What Role Does Technology Play in Alzheimer's Care?

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Home Matters Caregiving Pittsburgh

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Feb 06, 2024

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Pennsylvania - Greater Pittsburgh Area

What Role Does Technology Play in Alzheimer's Care?

Technology is increasingly becoming an important part of Alzheimer’s care, providing families and caregivers with an additional layer of support in managing the challenges that come with the disease. From sophisticated tracking systems that monitor patient movements and activities to artificial intelligence-based assistance, technology offers a range of solutions to help ease the burden of caring for an Alzheimer’s patient. In this blog post, we’ll explore the various roles that technology can play in providing individuals with Alzheimer’s and their families with improved care and assistance.

Technological Innovations in Alzheimer's Care

Assistive devices for daily activities:

Smart home technology: Smart home devices can be programmed to assist with daily tasks such as medication reminders, turning off appliances, and adjusting lighting.

Reminder systems: These devices use visual and auditory cues to remind patients about important tasks, appointments, and medication schedules.

Monitoring and safety devices:

GPS tracking devices: These devices can help locate individuals with Alzheimer's who may wander and become disoriented, ensuring their safety and providing peace of mind for caregivers.

Fall detection systems: Fall detection technology can automatically alert caregivers or emergency services in the event of a fall, enabling quick response and timely medical assistance.

Cognitive stimulation and memory support:

Digital memory aids: Mobile applications and devices can help individuals with Alzheimer's improve their memory and cognitive function through interactive exercises, reminders, and brain-training games. Virtual reality therapy: Virtual reality technology can create immersive experiences that stimulate the senses and provide therapeutic benefits for Alzheimer's patients, such as reducing anxiety and improving mood.

Benefits of Technology in Alzheimer's Care

Enhanced safety and security:  Technology offers various safety features, such as tracking devices and fall detection systems, that help prevent accidents and provide immediate assistance when needed. Improved quality of life for patients and caregivers: Assistive devices and cognitive stimulation tools can enhance the daily lives of Alzheimer's patients, promote independence, and alleviate the burden on caregivers.

Increased independence and autonomy for patients: Technology allows individuals with Alzheimer's to perform daily tasks more independently, boosting their confidence and preserving their sense of self. Potential for early detection and intervention: Technological advancements, such as wearable devices and digital assessments, have the potential to detect early signs of Alzheimer's, enabling early intervention and better disease management.

Challenges and Limitations of Technology in Alzheimer's Care

Cost and accessibility issues: Some advanced technologies may be expensive or inaccessible to certain individuals, limiting their widespread adoption.

Privacy and ethical concerns: The use of technology in Alzheimer's care raises concerns about data privacy and the ethical implications of monitoring and tracking individuals with cognitive impairments. Learning curve for patients and caregivers: Technology implementation may require a learning curve for both patients and caregivers, especially for older adults who may be less familiar with digital devices. Limitations of technology in addressing emotional and social needs: While technology can provide practical support, it may not fully address the emotional and social needs of individuals with Alzheimer's, which require human interaction and empathy.

Future Trends and Possibilities

Advances in wearable technology: Wearable devices, such as smartwatches and biosensors, hold promise in monitoring and predicting changes in cognitive function, allowing for personalized care and early intervention.

Artificial intelligence and machine learning in Alzheimer's care: AI algorithms can analyze vast amounts of data to provide personalized treatment plans, predict disease progression, and assist in decision-making for caregivers and healthcare professionals.

Integration of technology with traditional care approaches: The integration of technology with traditional care approaches, such as therapy and medication management, can optimize Alzheimer's care by providing comprehensive and tailored solutions.

 

Conclusion

Technology plays a crucial role in Alzheimer's care, offering innovative solutions to enhance safety, improve quality of life, and promote independence for patients and caregivers. While there are challenges and limitations to consider, ongoing research and development hold the promise of further advancements in technology-enabled care. By embracing these advancements and continuing to explore new possibilities, we can hope for a future where technology greatly improves the lives of Alzheimer's patients and their caregivers. If you have any questions or would like to learn more about Alzheimer's care and the role of technology, feel free to contact us. We are here to support you on this journey.

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Providing care for a loved one is a profound commitment, and in Pennsylvania, various programs exist to support family caregivers in this vital role. While Personal Care Assistance (PCA) broadly refers to services that help individuals with daily living activities, its important to understand that paid family caregiving in Pennsylvania primarily operates through specific Medicaid waivers. These initiatives aim to support the invaluable work of caregivers while allowing loved ones to remain in the comfort and familiarity of their own homes or the homes of family members.Understanding Personal Care Assistance (PCA) in PennsylvaniaIn Pennsylvania, Personal Care Assistance (PCA) refers to the services that help individuals with daily living activities and household tasks, enabling them to live independently. Its crucial to differentiate this from Personal Care Homes (PCH), which are residential facilities that provide housing, meals, supervision, and assistance, but typically do not offer third-party reimbursement for family caregivers providing care within them.Instead, paid family caregiving for PCA services in Pennsylvania primarily operates through various Medicaid waivers, also known as Home and Community-Based Services (HCBS) waivers. These waivers are designed to provide direct assistance with Activities of Daily Living (ADLs) and household services for older adults or individuals with disabilities who live in their own homes or the homes of loved ones. The services provided under these waivers are what constitute Personal Care Assistance in the context of paid family caregiving.Key Pennsylvania Medicaid Waivers for PCAPennsylvania offers several Medicaid waivers that facilitate paid family caregiving for Personal Care Assistance, each with specific eligibility criteria and rules regarding family members.1. Community HealthChoices (CHC) Waiver: Getting Paid to Care for Loved OnesThe Community HealthChoices (CHC) waiver is Pennsylvanias most common Medicaid managed care program that facilitates paid family caregiving for PCA. It is designed for individuals aged 21 or older who are eligible for both Medicaid and Medicare and require a nursing facility level of care. This program consolidates several former waivers into a single, comprehensive system and is administered by private healthcare insurance companies contracted by the state.Recipient Eligibility for CHC: To qualify for the CHC program, the individual needing care must meet several criteria: Age: The recipient must be 21 years of age or older. Dual Eligibility: They must be eligible for both Medicaid and Medicare. Functional Eligibility: A physician must certify that the individual has a condition requiring long-term services and supports, specifically an inability to perform essential Activities of Daily Living (ADLs) such as bathing, toileting, or transferring. A trained assessor will also conduct a functional eligibility determination to confirm the level of care needed. Financial Eligibility: The individual must meet specific income and/or asset requirements, determined by the local County Assistance Office (CAO). For example, in 2023, the income limit to qualify for the Pennsylvania Medicaid waiver program under CHC was $2,742 per month. Caregiver Eligibility (Who Can Be Paid, Spousal/Guardian Restrictions): Pennsylvanias Medicaid waivers generally permit family members, such as adult children, siblings, and even friends, to be compensated for providing care. However, under the CHC waiver, spouses (husband or wife) are typically not eligible to be paid caregivers. Similarly, individuals holding Power of Attorney (POA) for the care recipient or legally responsible guardians (such as parents caring for children under 18) are also generally excluded from paid caregiver roles under this program.Application Process: The process involves contacting the Pennsylvania Independent Enrollment Broker (IEB) at 1-877-550-4227, applying on the COMPASS website, and submitting necessary documentation, including physician certification and financial information. Once approved, the care recipient can select a state-licensed home care agency that employs family members, such as Avondale Care Group.Services Covered & How Agencies Facilitate Payments: The CHC waiver covers a range of personal care and home care services. This includes direct assistance with Activities of Daily Living (ADLs) like bathing, dressing, meal preparation, and medication management, as well as various household services. Family caregivers are hired as regular employees of the licensed home care agency, which handles all administrative tasks, including payroll and compliance.Payment Rates & Benefits for Family Caregivers: The compensation for family caregivers through Medicaid waiver programs in Pennsylvania typically ranges between $10 and $15 per hour. The number of hours approved depends on the care recipients health and needs, with a maximum of 35 hours of care per week often allowed. The maximum weekly pay rate for Pennsylvania is up to $700 per week, which aligns with or exceeds these hourly rates, potentially including overtime or other factors. Many agencies also offer additional benefits that significantly enhance the overall compensation package for family caregivers. These can include overtime pay, weekly pay, free Certified Nurse Aide (CNA) training for eligible caregivers, holiday pay (often 1.5 times the regular rate for specified holidays), 401k plans with company matching, company-sponsored healthcare insurance (with substantial premium coverage), flexible schedules, and paid time off.2. OBRA WaiverThe OBRA Waiver is designed to support individuals aged 18-59 who have a severe developmental physical disability and require an Intermediate Care Facility/Other Related Conditions (ICF/ORC) level of care. This program helps these individuals live as independently as possible within their communities by providing assistance with activities of daily living (PCA services).Family Member/Spouse Eligibility: Similar to the CHC waiver, the OBRA waiver excludes spouses or legal guardians from being paid caregivers.Payment Rates: Compensation for caregivers under the OBRA waiver varies by geographic area, typically ranging from $13 to $15 per hour. The maximum weekly pay rate for Pennsylvania is up to $700 per week.Application: The application process also begins by contacting the Independent Enrollment Broker (IEB) at 1-877-550-4227. 3. Consolidated WaiverThe Consolidated Waiver provides support and services to a broader population, including individuals of all ages with an intellectual disability (ID) or autism, as well as children under 22 with a developmental disability due to a medically complex condition. Recipients must be recommended for an intermediate care facility (ICF) level of care based on a medical evaluation.Family Member/Spouse Eligibility: A significant difference with the Consolidated Waiver is that it explicitly allows a friend or family member, including a spouse or legal guardian, to receive payment for care provided.Payment Rates: The average pay for Pennsylvania caregivers under the Consolidated Waiver typically falls between $11 and $14.50 per hour. The maximum weekly pay rate for Pennsylvania is up to $700 per week.Application: To apply for the Consolidated Waiver, individuals should contact the Office of Developmental Programs (ODP) customer line at 1-888-565-9435. Important Considerations: Medicaid Estate Recovery Program (MERP)While Pennsylvanias Medicaid programs offer crucial financial relief for family caregivers, it is essential for families to understand the long-term financial implications. The Medicaid Estate Recovery Program (MERP) is a federal requirement for all state Medicaid programs to seek repayment for long-term care costs after a recipient passes away. This recovery typically applies to individuals aged 55 and older who received Medicaid long-term care services, including those provided through Home and Community-Based Services (HCBS) waivers. Assets subject to recovery can include the deceased recipients primary home, even if it was exempt during their lifetime while receiving benefits. The states claim is generally delayed if there is a surviving spouse, a child under 21, or a child of any age who is blind or permanently disabled. Families may also be able to apply for undue hardship waivers in certain circumstances. Given these potential impacts on family inheritance and assets, it is highly advisable for families to consult with an elder law attorney or financial advisor for personalized guidance on MERP and comprehensive estate planning.  

Understanding ADLs and IADLs: Keys to Pennsylvanias Medicaid HCBS Programs

Pennsylvania offers Medicaid waiver programs under the Community HealthChoices (CHC) umbrella and the Pennsylvania Department of Aging (PDA) Waiver (often referred to as the PA Council on Aging Waiver). These programs help older adults and individuals with physical disabilities remain in their homes or community settings instead of entering nursing facilities. CHC and the PDA Waiver provide long-term services and supports (LTSS) based on assessed functional needs, emphasizing assistance with ADLs and IADLs. Covered services may include personal care assistance, adult day services, home-delivered meals, transportation, home modifications, assistive technology, and respite care for family caregivers. In addition, Pennsylvanias CHC Waiver offers Participant-Directed Services that allow participants to hire and manage their own caregivers, including family members. To qualify, applicants must be Medicaid-eligible, at least 60 years old (for PDA Waiver) or 21+ (for CHC), and require a nursing facility level of care as determined through a standardized functional assessment of ADLs/IADLs. In this article, we explain what Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) are and how needing help with these tasks is central to qualifying for Pennsylvanias Medicaid waivers like CHC and the PDA Waiver.What Are ADLs (Activities of Daily Living)?Activities of Daily Living (ADLs) are fundamental self-care tasks that a person must perform daily to maintain independence. Difficulty with ADLs often signals a need for supportive services. Core ADLs include: Mobility (Ambulating/Transferring): Safely walking, getting up from a chair, or transferring from a bed to a wheelchair. Dressing: Selecting and putting on appropriate clothing (including handling fasteners) without assistance. Eating: Feeding oneselfusing utensils to get food from a plate to the mouth and consuming it. Personal Hygiene: Bathing or showering and performing grooming activities like shaving, brushing teeth, and combing hair on ones own. Toileting (Continence): Independently using the toiletgetting to the toilet, transferring on and off, and cleaning oneself afterward. When someone can no longer perform several ADLs without help, it indicates that ongoing care or support is likely needed.What Are IADLs (Instrumental Activities of Daily Living)?Instrumental Activities of Daily Living (IADLs) are more complex tasks that allow a person to live independently in the community. While not necessarily performed daily, they are essential for managing ones household and life. Key IADLs include: Shopping for Essentials: The ability to shop for groceries, pick up prescriptions, or purchase clothing and other necessities. Meal Preparation: Planning and cooking mealsgathering ingredients and safely using kitchen appliances. Housekeeping: Keeping the home clean and livable tasks like cleaning, laundry, and taking out the trash. Money Management: Handling finances, such as paying bills on time, managing bank accounts, and budgeting. Transportation: Getting around or arranging transportationdriving oneself or using public transit or rides to run errands and attend appointments. Medication Management: Managing and taking medications properly remembering to take the correct medicines at scheduled times and refilling prescriptions. Communication: Using the phone or computer to communicatelooking up phone numbers, making calls, sending emails, and staying in touch with others. 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Administered by the Office of Long-Term Living (OLTL), CHC is a managed care program that combines physical health, long-term services and supports, and pharmacy benefits under a single plan (with behavioral health carved out). To qualify for CHC: Be age 21 or older. Meet Medicaid financial eligibility guidelines. Require a nursing facility level of care (confirmed through functional assessment). Live in a setting that meets HCBS requirements (e.g., home, apartment, assisted living). Be a Pennsylvania resident. Once enrolled, participants receive a comprehensive package of services tailored to their needs. Covered services may include personal assistance, home-delivered meals, adult day services, behavioral support, professional nursing, home modifications, assistive technology, transportation, and respite care. CHC also offers Participant-Directed Services, allowing participants to recruit, hire, train, and supervise their own caregiversoften family membersto assist with ADLs (bathing, dressing, toileting) and IADLs (meal preparation, medication reminders).PDA Waiver (Council on Aging Waiver)The Pennsylvania Department of Aging (PDA) Waiver, also called the Council on Aging Waiver, serves seniors aged 60 and over who require nursing facility level of care but choose to remain at home or in other community-based settings like domiciliary care homes. To qualify: Be age 60 or older. Meet Medicaid financial eligibility requirements. Be assessed as requiring nursing facility level of care (through the functional assessment). Live in a qualifying community setting. Covered services under the PDA Waiver may include personal care assistance, home-delivered meals, homemaker services, personal emergency response systems, respite care, adult day services, minor home modifications, and transportation. Like CHC, the PDA Waiver emphasizes managing ADL and IADL needs to keep participants safely in their homes.Participant-Directed ServicesBoth CHC and the PDA Waiver offer Participant-Directed Services, which empower participants to choose and manage their own caregivers, including family members, friends, or neighbors. Under this model, participants develop a service plan with guidance from a care coordinator, set schedules, and handle payroll tasks. This flexibility helps ensure that personal care and IADL support align with participants preferences and routines.Signs That Your Loved One May QualifyBelow are practical indicators that someone may be eligible for Pennsylvanias CHC or PDA Waiver due to difficulty with ADLs and IADLs: Trouble with Personal Care: Skipping showers, unkempt hair, or wearing dirty clothes may indicate difficulties with bathing and dressing (ADLs). Malnutrition or Weight Loss: An empty fridge or significant weight loss suggests issues with meal prep or feeding oneself (ADLs/IADLs). Mobility Decline and Falls: Struggling to walk without assistance, needing help to stand, or experiencing frequent falls signals reduced mobility (ADL: transferring/ambulating). Medication Errors and Memory Problems: Missing doses, mixing up pills, or forgetting appointments point to challenges with medication management and scheduling (IADLs). Household Neglect: Piles of mail, unpaid bills, or a cluttered home reflect trouble with housekeeping and money management (IADLs). A combination of needing help with several ADLslike bathing and toiletingand difficulties with IADLssuch as meal prep and housekeepingstrongly indicates a nursing facility level of care. Document these challenges for the functional assessment to demonstrate eligibility.Were Here to Help: Next Steps and Contact InformationNavigating Pennsylvanias Medicaid waiver programs can be complex, but you dont have to go it alone. At Passion to Care, we specialize in guiding Pennsylvania families through the CHC and PDA Waiver application processesfrom the initial functional assessment of ADLs and IADLs to completing paperwork and coordinating services once approved. If you notice your loved one struggling with daily tasks or if a professional has recommended nursing facility care, it may be time to explore CHC or the PDA Waiver. Our compassionate, family-first team ensures your loved ones needs are met with dignity and respect. Call us or contact us today to learn how to get started with Pennsylvanias Medicaid waivers for home and community-based services.

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Home Matters Caregiving Pittsburgh

Non-Medical 55 Old Clairton Road, Pleasant Hills, Pennsylvania, 15236

Caregiving can be a challenging and unpredictable journey. Thats why we take great pride in going above and beyond to create a dedicated care team for each of our clients. We believe that having a reliable and compassionate care team is essential for providing the highest quality of care and support.At Home Matters Caregiving, we are dedicated to providing comprehensive support and education through our Nurse Guided Care approach. With our clinical leadership team, we go beyond traditional non-medical care to empower our clients and their families with the knowledge and resources they need.  Our clinical leadership team acts as aging coaches, offering expert guidance throughout the care journey. They help navigate healthcare systems, connect with community resources, and make informed decisions. This guidance alleviates stress and provides reassurance to clients and their families, ensuring confident care choices.Personalized Daily Living Support for Enhanced IndependenceWe understand the importance of assisted living especially in maintaining your independence and preferred routines while receiving the necessary assistance with daily activities. Our compassionate caregivers are committed to providing exceptional daily living support that empowers you to lead a fulfilling life within the comfort of your own home. Our Personal / Companion Care services cater to your specific needs, ensuring your well-being is our top priority.Comprehensive Assistance Tailored to Your NeedsOur Daily Living Support services cover a wide range of activities, designed to offer the support you require while respecting your dignity and privacy. 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Our caregivers can help with light housekeeping tasks, such as dusting, vacuuming, laundry, and ensuring a clutter-free space.Medication RemindersOur attentive caregivers can remind you to take your medications at the prescribed times, helping you stay on track with your treatment plan.CompanionshipLoneliness and social isolation can impact overall health and well-being. Our caregivers are not only here to assist you physically but also to provide companionship and engage in meaningful conversations and activities.Your Well-Being is Our PriorityAt Home Matters Caregiving, we take the time to understand your unique needs and preferences. Our person-centered approach ensures that the support you receive is tailored to fit your lifestyle and goals. Our highly trained and compassionate caregivers are dedicated to fostering a warm and nurturing environment, where you can feel comfortable and at ease.Why Choose Home Matters Caregiving?Experienced and Compassionate CaregiversOur caregivers undergo thorough screening and training to ensure they provide the highest level of care and compassion.Customized Care PlansWe believe in individualized care, and our personalized care plans cater to your specific needs, promoting independence and well-being.Flexible SchedulingWe understand that your needs may change, and we offer flexible scheduling to accommodate your preferences.Regular Care MonitoringOur team regularly communicates with you and your family to assess your satisfaction and make any necessary adjustments to your care plan.Experience Enhanced Independence with Daily Living SupportDiscover the joy of leading an independent and fulfilling life with the dedicated support of Home Matters Caregiving. Our Daily Living Support services empower you to maintain your preferred routines, enhance your well-being, and embrace life to the fullest. Contact us today to learn more about how we can assist you or your loved ones with our Personal and Companion Care services.People facing the end of life often need special care, and their families and loved ones may need additional support as well. Our hospice services provide expert, compassionate care for individuals as they face these stages in their lives.We will be right by you and your loved ones side providing comfort, safety, and security when you need it most. Our professional caregivers are trained to assist families through this difficult time, allowing you to spend precious moments with your loved one while we take care of the rest.Activities of daily living (ADLs) are a list of general activities necessary for one to function and live independently in a household. 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Whether you require care at home, in a hospital, or in a living community, our caregivers are trained and ready to provide the support that aligns with your preferences and circumstances.Experience Personalized Care and Support, AnywhereAre you ready to experience personalized support wherever you need it most? Contact Home Matters Caregiving to learn more about our care anywhere services and how they can enhance your quality of life. Join us in embracing an approach to care that prioritizes your unique needs and offers support tailored to your chosen living environment.Give us a call today to connect with an aging expert!

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    • View: layouts.front.headerviews
    • View: layouts.front.footerviews
    • 1 x Application (98.29%)
      2.04s
      1 x Preparing Response (3.74%)
      77.79ms
      1 x Booting (1.71%)
      35.60ms
      1 x Routing (0.02%)
      435μs
      4 x View (0%)
      0μs
      4 templates were rendered
      • front.articles-detailsarticles-details.blade.php#?blade
      • layouts.front.frontfront.blade.php#?blade
      • layouts.front.headerheader.blade.php#?blade
      • layouts.front.footerfooter.blade.php#?blade
      23 statements were executed (4 duplicates)Show only duplicates1.97s
      • SessionManager.php#108seniorsbb_db_devConnection Established
        Backtrace
        • vendor/laravel/framework/src/Illuminate/Session/SessionManager.php:108
        • vendor/laravel/framework/src/Illuminate/Session/SessionManager.php:95
        • vendor/laravel/framework/src/Illuminate/Session/Middleware/StartSession.php:159
        • vendor/laravel/framework/src/Illuminate/Session/Middleware/StartSession.php:57
        • vendor/laravel/framework/src/Illuminate/Pipeline/Pipeline.php:209
      • DatabaseSessionHandler.php#97seniorsbb_db_dev4.47msselect * from `sessions` where `id` = 'Dwmm0hoxju08LaMuq29pkHUJADYU16dvehlCI6Lw' limit 1
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        Backtrace
        • vendor/laravel/framework/src/Illuminate/Session/DatabaseSessionHandler.php:97
        • vendor/laravel/framework/src/Illuminate/Session/Store.php:117
        • vendor/laravel/framework/src/Illuminate/Session/Store.php:105
        • vendor/laravel/framework/src/Illuminate/Session/Store.php:89
        • vendor/laravel/framework/src/Illuminate/Session/Middleware/StartSession.php:147
      • ArticleController.php#130seniorsbb_db_dev274msselect `articles`.* from `articles` where `articles`.`slug` = 'what-role-does-technology-play-in-alzheimers-care' and `articles`.`active` = 'Yes' and `articles`.`deleted_at` is null limit 1
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        • 0: what-role-does-technology-play-in-alzheimers-care
        • 1: Yes
        Backtrace
        • app/Http/Controllers/Front/ArticleController.php:130
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:44
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:266
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:212
      • ArticleController.php#130seniorsbb_db_dev1.77msselect * from `listingattachment` where `type` = 'article' and `primary` = 1 and `listingattachment`.`listingId` in (11736)
        Bindings
        • 0: article
        • 1: 1
        Backtrace
        • app/Http/Controllers/Front/ArticleController.php:130
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:44
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:266
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:212
      • ArticleController.php#132seniorsbb_db_dev1.47msselect * from `category` where `id` = '352' and `type` = 'article' limit 1
        Bindings
        • 0: 352
        • 1: article
        Backtrace
        • app/Http/Controllers/Front/ArticleController.php:132
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:44
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:266
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:212
      • ArticleController.php#170seniorsbb_db_dev35.73msselect * from `articlecategories` where `articleId` = 11736
        Bindings
        • 0: 11736
        Backtrace
        • app/Http/Controllers/Front/ArticleController.php:170
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:44
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:266
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:212
      • ArticleController.php#186seniorsbb_db_dev259msselect distinct `articles`.* from `articles` inner join `articlecategories` on `articlecategories`.`articleId` = `articles`.`id` where `articles`.`active` = 'Yes' and `articlecategories`.`childCategory` in (515, 526, 635, 538) and `articles`.`type` = 'article' and `articles`.`id` != 11736 and `articles`.`deleted_at` is null group by `articles`.`id` order by `articles`.`created_at` desc limit 3
        Bindings
        • 0: Yes
        • 1: 515
        • 2: 526
        • 3: 635
        • 4: 538
        • 5: article
        • 6: 11736
        Backtrace
        • app/Http/Controllers/Front/ArticleController.php:186
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:44
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:266
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:212
      • ArticleController.php#196seniorsbb_db_dev496msselect `company`.`id` as `parentId`, `child`.`id` as `childId` from `company` left join `company` as `child` on `child`.`parentCompany` = `company`.`id` where `company`.`parentCompany` = '103729' and `company`.`deleted_at` is null
        Bindings
        • 0: 103729
        Backtrace
        • app/Http/Controllers/Front/ArticleController.php:196
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:44
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:266
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:212
      • ArticleController.php#210seniorsbb_db_dev846msselect * from `listings` where `active` = 'Yes' and `company` = '103729' and `listings`.`deleted_at` is null order by RAND() limit 3
        Bindings
        • 0: Yes
        • 1: 103729
        Backtrace
        • app/Http/Controllers/Front/ArticleController.php:210
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:44
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:266
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:212
      • DatabaseQueue.php#188seniorsbb_db_dev23.72msinsert into `queue_jobs` (`queue`, `attempts`, `reserved_at`, `available_at`, `created_at`, `payload`) values ('default', 0, null, 1752011154, 1752011154, '{\"uuid\":\"52dbe26c-fbf4-45f4-9bf8-48b819bbcec7\",\"displayName\":\"App\\\\Jobs\\\\TrackLibrary\",\"job\":\"Illuminate\\\\Queue\\\\CallQueuedHandler@call\",\"maxTries\":null,\"maxExceptions\":null,\"failOnTimeout\":false,\"backoff\":null,\"timeout\":null,\"retryUntil\":null,\"data\":{\"commandName\":\"App\\\\Jobs\\\\TrackLibrary\",\"command\":\"O:21:\\\"App\\\\Jobs\\\\TrackLibrary\\\":5:{s:13:\\\"\\u0000*\\u0000track_data\\\";O:45:\\\"Illuminate\\\\Contracts\\\\Database\\\\ModelIdentifier\\\":5:{s:5:\\\"class\\\";s:18:\\\"App\\\\Models\\\\Article\\\";s:2:\\\"id\\\";a:3:{i:0;i:15503;i:1;i:15502;i:2;i:15300;}s:9:\\\"relations\\\";a:0:{}s:10:\\\"connection\\\";s:5:\\\"mysql\\\";s:15:\\\"collectionClass\\\";N;}s:13:\\\"\\u0000*\\u0000usercookie\\\";s:18:\\\"us734trb76et634tbr\\\";s:7:\\\"\\u0000*\\u0000type\\\";s:7:\\\"article\\\";s:13:\\\"\\u0000*\\u0000event_type\\\";s:6:\\\"appear\\\";s:16:\\\"\\u0000*\\u0000inputDataType\\\";s:4:\\\"data\\\";}\"}}')
        Bindings
        • 0: default
        • 1: 0
        • 2: 
        • 3: 1752011154
        • 4: 1752011154
        • 5: {"uuid":"52dbe26c-fbf4-45f4-9bf8-48b819bbcec7","displayName":"App\\Jobs\\TrackLibrary","job":"Illuminate\\Queue\\CallQueuedHandler@call","maxTries":null,"maxExceptions":null,"failOnTimeout":false,"backoff":null,"timeout":null,"retryUntil":null,"data":{"commandName":"App\\Jobs\\TrackLibrary","command":"O:21:\"App\\Jobs\\TrackLibrary\":5:{s:13:\"\u0000*\u0000track_data\";O:45:\"Illuminate\\Contracts\\Database\\ModelIdentifier\":5:{s:5:\"class\";s:18:\"App\\Models\\Article\";s:2:\"id\";a:3:{i:0;i:15503;i:1;i:15502;i:2;i:15300;}s:9:\"relations\";a:0:{}s:10:\"connection\";s:5:\"mysql\";s:15:\"collectionClass\";N;}s:13:\"\u0000*\u0000usercookie\";s:18:\"us734trb76et634tbr\";s:7:\"\u0000*\u0000type\";s:7:\"article\";s:13:\"\u0000*\u0000event_type\";s:6:\"appear\";s:16:\"\u0000*\u0000inputDataType\";s:4:\"data\";}"}}
        Backtrace
        • vendor/laravel/framework/src/Illuminate/Queue/DatabaseQueue.php:188
        • vendor/laravel/framework/src/Illuminate/Queue/DatabaseQueue.php:99
        • vendor/laravel/framework/src/Illuminate/Queue/Queue.php:338
        • vendor/laravel/framework/src/Illuminate/Queue/DatabaseQueue.php:93
        • vendor/laravel/framework/src/Illuminate/Bus/Dispatcher.php:244
      • DatabaseQueue.php#188seniorsbb_db_dev2.43msinsert into `queue_jobs` (`queue`, `attempts`, `reserved_at`, `available_at`, `created_at`, `payload`) values ('default', 0, null, 1752011154, 1752011154, '{\"uuid\":\"1d649a8e-e0c9-4bb2-834a-b1f2bcc09f4a\",\"displayName\":\"App\\\\Jobs\\\\TrackLibrary\",\"job\":\"Illuminate\\\\Queue\\\\CallQueuedHandler@call\",\"maxTries\":null,\"maxExceptions\":null,\"failOnTimeout\":false,\"backoff\":null,\"timeout\":null,\"retryUntil\":null,\"data\":{\"commandName\":\"App\\\\Jobs\\\\TrackLibrary\",\"command\":\"O:21:\\\"App\\\\Jobs\\\\TrackLibrary\\\":5:{s:13:\\\"\\u0000*\\u0000track_data\\\";O:45:\\\"Illuminate\\\\Contracts\\\\Database\\\\ModelIdentifier\\\":5:{s:5:\\\"class\\\";s:18:\\\"App\\\\Models\\\\Listing\\\";s:2:\\\"id\\\";a:1:{i:0;i:123826;}s:9:\\\"relations\\\";a:0:{}s:10:\\\"connection\\\";s:5:\\\"mysql\\\";s:15:\\\"collectionClass\\\";N;}s:13:\\\"\\u0000*\\u0000usercookie\\\";s:18:\\\"us734trb76et634tbr\\\";s:7:\\\"\\u0000*\\u0000type\\\";s:7:\\\"article\\\";s:13:\\\"\\u0000*\\u0000event_type\\\";s:6:\\\"appear\\\";s:16:\\\"\\u0000*\\u0000inputDataType\\\";s:4:\\\"data\\\";}\"}}')
        Bindings
        • 0: default
        • 1: 0
        • 2: 
        • 3: 1752011154
        • 4: 1752011154
        • 5: {"uuid":"1d649a8e-e0c9-4bb2-834a-b1f2bcc09f4a","displayName":"App\\Jobs\\TrackLibrary","job":"Illuminate\\Queue\\CallQueuedHandler@call","maxTries":null,"maxExceptions":null,"failOnTimeout":false,"backoff":null,"timeout":null,"retryUntil":null,"data":{"commandName":"App\\Jobs\\TrackLibrary","command":"O:21:\"App\\Jobs\\TrackLibrary\":5:{s:13:\"\u0000*\u0000track_data\";O:45:\"Illuminate\\Contracts\\Database\\ModelIdentifier\":5:{s:5:\"class\";s:18:\"App\\Models\\Listing\";s:2:\"id\";a:1:{i:0;i:123826;}s:9:\"relations\";a:0:{}s:10:\"connection\";s:5:\"mysql\";s:15:\"collectionClass\";N;}s:13:\"\u0000*\u0000usercookie\";s:18:\"us734trb76et634tbr\";s:7:\"\u0000*\u0000type\";s:7:\"article\";s:13:\"\u0000*\u0000event_type\";s:6:\"appear\";s:16:\"\u0000*\u0000inputDataType\";s:4:\"data\";}"}}
        Backtrace
        • vendor/laravel/framework/src/Illuminate/Queue/DatabaseQueue.php:188
        • vendor/laravel/framework/src/Illuminate/Queue/DatabaseQueue.php:99
        • vendor/laravel/framework/src/Illuminate/Queue/Queue.php:338
        • vendor/laravel/framework/src/Illuminate/Queue/DatabaseQueue.php:93
        • vendor/laravel/framework/src/Illuminate/Bus/Dispatcher.php:244
      • 3968f797b22a9c6b17ff202289cdb425.php#51seniorsbb_db_dev1.58msselect * from `company` where `company`.`id` = '103729' and `company`.`id` is not null and `company`.`deleted_at` is null limit 1
        Bindings
        • 0: 103729
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:51
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#54seniorsbb_db_dev2.07msselect * from `company` where `company`.`id` = '103729' and `company`.`id` is not null and `company`.`deleted_at` is null limit 1
        Bindings
        • 0: 103729
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:54
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#66seniorsbb_db_dev1.38msselect `books`.*, `bookeditionmapping`.`recordId` as `pivot_recordId`, `bookeditionmapping`.`bookId` as `pivot_bookId` from `books` inner join `bookeditionmapping` on `books`.`id` = `bookeditionmapping`.`bookId` where `bookeditionmapping`.`recordId` = 11736 and `bookeditionmapping`.`type` = 'article'
        Bindings
        • 0: 11736
        • 1: article
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:66
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#70seniorsbb_db_dev1.48msselect `books`.*, `bookeditionmapping`.`recordId` as `pivot_recordId`, `bookeditionmapping`.`bookId` as `pivot_bookId` from `books` inner join `bookeditionmapping` on `books`.`id` = `bookeditionmapping`.`bookId` where `bookeditionmapping`.`recordId` = 11736 and `bookeditionmapping`.`type` = 'article'
        Bindings
        • 0: 11736
        • 1: article
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:70
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#85seniorsbb_db_dev1.59msselect * from `listingcontacts` where `listingcontacts`.`listingId` = 11736 and `listingcontacts`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 11736
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:85
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#85seniorsbb_db_dev1.29msselect * from `contacts` where `contacts`.`id` = 26931 and `contacts`.`id` is not null limit 1
        Bindings
        • 0: 26931
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:85
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#237seniorsbb_db_dev1.98msselect * from `listingattachment` where `listingattachment`.`listingId` = 123826 and `listingattachment`.`listingId` is not null and `type` = 'listing' and `primary` = 1 limit 1
        Bindings
        • 0: 123826
        • 1: listing
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:237
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#253seniorsbb_db_dev1.37msselect * from `categorymapping` where `categorymapping`.`slug` = 'NMHC' and `categorymapping`.`slug` is not null limit 1
        Bindings
        • 0: NMHC
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:253
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#256seniorsbb_db_dev1.21msselect * from `category` where `category`.`id` = 'NMHC' and `category`.`id` is not null limit 1
        Bindings
        • 0: NMHC
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:256
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#299seniorsbb_db_dev1.97msselect * from `listingattachment` where `listingattachment`.`listingId` = 15503 and `listingattachment`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
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        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:299
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#299seniorsbb_db_dev1.85msselect * from `listingattachment` where `listingattachment`.`listingId` = 15502 and `listingattachment`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 15502
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:299
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#299seniorsbb_db_dev1.67msselect * from `listingattachment` where `listingattachment`.`listingId` = 15300 and `listingattachment`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 15300
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:299
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 6162bf581736fa7f4e9b70a52a1034b4.php#2seniorsbb_db_dev1.72msselect * from `articles` where `articles`.`deleted_at` is null order by `id` desc limit 3
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/6162bf581736fa7f4e9b70a52a1034b4.php:2
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      App\Models\Article
      7Article.php#?
      App\Models\ListingAttachments
      5ListingAttachments.php#?
      App\Models\ArticleCategory
      4ArticleCategory.php#?
      App\Models\Company
      2Company.php#?
      App\Models\Books
      2Books.php#?
      App\Models\Category
      1Category.php#?
      App\Models\Listing
      1Listing.php#?
      App\Models\ListingContacts
      1ListingContacts.php#?
      App\Models\Contact
      1Contact.php#?
      App\Models\CategoryMapping
      1CategoryMapping.php#?
          ClearShow all
          Date ↕MethodURLData
          #12025-07-08 15:45:54GET/articles/what-role-does-technology-play-in-alzheimers-care42325