can include difficulty with simple arithmetic and forgetting personal details, and ends with severe decline typified by the inability to swallow.Early stages: Early-stage Alzheimers typically includes mild decline, such as difficulty in finding the right word during conversation, losing personal possessions and having trouble remembering familiar names. At this stage, family members can typically manage care for their afflicted loved one.  Middle stages: This period is marked by moderate decline in mental faculties, including poor short-term memory, inability to manage personal finances, difficulty dressing or grooming and significant confusion. In these stages, a person with Alzheimers may need occasional in-home care or nursing services.Late stages: In the final stages, severe decline is present, including inability to recognize familiar faces, inability to remember personal details, loss of bladder control and major personality changes. Individuals at this stage either relocate to a residential facility or have a full-time in-home caregiver.Is there a cure for Alzheimers? Theres no known cure for Alzheimers, only treatments that can ease symptoms. The FDA has approved two types of medications (cholinesterase inhibitors, such as Aricept, Exelon, and Razadyne, and memantine, found in Namenda) that diminish mental confusion, memory loss, and other cognitive symptoms, but these do not reverse the underlying causes.Recent research and clinical trials have made potential breakthroughs with immunotherapy treatments and monoclonal antibodies. Many also suggest herbal supplements like gingko biloba and coenzyme Q10, but these lack confirmation through clinical trials. Additionally, non-drug interventions such as cognitive behavioral therapy as well as caregiver support programs can improve quality of life, especially in early stages. Alzheimers Prevention and Management Understanding the nature of Alzheimers and how to manage it can positively impact families affected by this disease. Having accurate information about risk factors, early warning signs and how to manage each stage of Alzheimers can help support family caregivers throughout the progression of the disease. How can I prevent Alzheimers? There are no proven ways to completely prevent Alzheimers. As with many degenerative illnesses, a healthy lifestyle, including regular exercise, balanced diet, and effective sleep habits, may help lower the risk of developing Alzheimers. Research has shown a correlation between high blood pressure and high cholesterol and the incidence of the disease. Doctors recommend getting these numbers to a healthy level, not only for Alzheimers prevention but for general good health.There are a variety of ways to maintain good brain health that can also work toward a lower likelihood of Alzheimers disease. Regular social interaction, brain stimulating activities such as puzzles and learning new skills, and managing stress levels can help maintain cognitive health. Certain forms of physical exercise can also support brain health such as walking, swimming and strength training. Is Alzheimer's hereditary?There are rare familial forms of dementia caused by genetic mutations such as familial Alzheimers disease, frontotemporal dementia and familial vascular dementia, which are more likely to occur in people under the age of 65. However, research shows that most cases of Alzheimers are not linked to genetics.How prevalent is Alzheimer's?Before the age of 65, only 1 out of every 1,000 people develop dementia. The chance of having the condition rises sharply with age to 1 person in 20 over the age of 65. Over the age of 80, this figure increases to 1 person in 5.How does Alzheimer's disease progress over time?Alzheimers is a degenerative disease that progresses in stages from mild to moderate to severe. The disease usually starts with mild symptoms such as increasing forgetfulness, then progresses to general confusion and disorientation. Finally, Alzheimers patients end up with severe symptoms, such as an inability to communicate or care for themselves.Caregiver Support for Alzheimers Disease Caring for a loved one with Alzheimers disease can be difficult from both a physical and emotional perspective. Family caregivers can benefit from trusted resources to help them more effectively communicate with their loved one with Alzheimers. Having the right resources and information can help them learn to manage difficult behaviors like agitation and wandering and ensure safety and fall prevention in the home. At BrightStar Care, we can help connect you with resources to support family caregivers, including support groups, education and training. For those with family members in the early stages of Alzheimers, we offer respite care to help give you a much-needed break. And as their condition progresses, our team can match you with compassionate, qualified memory care professionals. Reach out today and let us know how we can help.To learn more please contact us at 303-300-6666.

Receiving medical treatment at home can be a comfortable and convenient option for many patients. Home infusion therapy allows individuals to receive necessary intravenous (IV) treatments in a familiar environment, reducing hospital visits while ensuring high-quality care.Home infusion therapy involves administering medication or fluids through an IV at home under the supervision of trained health care professionals. With the increasing demand for home health care services, this option is becoming a preferred choice for many individuals, from young children to seniors who require intermittent doses of IV therapy.What Can Be Treated with Home Infusion Therapy?Home infusion therapy is a medical treatment that delivers medications and fluids directly into the bloodstream via an intravenous (IV) line, allowing patients to receive important therapies without the need for hospital visits. This approach is beneficial for a wide range of conditions across all age groups, from children to seniors. It is particularly useful for managing chronic illnesses, infections, and nutritional deficiencies, providing a convenient and effective way to receive treatment in the comfort of home.Some of the most common conditions (Opens in a new window) treated with home infusion therapy include:Infections requiring repeat doses of IV antibioticsDehydrationNutritional support for individuals who cannot eat or digest food normallyChronic diseases like Crohns disease, rheumatoid arthritis, hemophilia and multiple sclerosisPain management through intravenous medicationCancer-related treatments, including chemotherapy and immunotherapyImmune deficiencies requiring IV immunoglobulin therapy (IVIG)Hormone therapyBenefits of Home Infusion TherapyReceiving IV therapy at home offers numerous advantages, making it an attractive option for many patients and their caregivers. It reduces the need for frequent hospital visits, reducing exposure to infections and minimizing the stress associated with travel. Additionally, home infusion allows patients to maintain many of their daily routines, promoting a better quality of life while undergoing treatment.Key benefits of home infusion therapy include:Convenience: Reduced need for hospital stays or lengthy outpatient visits, reducing time and energy spent on transportation and waiting rooms.Lower infection risk: Reduced exposure (Opens in a new window) to hospital-acquired infections may help protect those with weakened immune systems.Cost-effectiveness: Often more affordable (Opens in a new window) than inpatient treatment, potentially lowering overall health care expenses.Emotional well-being: Patients receive care in a familiar and comfortable setting, leading to less anxiety and a more positive treatment experience.Faster recovery: Allows patients to rest and recover in their own home, which can contribute to better treatment adherence and overall health outcomes.Family involvement: Loved ones can play a more active role in patient care, offering emotional support and assistance during treatments.Enhanced independence: Patients can continue many of their daily activities, work, or school schedules with minimal disruption while receiving necessary treatment.Medicare and Home Infusion TherapyMedicare covers specific home infusion therapies (Opens in a new window) under Part B and Part D, but understanding eligibility criteria is essential. Part B typically covers professional services, including nursing, monitoring, and patient education, when provided by a qualified home infusion therapy supplier.The Durable Medical Equipment (DME) benefit covers the infusion pump, supplies, and certain home infusion drugs administered via a pump.Part D may cover certain infusion drugs that are not covered under Part B or the DME benefit, depending on the specific medication and administration method.Key Medicare considerations for home infusion therapy:Coverage typically includes certain infused medications and associated nursing services.Patients must meet eligibility requirements based on medical necessity.Alternative payment options, such as private insurance or out-of-pocket payments, may be available for non-Medicare patients.Coverage for home infusion therapy under Medicare depends on factors such as the type of medication, its method of administration, and the involvement of qualified home health providers. Patients should check with their Medicare plan to determine their benefits and any potential out-of-pocket costs.The Role of Family Caregivers in Home InfusionFamily caregivers play a vital role in home infusion therapy, helping patients receive their treatments safely and effectively. They must be trained to manage infusion equipment (Opens in a new window), recognize potential side effects, and communicate with health care providers to address any concerns. Proper education and guidance help caregivers provide the best possible support to their loved ones.Responsibilities of home caregivers include:Monitoring the infusion site for signs of infection or complicationsEnsuring medications are administered correctly and on scheduleCommunicating with medical professionals about any concerns or changes in the patient's conditionLearning how to handle infusion equipment safely and effectivelyWhat to Expect During Home Infusion TherapyThe process of home infusion therapy begins with a consultation (Opens in a new window) between the patient and their health care provider to determine the best course of treatment. Once a plan is established, a trained nurse sets up the necessary equipment and administers the medication. Throughout treatment, the patients condition is closely monitored to ensure safety and effectiveness.Steps involved in home infusion therapy:(Opens in a new window)Initial consultation and prescription from a health care providerDelivery of infusion medications and supplies to the patients homeSetup of IV lines and infusion pumps by a qualified professionalMonitoring of vital signs and response to treatmentRegular updates to physicians and adjustments to care plans as neededCan a doctor prescribe IV fluids at home? Yes, physicians can prescribe home IV fluids if a patient meets the medical criteria for in-home treatment.Explore Your Options for Home Infusion TherapyHome infusion therapy is a valuable health care option that enhances patient comfort while providing essential medical treatments. By understanding the process, benefits, and considerations involved, patients and caregivers can make informed decisions. Those interested in learning more should explore available resources and speak with health care professionals to determine the best approach for their needs.If you or a loved one requires home infusion therapy, consider discussing your options with a trusted provider to ensure the highest quality of care and support.To learn more, reach out to a BrightStar Care representative.Home Infusion Therapy FAQsMany patients and caregivers have questions about how home infusion therapy works, its logistics, and what to expect. Below are answers to some of the most common concerns.How are medications and supplies for home infusion therapy delivered? Medications and necessary supplies are typically delivered directly to the patients home (Opens in a new window) through a specialized pharmacy or home health care provider.Can I travel while receiving home infusion therapy? Traveling while receiving home infusion therapy is possible but requires careful planning. Patients should consult their health care provider to arrange for medication supply (Opens in a new window) and identify health care facilities at their destination.What support is available for caregivers assisting with home infusion therapy? Caregivers can access educational resources, training, and support from health care providers to ensure they are prepared to manage home infusion therapy safely and effectively. To learn more call, us today at 303-300-6666.

Each year, countless seniors undergo surgery for a variety of conditions, from repairing a hernia, to hip replacement or major joint surgery. While these surgeries can help improve quality of life, it sometimes takes seniors a little while to get back on their feet. Understanding their pre- and post-operative care needs can help you make a plan to make their recovery as easy as possible. Well cover some practical tips for caring for seniors after surgery, including logistical, practical and even emotional concerns. Planning Ahead: Discuss Post-Operative Care with the Doctor Before Surgery If you are a caregiver for an elderly loved one who is scheduled to have surgery, be sure to discuss post-operative care with the doctor beforehand. This will help both you and your loved one be aware of what to expect and know what steps to take to ensure a smooth recovery.Key Questions to Ask the DoctorPrior to surgery, your doctor and medical team will likely share a lot of information about the procedure surgery itself, as well as preparations to take before and after your loved ones surgery. Come prepared with a list of questions that might not be covered. Ask about any medications or recommendations for pain management, wound care and preventing infection. In order to manage home care recovery, ask your doctor about any diet or mobility restrictions to consider.  Before surgery, ask about any preparations that may need to be made to your loved ones home during recovery. Some possible considerations include. equipping bathroom areas with a shower grab bar or adding temporary ramps to stairs. Lastly, inquire about any potential complications you should watch for, as well as scheduling any follow-up appointments.Understanding Post-Surgery ExpectationsDifferent surgeries require different degrees of post-surgical care. Age, pre-existing health conditions, and invasiveness of surgery are all factors that factor into recovery. Ask your doctor and medical care team about the typical recovery time expected for your type of surgery, as well as any lifestyle changes youll need to make during your recovery period. Ask about any limitations on your daily activities, potential complications and what support you may need from loved ones or caregivers. Preparing for a Safe Recovery Environment at Home Taking care of a senior after surgery can be a formidable task, but with some preparation and organization, it can be much more manageableeven enjoyable! Here are a few tips to help make the process easier before surgery and after!Pre-Surgery Checklist for In-Home Care Create a plan for care before surgery. This will help ensure that everything is taken care of when the senior is recovering from surgery. Ask for help from family or friends. They can provide support and help with tasks around the house.Make sure the home is safe for the senior to return to. Remove any tripping hazards and install grab bars in bathrooms as needed. Acquire home equipment for safety and comfort: Rent or purchase equipment that can make recovery easier and safer. Adjustable beds, non-slip mats and temporary ramps can aid safety and mobility during recovery.Stock up on supplies. Make sure your loved one has a full supply of bandages, medical tape, cold packs and medications before coming home from surgery. This will ensure that you have everything you need when you need it. Assist with medication schedules and doctors appointments. Helping to keep on track with doctors appointments and medication schedules can be a huge help. Prepare meals that are easy to digest. Having some meals on hand for after surgery will be a huge help. Avoid foods that are high in fat or sugar. Place items within easy reach. Make sure your seniors important personal items (medications, glasses, hearing aids) are within easy reach! Reserve any aftercare equipment. If your senior will need a wheelchair or walker make sure you have these items ready for post-surgery needs. Day-of transportation. Make sure your loved one has reliable and accessible transportation on the day of surgery, as well as on the day theyre scheduled to come home.Prepare to give emotional support. Whether its a major or minor procedure, its normal to feel nervous about surgery. Help your loved one emotionally prepare for surgery and recovery. Set aside time to discuss the procedure and plans for recovery. Give them an open forum to express any fears they may have, offer relaxation techniques and proactively reach out to their friends and support system to be there for them before and after surgery, as needed.. Deliver encouragement, patience, and love as your loved one recovers from surgery.After surgery, many seniors want to stay in their own homes. This can be a difficult transition, but with the right care and support, it can be a successful one. Most seniors prefer to stay in their own homes after surgery, but they may require a little extra help to ensure a successful recovery. Here are some helpful tips for post-surgery care.How Post Surgery In-Home Care Accelerates Healing and Saves Money As a caregiver, you can help preserve a seniors quality of life and feeling of independence. Healing at home can help reduce symptoms of depression and accelerate healing. Studies show that patients are less sedentary when they are healing at home rather than healing in a hospital or care center and that readmission rates were lower in patients that were healing at home.Home healing not only promotes recovery but also significantly reduces healthcare costs. By providing high-quality care in the comfort of your home, you can help mitigate health risks and accelerate your loved ones healing process. Providing hospital-quality care at home can help reduce certain health risks and help better the healing process for your loved one.If you agree that you want to support the home healing of your loved one, but are concerned that you cant supply hospital-quality care, consider contracting with a professional home-care team to help assist you with RN-level services. Transitioning from the hospital to the home can be a tricky process to manage on your ownthere is help available!Personalizing Your After Surgery Home Health Care Plan Regardless of whether or not you decide to engage professional in-home care services, to find success with supporting your senior at home after surgery requires making a care plan. You can make this plan in conjunction with your loved ones doctor to ensure you cover all the vital points of aftercare. Take into consideration recovery goals, routines, and assigning responsibilities. Having clear expectations and goals to work toward during recovery can help your loved one make steady progress. Establishing daily routines and clear communication about family responsibilities can help you create a well-thought plan to support your loved ones recovery. You might also want to enlist the aid of a professional in-home caregiver to assist with certain responsibilities that your family is unable to cover. Professional in-home care services are available on a full-time or part-time basis.Important Components of a Post-Op Care PlanOrganizing all of the moving parts of your family members recovery is a big job. But with careful planning, you and your loved ones care team can help pave a smoother path to recovery. There are medical, environmental, logistical and mental/emotional components to consider when planning for your loved ones post-op recovery. From a medical standpoint, make sure you understand what medications theyll need to take and stock up on all necessary medications and supplies, such as bandages and wound dressings. Youll also want to prepare their home environment and modify any areas for safety or comfort during recovery. Coordinating logistics involves arranging transportation to and from surgery, as well as to follow-up appointments or additional therapy, if therapy isnt administered at home. And finally, make a plan to take care of the mental and emotional needs of your loved one during their recovery. Socialization and stimulation such as playing games, crafting or conversations can help boost their mood and outlook during recovery.Setting Recovery GoalsOnce you and your loved one are clear on what can be expected after surgery, you can start setting realistic recovery goals together. When there are benchmarks to work toward, recovery becomes more manageable both for your loved one and you - their caregiver. Every persons goals and progress will look a little different, making it important to discuss realistic and measurable goals with your care team. Goals such as regaining mobility and strength as well as managing and reducing pain levels can aid in boosting morale during recovery. In order to maintain a positive outlook, its important to set realistic timelines and schedule regular check-ins to track progress and adjust goals as needed.Involving Family Members in Care PlanningFamily members play an important role in your loved ones recovery. Often, youll know your loved ones likes, dislikes, preferences and communication style, which can alert you if their recovery isnt proceeding normally. There are so many ways that family caregivers can contribute to a care plan, including providing emotional support, mental stimulation, social interaction and more. From maintaining clear communication with your loved ones doctors to helping with activities of daily living like getting dressed and meal preparation, there are many meaningful ways to help your loved one throughout their recovery.The Need for Professional Home Care After SurgeryDepending on your loved ones medical, practical and logistical needs following surgery, professional home care may be a necessary component of their recovery. Post-surgery home health care often provides the opportunity for a faster recovery with fewer complications. In-home health care can include skilled nursing staff to assist with medications and wound care or professional in-home caregivers that help with activities of daily living, transportation needs and companionship. Navigating The Costs of Post-Surgery Home Care Post-surgery home care costs vary by care level, duration and location. To make the best choice for your situation, talk with a trusted professional for an assessment of your loved ones specific in-home care needs. There are a number of options that can make the cost of in-home care more affordable for those who need it, including private insurance and long-term care insurance (LTCI). Some individuals may also qualify for military benefits or PACE (Program All-Inclusive Care for the Elderly). Discuss your options today with your current provider or one of our BrightStar Care professionals to discover what coverage options are available to you.Emotional and Social Support During Recovery While medical care and skilled nursing support is of great importance during post-op recovery, emotional and social support is equally important. Activities like reading, listening to music and creating art are all ways to create opportunities for mental stimulation. Companionship with friends, family, or a professional caregiver can all contribute to mental and emotional well-being and boost morale during your loved ones recovery.Tips for Taking Care of Seniors at Home After Surgery Understand and follow doctor's orders. The most important thing you can do is ensure you understand any post-op care instructions your loved one's doctor has prescribed. This is critical to their health and healing.Make sure they have plenty of fluids. Dehydration can be a common complication after surgery, so make sure your loved one drinks plenty of water, juice, and other fluids. Encourage them to move around as much as possible. Surgery can often leave seniors feeling weak and stiff, so encourage them to move around as much as possible, per doctors orders. This will help improve their mobility and reduce the risk of complications. Help them with basic tasks such as bathing, dressing, and grooming. These tasks can be difficult for seniors after surgery, so offer to help out as much as you can. Keep a close eye on their pain levels. Pain is often one of the biggest challenges for seniors after surgery, so make sure you are keeping a close eye on their pain levels and taking steps to manage it effectively. Enhance pain management. During recovery, there are additional ways to help minimize pain and complement prescribed pain relief. This includes using ice packs, supportive pillows and relaxation techniques. Make sure they get plenty of rest. Surgery can be exhausting, so make sure your loved one gets plenty of rest in the days following their procedure. Watch out for warning signs. Keep an eye on your loved one for signs of infection, such as fever, redness or swelling around the surgery site, or drainage from the wound. Assist your loved one with their medication schedule. Stay on top of daily medications as directed by the surgeon. Offer transportation. Transport your loved one to follow-up appointments and other medical appointments as needed. Check in on them regularly. It's important to keep an eye on your loved one's progress after surgery, so check in with them regularly to see how they're doing. If you notice any problems or concerns, don't hesitate to bring them up with their doctor. Following these tips can help ensure a smooth recovery for your loved one after surgery. With a little bit of help, they'll be able to return to their normal routine in no time.Common Post-Surgery Complications to Watch For During your loved ones recovery, its important to watch for any complications that could derail recovery or introduce new medical issues. Common post-op complications include infections, blood clots, and respiratory problems. Every surgical procedure carries its own risk of complications. Its important to consult with your surgeon and medical team to understand what potential complications may look like and know the appropriate steps to take. Long-Term Recovery Considerations While some post-op recovery is short-term, some people may have a longer period of recovery. A professional in-home caregiver can provide a level of ongoing care and peace of mind that supports necessary lifestyle changes long-term. Whether a need for more extensive care arises due to surgical complications or slower recovery due to aging or pre-existing conditions, long-term care can ensure your loved one receives the care they need and deserve regardless of the length of their recovery.Consider Transitional Post-Hospital In-Home Care Services with BrightStar Care The final step in taking care of seniors at home after surgery is ensuring they have enough support to safely transition to recovering at home. This includes help with things like bathing, grooming, and transportation. You may also need to help them with their medications and wound care. If your loved one doesnt have the extra care and support they need to make a successful transition at home, consider enlisting professional home care support from the RN-led team from BrightStar Care. We offer both long-term and short-term transitional care to help your loved one focus on their recovery and help ease the burden on families while their loved one adjusts. BrightStar Care staff ensures that your loved one receives the critical home health support they need, reducing the need for re-hospitalization, falls, medication mistakes, and mental stress which can delay healing or worsen health. With an in-home caregiver, your loved one will be monitored and cared for if and when you cant be there. Its not uncommon for seniors to assume they can do more than they safely can after a surgery. If they are alone, they can face the danger of falling without assistance, taking the wrong doses of medication without supervision, or simply slip into loneliness and depression. Making the decision to stay at home after surgery can be difficult, but with the right care and support, it can be a successful transition. If you are having difficulty providing this care yourself, consider enlisting BrightStar Care to provide the extra care and support your loved one needs to make a successful transition home. To learn more call, us at 303-300-6666.