What is Geriatric Medicine

Seniors Helping Seniors In-Home Services Offers Advice for Rekindling Purpose and Joy After the HolidaysSeniors Helping Seniors owners C.J. Girod and Travis Hudson are placing a spotlight on advice and insights for how seniors can find meaningful ways to stay engaged and motivated in the new year.Seniors Helping Seniors in-home care services, a franchisor with over 115 franchise partners and more than 300 territories nationwide, has grown rapidly in recent years. The company attributes its success to its skilled team of caregivers who foster meaningful connections with their senior care receivers. While the holiday season is often filled with joy and activity, the weeks that follow can be particularly challenging.According to a study by the American Psychological Association, 89% of U.S. adults report feeling the holiday blues. For older adults, this emotional slump can be even more pronounced. The shift from the holiday seasons energy to a quieter, more isolated period can lead to sadness and make it difficult to maintain an active lifestyle.After the excitement of the holidays, it can be especially tough for seniors to stay active, particularly in colder climates, said C.J. Girod, President of Seniors Helping Seniors Southwestern PA, which serves southern Allegheny County and northern Washington County. We see every year how the post-holiday season can bring unique challenges for our elderly friends, family and neighbors.The key to staying active once the holidays have passed is to find meaningful ways to stay engaged and motivated as the new year begins, said Travis Hudson, Owner of Seniors Helping Seniors Pittsburgh Northeast, which serves northern and eastern Allegheny County and western Westmoreland County.We work closely with our senior care receivers and their families to cultivate routines and activities that inspire a sense of purpose and fulfillment throughout the year, but especially during the holiday season, Girod and Hudson said.Some of Girods and Hudsons tips for seniors looking to shake off the post-holiday doldrums include:Set small goals for the new year.Maintain social connections.Stay physically active.Look for opportunities to volunteer.Create a cozy, positive environment.Seniors Helping Seniors in-home services has grown rapidly in recent years, extending its reach into more than 30 U.S. states as well as international markets.Seniors Helping Seniors services stand out from other brands in the elder care space partly through its commitment to hiring senior caregivers, which provides employment opportunities for seniors and better cultivates meaningful relationships between caregivers and care receivers.What I truly appreciate about working with Seniors Helping Seniors network is that its commitment to improving health and well-being goes beyond just our clients, Girod said. Our whole team is deeply committed to making a positive difference in the community as a whole, and we are always looking for new opportunities to offer support and care to those who need it most, said Hudson.Caregivers are at the core of what we do, and their work is essential to the health and happiness of so many people around the world, said Seniors Helping Seniors President Namrata Yocom-Jan. Nearly half of all caregivers in the U.S. are over 50 and face their own health challenges. Thats why Seniors Helping Seniors in-home service prioritizes hiring caregivers over the age of 65 and provides comprehensive support to promote their mental, physical and emotional well-being.Over the past 25 years, weve put a lot of work into ensuring that Seniors Helping Seniors in-home care is not only the best option for our seniors but also for caregivers across the country, Yocom-Jan said. Thats something we are extremely proud of, but its not something we take for granted. We will continue to make sure anyone who has the passion and skills to be a great caregiver will find a great opportunity to grow and make an impact with Seniors Helping Seniors services. Our caregivers truly have a way to give and to receive.For more information on Seniors Helping Seniors in-home care, visit seniorshelpingseniors.com.

                                                     PRESS RELEASE:                                                                                                                                                                                                                                                              C.J. Girod                                                                                                                                                                                                                                                                     President                                                                                                                                    412-944-2470                                                                                                                      Info@swpaSeniorCare.com                                                                                 National Caregivers Day: Seniors Helping Seniors In-Home Services Offers Advice for Keeping Caregivers Healthy Seniors Helping Seniors Southwestern PA President C.J. Girod is placing a spotlight on advice and insights for keeping caregivers healthy for National Caregivers Day on February 21st.  PITTSBURGH, PA  Seniors Helping Seniors in-home care services, a franchisor with over 180 franchise partners with more than 350 territories nationwide, has grown rapidly in recent years by building a workforce of talented caregivers who create meaningful relationships with their senior care clients. These individuals build meaningful connections with the seniors they assist, enriching lives through personalized care. On February 21, in recognition of National Caregivers Day, Seniors Helping Seniors services is celebrating the caregivers whose unwavering commitment has solidified the brand as a trusted leader in in-home care."Caregivers are the heart of our mission, playing a vital role in bringing comfort, care, and joy to countless lives," said Namrata Yocom-Jan, Seniors Helping Seniors president.National Caregivers Day is celebrated nationally every third Friday in February. It was established in 2015 by Providers Association for Home Health & Hospice Agencies (PAHHHA).  Family members serve as the primary caregivers for most older adults and individuals with disabilities in the U.S. Recognizing this reality, Seniors Helping Seniors network has expanded nationwide, offering family caregivers a chance to transform their dedication and passion into rewarding career opportunities. At the same time, the brand provides much-needed support to family caregivers, helping alleviate caregiver burnout challenges. Our senior caregivers are the backbone of what we do and an invaluable part of our franchise, said C.J. Girod, President of Seniors Helping Seniors Southwestern PA. They bring joy and comfort to seniors by delivering compassionate care and assistance with daily tasks that become more difficult with age. By supporting our caregivers as much as our clients, we create a community that thrives on empathy and mutual respect. Nearly half of caregivers in the U.S. are over the age of 50, putting them at increased risk of health challenges. To address this, Seniors Helping Seniors services, which focuses on hiring seniors (individuals over the age of 65) as caregivers, offers extensive support to promote the mental, physical, and emotional well-being of its team members.Weve worked hard to ensure that Seniors Helping Seniors in-home care is not just the best choice for our clients but also a fulfilling opportunity for caregivers nationwide, Girod said. This commitment is something were incredibly proud of, and we remain dedicated to creating a supportive environment where anyone with the passion and skills to provide exceptional care can thrive. Our caregivers truly embody the spirit of giving and receiving.  ABOUT SENIORS HELPING SENIORS Seniors Helping Seniors franchise system was founded by husband-and-wife duo Kiran and Philip Yocom. Kiran, who grew up in India, later worked to advance humanitarian efforts alongside Mother Teresa. After moving to the U.S. in 1995 and marrying her husband Philip, the Yocoms felt called to provide loving care to seniors and to cultivate an exchange of gifts at every generational level. Together, the Yocoms founded Seniors Helping Seniors in-home services in 1998, opening the brand up to franchising in 2006. With a mission to be the most respected and rewarding homecare provider in the U.S., Seniors Helping Seniors locations stands apart from competitors as the only company that prioritizes hiring active seniors to provide care services to their less-active counterparts. Seniors Helping Seniors service aligns caregivers and care recipients based on the abilities and needs of both by offering a wide range of care services. Seniors Helping Seniors network has grown to has grown to 300-plus locations, and over 180 franchise partners in 35-plus states and international markets. For more information on Seniors Helping Seniors in-home care, visit https://seniorshelpingseniors.com/.

What We Dont Know We Dont Know in Health Care: September 24, 2024 -Oral Care, Monitored Meals, and Aspiration PneumoniaProper oral care is crucial for maintaining optimal health. Keeping the mouth clean not only helps maintain the protective properties of saliva but also reduces bacteria in the mouth which can be a source of infection in aspiration pneumonia. In addition, monitoring meals and assisting with feeding for those at high risk for aspiration is also a necessity. The process of swallowing involves dozens of muscles that start in the mouth and include the pharynx, larynx, and esophagus. These muscles can become weakened with age and from various, often age-related diseases.  The aging population is especially at risk for aspiration pneumonia due to comorbidities, frailty, and conditions that can impair swallowing.  As a result, aspiration pneumonia is one of the leading causes of death from infection in individuals over the age of 65. One study shows that 1 in 10 deaths from pneumonia in elderly nursing home residents may be prevented by improving oral hygiene (Sjogren et al., 2008). Unfortunately, proper oral care and monitoring of meals is often overlooked in the health care setting.  Perhaps the greatest reason for this is the challenge that almost every health facility faces today: adequate staffing. When I started working in acute care as an RN over 20 years ago, nursing assistants (these are the staff generally responsible for proving oral care in an acute care setting) were typically responsible for 5-7 patients. Nurses had 3-5 patients (this was on a step down cardiac unit). Between the nurse and the assistant, we were able to provide oral care at every meal and offer one-on-one assistance to any patient that was at risk for aspiration. This is no longer the case.  RNs oftentimes look after upwards of 8 patients, and there is generally either no nursing assistant on the floor or only 1 for a patient load that can exceed 20.  Consequently, proper oral care is neglected.  I have often seen patients that are aspirating during meals, but do not have adequate staffing on hand to provide them with the supervision and monitoring that they need. This presents a hazardous catch-22: the aging individual needs to eat to maintain nutritional needs yet he/she needs assistance with eating to prevent aspirating pneumonia.   How can this be remedied? If the family is present, they can provide oral care and meal monitoring. If meal monitoring is required for an at-risk individual, its recommended to touch base with the health care team to inquire as to what the specific aspiration precautions are (every individual may have a different need and/or recommendation). A care companion can also be hired to provide the needed care. I hired a companion for my father when he was in a skilled nursing facility. He was not getting his teeth brushed or flossed regularly, and I was seeing a decline in his dentition. Having this extra support provided him with much needed assistance and the care companion had the added benefit of encouraging him to eat more at every meal, something that was a bonus as he was not meeting his nutrient needs. Touching base with staff to request that oral care and meal monitoring be done can also be helpful. Having an advocate to ensure necessary care is getting done can also be very effective in the health care setting.  What is proper oral care and effective meal monitoring?  Proper oral care includes brushing the teeth for at least 1 minute after every meal. It also includes using a soft bristle brush, fluoride toothpaste, flossing daily. A final component of oral care that is often not discussed is denture care. Dentures should be cleaned at least once per day and removed at bedtime. Removing them prior to sleeping can greatly reduce the risk of pneumonia (Iinuma et al. 2014). Effective meal monitoring includes adequate supervision during mealtime for those at risk of aspiration. Such supervision includes ensuring the individual is properly positioned for a meal (head of bed as high as can be tolerated and supine position), takes small bites, eats slowly, swallows a couple times in between each bite, and intermittently takes a sip of liquid to clear the mouth of food particles. The use of straws is generally not recommended for an individual at risk for aspiration as it propels the food to the back of the throat and hence can increase risk. I recall when I was working as a Registered Nurse (RN) in acute care that I was constantly removing straws from the bedside of at risk individuals and often reminding them to eat slowly and swallow at least twice between each bite to ensure food clearance. Individuals at risk for aspiration often require a modified texture diet as it can further prevent the aspiration of food and liquids.   This is a brief summary of the attention to detail needed in addressing oral hygiene and meal monitoring amongst the aging population. Both measures can play a significant role in reducing aspiration pneumonia.  If you would like more information on understanding proper oral care or any other questions that you may have regarding aging life care, please feel free to reach out to me.    Sources:1.      Sjogren P, Nilsson E, Forsell M, Johansson O, Hoogstraate J. 2008. A systematic review of the preventive effect of oral hygiene on pneumonia and respiratory tract infection in elderly people in hospitals and nursing homes: effect estimates and methodological quality of randomized controlled trials. J Am Geriatr Soc. 56:21242130. 2.      Iinuma T, Arai Y, Abe Y, Takayama M, Fukumoto M, Fukui Y, et al. 2014. Denture wearing during sleep doubles the risk of pneumonia in the very elderly. J Dent Res. doi: 10.1177/0022034514552493 3.      F Muller, 2015. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541086/#