<![CDATA[Blue Mountain Home Health Care Inc. - BLOG]]>Sat, 27 Jan 2024 20:57:34 -0500Weebly<![CDATA[Diagnosed with Diabetes? ]]>Sun, 14 Jun 2015 19:07:03 GMThttp://bmhhc.com/blog/diagnosed-with-diabetes You need to take Care of Your Kidneys to Prevent Diabetic Nephropathy. There's no denying that diabetes patients find their hands full when it comes to monitoring their blood glucose levels, being careful about their diet, and the timely administration of insulin, among other measures, that may appear a lot but they are also necessary. The reason has been that diabetes acts as a trigger for several other health issues such as nerve impairment, strokes, heart complications, and diabetic nephropathy.
Diabetic nephropathy, also known as diabetic kidney disease, is one of the more serious potential complication triggered by diabetes. Taking care of your kidneys can safeguard you from suffering this complication. Even patients who have been diagnosed with the condition can take certain measures to ensure the disease remains under control. 

What is diabetic Nephropathy?
Diabetic nephropathy is a complication in the kidney where its task to filter the blood is severely compromised. Left untreated, kidney disease degenerates into chronic kidney disease and ultimately may lead to a total kidney failure. 

In order to better understand this complication, it would be worthwhile to understand the job performed by kidneys in the human body. One of the two chief tasks of kidneys is to clean the blood through tiny blood vessels which act as filters, separating waste products from useful molecules like red blood cells. The waste products are subsequently ejected from the body as part of urine. The other regulatory job performed by kidneys is to maintain salt and water balance in the human body.  

Diabetes sabotages this bodily process of filtration as inflated levels of glucose in the blood cause the kidneys to filter blood beyond the usual amount. As a consequence, the blood vessels in the kidneys swell up. The swelling and choking up of filters make the kidneys leak, thereby compromising its ability to cleanse the blood.

Symptoms of Diabetic Nephropathy
One of the most distinctive features of diabetic kidney disease is the lack of any felt and visible symptoms, thereby making it hard to detect. Detection is possible only through a set of urine and blood tests. Since damaged kidneys cause leakage of protein into urine, doctors determine the existence of diabetic nephropathy by looking for protein levels in urine samples. In conjunction, they carry out a series of blood tests to determine the performance level of kidneys.

Preventing and Controlling Diabetic Nephropathy 
The probability of diabetic kidney disease is influenced in large measure by an individual's lifestyle choices as well as genetics. For example, individuals with elevated blood glucose levels, smoking habits, and excess weight have a higher chance of acquiring this disease. Likewise, individuals with a family history of kidney disease or high blood pressure also run a higher than normal risk of suffering this ailment.  

The first line of defense against acquiring this disease involves making careful and substantial changes to your lifestyle. To begin with, diabetes patients should take precautionary measures to ensure their blood glucose levels do not go beyond the prescribed range, especially for extended durations.

Equally importantly, diabetes patients should monitor their blood pressure levels and do their utmost to prevent it from going beyond 140/80. This can be achieved by making healthy lifestyle decisions including monitoring your salt intake, your weight, and abandoning smoking. Apart from lifestyle changes, medications such as angiotensin receptor blocker or related drugs can be notably helpful as they suppress protein levels in urine while keeping blood pressure in check.

While lifestyle changes and proper medications can significantly control or outright prevent diabetic nephropathy, patients should take care to periodically have their urine and blood samples checked. Since this disease sets in without obvious symptoms, constant monitoring on the part of patients assumes importance.
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<![CDATA[ Cerebral Palsy and Effective Communication ]]>Tue, 24 Mar 2015 14:46:02 GMThttp://bmhhc.com/blog/-cerebral-palsy-and-effective-communication Children with cerebral palsy and their parents live with unique and difficult problems to overcome with on a daily basis. The nature of the condition can mean simple things such as eating, using the toilet, and sitting up in a chair, present challenges which parents of able bodied children might take for granted. As a parent of a disabled child this can be a great cause of frustration. Gaining newfound independence is part of reaching milestones for young children that both they and their parents can celebrate.

But in a world which can seem ill equipped to accommodate those with severe disabilities, there is still hope. Technological advancement and human ingenuity regularly defy the odds to produce solutions to these problems - and improve quality of life, for parents and children living with cerebral palsy.

These include the 'Neater Eater', a smartly named device which when tailored to the individual's needs provides disabled children and adults with a system which allows them to feed themselves. In circumstances where this was previously not possible, the dignity and independence this can facilitate is immeasurable.

But perhaps the most frustrating and strenuous aspect of the condition for parents is communication. Around half of cerebral palsy sufferers have speech problems, and often their speech can be severely or entirely impaired. For your child to be unable to explain their thoughts, desires, or frustrations to you can create a barrier like no other within the bond of parent and child.

Step forward, once again, technology..

Incredibly, with the advent of 'Eyegaze' technology, there is scope for children with even severe muscle impairments and speech problems to 'talk' fluently. The equipment utilises a high quality camera on top of a screen to track the user's eye movements. Analysing where on the screen the user is looking 60 times per second allows the control of an array of buttons to form phrases and sentences. The hardware then converts the words into audio. Such accuracy and speed of processing  means that children who have never been able to speak to their loved ones are able to articulate their thoughts and feelings into words, using just their eyes.

A touching example of the miracle of such equipment is 12-year-old Lianna Bryant from Ohio in the United States. Before she started using Eyegaze she was non verbal, and communicated basic messages through eye and head movements. Now though, she is able to fluently and effectively express herself.

In one of several videos published documenting Lianna's experience, she tells her teacher, "I really do like it when you talk with me, but please, don't use baby talk with me, I like it best when you just speak to me like you do to the other 9 year old kids you know". That Lianna is able to so confidently assert her feelings, having been non-verbal for most of her life, is a testament to the liberating impact that this equipment can have on the lives of children with cerebral palsy as well as their friends and family.

Eyegaze technology is becoming more widespread in its use by disabled children, but the high price tag inevitably leaves many without such a lifeline. There is optimism however, for a future where equipment can be much more cheaply produced. In any case, Lianna's experience with Eyegaze serves as a beacon of hope that the barriers created by disability can be overcome.


























































































































































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<![CDATA[Could Your Back Pain Be Ankylosing Spondylitis?]]>Fri, 27 Feb 2015 19:03:52 GMThttp://bmhhc.com/blog/-could-your-back-pain-be-ankylosing-spondylitisAnkylosing spondylitis is a painful condition usually begins with lower back pain and can continue chronically for years into the future, sometimes becoming debilitating. Thinking back to your middle school math class, you'll remember learning the term axis, as in the X and Y axes on the coordinate plane or as lines of symmetry in various shapes. Basically, the axis is the midline of something, and the axial skeleton is much the same. The approximately 80 bones of the skeleton that are located in the middle of the body serve as the axis of the whole skeleton and include primarily the skull and the vertebrae of the spine. The rest of the skeleton is attached, or appended, to this axis and thus is called the appendicular skeleton. Together, they form the whole skeleton.
When this axial skeleton becomes inflamed, it may be because of ankylosing spondylitis. This painful condition usually begins with lower back pain and can continue chronically for years into the future, sometimes becoming debilitating.  It appears that this particular type of lower back pain or chronic inflammation from ankylosing spondylitis tends to run in families, but a specific genetic test for it is not available yet. However, MRI and X-ray and other diagnostic testing can be helpful. If you are diagnosed with this condition, you may want to consider alerting your other family members so that they, too, can be tested, since an accurate diagnosis is helpful with finding effective treatment. Other symptoms that can help identify the underlying cause can include problems with light sensitivity or vision issues, pain that is worse when resting, and prostate problems in men.

In fact, middle-aged and older men are at special risk for this unfortunate condition and should take seriously any long-term or chronic lower back pain they are experiencing. Unfortunately, this disease can be difficult to diagnose as it can appear to be rheumatoid arthritis or other conditions and it's common for patients to suffer for many years before an accurate diagnosis is achieved. It may be necessary to really keep after the physicians as you try to track down and identify the condition, since there is not a specific test that can easily identify it.

Effective treatment is critical because ankylosing spondylitis is a serious condition that can lead to hardening of the disks in the vertebrae which causes the spine to be stiff and rigid. In some serious cases, the spinal bones can completely fuse together, leading to many other concerns. Other risks include fracture, loss of mobility and ability to live independently, depression and chronic debilitating pain.
As always, knowledge is the key and learning more about ankylosing spondylitis is critical if you think you or someone you love may be facing this situation. Since it is less common than traditional rheumatoid arthritis, it's not always a physician's first thought to jump immediately to a diagnosis of ankylosing spondylitis and you may need to direct their attention to this as an idea to consider and worthy of further investigation. Consumers need to be active participants in their own health care today more than ever and this is no exception. Lower back pain can be caused by a long list of reasons but if you've been through all the usual suspects and still nothing seems to help, it's time to consider if ankylosing spondylitis might be the culprit.





















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<![CDATA[ Fall Prevention for seniors - A Critical Health Concern ]]>Fri, 23 Jan 2015 20:17:23 GMThttp://bmhhc.com/blog/-fall-prevention-for-seniors-a-critical-health-concernThe Centers for Disease Control & Prevention (CDC), lists falls as the single most common cause of injury. Although falls can affect people of any age, falls can lead to serious health consequences in the elderly. One-quarter of the seniors who experience a serious fall perish within the year, and one-half of seniors who fall must move to assisted living or other supervised care.
Preventing fall injuries can help to keep seniors active and independent for a longer period of time.  

The Effects of Falls Are More Serious for seniors
Though children often fall at playground during play, their injuries are generally minor. The elderly have greater physical challenges when they experience a fall. Osteoporosis, a thinning of the bones, can make their injuries more severe. Bed rest can also affect their health in many ways. Lack of activity can make muscles weaker and can cause shallow breathing, which can lead to pneumonia.  

Why Seniors Are Prone To Falls
Older people are more prone to falling because of a number of different factors. People over the age of 65 have weaker muscles and bones that are less dense. Their vision may be affected by cataracts or macular degeneration. They have more difficulty with balance. They may take medications that can cause dizziness. These effects can occur in combination, putting them at significant risk for falls.  

Hazards in the Home
Ordinary activities can increase the risk for falls in the home. Kitchen spills can lead to slipping and falling. Electrical cords to TVs and other electronic equipment can cause tripping hazards. Furniture may block traffic patterns in rooms. Items may fall on the floor without being noticed. Floor mats or area rugs can lift at the corners, causing trips and falls. Being alert to these hazards can help to make your home more fall-proof.

Hazards in Nursing Facilities
Patients in nursing facilities can also be injured by unexpected falls. Simple actions such as shifting their weight from a walker to a chair, or the chair to a walker, can result in an unexpected fall. The supervisors of these facilities should ensure that all walkers are equipped with non-slip feet and have a suitable braking mechanism to provide stability during these changes in position. Bathrooms should be equipped with safety bars and non-skid mats to prevent falls and injury. Hallways should be kept clear of hazards.  Special care should be given to lighting to allow residents to move about after dark without risk of injury.

How To Be More "Fall-Conscious"
To prevent falls in the home or other facility, residents must learn to monitor the premises for hazards that arise in the process of normal activity.

Clean up spills as soon as they occur.
Use double-sided tape to secure area rugs and floor mats.
Tuck electrical cords out of traffic paths. 
Provide good lighting for stairways and hallways.
Install grab-rails at toilet, bathtub and shower.
Have family members put away toys, games, hobby materials and other items that can cause fall hazards.
Remove snow and ice from stairways and sidewalks immediately.
Always wear good footwear that holds to feet securely.
Monitor older family members for medication side effects that could affect their balance.
These tips can help to keep seniors safe and healthy, allowing them to enjoy life on their own terms for as long as possible.

Useful links for more information:
Preventing falls at home
What can you do to prevent falls at home- Brochure 
Home fall prevention checklist




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<![CDATA[ 5 Tips to Lower High Blood Pressure Naturally ]]>Wed, 24 Dec 2014 22:57:47 GMThttp://bmhhc.com/blog/-5-tips-to-lower-high-blood-pressure-naturallyHigh blood pressure is dangerous because it raises the risk of stroke and heart attack, as well as kidney failure and cognitive decline. Medications that reduce blood pressure can cause side effects like insomnia and dizziness.
This article helps you out by offering a few proven ways to decrease high blood pressure naturally. 

  1. Reduce Your Waistline

Carrying extra girth around the waist can raise blood pressure. Men should ensure their waist measurement is less than 40 inches, and women less than 35 inches. If you are overweight and have a bulging waist, make the effort to shed the extra flab to bring down your blood pressure.

 2. Work Out Regularly

Exercise for at least 30 minutes every day to reduce your blood pressure. Even moderate workouts like light weight training and walking can be effective. In a study, hypertensive patients lowered their blood pressure by participating in brisk fitness walks. Exercise makes the heart function more efficiently and pump blood with less effort.

 3. Eat Healthy Foods

Reduce cholesterol and saturated fat, and include low-fat dairy items, vegetables, fruits, and whole grains in your daily diet. It is important to minimize sodium intake to decrease blood pressure. Nutritionists say hypertensive patients should limit salt consumption to less than 1,500 mg every day. Therefore, avoid foods like frozen dinners and potato chips as these are rich in sodium.

Maintain a diary to record your eating habits and their effect on your blood pressure. You can consult this diary every week and make changes as required to bring down your blood pressure. 

 4. Limit Your Alcohol Intake

Binge drinking has a dangerous effect on blood pressure and can cause other health issues too. Heavy alcohol consumption also lowers the efficacy of medications used to treat high blood pressure. Therefore, limit your alcoholic drinks to just one or two every day. It is recommended for heavy drinkers to gradually reduce their alcohol consumption to avoid drastic effects on their blood pressure.

 5. Practice Relaxation Techniques

Stress and anxiety are known to elevate blood pressure. Practice relaxation exercises like yoga, tai chi, or slow breathing to reduce the generation of stress hormones. In a study conducted at the University of Florence in Italy, hypertensive adults were able to decrease their blood pressure by performing slow breathing while listening to soothing music.

 In another study in India, patients suffering from hypertension were able to lower their blood pressure through yogic breathing methods. Meditation is another technique that can help you effectively manage stress and feel good every day.

 Conclusion

It is not always necessary to depend only on medications to treat high blood pressure. You can try out these suggestions to reduce your blood pressure in a safe and natural manner.

 

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<![CDATA[ Schizophrenia: A Debilitating Mental Disorder ]]>Sun, 30 Nov 2014 22:20:22 GMThttp://bmhhc.com/blog/-schizophrenia-a-debilitating-mental-disorderSchizophrenia is a highly debilitating mental illness which involves what are known as "positive", "negative", and "cognitive" symptoms.
Schizophrenic individuals have positive symptoms which refer to the thoughts and perceptions that normally functioning individuals don't have and negative symptoms which refer to the absence of certain mental processes and behaviors which normally functioning individuals do have. Cognitive symptoms refer to the loss of mental functioning that occurs in schizophrenia. Treatment of the positive symptoms of schizophrenia involves taking antipsychotics while treatment of the negative and cognitive symptoms involves rehabilitation as well as individual counseling. 

Positive Symptoms 

Hallucinations, which are a positive symptom, can affect all five senses; although auditory hallucinations are the most common. Schizophrenics who experience auditory hallucinations may hear voices that criticize their behavior and warn them against danger.  

Schizophrenics also experience delusions, which are another kind of positive symptom. These false beliefs that schizophrenics have are especially bizarre and can pertain to a number of things. One prevalent type of delusion is a delusion of reference. In this type of delusion, a schizophrenic individual may incorrectly interpret the occurrence of certain events as having some sort of personal significance for them. Another kind of delusion that schizophrenics experience are delusions of grandeur. The schizophrenic person who has this type of delusion may falsely believe that he or she is someone who is very important or famous.  Schizophrenics may also have delusions that they're being persecuted. Individuals who have these kinds of delusions may falsely believe that others are deliberately trying to harm them. 

Another positive symptom in schizophrenia is the disorder of thought. A person with a thought disorder might exhibit symptoms such as disorganization of thought which interferes with the person's ability to organize thoughts or link thoughts together logically. Alternatively, a person may show signs of thought blocking where he or she suddenly stops speaking in the middle of a sentence and fails to complete his or her thought; it is as if the thought is removed entirely from the person's brain. One more manifestation of thought disorder involves the creation of neologisms which make no sense.  

In schizophrenia, a person's movements may be disordered as well. For instance, schizophrenic individuals may repeat certain movements over and over. Or, they might exhibit catatonia by staying in a fixed position for a long period of time without moving. In general, schizophrenic individuals have a tendency to make movements that demonstrate a lack of understanding of the situation that they are in. 

Negative Symptoms 

One symptom that is commonly exhibited by schizophrenics is known as "flat affect" in which emotions are blunted. Schizophrenic individuals may exhibit symptoms of flat affect by showing no facial expressions and by talking in a markedly monotonous tone of voice. Individuals exhibiting negative symptoms of schizophrenia may also: participate in conversation minimally, be unable to initiate activities to participate in, have poor hygiene, and more generally, appear to lack interest in participating in life. 

Cognitive Symptoms 

Another aspect of schizophrenia is its cognitive symptoms. These cognitive symptoms involve problems with paying attention, working memory, and making decisions based on available information. Cognitive symptoms such as these ones make it very difficult for the schizophrenic to make a living. So in this respect, cognitive symptoms may represent the most debilitating aspect of schizophrenia. 

Treatment 

The treatment of schizophrenia usually involves antipsychotics as well as rehabilitation. Antipsychotics may be especially helpful for treating positive symptoms; however, they are not as helpful in treating negative symptoms. For the treatment of negative and cognitive symptoms, rehabilitation and individualized counseling are more effective. Rehabilitation programs often involve training patients for certain jobs and helping them develop communication skills. Individualized counseling may involve Cognitive Behavioral Therapy which addresses the irrational thought processes of the schizophrenic. Through Cognitive Behavioral Therapy, patients learn to disregard the voices that they hear and learn to identify irrational thoughts. 

A diagnosis of schizophrenia is a dire one; however, there are more treatment options available today than ever before. Today, there are many antipsychotics to choose from and there are options available such as rehabilitation programs that can offer help on many levels of the afflicted person's life. 

Citations 

Positive Symptoms. (n.d.). Encyclopedia of Mental Disorders 

Negative Symptoms. (n.d.). Encyclopedia of Mental Disorders 

Schizophrenia. (2014, January 24). Mayo Clinic 

Schizophrenia. (n.d.). National Institute of Mental Health.

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<![CDATA[EBOLA And How to avoid it]]>Sun, 26 Oct 2014 23:30:19 GMThttp://bmhhc.com/blog/ebolaand-home-health-care The Ebola Virus Disease (EVD) or Hemorrhagic Fever is spread through direct contact with an infected person's bodily fluids. This can include sweat, blood, feces, tears, or nasal discharge.  Just sitting next to a person who has Ebola will not necessarily transmit the virus to you unless you make contact with their bodily fluids. The good news is that you can't catch the illness from cooked food, or air (via sneezing or coughing, since someone in the beginning stages of Ebola does not cough or sneeze much), or water.
This contact can happen easily enough, however.  Just brushing your arm or bare leg up against someone who has Ebola can get his or her sweat onto your skin, exposing you to the virus. There are other ways this dreaded disease could be spread through bodily fluid contact with an infected person, especially if you are a health care worker.  

Of course, no one wants to catch Ebola.  It is worth knowing the facts about how it is spread, what the incubation period is, and how you can avoid or lessen your exposure to the disease.  

The incubation period from the time of exposure to the virus to the onset of symptoms is between 2 and 21 days. During that incubation time period, a person is not considered to be contagious. Contagion begins once symptoms have occurred.   

What Are Ebola Symptoms?
Ebola symptoms are similar to symptoms of the flu.  They include a sudden fever accompanied by fatigue, headaches, muscle aches and a sore throat. Secondary and more serious symptoms are vomiting, diarrhea, rashes, kidney and liver problems, and bleeding, either internally or externally.   

There is no proven cure for Ebola, but some effective treatments include fluids with electrolytes, oxygen, blood transfusions, immunotherapy and anti-viral drugs.  

How You Can Protect Yourself:  
There are many different bodily secretions that can carry the virus aside from the obvious ones mentioned above.  Other carriers can include saliva, urine, semen, breast milk, and vomit, for example.  

1.  If you live in an area where the infections have been reported, stay away from healthcare facilities, if possible.  Keep your distance from anyone who has symptoms of the illness, who looks feverish, is complaining of a sore throat and muscle aches, plus vomiting and/or diarrhea and other less common symptoms such as a cough, reddened eyes and hiccups.  

2.  As with any potentially infectious disease, hand-washing is essential. Wash your hands thoroughly and often, using anti-bacterial soap. If you should happen to touch a doorknob or sink handle that is contaminated, you can contract the disease. So wash your hands, then use a clean paper towel to turn the sink handle off, open the bathroom door, and then avoid touching your face just in case you did touch a contaminated surface.  

3.  Avoid shaking hands with people until the risk of spreading the illness is under control.  

4.  If anyone you know has come down with Ebola, keep your distance and insist they seek help as soon as possible.  Do not touch that person's bedding, mattress, clothing, surfaces, or utensils/dining-ware they have used.   

5.  While using a public toilet is unlikely to be a great risk for contracting Ebola, since someone showing symptoms is probably already in a hospital or suffering at home, it makes sense to avoid the use of public rest rooms or to take precautions by using a protective cover on the toilet seat or not letting your skin touch the seat.  

6.  Semen can carry the virus, staying in the system of someone who is infected for as long as 90 days after they have recovered. So, obviously, avoid sexual contact with anyone who has had Ebola for at least 3 months after they have gotten better.  

7.  If you take taxis or public transportation, it is possible that somebody may have contaminated a seat or door handle with infected fluids.  If you avoid touching your face, where infections can enter the body, and wash your hands after leaving public transport, you will probably not become infected.  

8.  If you do not have to fly to West Africa, do not go until the Ebola outbreak is under complete control. The second healthcare worker who was diagnosed with Ebola had just flown on a U.S. domestic flight the day before she was diagnosed.  This person was not yet showing symptoms while in flight, so passengers are not likely to have been infected, but this scenario may make many people reconsider flying on a plane until things have calmed down. Airline officials are now stopping infected persons or those with a fever from boarding flights, but keep in mind that somebody who is feverish may take a dose of aspirin or fever medication, bringing their body temperature down to normal, thus their illness becoming undetectable until it is perhaps too late.     

Healthcare workers will have much stricter guidelines to follow than the above to protect themselves from contracting Ebola.  If everyone is careful and the healthcare system is diligent in stopping the spread of the disease, the Ebola virus can be stopped in its tracks before it becomes a major outbreak in the U.S. Unless you are a healthcare worker who has been in direct contact with a patient suffering from the Ebola virus, it is unlikely that you will contract the disease.  The same is true if you are living with someone who has the virus -- the closer your contact with an Ebola victim, the higher your chances are of catching the virus.   

Although the probability of the Ebola virus spreading throughout the United States is highly unlikely, the media has blown the threat all out of proportion, inducing the general population into a frenzied state of panic. There is no need to panic, however. You simply have to follow general sanitary habits, as you would during flu and cold season. After all, there are more than 300 million people living in America, and only three people here have contracted Ebola thus far. The odds are exceptionally good that you will not catch the Ebola virus.

For more information is available at Center for Disease Control (CDC) or go to http://www.cdc.gov/vhf/ebola . Also following are some useful links to documents for convenience.

CHECKLIST FOR EVALUATION OF SUSPECTED EBOLA PATIENT:
http://www.cdc.gov/vhf/ebola/pdf/checklist-patients-evaluated-us-evd.pdf

SPECIMEN COLLECTION GUIDANCE FOR SUSPECTED PATIENTS:
http://www.cdc.gov/vhf/ebola/pdf/ebola-lab-guidance.pdf

COULD IT BE EBOLA?
http://www.cdc.gov/vhf/ebola/pdf/could-it-be-ebola.pdf

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<![CDATA[Home Health Care for Aging Parents]]>Thu, 25 Sep 2014 02:44:49 GMThttp://bmhhc.com/blog/home-health-care-for-aging-parentsIf you begin to notice signs of declining mental or physical health in your aging parent, it may be time to consider arranging for home health care. Caregivers can help your parent with light housekeeping, laundry, cooking, transportation and other tasks. Home health care can be the perfect solution for aging parents that wish to "age in place" in their own homes instead of an eldercare facility and provide peace of mind for their families.
Understanding Home Health Care Services
The concept of home health grew out of the tradition of families caring for their elders. As society changed and more people worked to support household, fewer family caregivers were available for this important work. Agencies that provided competent, compassionate care began to spring up around the country. These agencies became an important component in overall elder care. They are different from medical care agencies that provide nursing care for elders who require medical monitoring. The range of services provided by these non-medical caregivers has expanded to include both regular and respite care for families going on vacations or other trips out of town.

Services Provided
When interviewing home health care agencies, make note of the services they offer. Although you may need only a few services at the beginning, the elder may need additional help as time passes. Common home health care services include:
Light housekeeping
·           Cooking simple meals/monitoring diets
·           Help with bathing and dressing
·           Help with grooming
·           Shopping/errands
·           Transportation to appointments and activities
·           Companionship
·           Special monitoring for Alzheimer's care
Choosing A Home Health Care Agency
The agency should be licensed by the state and do thorough background screening of their caregivers. Check for proper certification and accreditation for the services that are offered. Make sure there is an effective method for communication between the family and the agency, a standard method to address problems and a reliable way to log hours for billing. Ask how caregivers are trained and what type of protocol is used in emergencies.

Billing and Contracts
A good home health care agency will have clear pricing of the services offered and a billing system that makes it easy to understand what is being charged. Some agencies require contracts for a period of time; others have no contract and provide the service on an ongoing basis for as long as the care is needed. Contracts can help to clarify the requirements of care, as well as the responsibilities of the agency. However, they are not always needed.

Preparing Your Parent To Receive Help
Have a frank discussion with your parent about the need for more intensive care. Point out the advantages of having someone coming in regularly to help with chores and provide simple monitoring of their condition. Schedule time together for more frequent "fun" activities you can do together such as lunch or a movie, so that the parent will know you are still available for them. Talk frequently about the caregiver and how they are getting along. Many times, a change of personnel is all that is needed to make the home health care relationship go more smoothly. Try Blue Mountain Home Health Care, Inc. We strive to meet or exceed our client's expectations. For more information, go to in- home living assistance (Private Duty Nursing) page. If you have a question give us a call at: (800) 935-6615



 


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<![CDATA[Atrial Fibrillation and the Risk of Strokes    ]]>Mon, 11 Aug 2014 10:53:53 GMThttp://bmhhc.com/blog/atrial-fibrillation-and-the-risk-of-strokesAtrial Fibrillation (AF) is a scary medical term for a condition that simply means irregular heartbeat. This condition may or may not show symptoms, but it can have a detrimental effect on cardiovascular health. A closer look at this condition shows how early diagnosis and treatment can prevent the damaging effects of strokes.
Atrial Fibrillation is a medical concern because it is associated with an increased risk for stroke. This is the type of heart arrhythmia that can cause the heart to beat too slowly, too fast or with an uneven rhythm. When electrical signals become disorganized, they can cause the upper chambers of the heart, called the "atria," to "fibrillate"--that is, to contract very quickly and very irregularly. The atria and the ventricles, and the lower part of the heart do not beat together properly and problems can arise. Symptoms for this condition may be intermittent or not present at all.

Incidence of the Condition
AF affects millions of people, with men being affected more often than women and whites being more frequently affected than Hispanics or African Americans. Atrial fibrillation is more common in people who have high blood pressure, coronary heart disease, mitral valve prolapse, pericarditis or congenital heart defects. Other medical conditions can contribute to the likelihood of atrial fibrillation, including obesity, diabetes, lung disease and hypothyroidism. Those with sleep apnea may contribute to this condition, as well. Patients who have had high-dose steroid treatments may also be susceptible to AF.

Signs and Symptoms of AF
If you have risk factors and experience any of these symptoms, see your doctor immediately for further evaluation:
· Chest pain
· Shortness of breath
· Palpitations, feelings of fluttering in the chest
· Dizziness
· Fainting
· Easy fatigue
· Mental confusion
Diagnosing Atrial Fibrillation
Because atrial fibrillation often has no symptoms, the condition may only be caught during routine physical exams. The pulse rate may be uneven or an EKG may show irregular activity. If AF is suspected, further tests, such as echocardiogram will be done. A stress test or event monitor can also detect arrhythmias.

Treating Atrial Fibrillation
Blood-thinning medication is the first line of defense against the blood clots that can threaten health and life in this condition. Regular blood tests determine how the medications are working and whether an adjustment in dosage is needed. Drugs to regulate the rate and rhythm of the heart may also be prescribed. Your doctor will find the precise dosage that is best for your particular needs. If necessary, catheter ablation can be done with radio waves to help restore normal rhythm in the heart.

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<![CDATA[Hip Fracture and importance of nutritional interventions ]]>Sun, 27 Jul 2014 04:11:53 GMThttp://bmhhc.com/blog/hip-fracture-and-importance-of-nutritional-interventionsThere are around 250,000 hospital admissions related to hip fractures in the US each year. Fracturing the hip is a serious injury, as it often has a significant impact on mobility and function, and due to complications increases the risk of mortality. While medical management and physical therapy is vital for a successful outcome following a hip fracture, the importance of nutritional interventions should not be overlooked.
Hip fracture and malnutrition

A hip fracture, particularly among seniors, increases the risk of malnutrition. Unintentional weight loss is likely due to the increased energy requirements that occur following trauma and surgery, which may stay raised for as long as three months afterwards. Reduced appetite is also common after an operation, which compounds weight loss. However, another reason why malnutrition is common after a hip fracture is that the people who often suffer a fall and fracture are already frail, meaning that any weight loss during a hospital admission compromises their already poor nutritional status. With as many as half of all patients with a hip fracture unable to meet their nutritional requirements, they deteriorate while in hospital, which hinders their recovery and lengthens their stay. While all patients should be screened for malnutrition on admission to hospital, it is especially important to assess nutritional risk among patients with a hip fracture.

Dietary interventions

Patients identified as either malnourished or at high risk of malnutrition benefit from interventions to increase their intake of calories and protein. Research shows that use of high-protein high-calorie supplements reduces complications, length of stay and mortality among people with a hip fracture. However, simply providing additional snacks that are high in calories and protein can also significantly increase dietary intake and improve outcomes for patients who suffer a hip fracture. 

When we provide home health care services, our skilled nurse assesses nutritional risk for patients following a hip fracture surgery and coordinates with nutritionist for a meaningful recovery. Quality and Safety of your healthcare is important to us.


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