The Elderly and Hospital Re-Admissions

Hospital Re-admissions is a persistent problem amongst the elderly and reforms by hospitals and other health related agencies enacted to date have done little to make a real impact. 

457344351The truth is healthcare policy makers are not even sure where the problem lies.  Are the hospitals discharging patients too early or is the post hospital home care inadequate thereby forcing the cycle of re-admission?  Is the follow-up care by professionals to blame or is the patient and relatives unable to handle the care at home? 

A recent New York Times article raises the issues, but admits that no address has been identified for placing blame.  Medicaid and Medicare have tried to shame and create incentives for hospitals to reduce their re-admissions rates through publicity of re-admissions rates by hospital and the imposition of fines all to no avail.  While patients may receive the best of care and attention during their hospital stay, post hospital home care may fall short for several reasons.

The elderly may forget or ignore discharge instructions, may live in homes that do not accommodate their compromised health (i.e. stairs, distance from the bathroom) and they just may be too plain weak to organize meals or eat.  Relatives may also be unable to lift or move them properly. 

This is where the help of a home health aide would be most beneficial.  These are professional caregivers who are specially trained and certified to care for the elderly in the home setting.  These caregivers can meet the patient at the hospital and escort them home, help them with meal preparation and feeding, assist them in toileting, bathing and grooming and help relatives monitor that the discharge instructions are followed. 

Finding a home health aide can be burdensome, but luckily there are many licensed home healthcare agencies like David York Home Healthcare Agency out there to help relieve you of that task.  They screen the home health aides and make sure they are properly credentialed and able to deal with your particular situation. 

David York Agency is always available to help you sort out your situation and aid you in developing a care plan to suit your senior loved one.  David York Agency provides skilled home health aide services for in-home healthcare for elderly patients.  We would be happy to discuss your case with you.  Please call us at (718) 376-7755 or visit our website at http://davidyorkhomehealthcare.com/ or visit us on Facebook, LinkedIn or Twitter pages.

 

 

Diabetes Meal Plan: Two vs. Six Meals Per Day

There has long been a controversy in managing diabetes as to whether it is better to eat two large meals or six small meals over the course of a day.  There are experts that come down on either side of the issue and some that believe it doesn’t make much of a difference. 

The New York Times recently reported on a small study out of Czechoslavakia that tips the scales in favor of fewer meals.  Some differences, albeit not dramatic, were found in those that ate fewer meals even while all participants consumed exactly the same amount of calories.  Improvements were seen in terms of waist size, fasting glucose levels, lower liver fat content and better insulin sensitivity.  In any case, two larger meals is also a good way to ensure that patients with diabetes eat whole, nutritious meals vs. smaller snacks that may not be as nutritious individually and may spoil your appetite for the more nutritious food. 

494095515Meal management can be challenging for the diabetic elderly especially when new information such as this surfaces that might encourage a change in a current routine.  A home health aide can help assist the elderly person with meal preparation and shopping to ensure that senior loved ones are provided with nutritious and regular meals.  Aides can also help with feeding the elderly patient and other meal related as well as other household tasks.  The home health aide can be hired on an hourly or full time basis and licensed home healthcare agencies such as David York Agency can help you hire one totally suited to your needs. 

The staff and aides at David York Agency provide direction as to how to manage the total care of your senior loved one.  Please call us at (718) 376-7755 to set up a senior care plan or visit us on our website www.davidyorkagency.com to become acquainted with all we offer.  You can also like us on Facebook or follow us on Twitter or LinkedIn.