Long-term care is going through a process of rebalancing in the United States shifting from institutional care to more home-based services, according to John Bowblis, professor of economics at Miami University in Ohio. In the last 10 years, theres been this push to try to get people long-term care in a home setting, and particularly their own home, Bowblis said. Home health aides play a very important part in allowing people to stay at home longer.1 However, the Home-Based Care Pain Points and Opportunities in 2022 report from Home Health Care News (HHCN) and AlayaCare found that 80% of surveyed home health and home care providers indicated they are turning away referrals due to employee churn and staffing capacity.2  The Cost of Quality: CaregiversClearly, attracting and retaining in-home caregivers has become a significant challenge in todays tight labor market. In order to meet the ever-increasing demand, wages need to rise to compete with non-healthcare jobs that require comparable education levels, such as customer service, retail or hospitality.  2021 Median PaySource: Occupational Outlook Handbook from the U.S. Bureau of Labor StatisticsHome Health and Personal Care Aides3$14.15 per hour$29,430 per yearCustomer Service Representative4$17.75 per hour$36,920 per yearInformation Clerks (e.g. Hotel Front Desk)5$18.01 per hour$37,450 per yearThe Cost of Quality: NursesThe Nurse Salary Research Report from Nurse.com,6 revealed that 25% of all nurse respondents (RNs, APRNs, LPNs/LVNs) indicated their salaries grew during the pandemic. In addition to the higher salaries reported by RNs and LPNs themselves, the overall cost of employing high-quality nurses for in-home health care also includes significant signing bonuses, benefits, training and general operating costs. But it wasnt just changes in the healthcare sector the entire U.S. economy experienced (and is still experiencing) soaring inflation. According to SHRM (Society for Human Resource Management), in May of 2022, we hit the highest inflation rate in 40 years, pushing wages up with bigger and more frequent pay raises for employees.7 While the overall inflation rate was reported at 8.6%, gas was up 48.7%, drastically affecting nurses and caregivers who help clients in their homes. Often driving up to 40 miles round trip to see a client, in-home providers arent able to work remotely like others in todays workforce.Home Care HeadwindsThe industry-wide staffing challenge is quantified in HHCNs Pain Points report, which polled 145 home health and home care providers between December 15, 2021 and January 10, 2022. Recruiting and hiring followed by employee retention and churn are the top business inefficiencies reported by home-based care providers. As you can see by the chart below, turnover rates have increased each year.  National Average Turnover Rates8 201920202021Registered Nurses20.55%25.85%32.25%Home Care Aides 36.53%38.05%Source: 2021-2022 Home Care Salary & Benefits Report from Hospital & Healthcare Compensation Service (HCS). The report is published in cooperation wiht the National Association for Home Care & Hospice (NAHC).Quality Care SolutionsHome care providers truly want to deliver the best care possible to their clients and their families, but the reality is that its costing employers more to recruit, hire and retain high-quality caregivers.2 As with many things in life, you get what you pay for, which is why its crucial for in-home care companies to offer compensation that attracts and rewards at-home caregivers. When nurses and caregivers are paid well and receive meaningful benefits, clients reap the rewards of high-quality, happy providers. Other ways to ensure that clients receive quality assistance at home include:offering robust training and development for caregivers,providing career paths for continued growth,investing in technology to improve the employee experience,creating a culture of connection and support for nurses and caregivers,utilizing contracted caregivers.Concerned family members are extremely appreciative of those friendly, skilled and helpful caregivers who assist their loved ones with activities of daily living so they can remain in their homes longer. We make it possible. BrightStar Care has made a commitment to hiring high-quality caregivers, providing them with extensive training and the clinical support they need each day. To learn more about our staffing solutions and how we can help you meet your organizations needs, please call 833-306-5142, visit brightstarcare.com/business-partnerships or reach out to nationalaccountsales@brightstarcare.com.  1 https://www.npr.org/sections/health-shots/2022/05/05/1095050780/a-shortage-of-health-aides-is-forcing-out-those-who-wish-to-get-care-at-home2 https://homehealthcarenews.com/ebook/top-opportunities-and-pain-points-in-home-based-care/3 https://www.bls.gov/ooh/healthcare/home-health-aides-and-personal-care-aides.htm4 https://www.bls.gov/ooh/office-and-administrative-support/customer-service-representatives.htm5 https://www.bls.gov/ooh/office-and-administrative-support/information-clerks.htm6 https://www.nurse.com/blog/wp-content/uploads/2022/05/2022-Nurse-Salary-Research-Report-from-Nurse.com_.pdf7 https://www.shrm.org/resourcesandtools/hr-topics/compensation/pages/annual-inflation-hit-40-year-high-in-may.aspx#:':text=U.S.%20Inflation%20Rate%20Reaches%208.6%25%20in%20May%2C%20a%2040%2D,Year%20High%2C%20Pushing%20Wages%20Up&text=The%20U.S.%20inflation%20rate%20reached,raise%20wages%20to%20keep%20pace.8 https://www.homecaremag.com/news/study-home-health-rn-salaries-turnover-increase

A stroke can be a life-changing experience for the survivor and their family. Strokes vary in type and severity, but many people have been where you are nowfacing difficulties with mobility, vision, speech, swallowing, cognition, and daily functioning. Making progress after a stroke can feel overwhelming, but with the proper rehabilitation, seniors can regain their strength, courage, and independence over the coming months and years. Learn more about stroke in seniors and how to stay safe at home during stroke recovery with tips from BrightStar Care. Recovering from a Stroke at Home Determining the appropriate level of aftercare is vitally important. Some people benefit the most from in-patient rehab. Others are allowed to return home immediately following discharge from the hospital. Either way, any long-term recovery plan eventually includes at-home rehabilitation. It may be comforting at first to return home to a familiar environment, but life may not return to normal. Things that used to be easylike getting dressed, using the bathroom, cooking, and cleaningmay be more difficult now. Rehabilitation may include visits to an out-patient medical facility, but much of the recovery can take place right in the living room. Follow these tips to safely recover from a stroke at home. Preparing your environment is a simple way to prevent falls after a stroke. Clear a path to the bedroom, bathroom, and kitchen and avoid slick surfaces. Remove loose carpets or runners or secure them to the ground to improve traction. If you have stairs in the home, use the handrails at all times.Make Changes to the Living Environment Little changes can make a big difference. Heres what to try: Remedy critical dangers like making sure the water temperature isnt too hot Remove slipping, tripping, and balance hazards. Keep everyday items on the kitchen counter for easy access. Simplify bedding in the sleeping area. Increase bathroom accessibility with grab bars, a walk-in tub or shower, and a comfort-height toilet seat. Post a list of emergency contacts in a prominent location. Take Steps to Prevent Another Stroke Having a stroke increases your risk for another. Some causes of stroke in seniors are beyond your control. For instance, once you turn 55, the odds double every decade. Women also have a higher risk than men, and African-Americans have more strokes than Caucasians. Even so, lifestyle changes can make a big impact on the long-term health of a stroke survivor. Heres how to minimize the risk of having another stroke: Quit smoking, vaping, and using tobacco. Manage high blood pressure. Increase daily physical activity to prevent weight gain. Manage existing diabetes. Avoid food high in trans fats, saturated fats, and cholesterol. Do Post-Stroke Exercises For recovering stroke survivors, physical activity can make the difference between remaining dependent and gradually gaining independence. Please talk to your doctor before doing these post-stroke exercises recommended by the American Stroke Association.  Bridge weight shifts: Lie on your back with your knees bent and feet hip distance apart. Lift your hips toward the ceiling so your shoulders, hips, and knees are in a straight line. Holding your arms out for support and keeping your hips level with the floor, shift your weight slowly from the left leg to the right leg. Return to the starting position and repeat the exercise until your legs become tired. Mini lunges: Start in a standing position with your hands on the hips. Step forward with one foot and bend your knee slightly, keeping your hip, pelvis, knee, and ankle in a straight line. Return to the standing position and repeat eight to 10 times on each side. Swiss ball weight shifts: Sit in a chair with an exercise ball between your knees. Scoot to the front of your seat and put your hands on the ball. Roll the ball away and bend forward until your elbows touch the ball. Return to the starting position and repeat eight to 10 times. Then, roll the ball out at an angle on the right side eight to 10 times, followed by eight to 10 times on the left side. Crumpling a piece of paper: Sit at a table with a piece of printer paper in front of you. Pick up the paper and crumple it with both hands, keeping your shoulders down and back. Then, uncrumple the paper using the same two-handed technique. Consider Arranging In-Home Stroke Care for Seniors Some stroke survivors feel comfortable handling daily tasks independently. For others, hiring a non-medical in-home care provider may be necessary. This ensures your loved one has long-term, comfort-focused assistance with dressing, personal hygiene, light housekeeping, and meal preparation. Arranging in-home personal care services can improve senior health and safety after a stroke. Heres how: Reduce the risk of slips and falls: Mobility limitations and increased fatigue raise the risk of an accident. A care professional can help seniors safely navigate the stairs, use the bathroom, and get in and out of bed. Assist with household tasks: Physical and cognitive limitations can make shopping, cooking, driving, and housekeeping more difficult. A caregiver can take over these tasks or arrange services like grocery delivery and transportation to appointments. Offer reminders: A stroke survivors rehabilitation may involve taking medication, performing at-home exercises, or attending medical appointments. An in-home care provider can remind seniors to do these things at the allotted times. Stick to dietary recommendations: Difficulty eating and swallowing are common concerns after a stroke. Having a caregiver there to prepare prescribed foods and monitor your loved one at mealtimes ensures proper nutrition and food safety. Watch for signs of another stroke: One in four stroke survivors have had a previous stroke. Care professionals know to watch for signs of stroke in seniors and call 911 for help if necessary. Choose BrightStar Care If youre looking for in-home care for seniors previously suffering from a stroke, turn to BrightStar Care. We are committed to providing A Higher Standard of Care by only hiring caregivers who exemplify compassion and empathy. Then, we match them to you based on your personality and lifestyle. For added peace of mind, we also have skilled nursing care available if you need assistance with medical machinery, medication management, wound care, and other nursing services. To learn more about our offerings, please contact us at 866-618-7827.