The Success of Aducanumab in Treating Alzheimer's Disease

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. 

The Waxahachie High School Alumni Association, also known as the Waxahachie Ex-Students' Association, has long been a pillar of support for its graduates. Established in 1961, the association has grown to become a vital resource for alumni, providing a range of services and opportunities to stay connected with their alma mater and fellow graduates.One of the standout features of the Waxahachie High School Alumni Association is its commitment to providing valuable resources to its members. Among these resources is the Seniors Blue Book, a comprehensive guide that offers information on senior living options, healthcare services, and other essential resources for seniors. This guide is an invaluable tool for alumni who are navigating the complexities of aging and seeking reliable information to make informed decisions about their future.In addition to the Seniors Blue Book, the alumni association offers a variety of other resources and services. These include: Scholarship Programs: The association awards numerous scholarships to graduating seniors each year, helping to ease the financial burden of higher education and support the next generation of Waxahachie graduates. Reunion Planning: The association assists alumni in organizing class reunions, providing a platform for classmates to reconnect and reminisce about their high school days. Community Events: The association hosts various events throughout the year, including homecoming celebrations, community-building activities, and volunteer opportunities. Networking Opportunities: Alumni can take advantage of networking events and online platforms to connect with fellow graduates, share career advice, and explore professional opportunities. The Waxahachie High School Alumni Association's dedication to supporting its members is evident in the wide range of resources and services it offers. By providing tools like the Seniors Blue Book and fostering a strong sense of community, the association ensures that Waxahachie graduates remain connected and supported throughout their lives. Click Here for more information about the Waxahachie High School Alumni Associationand the resources it provides. 

Understanding Parkinsons and Its Impact on FamiliesCaring for a loved one with Parkinsons disease presents unique challenges that require both emotional resilience and practical strategies. As the disease progresses, families often find themselves in unfamiliar territory, struggling to balance their personal and professional lives while ensuring their aging loved one receives the best care possible. This article provides an in-depth look at Parkinsons disease, how it affects families, and the essential steps to prepare for the caregiving journey.What is Parkinsons Disease?Parkinsons disease is a progressive neurological disorder that primarily affects movement, but it also has cognitive and emotional implications. It occurs when dopamine-producing neurons in the brain gradually deteriorate, leading to symptoms such as tremors, muscle stiffness, slowness of movement, and balance issues. As the disease advances, individuals may experience non-motor symptoms, including depression, sleep disturbances, and cognitive decline. Understanding these symptoms is crucial for families so they can recognize early warning signs and seek appropriate medical support.The Stages of Parkinsons DiseaseParkinsons progresses in five distinct stages, each presenting different challenges for caregivers:1.     Stage One (Mild Symptoms) Symptoms are mild and may only affect one side of the body. Daily activities remain largely unaffected.2.     Stage Two (Moderate Symptoms) Symptoms worsen, appearing on both sides of the body. Daily tasks become slightly more challenging.3.     Stage Three (Loss of Balance and Independence Challenges) Falls become more frequent, and daily activities require more effort.4.     Stage Four (Severe Mobility Limitations) Assistance is needed for most daily activities, and independent living becomes difficult.5.     Stage Five (Advanced Parkinsons) The individual may be bedridden or require a wheelchair, with round-the-clock care needed. Understanding these stages allows families to anticipate changes and proactively plan for caregiving needs. Emotional and Psychological Impact on FamiliesThe emotional toll of caregiving can be overwhelming, particularly for busy professionals juggling work and family responsibilities. Watching a once-independent parents who struggle with Parkinsons can evoke feelings of sadness, frustration, and guilt. Many caregivers also experience burnout due to the constant physical and emotional demands of caregiving. To manage these challenges, families should consider the following:         Seek Emotional Support Support groups for Parkinsons caregivers provide a space to share experiences and receive guidance.        Practice Self-Care Caregivers must prioritize their own well-being to sustain their ability to provide care.        Maintain Open Communication Honest conversations among family members can help in decision-making and stress management.The Role of Professional Caregiving ServicesAs the disease progresses, family caregivers often find themselves struggling to keep up with their loved ones increasing needs. Professional caregiving services like those offered by At Your Home Caregiving of Texas LLC provides expert assistance tailored to Parkinsons patients, ensuring they receive the highest level of care while allowing family members to focus on their own professional and personal lives. Some key benefits of professional caregiving include:      Personalized Care Plans Professional caregivers develop customized care strategies based on the individuals specific symptoms and progression.      Mobility Assistance Helping individuals move safely, reducing the risk of falls and injuries.      Medication Management Ensuring medications are taken correctly and on time.      Meal Preparation and Nutrition Support Creating Parkinsons-friendly meal plans to enhance overall well-being.      Companion Care Providing social interaction and engagement, reducing feelings of isolation.Available Medical Treatments and Therapies While there is no cure for Parkinsons, several treatments and therapies can help manage symptoms and improve quality of life:       Medications Dopamine-enhancing medications like Levodopa help alleviate motor symptoms.       Physical Therapy Helps improve balance, strength, and flexibility.       Speech Therapy Addresses difficulties with speaking and swallowing.       Occupational Therapy Helps individuals adapt to daily activities using assistive devices and modified techniques.       Deep Brain Stimulation (DBS) A surgical procedure that can help reduce tremors and improve motor control. By incorporating these treatments into a care plan, families can improve their loved ones comfort and independence.Early Planning for a Smooth Caregiving JourneyOne of the biggest mistakes families make is waiting until a crisis occurs before seeking professional caregiving support. High-paying geriatric care clients, such as the busy professionals looking after aging parents, benefit greatly from early planning.Some key steps include:      Assessing Current and Future Needs Evaluating the stage of Parkinsons and determining what level of support is required.      Exploring Home Care Options Researching caregiving services that align with the familys values and expectations.      Financial and Legal Planning Consulting elder law attorneys and financial advisors to create a sustainable long-term care plan.      Designating a Care Coordinator Assigning a family member or professional to oversee caregiving arrangements and medical needs.By addressing these factors early, families can avoid unnecessary stress and ensure their loved ones receive seamless, high-quality care. Why Choose At Your Home Caregiving of Texas LLC?For professional families with aging parents, finding a trustworthy and compassionate caregiving service is essential. At Your Home Caregiving of Texas specializes in providing exceptional in-home care tailored to high-net-worth families. With a commitment to dignity, independence, and personalized attention, the agency offers:      Highly Trained Caregivers Experienced in Parkinsons care and advanced elder care techniques.      Flexible Care Plans Ranging from part-time assistance to full-time live-in care.      Seamless Communication Keeping family members informed and involved in caregiving decisions.      Commitment to Excellence Prioritizing client satisfaction and quality of life.Final ThoughtsParkinsons disease is a complex condition that requires a proactive and well-thought-out caregiving plan. By understanding the diseases progression, seeking the right support, and planning early, families can ensure their loved ones receive the best possible care while maintaining their own professional and personal balance.At Your Home Caregiving of Texas LLC stands ready to support families on this journey, offering specialized in-home care solutions that provide peace of mind and exceptional care for aging loved ones. This article serves as a comprehensive guide for families navigating the challenges of Parkinsons caregiving. Future articles in this series will dive deeper into specific aspects of caregiving, from hospital stays and rehabilitation to long-term care planning and caregiver well-being.