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It is easy for family and friends, as well as professionals, to suggest finding someone to help with housekeeping tasks and
care responsibilities. Having someone else take on some of your housekeeping or personal care tasks might sound appealing to you too. But what does it mean to
have someone in your house “to help” you? Where do you begin to find someone? Can you afford it? How do you respond to your loved one who proclaims that they
don’t want “a stranger” in the house? What services do they provide? This fact sheet will help guide you through the process of hiring help at home.
Do I Need Assistance?
Long-Distance caregiving, working full-time, and caregiving and/or caring for someone 24 hours a day/7 days a week will take
a toll on anyone. With a loved one who needs personal care and who can’t be left alone, you must be vigilant and “on duty” day and night. With constant
care and companionship responsibilities, you may have very little time to yourself. If you are caring for someone who needs to be transferred from bed to
wheelchair or out of a chair when sitting, you may be at risk for injuring your back. For those caring for a family member living with dementia, you may be
also be dealing with challenging behavior, wandering risks, or actions that might be harmful or dangerous such as leaving cooking burners on. If you don’t
have time to do the shopping, banking, and taking care of your own medical needs, you are at risk for stress-related illness. Are housekeeping routines
and cooking being done with great difficulty or being left undone? Consider your needs as a caregiver and the needs of the person you are caring
for. Here are the main areas to assess:
·
Personal care: bathing, eating, dressing, toileting, grooming
·
Household care: cooking, cleaning, laundry, shopping
·
Health care: Medication management, physician’s appointments, physical therapy
·
Emotional care: companionship, meaningful activities, conversation
Hiring help can relieve you of some of the tasks you are responsible for, freeing you to have some time for yourself.
Having trusted help can give you the opportunity to run errands, go to the doctor for yourself, catch up on sleep, and socialize with friends. For long-distance
caregivers and working caregivers, help can provide the care and assistance needed when you can’t be there on a daily basis yourself. Interestingly,
caregivers have found that in some instances the person receiving care can be more cooperative with someone other than the primary caregiver, so that, for
example, taking a shower might not be the battle that it can otherwise be. Engaging an attendant can help to preserve your relationship as daughter or
partner, rather than always having to be the chore person or taskmaster. Attendants come in fresh for a certain number of hours and therefore have the
energy to be engaging and encouraging in a way you might be too exhausted to do around the clock.
Hiring help might not only be a necessity but a gift you can give yourself.
My Loved One Only Wants Me to Help
It can be hard for your loved one to accept
help from a stranger. Initially, it will be important for you to be present to
help the attendant and the care receiver to establish a successful
relationship. You can show the attendant how you do things, so the help that is
given will feel familiar and comfortable. Let your loved one know that YOU need
help and that this is something they can do to help you care for them. Reassure
your loved one that hiring help does not signal that you are going to abandon
them.
If your loved one lives alone, you might hear,
“I don’t need any help.” Suggest that it will make YOU feel more comfortable
knowing someone is their part of the day. You can also suggest that they “just
try it for a week.” This will give your loved one some control in decision
making and help them be open to having an attendant.
The transition to an attendant might be easier
if the attendant shares a similar cultural background or language. The care
receiver may have a preference for a male or female attendant. However,
wonderful attendants come from all backgrounds and being open to a caring,
competent attendant from a different ethnicity or cultural background than your
own can lead to rewarding bonds.
Sometimes the best way to get an attendant
accepted is to hire a “housekeeper.” Care receivers are often more open to
having someone come in and “help” with the housework before they are willing to
accept someone to help with personal care. This gives your loved one time to
become familiar with the attendant and build trust.
“I Don’t Want a Stranger in My House!”
We all react differently to interacting with
someone we don’t know. For some people, meeting someone new is an enjoyable and
interesting opportunity. But for others who are naturally more reticent or are
feeling vulnerable due to their illness, there is great reluctance to exposing
their private life and personal living space.
Hiring someone through an agency will give you
some choice for attendant selection. Most agencies have done background checks
and bonded the people who work for them—be sure to ask if this is the case. And
if you feel uncomfortable with the person who is sent, you can always ask the
agency to send someone else. But typically an agency will attempt to match the
attendant to your specific needs and requests, so if you aren’t immediately
comfortable with the attendant sent, consider giving it a day or two to warm up
to them.
Caregivers and care receivers often worry that
their belongings will be stolen. This does happen, but it is much rarer than
you might be led to believe. Lock up or take out of the house any especially
valuable belongings, such as heirloom jewelry, just to make yourself less
anxious about this happening. Keep track of cash and checks/checkbooks/credit
cards. If hiring through a home care agency report any concerns you might have.
If hiring privately, schedule a time to discuss the concerns directly with the
caregiver. If your loved one has dementia, they may report an item as “missing”
when it is only misplaced or stashed away.
How Do I Find Help?
There are formal and informal ways of finding
an attendant. The formal way is to contact a Home Care Agency located near to
where your loved one lives. A long list of agencies will be available in most
urban and suburban communities. This can make it difficult to figure out who to
contact first. Far fewer agencies serve rural areas, limiting options for
hiring care. People who can help you select the right agency for your needs
include your doctor and their staff, your friends/family who have used an
agency, and others in your community whom you trust, such as your faith community,
your local senior center, etc. Also, check for agency reviews from trusted
online sources, and consider contacting your local Area Agency on Aging to ask
whom they hold contract(s) with for their clients.
Key Questions To Ask:
·
Is the agency licensed by the state? (Many but
not all states require licensing to operate a Home Care Agency). Ask how long
they have been in business.
·
Are the workers licensed and insured? How does
the agency train, supervise, and monitor their workers?
·
Request that the agency send you a packet of
information that describes their services, fees, and a list of references. This
will give you an opportunity to review the information before sitting face to
face with an agency representative.
·
What are the aide’s credentials? Check with
the credentialing body to confirm.
·
Where has the aide worked previously? Ask for
two to three references from former or current employers.
·
Always contact the references asking about the
care competency, compassion, and reliability of the worker.
·
Is the aide legally eligible to work in this
country? Ask to see verification (passport, green card, etc.)
What Will It Cost?
If you hire a Home Care Agency, they will
establish the pay rate. Agencies will charge a different amount, depending on
the kind of care that is needed, e.g. personal care versus dementia care. Also,
an agency might have a minimum number of hours, for example, only 4-hour
shifts. Or they will do a 2-hour shift but charge more per hour. For people who
need full-time care, the options are a “live-in” who does the full 24 hours, a
live-in plus an 8-hour shift for someone who needs someone to be awake and
available during the night, two 12-hour shifts for people who may need someone
awake at night, or three 8-hour shifts for someone who may need extra help due
to heavy care needs.
How Can I Afford It?
Hiring in-home help can be expensive,
particularly if you need full-time help. However, if you only need four hours
once or twice a week, it can be more affordable—the hourly cost varies
depending on where you live in the United States.
If the care-receiver has a long-term care
insurance policy and the service provided meets the policy criteria, the
benefits can offset the cost. Check the policy for how many days of care are
required before the policy will start to pay. Determine whether there is
coverage for hiring someone privately, or only for hiring through an agency.
Some policies require that the attendant be a HHA, LVN (licensed vocational
nurse), or CNA, and others do not.
The cost of a hired attendant might be tax
deductible if it is considered medically necessary. Check with your tax
accountant to see if this is the case in your situation.
If the care receiver is low income and
qualifies for Medicaid (Medi-Cal in California), they may be able to get help
through an in-home program called In-Home Supportive Services (IHSS). Check
with your local Medicaid office to see what services are available in your
area. Medicaid benefits differ by state.
This type of care is an appropriate
expenditure for use of the care receivers’ personal savings. Often a family will
also contribute as needed to help cover the cost. Holding a family meeting to
discuss the need for the home care service, the cost of the care and the means
available to cover the cost can help surface concerns from family members, and
gain support to help cover the expense.
Some communities have a sliding scale or
low-cost home care through specialized funding. Contact your local Area Agency
on Aging (AAA) to see what is available in your community. The Medicaid In-Home
Supportive Services (IHSS) office may have a registry that is open to the
public and can give you referrals for pre-screened attendants. Under Title IIIE
of the Older Americans Act, funding distributed through your local Area Agency
on Aging (AAA) offers help paying for respite care (temporary relief) and other
caregiver related services. Faith communities and some senior service agencies
also might be able to help you find lower-cost attendant care in your area.
How Do I Find the Right Person?
When hiring help, it is important to be clear
about what it is you want the attendant to do. Write a job description that
spells out the things you need help with and make a detailed list of the tasks
you want to be done. Clarity is essential to effective communication and mutual
understanding. For example, if you want help with housekeeping, list the kind
of housekeeping duties that need to be performed—vacuuming, cleaning the
bathroom, washing dishes, doing the laundry, etc. Be clear about any specific
ways that you want these duties performed, e.g. wash white items and colors
separately. If you want personal care, does the care receiver need help with
dressing, grooming, bathing, toileting, transferring? If you want someone to
just “be there,” does the care receiver like to take walks, watch TV (what
shows?), talk, go out to lunch, play golf, read, be left alone (some people
like chatty attendants and some people do not)? If there is a pet, does it need
to be taken for a walk, do you want the poop in the backyard cleaned up, the
kitty box cleaned out? (Check with the attendant for allergies to pets or fear
of certain animals.). It is very important to find out the attendant’s
experience with dementia if you are hiring someone to care for a loved one with
cognitive impairment. Give examples of situations you face and ask how they
would handle them. (See below: “Write a Job Description”)
Three general certifications exist for home
care attendants. One is an HHA—home health aide, the second is a CNA—certified
nursing assistant, and the third is an LVN—licensed vocational nurse. They are
trained to provide most levels of care in the home except for care requiring a
registered nurse, e.g. giving an injection. Each state has different laws on
what attendants can and cannot do, such as dressing changes on a wound or
giving medications. In most settings, an attendant can put the medications in
the care receiver’s hand, but the care receiver must take the medications on
their own. However, there might be rules on who can set up the media-set with
the pills in it, and whether or not the care receiver must take them out of the
media-set on their own.
Always check references.
Always do a background check.
(See FCA fact sheet Background Checking: Resources That
Help)
Interviewing
If you are hiring through an agency, you can
shorten this process. If you need help right away, always go through an agency,
as hiring privately takes time and energy to secure the right person or team of
people. Often an agency representative will come to the house and interview you
to find out what type of help you are seeking and will try to match you with
the person in their employee pool who best meets your needs. However, having
your job description will still be helpful in working with the agency.
Initial interview/screening can be done by
phone. Ask for a resume and references. With those who seem like they would be
right for your situation, you can set up an in-person interview either at your
loved one’s home or at a nearby coffee shop if you prefer. If appropriate, the
care receiver should be present at the interview, as their input is important.
Other family members or concerned individuals may also be present. Their input
can help you make a good decision. The job description can be emailed to the
applicant as a way to start the conversation.
Here are some initial questions for the
interview:
·
Why are you interested in this position?
·
Tell me a little about yourself.
·
Where have you worked before?
·
What were your duties? Here is the job
description for this position.
·
What is your favorite kind of client? What
pushes your buttons?
·
Is there anything in the job description that
you are uncomfortable doing?
·
How do you deal with someone living with
memory problems? Give an example.
·
Describe your experience making meals for
other people.
·
How do you handle people who are angry,
stubborn and/or fearful?
·
Do you have a car? Would you prefer to drive
your own car or our car in transporting? I’ll need to see proof of insurance
and a current driver’s license.
·
What is your experience transferring someone
out of bed or chair and into a wheelchair?
·
What is your availability? Days? Hours?
·
Can you give me two work-related and one
personal reference I can contact?
·
I’ll need personal identification that
verifies that you can work in this country. Please bring it with you so that I
can make a copy.
If the care receiver is present, watch the
interactions between the attendant and the care receiver. Do they only respond
to you, or do they include the care-receiver in their answers? If the care
receiver is not present, you might want to invite a top candidate back to meet
the care receiver before making a final job offer.
Immediately after the interview, write down
your impressions. Include input from the care receiver, if they were present,
as well as any other family/friends who were a part of the interview. Check
your gut. How you feel about someone can go a long way in your finding the
right person. Check the references. Have a list of questions to ask about their
experience in working with this attendant.
Communication
Your relationship with the attendant, the care
receiver’s relationship with the attendant, the attendant’s relationship with
you, and the attendant’s relationship with the care receiver are all very
important. Good communication is essential for a good relationship. Schedule
regular times to meet and discuss concerns, problems, and/or changes. Changes
in care needs are to be expected. If there are added responsibilities or
changes in who is living in the house, for example, these need to be discussed
with the attendant. It is important to make expectations clear and to provide
adequate training to meet those expectations. If there are problems, write out
what is not working and come together on solutions that both of you sign. Keep
communication current; address problems as soon as they arise. If you hire an
attendant privately, it is important you feel comfortable both providing
training and firing the worker if necessary. The higher the trust, the better
the relationship. Trust comes through honest and open communication. If the
attendant is doing a great job, be sure to tell them. A smile and well-deserved
praise can make a big difference. None of us likes to feel our work is not
appreciated. When you find the right person for your caregiving needs, they are
worth their weight in gold. Wishing you success in finding the best help to
match your caregiving situation and make your journey as a caregiver more
manageable and fulfilling.
Resources
Family Caregiver Alliance
National Center on Caregiving
(415) 434-3388 | (800) 445-8106
Website: www.caregiver.org
Email: info@caregiver.org
FCA CareJourney: www.caregiver.org/carejourney
Family Care Navigator: www.caregiver.org/family-care-navigator
Family Caregiver Alliance (FCA) seeks to
improve the quality of life for caregivers through education, services,
research, and advocacy. Through its National Center on Caregiving, FCA offers
information on current social, public policy, and caregiving issues and
provides assistance in the development of public and private programs for
caregivers. For residents of the greater San Francisco Bay Area, FCA provides direct
support services for caregivers of those with Alzheimer’s disease, stroke,
traumatic brain injury, Parkinson’s, and other debilitating health conditions
that strike adults.
Other Organizations and Links
Eldercare Locator- Resources for older adults and their families eldercare.acl.gov
Aging Life Care Association- Provides help in locating a professional care manager www.aginglifecare.org
Elder Financial Protection Network- Works to prevent financial abuse of elders and dependent adults www.elderfinancialprotection.org
How to Approach Tough Senior Move ConversationsGentle Talks That Open the Door to a Brighter Tomorrow Few conversations are as emotionally delicate as discussing a move with a senior loved one. Whether its downsizing to a smaller home, transitioning to assisted living, or clearing a longtime residence, these talks touch deep feelings of independence, memory, and identity. For many families, this moment is filled with uncertainty: How do we bring it up? Will they feel hurt or betrayed? What if they say no?At A Call to Order Professional Organizer, we believe that these tender conversations, when handled with care and love, can become opportunities for connection and growth. With the right approach, families can honor their loved ones feelings while gently guiding them toward a new chapter of safety and peace.Start with Empathy, Not LogisticsLead with the heart, and the rest will follow.Before any talk of movers or packing, remember this: a seniors home is not just a building. Its a lifetime of memories, milestones, and meaning. That kitchen may hold memories of holiday dinners. That chair might be where Dad read his morning paper. A move often feels like leaving part of themselves behind.Here are heartfelt steps to begin the conversation:1. Choose the Right Time and PlaceAvoid rushing into the topic during a stressful or emotional moment. Find a quiet, private time when everyone is calm. This shows respect and allows space for open, honest communication.2. Listen First, Talk SecondAsk gentle questions like, How are you feeling about the house these days? or Is anything at home starting to feel overwhelming? Listening with compassion builds trustand trust makes future decisions easier.3. Acknowledge Their EmotionsSay things like, I know this is really hard, or I can see how much this home means to you. Validating their emotions shows them youre not just trying to make decisions for them, but with them.4. Focus on Their Well-BeingCenter the conversation on care and safety, not on whats convenient for the family. Share your concerns lovingly: I want you to feel safe when moving around the house, or We want to make sure youre comfortable and supported every day.Build a Plan Together, One Gentle Step at a TimeEmpowerment is the bridge between fear and acceptance.Once the initial conversation has opened the door, its time to move forwardbut slowly, and with full inclusion. Seniors who feel part of the planning process are more likely to accept and embrace the move.1. Make a Family PlanGather key family members and involve the senior. Together, outline a general timeline, and identify roles. Who will help with packing? Who will handle paperwork? Make sure the seniors voice is front and center.2. Consider Professional SupportThis is where A Call to Order Professional Organizer comes in. We help remove overwhelm by guiding seniors and families through every phase of the move. Our team offers compassionate, step-by-step assistancefrom organizing and downsizing to setting up their new home with care.3. Take Breaks and Celebrate ProgressEmotionally heavy tasks like sorting through a lifetime of belongings can take a toll. Build in regular breaks. Reflect on joyful memories. Celebrate small wins, like donating gently used items to a local charity or passing heirlooms down to grandchildren.4. Tour New Spaces TogetherIf the move includes a transition to assisted living or a smaller home, visit the new space together. Talk about how to make it feel cozy and familiar. Bring their favorite chair or family photos. Let them dream a little about decorating or setting up a new routine.Loving Conversations Build Stronger FuturesApproaching a senior move isnt easybut it doesnt have to be heartbreaking. With tenderness, patience, and the right support, these conversations can lead to safer environments, simpler living, and a renewed sense of peace.At A Call to Order, we believe in honoring the emotional side of every move. Were here to help families bridge the gap between I cant imagine leaving and Im ready for whats next.Lets make this transition togetherwith love, understanding, and a plan made just for your family. Ready to talk about a senior move with kindness and clarity?Visit www.acalltoorderco.com or call 719-231-5425.Because every move deserves more than just boxesit deserves a soft place to land.FOLLOW US and stay inspired as you simplify and transition with love: LinkedIn: https://www.linkedin.com/in/acalltoorderco/ Facebook: https://www.facebook.com/ACalltoOrder Instagram: https://www.instagram.com/acalltoorderco/
It takes more than prescription medication to lower or control blood pressure, although they play a vital role in treatment. Other dietary and lifestyle changes can be instrumental in maintaining a healthy blood pressure. Before your doctor increases your medication dosage or adds another prescription to your treatment, he might recommend other changes in your eating habits or lifestyle, such as limiting sugar and alcohol, increasing exercise, and getting better sleep.All of these and more can help set you up for success for lowering blood pressure, especially as you age. High blood pressure, also known as hypertension, often has no recognizable symptoms but is a major risk factor for heart disease and stroke.Most healthy adults should aim for a blood pressure reading below 120/80 mm Hg. Your blood pressure is considered high at 130/80 or above. Anything in between these ranges is considered elevated blood pressure and means you are at risk for developing high blood pressure. But this isnt inevitable.Here are 9 effective methods to lower your blood pressure.1. Get Adequate ExerciseExercise is a key ingredient for lowering blood pressure and can help you manage it long term. According to research, both aerobic and resistance training positively affect blood pressure and can even lower it for up to 24 hours after exercising.The key is to get regular exercise, meaning that its part of your daily routine. Its about regularly increasing your heart rate and breathing so that over time your heart is strengthened. A stronger heart pumps with less effort, putting less pressure on your arteries. This means lower blood pressure.So how much exercise is required to affect cardiovascular health? You should aim for 30 minutes per day, five days per week. Thats 150 minutes of moderate-intensity exercise weekly. Moderate intensity exercise is defined by your heart rate during a work out. Anything below this range is too low to benefit cardiovascular health and anything above it is unnecessary. If you are exercising for health, these are the target heart rate ranges.Age (years)Target Heart Rate Range (beats/min)5085-1195583-1166080-1126578-109Other than intentional exercise, you can also increase activity by doing the following:Using the stairsWalking instead of drivingWorking around the houseGardeningBike ridingPlaying a sportBut be sure to clear any new exercise routine with your doctor to be sure you are healthy enough for moderate-intensity workouts.2. Manage Your WeightExtra body weight strains your heart and cardiovascular system, because it makes them work harder. This creates more pressure inside your arteries and can raise blood pressure. If youre overweight with a body mass index (BMI) over 25, it can help to lose 5-10 pounds. Losing weight may lower your blood pressure and your risk for other health problems.There are three major components to lowering BMI:Be more physically activeEat lessEat a healthy diet3. Eat Less Sugar and Refined CarbsCutting back on sugar and refined carbs can help you lose weight while lowering blood pressure. One study found that people who are overweight or obese who followed a low carb and low fat diet dropped their diastolic blood pressure (bottom number) by about 5 points and their systolic pressure (top number) by about 3 points after just six months.You can start by replacing some of the refined carbs with more whole grain varieties and foods that are less processed. Be sure to read labels and notice the sugar content in common foods you eat. Its often best to eat fewer prepackaged foods as these often contain more simple carbs and sugars.Instead, snack on produce and include more lean protein in your diet.4. Eat More Potassium and Less SaltEating a diet high in salt can increase your risk for high blood pressure. But if you eat more potassium and cut back on salt, you can lower your blood pressure. Science hasnt determined why salt impacts blood pressure, but its believed to have something to do with water retention and inflammation in blood vessels could be factors.Potassium helps your body eradicate salt and even relieves some of the pressure in your blood vessels. Think of it as a counterbalance to salt and its effects. Cutting back on salt and adding more potassium to your diet can notably lower blood pressure over time.High potassium foods to incorporate into your diet:Dried fruit (apricots, prunes)Milk and yogurtLentils and kidney beansVegetables like tomatoes, potatoes, and spinachFruit like watermelon and bananasIf you have kidney disease, talk with your doctor before increasing potassium in your diet, as it could be harmful.5. Manage StressManaging stress benefits your overall health and positively affects your blood pressure. Stress has a direct impact on your body and its systems. Its important that you learn to recognize the symptoms of stress and its triggers. Its best to eliminate sources of stress when possible. But much of what causes your stress probably cant be set aside. In this case, youll need to learn to manage stress in a healthy way.Consider some of these methods and determine what works best for you:Taking a walk (or getting exercise)Reading a bookPracticing deep breathingListening to musicMeditation or prayerThese are ways you can decompress from daily stress and set your mind elsewhere. This type of relief can relax your body and keep your blood pressure from rising. Chronic stress, especially when poorly managed, keeps your body in an anxious state with an elevated heart rate and increased blood pressure.6. Get Plenty of Quality SleepWhen youre sleep deprived youre at greater risk for high blood pressure. Blood pressure often lowers a bit while sleeping, giving your system a rest. But if you havent slept well or enough, your body doesnt get this needed break. And without it, pressure continues to build. If you do this night after night, it can have long-term effects on your blood pressure.Here are some tips for getting better sleep:Keep a regular sleep scheduleExercise (but not too close to bed time)Leave devices outside your bedroomSleep in a cool, dark roomAvoid caffeine and alcohol too close to bedtime7. Limit Processed FoodsA strict definition of processed foods is any food that has been changed from its natural state. Technically, just cutting and washing a food is a change to its natural state, and so not all processed food is bad. But often, when this phrase is used, its referring to overly processed foods that make them less healthy. This type of processed, pre-packaged food often includes additives like preservatives, sugars, fats, and not-so-natural ingredients.Bad processed foods include ingredients you dont want that can also increase blood pressure and negatively affect your health. They often contain higher levels of sodium, sugar, saturated fat, and inflammatory chemical ingredients.Common examples include:Processed meats (lunch meats, sausage, ham, etc.)Fried foods or fast foodProcessed snacks (chips, crackers, cookies, etc.)And be careful about foods labeled low fat since they often include more sugar or salt to compensate for the lower fat content. They may be lower in fat but arent necessarily healthy overall.8. Try SupplementsYou can try supplements to help manage blood pressure. Some widely used options include:Omega-3 fatty acids or fish oilWhey proteinPotassiumMagnesiumWhile you may see some benefits from supplement use, there is not enough scientific evidence to verify that most of them can decrease blood pressure.Be sure to check with your doctor before using any supplement as some conditions and medications might cause complications.9. Limit AlcoholAccording to research, your heart rate can increase for up to 24 hours after drinking just an ounce of alcohol. It appears that blood pressure drops for the first 12 hours but then increases. The average alcoholic beverage contains about half an ounce of alcohol.And dont be fooled by red wine. While the idea that its heart healthy has been widely spread, the America Heart Association warns that too much can be harmful. Instead, limit your alcohol consumption, even red wine, to two standard drinks per day for men and one drink per day for women, if you drink at all.One drink or serving of alcohol is considered to be:One 12-ounce beer4 ounces of wine1.5 ounces of 80-proof spirits1 ounce of 100-proof spiritsConsidering general health and common medication interactions, it may be best to skip the alcohol completely.Blood Pressure Management Is KeyManaging your blood pressure as you age is a critical component of aging well. While you can try supplements and take medications when needed, these alone wont necessarily prevent high blood pressure. If you want to prevent additional or stronger medications, or hope to avoid prescriptions altogether, then be sure to get daily exercise, sleep well, manage stress, and limit salt and sugars. Your diet and lifestyle are keys to lower blood pressure.TYE Medical offers premium incontinence products in a variety of sizes and absorbency levels. 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Breast cancer is the most common type of cancer among women in the U.S. besides skin cancers. Each year, about 30% of new cancer diagnoses in women are breast cancer. No one wants to hear the word cancer or spend time researching their diagnosis online. Cancer of any type is a scary thing.But there isnt just one type of breast cancer. It can develop in different types of breast tissue and spread throughout the breast and beyond. Like other cancers, your diagnosis is labeled with a stage of cancer, usually levels one through four, with four being most severe. Regular breast cancer screenings allow your doctor to catch a tumor in its earliest stage, increasing your chances for successful treatment.This guide provides information on breast cancer from early symptoms to types of treatment to help you feel more prepared and informed as you take on this battle against cancer.What Is Breast Cancer?This might seem like a very basic question, but there is more to it than you think. Breast cancer means there is a malignant tumor somewhere in your breast, and the details will determine the type and severity of cancer.A malignant tumor means that cells have clustered together, forming a mass that grows out of control. These can move or metastasize to surrounding tissues or other body parts. Breast cancer can form in any of your three breast tissues, which are:Lobules (milk-producing glands)Ducts (what milk travels through)Connective tissue (surrounds lobules and ducts)Cancer most often begins in the lobules or ducts but can start in the surrounding connective tissue. Its categorized as either invasive or noninvasive. Invasive breast cancer spreads or invades other tissues, while the noninvasive type remains in the breast lobule or duct.Symptoms and Signs of Breast CancerWhen you notice any of these symptoms, make an appointment with your doctor as soon as possible:A lump in or near your breast or armpit areaWarm or tender breastA hard or swollen area in your breastUnexplained changes in the texture, size, color, or shape of your breast or nippleSkin dimples or enlarged pores on your breastRedness, swelling, scaliness or pain in your breast or nipplesNipples turn inward for no apparent reasonIrritated or itchy breastA rash on your breast (a sign of inflammatory breast cancer) tendernessIf you notice a lump, dont assume the worst. Almost 80% of all breast lumps are non-cancerous or benign. Common causes of benign lumps include:CystsChanges in the fibrous tissue due to hormonesFatty tissue due to breast traumaIntraductal "papilloma" or wart-like growthsFibroadenomas or solid breast lumpRegardless of the type of lump you feel, you should see your doctor for a thorough evaluation to rule out a malignant breast tumor.Breast Cancer Risk FactorsNaturally, being a woman increases your risk of breast cancer. Other risk factors include:Over 50 years of ageA family history of breast cancerGeneticsPrevious radiation exposureWomen can develop breast cancer before age 50, but its less common. If youre concerned about your breast cancer risk, your doctor can help you assess your specific risk and guide you through extra precautions or screening if necessary.Diagnosing Breast CancerThe most common type of breast cancer screening is a mammogram, which is an x-ray that uses low-dose radiation. This allows your doctor to see abnormalities in your breast tissue.If your mammogram reveals something suspicious, your doctor will likely order an MRI (magnetic resonance imaging), ultrasound, or a 3D mammography to get a better look at the abnormality. This type of imaging allows doctors to see breast tissue in greater detail.Stages of Breast CancerStages describe how the cancer has grown or spread, making them stages that describe the advancement of the cancer. Stages are typically indicated by Roman numerals and have subcategories of A, B, C or D.Stage 0: Noninvasive cancer with no evidence of leaving the area of breast it started in.Stage 1: Cancer cells are actively spreading to breast tissue surrounding the origin of the cancer. But the tumor (group of cancer cells) is still very small and easily treated.Stage 2: The cancer is invasive and growing but is confined to the breast or close lymph nodes. It is usually still treatable.Stage 3: The cancer is no longer confined to the breast and nearby lymph nodes. It has begun invading other lymph nodes, muscles, or other tissues surrounding the breast.Stage 4: The cancer is advanced and has spread to several organs or body parts. Stage 4 breast cancer is usually incurable, but you can live for several more years with treatments.Types of Breast CancerNon-Invasive Breast Cancer: DCIS and LCISThese are non-invasive cancers that remain contained within the tissue where it began and are therefore called carcinoma in situ. There are two types: ductal carcinoma in situ (DCIS) and lobular carcinoma in situ (LCIS). These breast cancers are usually discovered after imaging and often dont cause symptoms.DCIS is found in the lining of your milk ducts and has not yet spread to other tissues. But if not treated, it can invade other tissues and become more serious. Likewise, LCIS is non-invasive and is found in the lobules of your breast where milk is produced. This is usually considered pre-cancer and is less common than DCIS but is more likely to become invasive if it develops into cancer.Invasive Breast Cancer: IDCThe most common type of breast cancer is invasive ductal carcinoma (IDC). It accounts for 80% of all new breast cancer diagnoses and is the type of breast cancer most likely to develop in men.IDC begins in your milk ducts, like DCIS, but it doesnt remain contained and spreads outside the duct and into surrounding tissues, even invading your bloodstream and lymph nodes.Treatment usually involves a combination of radiation, surgery, chemotherapy, hormone therapy, targeted therapy, and immunotherapy. But the approach will depend on the specific type of breast cancer you have and its characteristics like the degree of aggressiveness. Some breast cancers lack receptors that will respond to the usual medications. This is called triple negative or HER-2 negative breast cancer. Your doctor will work to create a specialized treatment tailored to the weakness of your tumor type.Breast Cancer OutlookYour prognosis will depend upon how healthy you are and the stage of breast cancer youre in. However, its encouraging that the death rate from breast cancer has been dropping. Most women survive this type of cancer, and 90% of women will live at least five years after their diagnosis.Breast cancer can be recurrent, meaning that it returns after your initial treatment. This recurrence can happen months or years after seemingly successful treatment. The highest risk for recurrence is within the first two years after completing your treatment. However, most breast cancer survivors wont have a recurrence.Metastatic or stage 4 breast cancer that has spread to other parts of your body is not currently curable. But with the right treatments to control its growth and spread, you can continue living a fulfilling life for years to come.Breast Cancer Treatment OptionsYour doctors will evaluate the stage and aggressiveness of your tumors. Most often, surgery is the prescribed treatment, along with secondary treatments to ensure that post-surgery cancer cells dont survive.Surgical options include a lumpectomy or mastectomy.A lumpectomy means that a small portion of the breast encasing the tumor is removed. If your surgeon must remove more of the surrounding tissue, it is considered a partial mastectomy.A mastectomy means that one or both breasts are removed. Sometimes lymph nodes and armpit tissue are removed also.Radiation and chemotherapy are accompanying treatments that are often used post-surgery to kill any possible cancer cells that are left behind. Your doctor will recommend which treatment is best for you based on your tumor and the likelihood of cancer cells spreading.Other treatments include medications like hormone therapy and biologic targeted therapy.How to Prevent Breast CancerOf course, you cant change all your risk factors like age and family history. But you can adjust some aspects of your lifestyle to stay healthy overall and decrease your risk of breast cancer.Try making these lifestyle modifications:Dont drink more than one alcoholic beverage per day.Dont smoke.Maintain a healthy weight.Breastfeed your baby for at least several months.Choose non-hormonal treatments for menopause symptoms.Avoid radiation exposure (get medical imaging only when necessary)The Battle with Breast CancerBreast cancer can be complex, especially if not diagnosed in its earliest stages. Regular preventative screenings like self-exams and mammograms are necessary for early detection. Most breast cancer will spread if not treated in a timely fashion. Surgery is the most common treatment method and may be accompanied by radiation or chemotherapy. If you notice and change the appearance or feel of your breasts, contact be sure to get in touch with your physician. You can reduce the risk of developing breast cancer when you limit alcohol, radiation exposure, and maintain a healthy weight.
We know there is no place like home. That's why we bring the highest quality of care right to your front door. With a personalized care management approach and a dedicated team of compassionate caregivers, you can expect more from HomeWell. Please call us at 941-303-5642 for more information.
We know there is no place like home. That's why we bring the highest quality of care right to your front door. With a personalized care management approach and a dedicated team of compassionate caregivers, you can expect more from HomeWell. Please call us at 941-303-5642 for more information.
At HomeWell, we address the immediate needs of our clients while anticipating future challenges to bolster and protect their well-being as they age. We are dedicated to the long-term effects of a masterfully crafted care planone that is both purposeful and proactive. HomeWell is not your average home care agency. With innovative Signature Programs, highly personalized and specialized services, and a culture that prioritizes your peace of mind, you can count on us to bring exceptional care and companionship right to your front door. As we age or face an injury, disability, or chronic condition, simple responsibilities around the home and taking care of our physical health can sometimes become too much to handle alone. However, with the right support, many of these everyday tasks can still be manageable and less overwhelming.HomeWells Personal Care services are designed specifically to meet the needs of individuals who can function on their own but require extra assistance with certain aspects of daily life. Our personalized care plans take into account the emotional and social needs of aging in place while providing additional support for activities of daily living. This approach alleviates the burdens of solitude, enhances safety, and offers assistance in navigating the complexities of life at home. Please call us at 941-303-5642 for more information. Please call us at 941-303-5642 for more information.