Connecticut - Southern

Exploring options for an assisted living facility can be daunting. Potential residents and families often become overwhelmed with all the options that are becoming available. One may wonder what the differences are between a retirement community, an assisted living community, enriched housing, a memory care community and a skilled nursing facility. What do they all mean?A Continuum of Care community is one that partners with levels of care on their campus as people age or become more compromised. It often begins, but not exclusively, with a retirement community. Within the community will be an Assisted Living component and a skilled nursing component. As the resident needs more help, they are moving within the community with the support of a comprehensive healthcare team that knows them well. This has become the trend in long term health care.The advantage to living in such a community is the promise of caring for your loved one through their elder years. The care team is always available to provide help and support not only to the family and the resident, but to one another, so as to offer the best possible person centered care. Another advantage is that the residents care community remains the same. This is convenient for them as well as their family members.Many assisted living facilities that are not a part of a continuum or campus of care refer to particular skilled nursing facilities. Be sure to ask what their policies are in terms of criteria for discharge and support during the process. Do not be afraid to ask these questions as they pertain to the care and well being of your loved one. Most facilities arevery helpful and have staff that specifically help with transitioning.A Campus of Care or a Continuum of Care Community is the most convenient and often the best option when looking for a residence for your loved one. As people are living longer and healthier into their elder years, this safety net may be just what most offers the security families need.This article was submitted by Maria Scaros-Mercado, Executive Director at The Greens at Greenwich, 203-531-5500 and Ship Hajdari, Community Outreach Nurse Liaison at Greenwich Woods Rehabilitation & Health Center, 203-531-1335.

For those individuals who will need home care services and are in the process of a Medicaid spend down, consider an agency that you are able to transition to once you meet your income limit?To maintain continuity, one may consider a non-medical home care agency that provides services for both private pay and Medicaid home care clients. When you contract with an agency consider the issues that may arise once the spend down is complete. If your agency has not been credentialed by the Department of Social Services, you will be required to move to a home care agency that participates in the Medicaid waiver funded home care program (Connecticut Home Care Program for Elders (CHCPE).This transition can prove to be very disruptive to your loved one receiving care. For example, a key problem is lack of continuity. The care that has been provided is disrupted and the care will now be delivered from a range of unfamiliar caregivers. From the perspective of an elderly who may have short-term memory impairment and fears change, this can be very confusing. Your loved one typically develops an emotional bond with the caregiver that has been providing services. A bond is developed and a communication style is created fostering a sense of calmness. In addition, a daily routine is developed. The routine may include anywhere from eating breakfast and getting dressed in the morning, to assisting your loved one with their evening schedule.As the elderly population continues to grow, and life expectancy increases, these decisions should factor into heavily to assure a seamless home care transition for your loved one.Editors Note: This article was written by Mary Ellen Leviness (Care Manager) and Joe Campano, Care (Managing Partner) of Compassionate Care at Home. They can be reached at 203-433-4325.

The skin is the largest organ in the body, and as we age, it can show the most visible changes that our bodies go through. While maintaining healthy skin is important at every age, it is especially important in skin care over 60, as the skin starts to wear down with age.November is National Healthy Skin Month, and its time to talk about elderly skin care. These skin care topics of interest can range from protecting and preventing skin cancer to how the skin ages and thins and creating a healthy skin care routine to use daily.The Natural Occurrence of Thinning SkinAs skin grows older, it tends to lose elasticity and functions differently. Common skin concerns for mature skin include wrinkles, sagging skin, dry skin and age spots. In addition, natural wear on the skin includes the suns rays wearing down collagen and elastic fibers in the middle skin layer, known as the dermis, also known as thinning skin.The thickness of men's skin is approximately 20% greater than that of women, primarily attributed to elevated levels of testosterone. While both men and women experience a decline in collagen production as they age, women undergo a more rapid loss, particularly following menopause. The decrease in estrogen during menopause contributes to a thinning of women's skin and collagen layers.As elderly skin thins, it makes the small blood vessels near the surface more delicate, which can lead to easy bruising in the elderly. A minor impact on thinner skin can result in a bruise. As blood seeps from the vessels, it creates a bruise that appears black and blue, through shades of yellow, green and finally brown as it starts to fade. The mark disappears when the body reabsorbs the blood, with the healing process potentially taking longer as one ages.You can reduce the risk of bruising on elderly skin by moisturizing, wearing long pants and sleeves to cover the skin, and avoiding certain medications such as steroids and blood thinners. Before stopping any medication, consult your doctor about bruising and seek their advice on how you can reduce your risk of bruises. If bruising does occur, utilize cold compresses first, and then apply warm compresses to motivate circulation in the skin.Preventing Skin CancerIn addition to the visual benefits of healthy skin, taking care of your skin is important to avoid skin cancer the most diagnosed cancer in the United States but also the most preventable. According to the National Council on Aging, most skin cancer is diagnosed after age 65. Melanoma, which is the deadliest type of skin cancer, is commonly diagnosed between ages 65 and 74. It is estimated that less than half of all older adults wear daily sun protection or take no precautions, especially on sunny days.Protecting your skin from powerful sun rays is very important throughout your lifetime, but daily sunscreen application is especially important as you age and important during all seasons of the year. Used daily in your younger years, daily sunscreen application is the key to prevent premature aging effects on your skin.Here are some ways to reduce your risk of skin cancer and to keep youthful, radiant skin:Wear a daily sunscreen with at least a 30 SPFUtilize sunglasses and wide-brimmed hats while in the sunAvoid the sun during the peak daylight hours (10 am 4 pm)Create a Healthy Skin Care RoutineBuilding a healthy elderly skin care routine starts from within your body. Lifestyle factors and behaviors, along with genetics and daily habits, can help your skin age gracefully. Here are a few:Cleansing: Daily cleansing for the type of skin that you have.A balanced diet: What we eat directly affects our skin. At Anthology Senior Living communities, such as Anthology of Edmonds, our signature Entice Dining program caters to the nutritional needs of seniors and helps promote healthy habits.Hydration: Drink plenty of water to keep your skin hydrated.Moisturizing: In addition to hydrating your body from the inside, make sure to moisturize to keep your skin soft and supple and less at risk for breaking open.Exercise: Even light exercise can promote circulation throughout the body. Exercise activities at Anthology of Novi include walks around the community and in outdoor areas to boost mood and Vitamin D through sunlight.Sleep routine: Getting enough sleep and sticking to an adequate sleep routine can help slow the effects of premature aging.Stress management: Doing your best to control your stress level can help prevent unsightly changes in your skin. Caregivers at Anthology of King of Prussia work to help ease the burden of stress through their amenities and weekly activity calendars to help promote wellness.Skin Care Products to Use on Mature SkinDaytime and nighttime routines with skin care products can help keep mature skin more radiant and youthful looking. Investing in elderly skin care products does not have to be overwhelmingly expensive starting with a basic routine can be affordable. When looking for anti-aging skin care products, pay attention to ingredients that are made especially for mature skin.Best treatments for 60-year-old skin and above include:Vitamin C: This mineral promotes collagen productionRetinoids: This ingredient can maintain smoother skin and work to hide fine lines and wrinkles in the complexionHyaluronic acid: Using this will help boost skin hydration from the outside inPeptides: Keep skin flexible and elastic, allowing it to look and feel plump and youthful Remember, aging is a natural and inevitable process, and adopting a positive mindset can significantly contribute to aging gracefully. At Anthology Senior Living communities like Anthology of King of Prussia, Anthology of Novi, Anthology of Edmonds and Anthology of The Arboretum, resident life is surrounded by positive mindsets and activities such as exercise, socialization with others and more working the mind, body and spirit are all a part of aging beautifully. As part of our Elements Life Enrichment program, both physical and cognitive needs are met through a robust calendar of activities. While aging skin can often be met with a negative connotation about getting old, our skin tells the story of our lifetime and its possible to age gracefully and beautifully by taking care of our skin throughout our lives. Its never too late to start investing in your skin!

As our loved ones age, our concern with their ability to manage the tasks of daily life safely at home increases. Most seniors prefer to stay in their own home and maintain their independence for as long as possible. However, the idea of accepting help at home can be met with great resistance. One approach that can be very effective is to suggest that having a home care agency come in for a few hours a day, will give the rest of the family peace of mind knowing that their loved one is safe. Seniors are often willing to make a change that they feel will benefit others before they would consider their own personal benefit. It is usually a good idea to include a senior in making a selection on what agency to use as well. Including them in the process is empowering. In addition, presenting the idea that home care is a well- deserved luxury rather than a decision that is being forced can make a huge difference in the outcome.The good news is that there are many home care agencies to choose from that help make this all possible. When choosing home care, it is important to look for an agency that will focus on specific needs. Initially, a thorough client assessment should be made by the agency; including notes on specialized care with possible conditions such as dementia, Alzheimer's, stroke and post-surgical care to name a few. Careful thought should be given to arranging a caregiver with the right personality and skill set. Finding a good match will help to ensure success. Last but not least, ask about background checks on caregivers and make sure caregivers are bonded and insured.Often, after a few scheduled visits with a caregiver, the elderly family member will begin to look forward to the regular social interaction. They will find relief in no longer struggling with tasks such as bathing, dressing, incontinence issues and grooming. They will enjoy the new opportunities that come with a companion who can accompany them on walks, help them prepare their favorite meals and assist them in getting to medical appointments and to do errands. The family will have the opportunity to experience joy in their time together rather than dealing with stresses they were previously faced with.Editors note: This article was written by Robin Savoie Zack and Michael Savoie, owners of Executive Care located at 3476 Main Street in Stratford. Executive Care offers affordable hourly and live-in rates. They can be reached at (203)690-1963.