The aches and pains from a single or multiple joint may cause a lot of discomfort and affect your ability to perform the day to day tasks. Although there is no cure for arthritis, there are strategies that you and your physician can use to reduce the intensity of arthritis pain, and possible slow down the progression of disease.
There are two main types of arthritis. The first one is Osteoporosis, often referred to as degenerative or wear and tear arthritis. It usually appears after the age of 40 or 50 and develops slowly. This type occurs when the cartilage deteriorates, causing the normally smooth surfaces to roughen up. It commonly occurs in the knees and hips, the fingers, the joints at the base of the thumb and the joint at the base of the big toe. It is also commonly found at the spine. Additional factors that contribute to the increase of developing cartilage damage include, lack of exercise, excessive weight and certain genetic conditions.
The second type of arthritis is the Rheumatoid arthritis, which usually begins at the age of 25 – 50. About 75 % of those with rheumatoid arthritis are women. Unlike the Osteoarthritis, rheumatoid arthritis is considered an autoimmune disease. This means that your immune system primarily attacks joint linings (synovial membranes) which are supposed to protect and lubricate your joints. Your joints become inflamed, causing them to become warm, painful and swollen or stiff. If inflammation persists, certain chemicals and enzymes eat away the cartilage and bone, causing damage to tendons and ligaments around the joint.
Other less known types of arthritis include; Gout and pseudo-gout, inflammatory spine arthritis, polymyalgia rheumatica, systemic lupus erythematosus and infectious arthritis.
Millions of Americans live with some form of pain in their body. Research, however, has shown that people with positive, proactive attitude are likely to experience less pain and limitation from their arthritis than are those who are more negative. You are more likely to adopt healthy lifestyle measures such as; reducing stress, losing excess weight, taking time to relax, understanding your pain, knowing when to rest and using assistive devices.
There are different pain- relieving medications which are usually the mainstay of arthritis pain relief. Application of cold for occasional pain flare-ups and heat for joints that are sore but not inflamed. Topical creams, gels and sprays, which are non-prescriptive, produce a warm or cold sensation with varying active ingredients. Transcutaneous electrical nerve stimulation (TENS), which uses electrodes to deliver a small electrical current to the joint area, which may reduce pain. Visco-supplimentation, is also a method that involves injecting a form of hyaluronic acid, a natural substance found in healthy joint fluids into the knee joint that are painful due to osteoporosis. These injections are given in a series over several weeks. Physical ad occupation therapy teaches you exercises to help to maximize your physical abilities with less pain, and psychological therapies, with the help of a psychologist or a psychiatrist, may be able to identify thought and behaviors that intensify your arthritis pain, thereby helping you make positive changes, such as adjusting your thoughts about your pain, improving your ability to cope with stress or setbacks, or helping you learn relaxation techniques.
experience subtle or covert abuse, which also includes actions such as, being harassed by staff, being controlled by drugs or restraints, having no control over-bathing or feeding times or what they wear, and being placed in isolation, especially if they are aggressive or difficult to care for.
Older adults today are vibrant, independent and living longer, and in better health than their ancestors. However, as the population grows, so does issues that concern their care. Caregivers must cope with the stressful economic and personal burdens when caring for the elderly. This burdens always put the elderly at risk of abuse, exploitation, and neglect.
Consider the following grim statistic;
(Acierno et al. 2010; American Psychological Association (APA), 2012; Grose & Caple, 2011; National Center for Victims of Crime, 2011; National Center for Elder Abuse, 2011a; Walsh, Olson, Ploeg, Lohfeld, & MacMillan, 2011)
Since abused elderly individuals are often reluctant to report abuse, the incidences of abuse are likely to be under-reported, underestimated and not well documented. However, there are signs that may indicate neglect or abuse. These include;
Acting against elder abuse.
Whenever abuse is detected, it is critical that the finder documents every finding, and make the necessary reporting to the relevant authorities. In most states, most physical abuse, sexual and financial abuses are criminal offenses.
Secondly, elder education is central in helping the elderly retain as much power over their lives as possible. The elderly must be educated in their rights to receive protective services in the least restrictive environment. They must retain the right to choose and the right to remain confidential.
Thirdly, health care providers must receive continued training, especially in the areas of seeking alternatives to the choices the elder person may resent. For example, the alternative to taking a shower may be a bath or changing the times the bath or showers are due.
Fourthly, clinical settings such as hospitals and physician offices should have a protocol for the detection and assessment of the elder mistreatment. Protocols should include a narrative, checklist or standardized forms that allow rapid screening and provide guidelines for documentation that withstand scrutiny in court.
Fifthly, family education and support is an essential factor in reducing elder abuse. Providing caregivers with respite care promotes increased social contact, providing support for families with dependent adults and encouraging counseling and treatment to cope with personal, financial and family problems that contribute to abuse are positive steps that can prevent abuse. Educating the family about understanding their health care reimbursement choices, investigating the services of community organizations and researching volunteer groups who may be able to help them can greatly ease their stress and concerns.
Angels of Central Alabama
Sleep is essential to a healthy, productive life. While sleep disorders and changes affect all of us as we age, older adults undergo many sleep- related changes that can affect their physical and psychological well-being. In this blog, I will shed some light on different types of sleep disorders:
ACA Home care
205 862 0205
Reviews are very important when choosing the right home care agency. Always make sure you find reviews, that are not only on the agency website, but also in third party review websites-notably, Better Business Bureau.
However, do not base your decisions solely on other people's review because only the best reviews are posted (at least in this industry). You'll need to have a checklist with you when making a decision.
You must acknowledge that the agencies are always looking for clients, and will put their best foot forward. Therefore, not all positive reviews are a true reflection of that agency. You must be aware that every agency will do its best to win your business. In this day, legal measures are taken to combat negative reviews, which is good for both you and the agency. However, after reading the reviews, seek to find out about the agency policy in handling conflicts with clients. Conflicts are unavoidable but do not need to be ugly. They, if used positively, reveal the culture of that agency, and play a central role in your decisions.
Authentic agencies will seek to match your personality to its caregivers for the best match, and therefore provide you with at least three caregivers for you to chose from. They will take every step to make sure that your relationship with your caregiver of choice flourishes for better working relationship.
On your part, you must observe to see if the caregiver has self respect. This is critical because it reflects on the overall on the culture of the agency.
Some of the things to observe include, time management, level of patience, tone, respect to private property and tardiness. If you detect a red flag, you must decide to move to another agency immediately. If the caregiver has self respect, but not a good personality match, work with your agency to find a replacement.
Benefits of engaging a home-care service early enough.
I have had the opportunity to speak to many families in need for home care services. It is usually a challenging step to make, especially if the aging parents have been living independently for a long time. However, when they can no longer perform the same duties they have been performing, it becomes a concern that weighs down heavily on the adult children and other relatives.
There is, however, a great benefit in engaging external help early.
First, early engagement allows for a smooth transition. A caregiver can be coming in for a few hours a day, for several days in a week. In this early stages, care-giving is not usually a full time need.
Secondly, early engagement helps monitor your aging parents capacity to handle ADL's, and prepares the family for any adjustments necessary for their safety. This helps prevent unexpected falls, kitchen accidents, bathroom accidents, and so on.
Thirdly, the adult children don't have to make life altering decisions based on the pressure to care for their aging parents. They have time to care for their own families, jobs, run their own errands and be at peace that their parents are in good care.
To remain adamant on this need is to welcome the inevitable. Many are either oblivious of the pressure of care-giving, which weighs down heavily on the eventual primary family caregiver. Caregiver Burnout leads to neglect of the loved one, depression resulting from a loss of personal space and happiness, and in many cases, loss of an income/job.
Based on my experience, though at the back of our minds these changes are expected, many remain in denial and brush off the thought of engaging a caregiver. Family members will hustle to cover the need for as long as they can. This may work for sometime and eventually, one - and in most cases, this is usually the last-born of the family quit his/her job in order to be able to meet the ever demanding needs of care-giving.
It is advisable to engage a home care agency of your choice when early signs are detected. The benefits of early engagement include improved lifestyles, happiness and joy for all the family members, and the safety and security of your loved ones, from risks of falling, or kitchen accidents.
By Ashley Hayes, Reviewed by Arefa Cassoobhoy, MD, MPH on February 25, 2016
People recognize the seriousness of Alzheimer’s disease, but they aren’t taking steps to learn about their personal chances of getting the disease or to prepare for it financially, according to a new survey.
The WebMD and Shriver Report Snapshot: “Insight Into Alzheimer’s Attitudes and Behaviors,” asked more than 4,200 WebMD readers their beliefs and experiences regarding the disease. (See infographic of key findings here.)
"It's incredibly tough to think about losing your mind or watching a loved one struggle with Alzheimer’s,” says Michael Smith, MD, WebMD’s chief medical editor. “There is great concern about the impact of this disease, but denial, fear or other unknown factors seem to be preventing us from taking the necessary steps to prepare.”
Still, many people say they are taking actions to stay healthy that might benefit their brains as they age.
An estimated 1 in 9 people over 65 (11%) have Alzheimer’s, according to the Alzheimer’s Association. As the population ages, however, those numbers are expected to nearly triple by 2050.
"The first baby boomers are turning 70 this year. The risk for Alzheimer's begins to increase dramatically at the age of 65, and goes up until age 90 or so, maybe even after that," says Keith Fargo, PhD, director of scientific programs and outreach for the Alzheimer’s Association. “We’re facing a wave of dementia coming our way in the coming decade — and it’s starting now, not 30-40 years from now.”
Finances and PreventionAlthough the lifetime cost of care for someone with Alzheimer’s is an estimated $174,000, most survey respondents say they aren’t prepared:
71% say their family is not financially equipped to deal with the disease
66% believe Alzheimer’s could harm their family financially
“It’s really critical for people to plan ahead,” Fargo says. “There are lots of things that people can do now to get ready for possible cognitive decline or dementia, whether that’s due to Alzheimer’s or something else.”
Finances and Prevention continued...Those preparations should include educating yourself on the availability of long-term care insurance and those options, as well as the role of Medicare and Medicaid, he says.
The survey also shows a disconnect in how much respondents really want to know about their risk of getting the disease — it’s the sixth leading cause of death in the U.S. and has no cure. Two-thirds of people say they’d want to know their risk for developing Alzheimer’s later in life. But when presented with a list of ways to do that, a much smaller percentage say they have taken or would take steps to do it.
Those steps include:
Another 46% say they aren’t worried about getting Alzheimer’s in the future, mainly because they take care of their health and also because they can’t do anything about it.
“Most people probably don’t want to think about developing a chronic disease, especially Alzheimer’s, which is universally fatal,” Fargo says. “Once you’re into the dementia part of Alzheimer’s, that’s not going to get better.”
Thirty-four percent of respondents say they’re concerned about getting the disease in the future. Of those, 69% say they’re concerned because they don’t want to become a burden to their family, with 60% concerned because there’s no cure.
Doctors also believe there isn’t much that can be done to avoid the disease, according to a survey of doctors conducted by WebMD’s sister site, Medscape. Only 29% of the 403 surveyed say they believe it’s possible to prevent the onset of Alzheimer’s, although 77% think it’s possible to slow its progression.
Finances and Prevention continued...“Certainly, it’s something people should be worried about, especially given the fact that right now there’s nothing that can be done to reverse it,” Fargo says. “Once you have Alzheimer’s disease … right now, that’s a death sentence. Some of these other things are more manageable. Cancer, heart disease, stroke, all those are survivable, at least in some cases.”
Fargo says people may not realize they can lower their risk. “There are many actions you can take — stop smoking, exercise, and more,” he says. “All of those things are known to reduce the risk of cognitive decline in aging and may prevent or at least delay the onset of Alzheimer’s. These are actions that people can take, literally in their living rooms, on a daily basis.”
Many people say they are trying to stay physically and mentally healthy — steps that may ultimately help lower their Alzheimer’s risk.
They say they’re:
In the survey, more than 1 in 5 people (22%) who know someone with Alzheimer’s also say they’ve taken on caregiving responsibilities, either currently or in the past, for someone with the disease. That was most commonly a parent (41%).
Meanwhile, 22% of people who aren’t currently a caregiver say they expect they would be the person responsible for the majority of caregiving if their parent or grandparent was diagnosed with Alzheimer’s.
AwarenessSeventy-eight percent of respondents say they know or have known someone with Alzheimer’s. That was most likely to be a friend, associate, or work colleague (41%).
That may be why most people in the survey are informed about the disease. The vast majority of respondents know that Alzheimer’s can strike people in their 40s, and most also know it begins affecting the brain some 20 years before you get the symptoms.
Fargo called it a step in the right direction that two-thirds of people realize Alzheimer’s is fatal. “Ten years ago, people may not have said that. It may just be, ‘Mom’s slipping,’ or ‘Dad’s getting older and it’s showing.’ Many people do expect cognitive decline as they age, so that’s an understandable misconception, but it is a misconception.”
But the survey takers aren’t as sure about who gets the disease:
ResearchAsked when they believe there will be a cure for Alzheimer’s, nearly half of all respondents — 48% — say they aren’t sure. Another 22% predict there will be a cure by the year 2025, and 17% say by the year 2050.
More than 3 in 4, or 76%, say they know the symptoms of Alzheimer’s. Far fewer, only 38%, say they’re aware of treatments for the disease. Although treatments are available, none of them cure the disease or stop it from getting worse.
But Fargo says the Alzheimer’s research community is “actually more optimistic than ever.” He says that last year Congress voted to increase research funding for the disease by $ 350 million per year, to nearly $ 1 billion. But that’s half of what the scientific community says it needs, he says.
The association and others continue to call for more research dollars. “We believe that’s where the answer will come from, the scientific field … as many smart people working on this as we can.”
WebMD Health News
© 2016 WebMD, LLC. All rights reserved.
Given an option, most seniors will want to age in place at home, a place where they’re most familiar with, and most comfortable.
However, with aging comes challenges to accomplish activities of daily living, and safety concerns. To keep your loved ones safe, careful evaluations must be done to understand the options and create an atmosphere that promote the quality of life during their golden years.
Home care, therefore, is an option that allows older adults the choice to age in place at home with a specified level of care they need for safety, comfort and independence.
It means helping with activities of daily living and household tasks.
It includes meaningful companion for older adults. In-home care is the oldest form of healthcare. Today, home care serves as a comprehensive alternative to institutional living.
www.world.directory/alabama/birmingham/healthcare/angels-of-central-alabama-llcHome care is commonly presented as a service to assist aging seniors, its a valuable resource when a person at any age has an injury, accident or surgery or is suffering from a chronic illness.
If you've determined which long-term care insurance options best meet your needs and you're ready to buy a policy, do the following:
Ask your state insurance department for a list of companies approved to sell long-term care insurance policies in your state. Find out whether there were complaints about any of the companies that sold them.
Check the stability of the company and be sure it has a long history with this type of insurance. You can check this information at websites for companies including Moody's Investors Service, Standard and Poor's and A.M. Best.
Compare information and costs from at least three major insurance companies. Find out how often and by how much the companies have increased their premiums.
Get a written copy of any policy you're considering. Review it carefully, perhaps with the assistance of your attorney or financial adviser. Write out your questions, and have a representative of the insurance company respond to your questions in writing.
Never let anyone pressure or scare you into making a quick decision.
Never pay any insurance premium in cash, and always make your check payable to the company and not an individual.
Nearly all states require insurance companies to give you 30 days to review your signed policy. During this time, you can return a policy for a full refund if you change your mind.
Still have questions or concerns? Contact the agency listed for your state at the State Health Insurance Assistance Program (SHIP).
Deciding whether long-term care insurance is right for you can take a significant amount of time and research, but making the effort will be time well spent.
Since many people purchase long-term care insurance 10, 20 or 30 years before receiving benefits, inflation protection is an important option to consider. Indexing to inflation allows the daily benefit you choose to keep up with the rising cost of care.
You can increase your benefit by a given percent (5 percent is often recommended) with either compound or simple inflation protection. If you're under age 70 when you buy long-term care insurance, it's probably better to have automatic "compound" inflation protection. This means that the amount of your daily benefit increase will be based on the higher amount of coverage at each anniversary date of the policy. "Simple" inflation protection increases your daily benefit by a fixed percentage of the original benefit amount. Typically, the simple option won't keep pace with the price of services.
In lieu of automatic increases, some policies offer "future-purchase options" or "guaranteed-purchase options." These policies often start out with more limited coverage and a corresponding lower premium. At a later, designated time, you have the option of increasing your coverage — albeit at a substantially increased premium.
If you turn down the option several times, you may lose the ability to increase the benefit in the future. Without increasing your coverage this option may leave you with a policy that covers only a fraction of your cost of care. The younger you are when you buy long-term care insurance, the more important it is to buy a policy with inflation protection.
Premium increases and policy cancellations
Companies can't single you out for a rate increase. However, they can increase rates on a class of similar policies in your state. Most premiums do increase over the life of the policy. The National Association of State Insurance Commissioners has established rate-setting standards and about half of the states, along with several of the large insurance companies, have adopted these measures.
Long-term care policies are "guaranteed renewable," which means that they cannot be canceled or terminated because of the policyholder's age, physical condition or mental health. This guarantee ensures that your policy won't expire unless you've used up your benefits or haven't made your premium payments.
Problems paying the premiums
If you stop paying your premium or drop your benefit, a "nonforfeiture option" will allow you to receive a reduced amount of benefit based on the amount of money you've already paid. Some states require policies to offer nonforfeiture benefits, including benefit options with different premiums.
Since nonforfeiture provisions vary by location, check with your state's insurance department or your state's listing at the National State Health Insurance Assistance Program (SHIP)before dropping your policy. If your policy doesn't have a nonforfeiture option and you stop paying the premiums, you'll lose all the benefits for which you have paid.
Policies may cover the following care arrangements:
Nursing home: A facility that provides a full range of skilled health care, rehabilitation care, personal care and daily activities in a 24/7 setting. Find out whether the policy covers more than room-and-board.
Assisted living: A residence with apartment-style units that makes personal care and other individualized services (such as meal delivery) available when needed.
Adult day care services: A program outside the home that provides health, social and other support services in a supervised setting for adults who need some degree of help during the day.
Home care: An agency or individual who performs services, such as bathing, grooming and help with chores and housework.
Home modification: Adaptations, such as installing ramps or grab bars to make your home safer and more accessible.
Care coordination: Services provided by a trained or licensed professional who assists with determining needs, locating services and arranging for care. The policy may also cover the monitoring of care providers.
Future service options: If a new type of long-term care service is developed after you purchase the insurance, some policies have the flexibility to cover the new services. The "future service" option may be available if the policy contains specific language about alternative options.
I am a son to my Father, Lord and Savior Jesus Christ and to my beloved earthly dad. I am a father to my three beautiful children, Sherodyne, Ryan & Rehema, a husband to my beautiful and beloved wife Florence.