Connecticut - Southern

Infusion therapy services are planned before a patient leaves the hospital or doctors office in conjunction with a nurse liaison. The ordered drug is prepared at a specialized pharmacy and shipped directly to the patients home. A plan for administering intravenous treatments includes diagnosis, type and length of therapy, severity of the illness, and the home infusion responsibilities for the patient, their family, and professional caregiver. Home infusion calls for time commitment, patience, and collaborative teamwork, but the time will vary depending on the illness.Infusion therapies provided in a home setting by a registered nurse may include the following:Antibiotic Treatment often given over 30 to 60 minutes using an IV dripSteroid Treatment usually a 2 hour infusionIntramuscular Injections (IM) Vitamin B 12 or Bicillin injections typically for the treatment of Lyme Disease With the assistance of a registered nurse experienced in infusion therapy, patients can be assured that they will be cared for by a qualified professional who will recognize their unique requirements and attend to them resourcefully.One to one personal care allows time for the patient to be able to understand their diagnosis more clearly, ask questions freely without time constraint, get to know and feel comfortable with their nurse. Continuity of care builds a trusting relationship and a solid understanding of what home infusion is all about. It enables opportunities to engage/teach patients about their own health while looking at the whole picture and educate when and where it's needed. The ability to communicate with pharmacies and doctors to inform them of how their patients are doing first hand and if a problem were to arise is important so it can be handled in an appropriate time frame. Communication between patient, nurse and doctor is vital for a successful outcome.For a more detailed plan you can call/text Kimberly direct at (203) 515.3293 or Email any questions to: kimberlykares3293@gmail.com and/or go online to read and get more information at: kimberlykares4u.comThis article was submitted by Kimberly Cossuto, RN, BSN, owner of Kimberly Kares LLC, an experienced infusion therapy service working with families throughout Fairfield and Eastern Westchester Counties.

Share your wishesAfter the often hectic buzz and planning of the holidays, we need a little time to regroup, reflect and set new resolutions come January. Maybe you've planned the holidays, the gifts, the decorations and who gets the guest bedroom. Now its time to think about you. Do your loved ones know how you'd want to be cared for if you couldn't advocate for yourself due to a serious illness or injury? Do they know if you would want extraordinary measures including being on a respirator to keep you alive? Are they aware whether or not you want comfort measures, including aggressive symptom management, to keep you comfortable until death? The decisionsabout your treatment and healthcare should be yours.Plan for the What if?While we wish and dream for many things, its understandable that even thinking about death may make us uncomfortable -- and yet a dignified and peaceful death is what we wish for. That sense of discomfort is nothing compared to thestress you and or your loved ones could endure if you haven't shared your final wishes before you are unable to actively make a decision on your own behalf. Additionally, its important to appoint someone who will act for you if any medical condition or circumstance should occur where you cannot speak for yourself. A Simple Form An Advance Directive is a legal document which expresses these preferences. It can contain a Living Will, the naming of a healthcare representative or both. Surprisingly, its pretty simple and can be done in a matter or minutes perhaps some of the most important minutes you can spend to help yourself and your family. You don't need a lawyer or a notary, just a good form and a pen to sign the document in the presence of two witnesses.We Can HelpRegional Hospice and Home Care can help. Visit us at regionalhospicect.org and download a copy of Advanced Directives, What you Should Know. Or, you canemail us at info@regionalhospicect.org and we can send it to you. Make your preferences known while you can consciously and thoughtfully planthem. Make sure to prepare for unexpected healthcare needs and make those final weeks or days less stressful for you and your loved ones by sharing thesewishes now.Make a resolution to get those wishes defined and shared before the next holiday

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.

When an individual is diagnosed with Alzheimers disease or another type of dementia, it can be a confusing time. Family members, friends and the individual being diagnosed may wonder, what will happen next? What can I expect? What does it all mean?One of the most important things to remember as someone begins their journey through dementia is that the person inside still remains. However, family, friends, and caregivers, need to understand the disease and learn how to best interact with their loved one.Communication is a key area to focus on when interacting with individuals with dementia. Changes in communication that may occur include: Difficulty expressing their thoughts and feelings Having a hard time finding the right words Trouble understanding and interpreting what others are sayingCommunication can be challenging; and it is an important piece of our day to day life. When communicating with someone who has dementia, it is important to be supportive and help the person feel comfortable.In order to communicate effectively with your loved one, remember the following tips: Remain positive. You can help set the tone for a positive interaction. Being patient, supportive and upbeat is key. Offer comfort and reassurance. Smile! Shift the way you think about communicating. We are educated on using manners and always asking people How are you? But, for individuals with dementia this question may be difficult to answer. Instead, try saying Hi, its nice to see you. Call the person by name and introduce yourself. For example, try saying: Hi Mom, its your daughter Sara. This can eliminate confusion they may experience if they dont recognize you. Enter their world. Individuals with dementia often arent oriented to current place and time, and their short term memory is not what it once was. Instead, reminisce and revisit old memories. Avoid arguing, criticizing or correcting. If you disagree with something your loved one is saying, dont argue, it will only leave you both feeling frustrated. Go with the flow and dont try to correct what they are saying. Instead, validate them and lead the conversation in a different direction, if possible. Use short simple words and sentences. Simplify your words. This will allow for less information for your loved one to process. Encourage unspoken communication. We can communicate non-verbally as well, through our facial expressions and body language. A smile, a hug, or a handshake allows for positive expression without using any words.As your loved one journeys through dementia, understand that their brain is changing. Each person is unique and may react to things differently. The more you understand the more success you will have communicating with your loved one.Live in the moment, embrace the present and treasure the memories.Editors Note:This article was submitted byStacy B. Kesl, BA, CDPDementia SpecialistAthena Health Care SystemsStacy has over 10 years experience working in Dementia Care and loves educating staff and families on dementia.She can be reached at (860) 751-3900