Timeless Treasures: Keeping Memories Close to Heart

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. 

Help Seniors Maintain Emotional Wellness Through JournalingJournaling is often seen as a simple activityjust words on paperbut for seniors, it holds the potential to be so much more. Its not just about writing down daily thoughts or recalling memories; its a powerful tool for fostering emotional wellness, sparking creativity, and promoting reflection. Seniors, in particular, can find great comfort in journaling as it provides a quiet space to process emotions, navigate life changes, and even explore new possibilities.In this article, well dive into how journaling can be a lifeline for seniors, helping them find emotional balance, gain perspective, and strengthen their sense of self. By writing down their thoughts, seniors can tap into a wellspring of inner peace, joy, and personal growth.What Is Emotional Wellness?Before we explore how journaling supports emotional wellness, lets first understand what emotional wellness truly means. At its core, emotional wellness is about being able to recognize, understand, and express emotions in healthy ways. Its also about managing lifes challenges, handling stress effectively, and adapting to the inevitable changes that come with age. Emotional wellness is closely linked to better overall healthresearch shows that emotionally balanced individuals are less likely to develop physical illnesses, recover from sickness more quickly, and enjoy stronger relationships with those around them. For seniors, maintaining emotional wellness can lead to improved mental health, a greater sense of purpose, and enhanced overall quality of life.How Journaling Boosts Emotional Wellness for SeniorsWhile journaling is often seen as a personal hobby or creative exercise, for seniors, it can be a transformative tool that nurtures emotional wellness. Below are some of the key benefits of journaling for seniors:1. Clarifies EmotionsAs we age, we often experience a wide range of emotionsfrom joy and nostalgia to sadness or frustration. Journaling provides a safe and effective outlet to understand these feelings. Writing about ones emotions helps seniors identify exactly what theyre going through, allowing them to process complex feelings in a constructive way. This can be particularly helpful during times of grief, loss, or significant life changes, such as retirement or a move to a new living situation.2. Enhances Problem-Solving AbilitiesOne of the most valuable aspects of journaling is that it can help seniors uncover solutions to personal challenges. Sometimes, just putting thoughts on paper can clarify a situation, highlight new perspectives, and reveal potential answers that might have otherwise gone unnoticed. Writing can serve as a mini brainstorming session, allowing seniors to reflect on their options and make thoughtful decisions, whether its about daily tasks or long-term plans.3. Fosters Self-AwarenessBy revisiting past journal entries, seniors gain insight into their own emotional and mental states over time. This practice of reflection can increase self-awareness and help seniors recognize patterns in their thinking, behavior, and emotions. Whether its noting progress on personal goals or simply recalling the ups and downs of the day, journaling provides a clear window into ones inner world, which can boost confidence and clarity.4. Unleashes CreativityJournaling doesnt have to be limited to reflecting on the past or analyzing emotions. It can also serve as a creative outlet. Many seniors find joy in expressing themselves through fictional writing, poetry, or even sketching. Creative journaling offers a break from routine thoughts and invites a playful exploration of the imagination. Whether its creating stories, drawing pictures, or experimenting with new writing styles, creativity can be a source of both joy and healing.5. Helps Set and Track GoalsAs people grow older, it can sometimes feel like their dreams or goals are no longer within reach. Journaling provides seniors with a way to think about the futuresetting both short-term and long-term goals, and tracking their progress. It can be something as simple as writing down a weekly goal, like taking a daily walk, or something larger, such as planning a trip or learning a new skill. Journaling can reignite the spark of purpose and motivation.Tips to Start Journaling: A Guide for SeniorsStarting a journaling practice can feel intimidating at first, especially if youre not used to writing regularly. However, the process doesnt have to be overwhelming. Here are some helpful tips for seniors to make journaling a fun and rewarding part of their routine:1. Choose Materials That Bring JoyThe right materials can turn journaling from a chore into a delight. Choose a journal that feels good to write in, whether its a beautiful leather-bound notebook or a simple spiral-bound pad. Invest in pens that glide smoothly and feel comfortable in your hand. The more you enjoy the process, the more likely you are to stick with it.2. Set a Consistent Time for JournalingLike any new habit, the key to journaling regularly is consistency. Schedule time each day to write, whether its in the morning with your cup of coffee or before bed to reflect on the day. Keeping a consistent routine helps journaling become an easy and enjoyable part of your daily life.3. Use Prompts to Get StartedIf youre not sure where to start, journaling prompts are a great way to spark inspiration. Whether youre reflecting on the past, writing about your future hopes, or exploring your thoughts on a particular subject, prompts can guide your writing. There are plenty of resources online with free prompts, or you can even make up your own.4. Set Achievable GoalsWhen first starting out, dont pressure yourself to write an essay every day. Start smallaim for writing a few sentences or a short paragraph each day. As you get more comfortable, you can gradually increase the length or frequency of your entries. Dont worry about perfectionjust focus on making journaling a regular part of your life.5. Be Patient and Enjoy the ProcessRemember, journaling is about the journey, not the destination. Its okay if you dont see immediate benefits or if your writing doesnt always come out as youd like. Keep going, and enjoy the act of writing itself. Over time, youll begin to notice subtle shifts in how you feel and think.Journaling with the Support of Visiting AngelsAt Visiting Angels in Daphne, Gulf Shores & Mobile, Alabama, we understand that the emotional well-being of seniors is just as important as their physical health. Our caregivers are here to support seniors in many ways, including encouraging and assisting with journaling. Whether its helping select the perfect journal, setting reminders, or engaging in writing prompts together, our team provides compassionate guidance to help seniors enjoy the benefits of journaling. To learn more about how our services can help you or a loved one begin the journey of emotional wellness through journaling, contact Visiting Angels today at 251-517-9700. Together, we can help nurture a peaceful, creative, and fulfilling life through the power of the written word.

If you're caring for both young children and aging parents, you're likely part of the sandwich generation. As the adult child of an aging parent, you may already feel the weight of the responsibility, even if you're not directly providing care. However, for those actively caregiving, the stress can be overwhelming.According to 2018 data from the Pew Research Center, about 12% of parents of young children are also caring for an older adult. These unpaid family caregivers spend an average of 2 hours a day providing care, amounting to approximately $470 billion in unpaid caregiving annually. The demands on sandwich generation caregivers go beyond physical tasksthey may also take on roles as healthcare experts, volunteer coordinators, and advocates, all while managing full-time jobs. It can feel like working two or more full-time roles at once.Luckily, the right senior living option, such as a personal care home, can help both you and your aging parent. Personal care homes provide a comfortable, supportive environment where your loved one can receive assistance with daily tasks, allowing them to live as independently as possible while maintaining a high quality of life. This type of care can ease your burden, helping you focus on spending time with your parent and relieving some of the stress from your caregiving responsibilities.What the Sandwich Generation FacesThe sandwich generation is uniquely positioned in the middle of two significant caregiving responsibilities: raising children and ensuring the well-being of aging parents. Both roles are demanding and often leave caregivers feeling stretched thin. Studies show that parents often remain sleep-deprived for years after having children, and by the time theyre navigating the challenges of schoolwork, extracurricular activities, and teenage issues, theres little time left for themselves.The Practical Challenges of CaregivingBetween caring for children, working, and looking after aging parents, it can be impossible to find time for anything else. Its common for caregivers to feel that they are constantly running between tasks and juggling too many responsibilities. And when you're caring for an aging parent with health issues, your obligations can feel even heavier. For those who provide care for both children and elderly parents, it may seem like theres never enough time to meet everyone's needs, including your own.Its easy to fall into the trap of feeling like you're failing at all roles because the demands are so high. But its important to remember that your efforts are invaluable. Consider how much youd pay for an in-home aide or a childcare provider to fulfill some of these tasksit can help you realize the true value of the care you're giving.You Dont Have to Do It AloneIf you're feeling alone in your caregiving journey, you're not. Millions of Americans face the same challenges, and there are resources available to help. A major obstacle for caregivers is the sense of dutyfeeling like you have to do everything on your own for your family, no matter the cost to your own well-being. Many caregivers worry that seeking help is a sign of weakness or that theyre abandoning their loved ones.In reality, no one person can fulfill all the roles needed to care for both children and elderly parents. The right support, such as a personal care home for your parent, can make a huge difference. These homes offer a safe, supportive environment where your loved one can receive assistance with daily activities like bathing, dressing, and medication management while also enjoying social events and a sense of community. This allows you to visit your parent without worrying about caregiving tasks, helping to restore balance to your relationship.Todays personal care homes offer a variety of services that may be difficult to manage at home, including prepared meals, housekeeping, and wellness programs. Many seniors express relief and contentment upon moving into a personal care home, often wishing they had made the decision sooner.Some Signs You Need Help and SupportIf you're feeling overwhelmed, its important to recognize when additional help is needed. Your well-being matters, and seeking support for yourself and your loved one is a proactive step toward a healthier and more balanced life. Some signs that you may need additional help include:You have an unsupportive partner who doesnt help with caregiving.Youre overwhelmed by family criticism regarding your caregiving choices.You feel exhausted, burned out, or chronically stressed.You dont have time to take care of yourself.Youre finding less meaning in caregiving and feel resentment.You worry that you cant provide your aging parent with the support they need.Youre feeling depressed or anxious.Your caregiving roles frequently conflict with one another.Having a conversation with your aging parent about moving into a personal care home isnt about giving up; its about providing them with a better quality of life while relieving you of some of the caregiving burdens. Its a win-win situationyour parent will have the support they need, and you can enjoy time together without the stress of constant caregiving demands.As a member of the sandwich generation, its essential to recognize when you need support. Personal care homes, such as Magnolia Place of Saxonburg, can provide the care and community your aging parent needs, giving you the freedom to focus on your family and self-care. You don't have to do it all alonesupport is available to help you balance your responsibilities and improve your quality of life for everyone involved.  Give us a call today to learn more at (724) 352-2827.