When would you see an internist? If you have no idea, you're not alone. Most Americans don't know what an internist, officially a Doctor of Internal Medicine, does, according to a survey by the American College of Physicians. But if you're an adult, you might want to find one.
Physicians can be helpful in determining if an internist is right for you and how to find a good internal medicine physician:
Internist are specially trained to solve puzzling diagnostic problems and can handle severe chronic illnesses in situations where several different illnesses may strike at the same time. They also bring to patients an understanding of wellness (disease prevention and the promotion of health), women's health, substance abuse, mental health, as well as an effective treatment of common problems of the eyes, ears, skin, nervous system, and reproductive organs.
This content was sponsored by Dr. Daniel Bendetowicz, an award-winning FACP internist who believes in taking care of the whole patient for health and life.
When it comes to choosing a senior living community, finding the right balance of personalized care, wellness, engaging experiences, and comfort is essential. At The Watermark at Marco Island, residents can enjoy a thoughtfully designed lifestyle in a beautiful setting while receiving support tailored to the way they want to live.A Place to Call Home on Marco IslandLocated at 1170 San Marco Road in Marco Island, Florida, The Watermark at Marco Island offers assisted living and memory care in a welcoming residential environment.The community is designed to provide more than just a place to live. Here, personalized care is complemented by opportunities for wellness, enriching daily experiences, social connection, and chef-prepared dining.For seniors and their families, that means having support available while maintaining independence and enjoying the lifestyle that makes each day meaningful.Personalized Care Designed Around YouEvery resident has unique needs, interests, routines, and preferences. The Watermark at Marco Island takes a personalized approach to care, creating support around the individual rather than expecting residents to fit into a one-size-fits-all model.Whether a senior needs assistance with daily activities or specialized support associated with memory care, the goal is to help residents feel comfortable, confident, and engaged in their surroundings.This thoughtful approach allows families to have greater peace of mind while their loved ones enjoy a community designed around their well-being.Wellness and Enriching ExperiencesLife at The Watermark at Marco Island extends beyond care. The community incorporates holistic wellness and enriching daily experiences designed to encourage residents to remain active, connected, and engaged.Common areas provide opportunities to socialize with friends, participate in activities, enjoy hobbies, or simply relax in a comfortable environment. From a game of pool to sharing a meal or spending time with neighbors, residents have opportunities to make each day their own.The emphasis is on supporting the whole personmind, body, and spirit.Dining Made From ScratchGood food is an important part of a fulfilling lifestyle, and dining at The Watermark at Marco Island is designed to be an enjoyable part of each day.Residents can experience chef-prepared meals made from scratch, offering the opportunity to enjoy delicious food while dining in a social and welcoming environment.Meals can be more than simply meeting nutritional needsthey can provide residents with another opportunity to connect, celebrate, and enjoy the pleasures of everyday life.Comfortable ResidencesThe Watermark at Marco Island offers thoughtfully designed residences intended to provide comfort, privacy, and a sense of home.Bright interiors, comfortable furnishings, and inviting living spaces create an environment where residents can settle in and feel at ease. Families can visit and spend quality time with their loved ones in a setting that feels warm and welcoming.The community's design also provides convenient access to shared spaces where residents can socialize and participate in daily activities.See Your Day HereChoosing senior living is a significant decision, and seeing a community in person can make all the difference. A personal visit allows seniors and their families to experience the environment, explore the residences, learn about available care, and get a better understanding of everyday life at the community.The Watermark at Marco Island invites prospective residents and their families to step inside, tour the residences, and picture what their day could look like here.To schedule a personal visit, call 239-999-4601.The Watermark at Marco Island1170 San Marco RoadMarco Island, FL 34145WatermarkMarcoIsland.com
Moving a parent to senior living is rarely just a move. It is an emotional transitionfor the older adult, the family, and often the person making the decision.Families may feel guilt, sadness, fear, relief, and even uncertaintysometimes all in the same day.A daughter may think, Am I doing the right thing?A son may wonder, Will Mom think Im abandoning her?And a parent may be thinking, Am I losing my independence?These emotions are normal.As senior living leaders, our responsibility goes beyond providing a safe apartment, meals, activities, and care. We have to care for the emotional journey that comes with the transition.Its not about taking independence away.Its about helping redefine what independence looks like.Sometimes independence means no longer worrying about cooking, cleaning, medication management, or being alone. It means having people nearby, opportunities to socialize, and support when it is neededwhile still having choices about how each day is lived.Families need reassurance, not judgment.The decision to move a parent is often made after monthsor yearsof difficult conversations, falls, sleepless nights, increasing care needs, or simply realizing that living alone isnt working anymore.Families dont need someone to make them feel guilty.They need someone to say:Youre not failing your parent. Youre helping create a safer, more supported chapter of their life.The first days matter.A successful transition isnt just about getting someone moved in.The process starts before they move in. Person Centered Selling truly makes a difference from an average senior living to a fantastic senior living. It is about learning who they are.What makes them smile?What did they do for a living?What music do they enjoy?What foods do they love?Who are the important people in their life?What makes them feel comfortable?When we know the person behind the resident, we can begin creating a sense of belonging, not just care. And sometimes the greatest measure of success isnt the beautiful apartment or the activity calendar.Its when a family member says:I havent seen Mom this happy in a long time. That is priceless! That is when we know the transition is becoming a new beginning.From a senior living leaders perspectiveI have learned that families arent simply looking for a place for Mom or Dad.They are looking for peace of mind.They want to know their loved one is safe.They want to know someone will notice when something isnt right.They want their parent to have friends.They want to be a daughter or son againnot a full-time caregiver.And most importantly, they want to know:Will you love and care for my parent when I cant be there?That is the promise behind great senior living like Springwood Court. Because at the end of the day, we arent just helping someone move into a community.Were helping a family move into a new chapter and season of their life, one filled with support, connection, dignity and love.Fran Gray RNExecutive Director Springwood CourtAssisted Living12780 Kenwood LaneFort Myers, FL33907239-278-0078
Preventing Setbacks, Falls & Avoidable Hospital Readmissions: Helping Someone With Parkinsons Stay Safely at Home Part 4 of the PennDYNAMIC Care at Home Parkinsons Recovery & Wellness Series For a person living with Parkinsons disease, returning home after a hospital or rehabilitation stay can feel like a major victory. But families often have another concern: How do we keep Mom or Dad from going back to the hospital? This is an especially important question for someone with Parkinsons. Changes in mobility, balance, medications, nutrition, hydration, cognition and the ability to manage everyday activities can make an already complex condition even more challenging after a health setback. A fall, missed medication, poor nutrition, increasing weakness or an unnoticed change in condition can disrupt recovery and potentially lead to another emergency room visit or hospitalization. At PennDYNAMIC Care at Home, our post-hospital and post-rehabilitation approach is designed to help bridge the transition home, support continued recovery and help families recognize concerns before they become bigger problems. The goal is not simply to get someone home. The goal is to help them stay safely at home. --------------------------------------------------------------------------------The Revolving Door Families Want to Avoid Hospitalization can be particularly difficult for an older adult with Parkinsons. A person may return home weaker than before, less steady on their feet or with changes to their medications and daily routine. They may also be receiving instructions from several healthcare professionals. There may be follow-up appointments to schedule. Therapy recommendations to continue. New medications to understand. Dietary instructions to follow. Mobility equipment to use. Symptoms to monitor. Families are often expected to coordinate all of this while simultaneously helping their loved one adjust to being home. It can be overwhelming. This is where structured, coordinated support can make a meaningful difference. -------------------------------------------------------------------------------- PennDYNAMIC's LifeCARE Pathway is built around proactive, evolving care, while DYNAMIC NeuroWELL at Home provides specialty support for individuals with neurological conditions such as Parkinsons. Together, these approaches help families focus on an important objective: Protect the recovery and reduce preventable setbacks. -------------------------------------------------------------------------------- 1. Make Fall Prevention a Daily Priority Falls can be a significant concern for people with Parkinsons because the disease can affect balance, walking and movement. After a hospitalization or rehabilitation stay, weakness and reduced confidence can add to the risk. Fall prevention begins with understanding how the person functions in the actual home environment. Are pathways clear? Is there adequate lighting? Are there loose rugs or clutter? Does the person have difficulty getting to the bathroom? Are recommended mobility devices within reach? Is the individual trying to move too quickly when getting up? Does the person require assistance with transfers or walking? A caregiver can help maintain a safer environment and provide the level of mobility assistance identified in the client's care plan. But fall prevention should not mean eliminating movement. As we discussed in Part 3, unnecessary inactivity can contribute to further loss of function. The goal is: Safe movementnot no movement. -------------------------------------------------------------------------------- 2. Pay Attention to Changes in Function Families sometimes assume that every new difficulty is simply another symptom of Parkinsons. But a noticeable change from someone's usual level of function deserves attention. Perhaps Dad suddenly needs much more assistance getting out of his chair. Mom is walking differently than she did several days ago. A normally engaged client is suddenly sleeping most of the day. Someone who was eating independently is now struggling at meals. The caregiver does not diagnose the cause. Instead, the caregiver can play an important role by observing, documenting and communicating changes to the family and appropriate healthcare professionals. Knowing someone's normal routine makes it easier to recognize when something is different. That is one of the advantages of consistent care at home. 3. Support Medication Adherence Parkinsons medication routines can be important to a person's daily functioning. After a hospitalization, medications may have been added, discontinued or changed. Families should make sure they understand the discharge medication instructions and direct medication questions to the appropriate physician, pharmacist or other healthcare professional. PennDYNAMIC caregivers can provide medication reminders consistent with the client's care plan. They can also observe whether the person is having difficulty following established routines and communicate concerns appropriately. For complex clients, medication support is not about independently changing medications or making clinical decisions. It is about helping the established plan work in everyday life. -------------------------------------------------------------------------------- 4. Don't Overlook Nutrition and Hydration Eating and drinking may seem unrelated to preventing hospitalization, but they are important components of overall health and recovery. Someone returning from a hospital or rehabilitation facility may have a reduced appetite, fatigue or difficulty managing meals independently. Parkinsons may create additional challenges around mealtimes. PennDYNAMIC caregivers can support meal preparation, hydration and established dietary recommendations. Just as importantly, caregivers can pay attention to changes. Is the person eating significantly less? Are meals being skipped? Is drinking becoming more difficult? Has something changed about the person's ability to manage meals? Concerns can then be communicated to the family and appropriate healthcare professional. 5. Keep the Person Moving Safely Following a hospitalization, it can be tempting to encourage someone to take it easy for an extended period. Rest may certainly be necessary. But when healthcare and rehabilitation professionals have recommended movement, exercises or daily activities, consistency matters. PennDYNAMIC caregivers can help clients follow established recommendations from physical therapists, occupational therapists and other members of the rehabilitation team. That might mean helping the person safely participate in everyday activities or supporting completion of exercises that have been prescribed or recommended by the appropriate professional. -------------------------------------------------------------------------------- We do not replace rehabilitation. We help reinforce the recovery plan at home. The objective is to help protect the progress already made while supporting continued function. 6. Make Follow-Up Care Part of the Recovery Plan Discharge from the hospital does not mean medical care is finished. There may be follow-up appointments with a primary care physician, neurologist or other specialists. There may be therapy appointments. There may be changes in the care plan based on how the individual is progressing at home. For families already balancing careers, children and other responsibilities, coordinating all these moving pieces can become difficult. This is why care navigation and progress monitoring are important components of the PennDYNAMIC approach. The goal is greater continuity between what healthcare professionals recommend and what actually happens at home. -------------------------------------------------------------------------------- 7. Watch the Caregiver Too There is another potential crisis families sometimes overlook: Caregiver exhaustion. A spouse may be trying to provide around-the-clock assistance. An adult daughter may be working all day and then spending evenings managing medications, meals and personal care. A son living out of town may be trying to coordinate everything by telephone. Families can continue like this until something happens. The spouse becomes exhausted. The adult child misses too much work. Someone gets injured trying to transfer the person. Or the family reaches a point where it simply cannot continue. Professional caregiving is not only about supporting the person with Parkinsons. It can also provide critical support to the family system. A family that has appropriate help may be better positioned to make thoughtful decisions instead of waiting until exhaustion creates the next crisis. -------------------------------------------------------------------------------- Create a Parkinsons Stay-at-Home Plan Families can make their care plan more proactive by asking several questions: What usually causes problems for our loved one? What changes should we watch for? Who should be contacted when we notice a change? Are medications and follow-up appointments organized? Is the home environment as safe as possible? Are rehabilitation recommendations being followed? Is our loved one eating and drinking adequately? Is the family caregiver becoming overwhelmed? Do we have enough help at home? These questions move the family from reacting to problems toward anticipating them. -------------------------------------------------------------------------------- Know What Is Normal for Your Loved One One of the most useful things families and caregivers can understand is the person's baseline. What does a normal day look like? How does Mom usually walk? How much assistance does Dad normally need getting dressed? How much does he typically eat? How alert and conversational is she? What activities can the person normally complete? Once you understand the person's usual pattern, changes can become easier to recognize. A good care plan should therefore be dynamic. As needs change, support may need to change too. That principle is central to PennDYNAMIC's LifeCARE Pathway. -------------------------------------------------------------------------------- How DYNAMIC NeuroWELL at Home Supports Parkinsons Families PennDYNAMIC's DYNAMIC NeuroWELL at Home was created to provide coordinated, disease-informed support for people living with Parkinsons and other neurological conditions. Depending upon the individual's needs and established care plan, support may include: Personalized, disease-informed in-home caregivingFunctional fitness, movement and restorative supportMedication adherence and chronic symptom observationNutrition and mealtime supportNeurocognitive stimulation and memory supportEmotional well-being and family educationCare navigation and progress monitoringCommunication and collaboration with the healthcare team For families, this means having support that looks beyond individual caregiving tasks. The focus is on the whole person and the many factors that can influence the ability to remain safely at home. -------------------------------------------------------------------------------- The Best Hospital Readmission Is the One That May Be Prevented Not every hospitalization canor shouldbe prevented. Parkinsons is a complex condition, and medical emergencies sometimes occur despite excellent care. Home care should never replace necessary medical attention. But families can take proactive steps to reduce preventable setbacks. Support safe movement. Follow the established medication plan. Encourage adequate nutrition and hydration. Continue rehabilitation recommendations. Attend follow-up appointments. Watch for meaningful changes. Communicate concerns. And make sure the family has enough support. These actions may seem simple individually. Together, they create something powerful: A safer and more coordinated environment for recovery. -------------------------------------------------------------------------------- Home Should Be More Than the Place Someone Returns To For a person living with Parkinsons, home represents familiarity. Routine. Family. Memories. Dignity. Independence. And often, the place where the person most wants to remain. At PennDYNAMIC Care at Home, our goal is to help families protect that possibility. Through personalized care, proactive communication, disease-informed support and coordination with the individual's healthcare team, we help make home a place where recovery can continue and quality of life remains the priority. Because getting someone home is only the first step. Helping them stay safer, stronger and supported at home is the next. -------------------------------------------------------------------------------- Love Is Not Enough When You Are Dealing With Parkinsons Disease When someone you love is living with Parkinsons, you may find yourself constantly wondering whether you are doing enough, watching closely for the next fall or worrying about another trip to the hospital. You do not have to carry all of that responsibility alone. The right support can help your loved one remain safer at home while giving your family greater confidence and peace of mind. When someone you love is challenged with Parkinsons and you need assistance, please call PennDYNAMIC Care at Home at 610-467-7827. We would be honored to listen to your concerns, learn about your loved one's needs and discuss how PennDYNAMIC Care at Home may be able to support your family. PennDYNAMIC Care at Home Personalized. Coordinated. Expert-Led Care at Home. www.DynamicCareAtHome.com