The Impact of Home Care on Stroke Patients

According to the American Stroke Association, stroke is the leading cause of adult disability in the United States. Tragically, it’s also the fifth-leading cause of death, with about 160,000 people in the U.S. dying from stroke-related issues each year. It’s clear that the effects of a stroke can be devastating for individuals and their families, robbing them of time together and independence.

Specialized Home Care Services to Help Prevent or Manage a Stroke

However, some more encouraging news is that there are ways to either prevent or manage a stroke – and that’s where home care support can play an important role. To help decrease the chances of suffering a stroke, caregivers can provide the following home care services to assist older adults:

  • Manage risk factors, like monitoring high blood pressure or scheduling doctor’s appointments to check cholesterol, in addition to picking up prescriptions and providing transportation.
  • Improve one’s diet by preparing meals in accordance with a plan set by a doctor, home health nurse, or nutritionist, such as low sodium, low cholesterol, low fat, vegetarian, or vegan.
  • Encourage physical activity and healthy habits by promoting regular exercise, healthy eating, and getting enough sleep.
  • Provide emotional support and help manage stress by asking clients about what kind of aid they need and then providing that support.

At the same time, when an unfortunate event does occur and someone suffers a stroke, a care plan can be developed to help the stroke patient regain the highest possible degree of independence and quality of life at home.

Caregivers can assist stroke patients in many ways, including:

  • Providing practical, emotional and recovery support, such as helping with tasks like shopping, cooking, medication reminders, and personal care.
  • Encouraging stroke patients to work toward recovery, including assistance with at-home exercises.
  • Monitoring the behavior of stroke patients to help ensure safety and prevent falls.
  • Coordinating medical appointments
  • Helping with memory issues and anxiety.

Unsurprisingly, there is a level of uncertainty for how long the effects will last, or whether abilities will improve with time, which makes determining whether a stroke patient remains at home very difficult. Fortunately, caregivers have experience and are familiar with the many situations where a stroke survivor might require support, ultimately providing the stroke patient and their family with some respite and peace of mind.

A Leading Home Care Resource

As one of the oldest and most well-respected home care resources in Maryland and Washington, D.C., Family & Nursing Care’s mission is to help older adults, including stroke patients, maintain their quality of life as they age. For more than 55 years, we have helped tens of thousands of families by providing access to a network of over 1,500 experienced Caregivers who assist with activities of daily living, mobility, errands, meal prep, and companionship, in addition to more specialized support, such as stroke, cancer, Alzheimer’s disease and dementia, Parkinson’s disease, hospice and palliative care, pneumonia, heart disease, and depression. With only the top 8% of Caregivers who apply meeting the organization’s rigorous screening process, Family & Nursing Care’s specially trained Caregivers can provide home care support and assistance to stroke patients and their families.

To learn more about Family & Nursing Care’s leading home care services and support for stroke patients, call us at 800-588-0517 or visit the Home Care and Stroke page on our website.

What is Home Care and Why is it so Important for Older Adults?

For many older adults, they often face the difficult decision of where to live and enjoy their golden years to the fullest. Fortunately, several options exist, from moving into nursing homes and senior living communities to downsizing their space, but the most popular choice remains staying right at home. In fact, according to an AARP study, 77% of people over the age of 50 prefer to age in place. While this is a great idea for many people, successfully aging in place requires careful planning, including decisions about additional help in the home with safety, mobility and daily activities at the forefront.

So how do you choose what type of senior care you need to maintain your quality of life at home? The two most common options available are home care and home health care. While one might think this is the same thing, there actually are some key differences and important considerations when deciding how to manage your in-home care needs. Read more below to see these distinctions and help you determine the support that fits you best.

Home Care vs. Home Health Care Services

Home care, also known as private duty home care, provides non-clinical assistance to help older adults maintain their independence at home. This includes personalized, daily living support, including home care services like running errands, transportation to appointments, grocery shopping, meal preparations, grooming and dressing. Home care may also include companion care, mobility assistance and managing chronic health conditions, such as diabetes or Alzheimer’s disease.

Home health care, on the other hand, involves medical services being provided to older adults in the comfort of their own home. This type of support is similar to the care received at a hospital or a skilled nursing facility. Home health care services include physical, occupational or speech therapy, post-surgery health monitoring, wound care, catheter care, IV administration, pain management, and nutrition services.

Eligibility

Home care can continue for as long as someone wants based on their budget and individual needs. Home health care, however, may require a doctor’s order and is often recommended for people with chronic conditions, those recovering from surgery, or older adults with serious diseases and conditions.

Providers

Home care services can be performed by people who are not licensed medical professionals, like certified nursing assistants, but home health care services must be performed by licensed healthcare professionals, such as a registered nurse.

Costs

Since home health care is prescribed by a physician, many expenses for these clinical services and medical equipment are Medicare-eligible. However, to qualify for home health care Medicare coverage, older adults must be deemed “home bound” by their doctor. Home health care is also only rendered on a short-term, intermittent basis. Additionally, Medicaid is another federally funded program that can be used to pay for some home care services that Medicare does not cover. Ordinarily, there is a long application and qualification process to begin Medicaid services since it’s based on financial need.

Conversely, private duty home care is paid for privately by older adults and their families, either out of pocket or from a long-term care insurance policy. Because of this, there are no eligibility requirements, and anyone is free to use the service on a short-term or long-term basis. In addition, there is the flexibility to match clients with caregivers based on skills, preferences and overall compatibility.

What Type of At-Home Care is Best for You?

As mentioned above, the type of at-home care needed varies from person to person. While home health care is better suited for older adults who need in-home nursing services for medical assistance, private duty home care is more flexible and can be a great way to support everyday activities on a short or long-term basis. Private duty home care may also be an ideal option for older adults following:

  • Discharge from a hospital or rehabilitation facility
  • Decline in mobility or independence
  • A fall
  • Loss of a companion
  • Relocation of an adult child or family caregiver

A Leading Home Care Resource

As one of the oldest and most well-respected home care resources in Maryland and Washington, D.C., Family & Nursing Care’s mission is to help older adults maintain their quality of life as they age. For more than 55 years, we have helped tens of thousands of families by providing access to a network of over 1,500 experienced Caregivers who assist with activities of daily living, mobility, errands, meal prep, and companionship, in addition to more specialized support, such as diabetes, cancer, Alzheimer’s disease and dementia, Parkinson’s disease, hospice and palliative care, pneumonia, heart disease, stroke, and depression.

To learn more about Family & Nursing Care’s leading home care services and how it can help older adults age with dignity, call us at 800-588-0517 or visit our website.

The Importance of Home Care for Older Adults Living with Diabetes

According to the Centers for Disease Control and Prevention (CDC), more than 1 in 10 people in the United States are living with diabetes. What’s more troubling is the percentage increases as people age, with nearly 30% of those 65 or older having diabetes. This is particularly concerning since older adults are more likely to develop diabetes-related complications, such as heart disease, kidney failure, and hypoglycemia.

Specialized In-Home Care for Diabetes Patients

While there is currently no cure for diabetes, some more positive news is that the disease can be effectively managed with medications and a change in diet and exercise. To help establish a healthy lifestyle and manage blood sugar and insulin levels, home care offers a solution to lessen the impact of diabetes on one’s health and well-being.

Caregivers can provide the following home care services to assist older adults with diabetes:

  • Preparing meals in accordance with a plan set by a doctor, home health nurse, or nutritionist, such as low sodium, low cholesterol, low fat, vegetarian, or vegan.
  • Managing health care, including scheduling doctor’s appointments, picking up prescriptions, and providing transportation. Caregivers can also learn about the diabetes patient’s medications, supplies, and equipment, such as blood sugar monitors and test strips.
  • Monitoring health, including blood sugar levels and checking for signs of problems like wounds that aren’t healing. They can also help with foot care, such as checking toenails for swelling or signs of infection.
  • Promoting healthy habits by encouraging regular physical activity, healthy eating, and getting enough sleep.
  • Providing emotional support by asking the diabetes patient about what kind of aid they need and then providing that support.

Diabetes patients who would benefit from home care the most are those with frequent hospital admissions, diabetic wounds or foot ulcers, multiple new medications, or underlying disease processes that may contribute to poor diabetic control.

A Leading Home Care Resource

As one of the oldest and most well-respected home care resources in Maryland and Washington, D.C., Family & Nursing Care’s mission is to help older adults, including diabetes patients, maintain their quality of life as they age.

For more than 55 years, we have helped tens of thousands of families by providing access to a network of over 1,500 experienced Caregivers who assist with activities of daily living, mobility, errands, meal prep, and companionship, in addition to more specialized support, such as diabetes, cancer, Alzheimer’s disease and dementia, Parkinson’s disease, hospice and palliative care, pneumonia, heart disease, stroke, and depression.

With only the top 8% of Caregivers who apply meeting the organization’s rigorous screening process, Family & Nursing Care’s specially trained Caregivers can provide home care support, education, and assistance to diabetes patients and their families.

To learn more about Family & Nursing Care’s leading home care services and support for diabetes patients, call us at 800-588-0517 or visit the Home Care and Diabetes page on our website.

The Benefits of Home Care for Cancer Patients

While the number of cancer patients unfortunately continues to increase in the United States – with over 2 million new cases in 2023, which was up from 1.9 million in 2022 – some more optimistic news is cancer deaths are steadily decreasing, according to the American Cancer Society. In fact, since 1991, the number of cancer patient deaths has decreased by 33%. Several factors have led to this decline, including early cancer detection, treatment advancements, improved screening programs, and the decrease in smoking.

Specialized In-Home Care for Cancer Patients

Another important factor contributing to this improvement is home care for cancer patients. As hospital stays become shorter due to treatment innovations and changes in health care systems, cancer patients often still require specialized assistance as they undergo chemotherapy, radiation, and surgery. That’s where home care can play a critical role, with caregivers providing temporary and ongoing support so that loved ones remain safe at home.

Caregivers can help mitigate stress and make cancer patients feel as comfortable as possible through the following home care services:

  • Assistance with daily activities and personal needs, such as bathing, dressing, and mobility.
  • Housekeeping duties, such as cleaning, shopping, and cooking.
  • Arrangements for home care and services, like making appointments, providing transportation, and running errands.
  • Support for patients coping with nausea, anemia, pain, infection, and other complications.
  • Recognition and reporting of problems or new symptoms to family members.
  • Providing emotional support and encouragement to help cancer patients get through treatment plans and take other steps to get well, like eating healthy meals or getting enough rest.

The Benefits of Home Care for Cancer Patients are Not New.

In a 1989 study, McCorkle et al carried out a randomized clinical trial to determine the effects of home care versus typical office care for 166 patients with progressive lung cancer. Although there were no differences in pain, significant differences in symptom distress, social dependency, and health perceptions were reported. These results suggest that home care can alleviate some discomfort for cancer patients and help maintain their independence longer.

As one of the oldest and most well-respected home care resources in Maryland and Washington, D.C., Family & Nursing Care’s mission is to help older adults, including cancer patients, maintain their quality of life as they age. For more than 55 years, we have helped tens of thousands of families by providing access to a network of over 1,500 experienced Caregivers who assist with activities of daily living, mobility, errands, meal prep, and companionship, in addition to more specialized support, such as cancer, Alzheimer’s disease and dementia, Parkinson’s disease, hospice and palliative care, pneumonia, diabetes, heart disease, stroke, and depression.

To learn more about Family & Nursing Care’s leading home care services and support for cancer patients, call us at 800-588-0517 or visit the Home Care and Cancer page on our website.

Why Seniors Need Vaccines (and How They Can Get Them at Home)

By Emily Shewmaker, Pharmacist and Founder of Vaccine Valet, Chevy Chase, Maryland

Vaccine needle and vial

Why should you or your loved ones get vaccines, and what makes them so valuable to the health of older adults? With so much vaccine talk lately, questions like these have been on many people’s minds. It’s important that seniors and their families fully understand why vaccines are such an important part of healthy aging, as well as how and when they should be scheduling them.

Think of a vaccine as a personal trainer for your immune system. We hire personal trainers to assess, educate and create effective exercise programs that empower us to reach our health goals. Vaccines are similar in that they work by introducing the blueprint of a particular disease-causing agent, which our immune system then uses to recognize, minimize, and destroy potential exposures to that disease in the future. So, why should we get vaccines? To jumpstart our immune systems to be more efficient at eradicating these infections and viruses.

Many vaccines require subsequent boosters to help maintain the optimal level of protection needed. If the vaccine is like our personal trainer, then, these boosters are similar to the check-in’s we periodically have with our trainers to stay on course with our goals. These subsequent vaccine boosters are as important as receiving the initial inoculation, and the timing of them is key to sustaining the minimal response required to overcome the effects of preventable diseases.

So now that you know a little more about why you and your loved ones should be vaccinated, which specific vaccines are recommended for seniors? Below are the vaccines most often recommended for those ages 50 and older. There may be additional vaccines suggested depending on lifestyle, vaccination history, or other illnesses that may shorten the time intervals of receiving a booster.

Recommended Vaccines for Seniors:

  • Shingles: recommended for seniors age 50+; two doses 2-6 months apart
  • Pneumonia: recommended for seniors 65+; need to be vaccinated again if received younger than age 64
  • Tetanus: recommended for all seniors; booster is needed every 10 years
  • Influenza: recommended for all seniors annually; the adjuvanted (Fluad®) and the high-dose (Fluzone® High-Dose) versions are formulated and approved specifically for those 65 and older.
  • COVID-19: The CDC recommends that everyone age 6 years and older should get one updated Pfizer-BioNTech or Moderna COVID-19 vaccine to be up to date. People ages 65 years and older may get a second dose four or more months after the first dose.

We are quickly approaching the fall and winter seasons, the time of year when the influenza virus begins to circulate. As a preventative measure, the flu vaccine is highly recommended to mitigate the symptoms and severity of this virus. As we age, so do our immune systems – and they naturally begin to lose some of their strength in fighting off infection.

Vaccine Valet has formed a solid relationship with Family & Nursing Care over the years because we admire their expertise in providing quality, reliable in-home care and support – our own loved ones are actually clients! Vaccine Valet offers support to Family & Nursing Care clients and their families by offering vaccination services in the comfort of their own home. Family & Nursing Care does not receive any payment or services for clients who use Vaccine Valet’s services. To learn more about Vaccine Valet or to request an in-home vaccine appointment for yourself or your loved one, find us at www.vaccinevalet.com.

Kelly Salb, Vice President, Client Services, Named to Aging Media Network’s Future Leaders Class of 2022

Kelly Salb, Director of Client Services, Named to Aging Media Network’s Future Leaders Class of 2022
We are so proud of Kelly Salb, LBSW, Family & Nursing Care’s Vice President, Client Services, who was named to Aging Media Network’s Home Health & Home Care Future Leaders Class of 2022. Kelly works tirelessly on behalf of the clients she serves and is a true partner to the professionals she works with. Read more about this prestigious award here.

Kelly has learned over the course of her career that it’s important to meet people where they are in order to provide a better overall experience.  Read more of Kelly’s interview here.

To become a Future Leader, an individual is nominated by their peers. The candidate must be a high-performing employee who is 40 years old or younger, a passionate worker who knows how to put vision into action, and an advocate for seniors and the committed professionals who ensure their well-being. Please join us in congratulating Kelly on this amazing and well-deserved accomplishment!

A Special Bond – Family Linked not by Blood, but by Mutual Respect, Love, and Trust

Grace Rogers HeadshotThe relationship between Family & Nursing Care Caregiver, Grace Rogers, and the Pratt family began nearly a decade ago when Grace started caring for the late Mrs. Pratt. Following his mother’s Alzheimer’s diagnosis, Mrs. Pratt’s son, Peter Harris, received a referral for home care services from the family’s care manager at Aging Network Services, an aging life care management provider. Mr. Harris subsequently reached out to Family & Nursing Care. Grace was the first Caregiver who the family interviewed, and it didn’t take long for either party to know that it was a good match. Grace explained, “After the second question, the family could see that I clicked with them and asked me to begin work that same day.”

Grace has not only provided the highest level of care to both the late Mrs. Pratt and currently her husband Mr. Pratt, but also became an integral part of the extended Pratt family throughout the years. Mrs. Pratt and Grace grew very close over course of the seven years Grace cared for her until her death in 2020. Peter says, “They understood each other till the very end. It was almost like they had a nonverbal connection – Grace always somehow knew what my mother was thinking.”

Grace sometimes affectionately referred to Mrs. Pratt as “Mommy” because of the mother-like role she played in her life. And Grace’s dedication to the family is nothing short of  extraordinary – she even ceased travel to Africa to see her own family while taking care of Mrs. Pratt because she knew she was needed while Mrs. Pratt’s health was so fragile. Grace said, “I needed her to know that I was there and wouldn’t leave her when she needed me. She was my family too.”

Grace stayed on to care for Mr. Pratt after Mrs. Pratt’s passing and is just as devoted to his care as she was to that of his late wife. Peter finds great comfort knowing his stepfather is being well taken care of by Grace, and that the family can turn to the Family & Nursing Care team for questions and support. In addition, he is grateful for the support of Alison Carelli, Mr. Pratt’s care manager at Aging Network Services. Living on the opposite side of the country, Peter tries to visit to check in on Mr. Pratt every six weeks, but relies on Mr. Pratt’s care team to keep him apprised with clear lines of communication. He says, “The staff at Family & Nursing Care is professional. They give me a sense of confidence. When they are on the job, I know everything is going to be okay.”

Because of their tenure together, Mr. Pratt trusts Grace implicitly, and she is able be direct with him when needed. Alison said, “Grace is able to tell him how it is, and he receives it so well because of their long-term relationship. She knows what she’s talking about and cares very much about him, and he knows it too.”

This year, Grace’s mother became very ill, so she went back to Africa for a visit. Although Mr. Pratt received excellent care from a substitute Caregiver in her absence, the family noticed that he wasn’t eating as much. Anticipating Grace’s return, Mr. Pratt joked with his family saying, “Grace will cook me good food.” Sure enough, he was happy to have Grace back, as he demonstrated by beginning to eat better again.

The relationship between the Pratt family and Grace is truly a blessing to all parties. During the winter holiday season, the whole family, including Grace, come together to enjoy a native African holiday dinner that she prepares. Grace said, “It’s so nice to be included in their family in this special way.”

The Pratt family appreciates Grace for the care she has provided to Mr. and Mrs. Pratt over the years, and she appreciates them for trusting her to take care of each of them as if they were her own family.

There is no question that Grace puts her heart into everything she does, and the mutual love the Pratts and Grace have for each other has bonded them forever. It is bonds like this that encourage us at Family & Nursing Care as we continue to strive to solve aging adult challenges that families in our region face each day.