Valley-Wide Health Systems – Looking Back, Moving Forward

As the holiday season approaches, many of us begin to embrace the spirit of joy and togetherness. For seniors, this time of year can evoke a special blend of nostalgia and excitement, providing an opportunity to create new memories with loved ones. However, the stress of clutter can overshadow the joy of the holidays. At A Call to Order Professional Organizer, we believe that a serene environment not only enhances well-being but also fosters connection with family and friends. In this blog, well explore effective ways to declutter senior spaces, ensuring that their homes radiate warmth and love during this festive season.Decluttering: A Gift of JoyDecluttering can often seem like a daunting task, especially for seniors who may have accumulated items over the years that carry sentimental value. Yet, creating an organized space doesnt have to be overwhelming. Instead, think of it as a gift that promotes a joyful atmosphere. Tip 1: Start Small and Focus on SentimentalityBegin the decluttering process by encouraging seniors to focus on one area at a time. It could be a specific room, a closet, or even a single drawer. The key is to keep the experience manageable and non-stressful. A good practice is to ask them to sort items into three categories: keep, donate, and discard.When it comes to sentimental items, its important to approach them with care. Suggest they take photographs of items that hold memories instead of keeping every single piece. This way, they can cherish the memories without physical clutter. Setting aside a memories box for truly cherished items can also provide a sense of connection to the past while keeping their environment open and welcoming.Tip 2: Enlist HelpDont hesitate to involve family members in this process. The holidays are all about togetherness, and tackling this task as a family can create new memories while lightening the load. Each family member can take responsibility for specific areas, making the decluttering process enjoyable. Don't forget treats and encouragement to maintain a festive mood!Creating a Welcoming AtmosphereOnce the decluttering is underway, its time to enhance the space for the holiday season. A peaceful and organized environment can significantly improve the seniors mood and overall well-being. Tip 3: Seasonal Decor with HeartIncorporate decorations that evoke joy and warmth. Encourage seniors to choose decorations that hold special meaning for them. This can include handmade ornaments or family heirlooms. A simple touch like a festive tablecloth or hanging twinkling lights can instantly convert a room into a cheerful gathering space without overwhelming them with excess decorations.Additionally, consider the sensory elements of the home. Scents can profoundly influence emotions, so adding a holiday-themed scented candle or simmering potpourri can ignite nostalgic feelings while creating a sense of warmth. Tip 4: Create a Cozy Gathering SpaceThe heart of the home truly shines during the holidays, so lets make sure theres a cozy, inviting space for family and friends to gather. This could be a living room, dining area, or even a cozy corner with comfy chairs and warm blankets. Arrange seating to encourage conversation and connection. A well-organized space will help reduce anxiety and allow everyone to relax and enjoy each others company. If possible, gently advocate for the rearranging of furniture to create an open layout that accommodates guests and fosters a spirit of togetherness.Embracing the Holiday SpiritThe holiday season is a time for love and connection, and nothing creates a more welcoming atmosphere than an organized, clutter-free space. By embracing decluttering as a joyful gift and creating a warm ambiance, we empower seniors to celebrate the holidays in a way that fills their hearts with peace and joy.At A Call to Order Professional Organizer, we understand that the joy of the season can be overshadowed by the anxieties of clutter. With thoughtful guidance and strategies, we can help support seniors in their journey toward a merry and bright holiday experience. Lets work together to make this holiday season one to remember for seniors and their families, creating an environment where precious memories can flourish.Remember, the essence of the holidays lies not in perfection but in love, connection, and shared moments. Here's to making every home a special place during this season of joy!

Rehabilitation Services Provided in Skilled Nursing FacilitiesRehabilitation services are a cornerstone of skilled nursing facilities (SNFs), designed to help individuals recover from illnesses, injuries, or surgeries and regain their independence. Heres a closer look at the rehabilitation services offered in skilled nursing facilities and their benefits.1. Physical TherapyPhysical therapy is a critical component of rehabilitation in skilled nursing facilities. It focuses on helping residents restore strength, mobility, and physical function after surgery, injury, or a medical event such as a stroke. Key aspects of physical therapy include: Strength Training: Exercises to rebuild muscle strength and endurance. Balance and Coordination: Techniques to prevent falls and improve stability. Mobility Exercises: Activities designed to improve range of motion, walking ability, and the use of mobility aids such as walkers or wheelchairs. By working closely with licensed physical therapists, residents can achieve improved independence and a better quality of life.2. Occupational TherapyOccupational therapy in SNFs is designed to help residents regain the skills needed for daily living. This therapy focuses on enhancing a persons ability to perform activities of daily living (ADLs) such as dressing, grooming, eating, and bathing. Specific interventions include: Adaptive Techniques: Teaching residents how to use assistive devices or modify tasks to suit their abilities. Fine Motor Skills Training: Improving dexterity for tasks like buttoning clothes or holding utensils. Energy Conservation Strategies: Helping residents manage fatigue and perform tasks more efficiently. Occupational therapists work with residents to restore independence and adapt to new physical or cognitive limitations.3. Speech TherapySpeech therapy addresses communication and swallowing difficulties that may result from strokes, neurological disorders, or other medical conditions. Speech-language pathologists (SLPs) in skilled nursing facilities focus on: Swallowing Therapy: Treating dysphagia (difficulty swallowing) to prevent complications like choking or aspiration pneumonia. Communication Training: Helping residents regain or improve their ability to speak, understand language, or use alternative communication methods. Cognitive Therapy: Assisting residents with memory, problem-solving, and organizational skills. Speech therapy improves both safety and quality of life by enabling residents to eat, communicate, and engage with others effectively.4. Specialized Rehabilitation ProgramsSkilled nursing facilities often provide rehabilitation programs tailored to specific conditions, including: Post-Stroke Rehabilitation: Combining physical, occupational, and speech therapies to address the multifaceted challenges of stroke recovery. Orthopedic Recovery: Rehabilitation for individuals recovering from joint replacement surgeries, fractures, or other musculoskeletal injuries. Cardiac Rehabilitation: Programs focused on improving heart health and endurance following heart attacks or surgeries. Neurological Rehabilitation: Care for residents with conditions such as Parkinsons disease, multiple sclerosis, or traumatic brain injuries. These specialized programs ensure that residents receive targeted care to address their unique recovery goals.5. Benefits of Rehabilitation Services in Skilled Nursing FacilitiesRehabilitation services in skilled nursing facilities offer numerous benefits, including: Faster Recovery: Access to expert care and tailored therapies helps residents recover more quickly. Enhanced Mobility and Independence: Therapy restores physical function and confidence, enabling residents to perform tasks on their own. Improved Quality of Life: Rehabilitation helps residents regain their abilities, reducing frustration and fostering a sense of accomplishment. Preventing Complications: Therapies such as swallowing training and balance exercises minimize risks like choking, falls, and re-hospitalization.

Introduction: I felt strongly compelled to write this blog on heart failure as it is such a pertinent issue in the aging population today. Before I go into details on this, Id like to address the definition of this disease process. Heart failure occurs when the heart doesnt pump well and fails to deliver adequate oxygen to the body. As a result, fluid builds up in the body and vital organs dont get the blood that they need. This can make it harder for individuals to perform everyday tasks and can lead to eventual overall decline. Problem:Heart failure is the number one reason for hospital admissions in older adults, and often leads to multiple readmissions (Agarwal et. al., 2021). As a cardiac nurse for many years, I can attest to the fact that heart failure is the biggest reason for multiple hospitalizations in seniors. Patients come in and out for problematic symptoms, sometimes coming into the hospital as often as every month. The three biggest symptoms I see that result in hospital admissions are shortness of breath (particularly when lying flat), weight gain, and swelling in the legs.One reason for such frequent admissions is the complexity of heart failure itself. It is a complicated clinical syndrome and is notoriously difficult to manage. A lot is put on patients to manage their heart failure at home, and this can be a challenge. In addition, individuals may have some level of cognitive impairment or multiple other comorbidities, making it even more challenging to perform the extensive monitoring needed to prevent heart failure from worsening. The importance of education:Education is also important in the treatment of heart failure. Unfortunately, this often does not get done. When I first started working in acute care back in 2004, every patient received extensive education in managing their heart failure prior to discharge. Nurses would provide lengthy verbal education on the importance of medication adherence, daily weights, low salt diet, and other factors, in addition to providing the patient with a heart failure educational pamphlet prior to discharge. Over the years, however, hospitals have increasingly faced staffing shortages and high nurse turnover. As a result, a lot of important patient education is not getting addressed. A lack of awareness and understanding in patients on how to manage their heart failure is definitely a key reason for worsening heart failure and repeated hospitalizations. Management:From a clinician standpoint, the goal in addressing heart failure is twofold: we want to reduce symptoms and prevent mortality. The best way to do this is through patient/family education and implementation of a treatment plan. A proper treatment plan will include such lifestyle modifications as a low salt diet, quitting smoking, and getting regular physical activity. A low salt diet can be incredibly helpful in preventing further fluid build up in the body. The American Heart Association recommends that all individuals consume no more than 2,300 mg of sodium per day (AHA, 2024). In todays era of processed and packaged food, a majority of the American population consumes much more than that, and it comes in the food itself rather than the saltshaker. Maintaining a low sodium diet has one other priceless benefit that I often do not see emphasized enough in heart failure: it can help reduce blood pressure. Almost half of all heart failure patients have uncontrolled hypertension (Heart Failure, 2022). It is a major risk factor in the development of heart failure and managing it can greatly reduce heart failure symptoms and decrease stress on the heart. Current guidelines recommend maintaining a systolic blood pressure of less than 130. Medication management is another important factor in the management of heart failure. This often includes the use of diuretics, beta blockers, and other medication classes that I will not go into detail on. I wanted to discuss diuretics and beta blockers because these are the two medications in heart failure that I see non-compliance with the most. I witness individuals often not taking one or the other for two main reasons:  they either dont understand the importance of them or they dont like the side effects. Seniors can often have difficulty getting up to go to the restroom. Diuretics cause frequent trips to the restroom because their purpose is to get excess fluid off the body. Many individuals do not comply with their prescribed diuretic because of the hassle of frequent bathroom trips. Unfortunately, ineffective diuresis causes heart failure to worsen and puts further stress on the heart. I often see non-adherence to beta blockers due to their side effects. The two biggest symptoms that get reported to me are fatigue and dizziness. As in the diuretic, a beta blocker can also help reduce the stress on the heart, and heart failure symptoms can worsen if the prescribed dose is not adhered to. Its important to maintain prescribed medication regime and if any negative symptoms are experienced to discuss them with the doctor. One final thing:I wanted to touch on one final monitoring recommendation for heart failure because it so often gets missed: daily weights. Weighing oneself daily is of tantamount importance in heart failure and can identify early on if heart failure is worsening. This can lead to early intervention, thus decreasing potential hospitalization. Adherence to this all too often does not occur. I see patients come into the hospital for large amounts of weight gain often 20 or more lbs. Many patients report that they never stepped on the scale to assess for weight gain and often do not get admitted to the hospital until symptoms are severe such as severe weakness and shortness of breath. In heart failure its recommended to contact the doctor if weight goes up by more than 2 pounds in a day or greater than 4 pounds in a week. The doctor can make modifications in the treatment regime and hence reduce potential hospitalizations and mortality. Conclusion:Heart failure is complex but manageable. Early action can prevent hospital admissions, reduce mortality, and optimize quality of life. Having ongoing guidance from an experienced clinician can be of great benefit if you or your loved one is having difficulty managing heart failure and other disease processes. Please do not hesitate to reach out to me if you have any further questions. I want to help and make the process of aging as stress free as possible while promoting positive health outcomes.  My name is Laura Carson and I have been a Registered Nurse (RN) for over 20 years and have witnessed firsthand the challenges and complications that aging presents. It affects not only the aging themselves but also their families and loved ones. Health care is complex, and in this increasingly fragmented and overburdened system, it can be extremely helpful to have a professional oversee all aspects of care. As your eldercare manager, I will comprehensively assess the needs of your loved one and we will work together in establishing a care plan. I will assist you and your family with difficult decisions and help promote healthy communication on issues that are often difficult to address and navigate. Contact me for a 20 minute free consultation at 714-403-7040.  References:Blood Pressure and Glycemic Control Among Ambulatory US Adults With Heart Failure: National Health and Nutrition Examination Survey 2001 to 2018 (April 28, 2022). Heart Failure. Almost half of heart failure patients have uncontrolled hypertension and diabetesAgarwal, M., Fonarow, G., & Ziaeian, B. (February 10, 2021). National Trends in Heart Failure Hospitalizations and Readmissions From 2010 to 2017. https://pmc.ncbi.nlm.nih.gov/articles/PMC7876620/Weber, C. (May, 2023). Heart Failure Pharmacology.  How much sodium should I eat per day? (2024). American Heart Association. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sodium/how-much-sodium-should-i-eat-per-day