Most phone calls we receive are from people who have never had never needed any type of in home care before and don't know what is out there.
From this initial conversation I have a quick talk of what I call "In-Home Care 101", or the basics. There is a very common misconception out there that Medicaid will pay for in home care. Medicare will pay for some things, but extended care is not one of them.
So here it is, a very simple and short explanation: In Home Care 101
First off, Medicare will pay for SKILLED NURSING only. You need a physician order to qualify for all skilled nursing/Medicare services.
Think of skilled nursing as task oriented; a nurse will come out to the home and perform some sort of task (E.g. bath, med set up, wound dressing, physical therapy). Once they are finished with that task, they leave.
The two main services for medicaid skilled nursing is 1. Home Health and 2. Hospice.
Here is a blog from a home health agency that explains Home Heath in further detail.
& Here is a article that explains Hospice in further detail.
For many people skilled nursing is not enough and they need caregivers to come out and help with their loved one for longer period of time. This brings us to In Home care; you can think of it more as time oriented rather than task oriented services.
This is the type of services that Comfort of Home Healthcare provides. We can go in and provide what is called ADL's or activity of daily living. We come in and do some of the same services such as bathing and medications etc, but we can also do some of the other tasks that your loved one can no longer do themselves such as toileting, cooking, cleaning, etc.
These services range anywhere from 3 hours a couple times a week, all the way to 24 hours, 7 days a week.
Unfortunately Medicare does NOT pay for these type of services. However Medicaid will pay for some of these services.
Since Medicaid is income based, most of our phone calls do not qualify. This leaves families to pay out of pocket for in home care services.
If your loved one was a veteran or the widow of a veteran there might be some assistance from the VA, but that is about it. There are some other assistance but too few would qualify to put in this post.
This all can get very confusing. If you need any further assistance or have any further questions please do not hesitate to contact our office. We are more than happy to answer any questions you might have.
Wednesday, October 15, 2014
Tuesday, September 16, 2014
The Aging Process: What Can Be Expected?
The Aging Process
What Can Be Expected?
From birth, we begin to experience the lifelong process of aging. Most of our life this is marked by constant growth and new abilities. There is a point in ageing when a person's health begins to deteriorate or decline physically and mentally. The elderly population can often be misunderstood as they begin to go backwards, but this is a natural part of the aging process. Understanding the aging process will allow us to help enhance the quality and even the quantity of an elderly persons life.
Not all of the effects of aging are harmful, such as the thinning of hair, hair turning grey or white, skins thins and becomes less elastic, wrinkles will be more present, and weight may change or become more concentrated in a specific area. Even though there will be more obvious changes that take place, there will also be changes that happen inside the body and that will effect the overall health of a person. These changes may vary depending on genes, lifestyle, and disease, but there is a "normal" pattern that is observed as people enter their later years (typically age 65 and older).
Some very specific changes that will take place as a part of this process include changes in: (www.agingcarefl.org)
- Eyesight: Loss of peripheral vision and decreased ability to judge depth. There may also be a decrease in the clarity of colors.
- Hearing: Loss of hearing accuracy, especially sounds at the higher end of the spectrum. Also, decreasing ability to distinguish sounds when there is a lot of background noise.
- Taste: Decreased taste buds and saliva.
- Touch and Smell: Decreased sensitivity to touch and ability to smell.
- Arteries: Stiffen with age. Additionally, fatty deposits build up in your blood vessels over time, eventually causing arteriosclerosis (hardening of arteries).
- Bladder: Increased frequency in urination.
- Body Fat: Increases until middle age, stabilizes until later in life, then decreases. Distribution of fat shifts, moving from just beneath the skin to surround deeper organs.
- Bones: Somewhere around age 35, bones lose minerals faster than they are replaced.
- Brain: Loses some of the structures that connect nerve cells, and the function of the cells themselves is diminished.
- Heart: This muscle thickens with age. Maximum pumping rate and the boy's ability to extract oxygen from the blood both diminish with age.
- Kidneys: Shrink and become less efficient.
- Lungs: Somewhere around age 20, lung tissue begins to lose its elasticity, and rib cage muscles shrink progressively. Maximum breathing capacity diminishes with each decade of life.
- Metabolism: Medicines and alcohol are not processes as quickly. Prescription medication requires adjustments. Reflexes are also slowed while driving.
- Muscles: Muscle mass declines, especially with lack of exercise.
- Skin: Nails grow more slowly. Skin is more dry and wrinkled, and heals more slowly..
The better we understand the aging process, the more efficiently we can help our loved ones during this time. Although this time may be marked by significant physical, mental, and emotional changes, this is also a significant time for people as they get to spend time with their families, reflect on life, try new things, and make lasting memories. It is important that we are able to talk to our loved ones about what they are experiencing, even though we may not directly or fully understand the process yet.
There are some contributing factors that will help strengthen the elderly during their aging process, and that are known to help with both the length and quality of life. Some of these factors include:
- Dietary and nutritional factors.
- Moderate consumption of alcohol.
- Physical activity throughout life.
- Sexual activity continues in later years.
- Social involvement factors.
- Physical environment factors.
Being actively involved in your health now will most likely result in better health conditions in your later years. It is necessary that we stay knowledgeable about the aging process, for the benefit of ourselves and our loved ones.
Discovery health provides a very helpful resource that gives more specific information on the aging process: The Aging Process
Tuesday, August 19, 2014
The Benefits of Technology for the Elderly
The Benefits of Technology for the Elderly
It is assumed that the older generation is more closed off to the use of technology to enhance or improve life. While this may often be the case, not every senior is completely closed off to giving new technology a chance. The problem lies in the fact that many of the newer technologies are not as easily understood by a generation that wasn't born with iPhones, gaming systems, TiVo systems, iPads, Kindles, laptop computers, Netflix, social networks, and iPods ingrained in their culture like the current generation has been. There is an obvious gap between the younger and older generations in regards to technology, and this gap can be destructive in our communication and connection with our elderly loved ones.
It is important to remember to be understanding and helpful towards the generation who may have different opinions, experiences, and thoughts that contribute to their view of technology and/or their lack of use of technology in their daily life. It is not an absolute necessity for technology to be used for survival and it doesn't need to be pushed on someone who isn't interested. Sometimes this lack of interest in the technology of our culture comes from misinformation or a lack of information that has been given to the elderly. Although technology isn't a basic need, there are many technologies that would be extremely beneficial for seniors.
Some of the benefits of technology for the elderly include:
- Feelings of isolation are rampant among the elderly, and technology will provide a way for them to stay connected to family, friends, and the world. Often they have a limited ability to move or leave a specific place or a specific community, and technology can really open doors to their ability to connect with others and sustain relationships.
- Technology can also get them a way to stay updated about family issues and events. This could include small happenings in the family, or larger events such as new births in the family. Technology provides a way for them to feel a part of what is going on in the family, through pictures and more communication.
- Cell phones, iPods, E-Readers, laptops, and more, can provide entertainment and activities that can give the elderly things to do during "down time" when their days aren't filled with as much activity as it used to be filled with.
- Technology can increase a seniors independence, freedom, and quality of life. Many technologies allow the elderly to stay in control of their lives for a longer time.
- Tools such as internet banking, can help assist the elderly in their financial needs in a more effective way.
In addition to the specific technologies already mentioned, there is also a category of technology specifically geared towards the needs to the elderly and those with disabilities, which is called "assistive technology". Assistive technology includes special equipment designed to help the elderly and disabled throughout their daily lives and improve their quality of life. Here is a link that will give you more information about this type of technology: Assitive Technology: An Introduction and Overview
Healthy conversations can be had with your loved one about technology, and these conversations could lead to making some positive changes in your loved one's life. Always remember to actively listen to their concerns and thoughts, and speak in a way that will be helpful not hurtful.
Here are a couple resources that may be helpful in your understanding of this topic:
Monday, July 21, 2014
Were Hiring!!!
We still have several job opportunities with Comfort of Home Healthcare.
Please forward this link to anyone you know that might be interested in working for us.
Come on in and fill out an application and you can get an interview on the spot!!!!
We are located at 2207 S 36th Street, St. Joseph MO. (There is some road construction so look at the map below to see the detour on how to get here)
Comfort of Home Healthcare Open Positions:
(Caregiver Tip: The more available you are on when you can work, the more hours we can give you)
NEW!!!! DAY SHIFTS IN WESTON MO!!!! (Posted 7/28/14)
Personal Care Attendant/Direct Care Aide (Caregiver)
Comfort of Home Healthcare has several of these positions open! We are in the need of part time and full time caregivers.
Comfort of Home Healthcare provides caregiving services in the home of seniors and people with disabilities.
If you are a person who feels compassion for others and is drawn to take care of people, this is the perfect match for you!
All shifts are available, but the majority of our open positions will be either evenings and/or overnights.
Personal Care Attendant/Direct Care Aide (Caregiver) Rosendale/Savannah
Comfort of Home Healthcare is looking for a couple outstanding Direct Care Aide's to work evenings and some weekends in the Rosendale/Savannah area. Will pay mileage to get you there and back.
House Manager
Comfort of Home Healthcare is looking for a outstanding person to fill a management position with our company. Any client of Comfort of Home Healthcare who receives more than 16 hours of service daily will have one person dedicated to manage that particular home.
This position is typically a 40 hour weekly position and works the day shift in that home, but must be available 24/7 to answer questions and take calls from staff in that home.
Link to Comfort of Home Healthcare Application
(for your convenience, just print it and bring it in!)
Please forward this link to anyone you know that might be interested in working for us.
Come on in and fill out an application and you can get an interview on the spot!!!!
We are located at 2207 S 36th Street, St. Joseph MO. (There is some road construction so look at the map below to see the detour on how to get here)
Comfort of Home Healthcare Open Positions:
(Caregiver Tip: The more available you are on when you can work, the more hours we can give you)
NEW!!!! DAY SHIFTS IN WESTON MO!!!! (Posted 7/28/14)
Personal Care Attendant/Direct Care Aide (Caregiver)
Comfort of Home Healthcare has several of these positions open! We are in the need of part time and full time caregivers.
Comfort of Home Healthcare provides caregiving services in the home of seniors and people with disabilities.
If you are a person who feels compassion for others and is drawn to take care of people, this is the perfect match for you!
All shifts are available, but the majority of our open positions will be either evenings and/or overnights.
Personal Care Attendant/Direct Care Aide (Caregiver) Rosendale/Savannah
Comfort of Home Healthcare is looking for a couple outstanding Direct Care Aide's to work evenings and some weekends in the Rosendale/Savannah area. Will pay mileage to get you there and back.
House Manager
Comfort of Home Healthcare is looking for a outstanding person to fill a management position with our company. Any client of Comfort of Home Healthcare who receives more than 16 hours of service daily will have one person dedicated to manage that particular home.
This position is typically a 40 hour weekly position and works the day shift in that home, but must be available 24/7 to answer questions and take calls from staff in that home.
Link to Comfort of Home Healthcare Application
(for your convenience, just print it and bring it in!)
Map with Detour
Monday, July 14, 2014
Depression and Suicide Prevention
Depression and Suicide Prevention
in the Elderly
There is no age group that is immune to depression, but statistically the elderly suffer with depression resulting in suicide more than any other age group or group of people. Statistics show that the elderly comprise about 13% of the United States population but they are responsible for over 18% of the total suicides in the United States. Even though depression is very common in the elderly this does not mean that it can't be treated. Often the cause of suicide in the elderly is depression that is left untreated or mistreated.
Depression can result from various changing circumstances, but is ultimately a chemical imbalance in the brain. The symptoms of depression can be recognized more quickly if you are aware of what you should be looking for in yourself or in your loved one. It is vital that depression does not go untreated, because it will result in a low quality of life and could lead to attempted suicide.
Here are a few warning signs that someones may be struggling with depression:
- Loss of interest in things or activities that were previously found enjoyable.
- Cutting back on social interactions, self-care, and grooming.
- Breaking medical regiments. (Such as prescriptions, diets, etc.)
- Expecting or experiencing a significant personal loss.
- Feeling hopeless and/or worthless.
- Loss of appetite, loss of energy, and weight loss.
- Insomnia and restlessness.
- Suddenly putting affairs in order, giving things away, or making changes to wills.
- Stock-pilling medication or obtaining other lethal means.
- Preoccupation with death or a lack of concern about personal safety.
- Expression of suicidal intent.
In addition to specific warning signs that you can keep watch for, there are also specific characteristics or situations that may put a person at high risk for depression. A person does not need to have all of these characteristics, but these characteristics may be contributing factors to putting someone at a higher risk for depression. Some of these include:
- Increased age.
- White male.
- Divorced.
- A major psychiatric disorder.
- Misuse of alcohol or drugs.
- Any medical illness.
- Family discord.
- Financial trouble.
- Physical disability.
- Unrelieved pain, or chronic pain.
- Loss and/or grief.
- Social isolation or solitary living.
- Inability to face and manage crises.
If you recognize any of these characteristics or warning signs in yourself or your loved one, it is necessary to get help right away. The best way to get help is to visit your doctor and be honest about what is being experienced, from there your doctor can assess your well-being and take the steps they feel necessary to better your health. Your doctor will have more information about medications that need to be given or taken away, and about lifestyle changes that may need to take place.
Your loved one needs to know that the lines of communication are open, because it may be a daunting task for them to come to you about the problems associated with depression. If you are more aware of the symptoms, you will be more effective in preventing depression and suicide in your loved one.
Unfortunately, the chances of suffering with depression or knowing someone who is suffering with depression is extremely likely. In the case of depression, awareness may be prevention. We must be ready to act when we are faced with these situations, especially in our families.
This article will give more research based information about depression and suicide in the elderly: Suicide in the Elderly
Tuesday, July 8, 2014
We Have Moved!
Our Francis location has been bought and is being renovated for its new owners. Please note that Comfort of Home Healthcare has moved its offices to:
2207 South 36th Street
St. Joseph MO 64503
Tuesday, July 1, 2014
Business Grows from Personal Experience
We are so excited to share with you that Comfort of Home Healthcare had an article written yesterday about its success!!!
Tad and I sat down with a reporter from the News Press and did our interview that we appreciate so much. Reporters have a difficult job in condensing a 30 min conversation into 150 words or less. With that being said, I wanted to give you a little lead-in to the story that our article did not have room for.
I just wanted to be clear that Comfort of Home Healthcare was a shared vision between Tad and I. Also that we could not have excelled the way we have without the support from our loving families and supportive community that helped two guys start a business from nothing. We are also blessed with a number of wonderful employees that take care of our clients as if it were their own families.
I also would like to mention that being a primary caregiver is one of the most difficult tasks one can be challenged with in this life. I have witnessed Tad though the years being the primary caregiver for is son and am in awe of how he manages it day in and day out and has done it for over a decade. It is inspiring to see and I feel privileged to have him as a business partner and our clients are blessed to have that kind of commitment and determination in giving their own families the care that they deserve.
Lastly I wanted to clarify that with my In-laws, my wife was the primary caregiver and poured her heart and soul into giving her parents the best care anyone could wish for their own family. I wanted to clarify that because I want to give credit where credit is due and we see all to often that not all families come together in times of crisis. She is a little angel for our family and we would not be where we are today without her.
Being a caregiver to anyone, being a parent or a child , is truly a family affair in every since of the word.
Thank you to everyone who made this possible!! Tad and I are truly humbled and blessed by all our support over the years.
Tad Ulmer and Jason Douglas share a lot of common ground.
They’re both fathers. Primary breadwinners for their family. Passionate about caring for people.
But perhaps the most notable thing they have in common is experiencing that moment of complete exasperation and loss — that “I’ve had it” moment that brought them together to create Comfort of Home Health Care.
When Mr. Ulmer and Mr. Douglas became caregivers for family members who needed 24-hour attention, they realized the difficulties involved with finding quality care. It was an uphill battle from there.
For Mr. Ulmer, it was with his son. Mr. Douglas, his in-laws.
Mr. Ulmer’s 15-year-old son Brandon was in a car accident that left him paralyzed on his left side and recovering from major brain damage. Brandon lived in a nursing home for five years before returning home. Mr. Ulmer shuffled 150 to 200 different caregivers in and out of his house trying to find quality service.
“They wanted to run my life,” Mr. Ulmer said. “They wanted to force caregivers on me that I knew were not good.”
He battled staff just to get Brandon a shower every day.
Mr. Douglas spent several years taking care of his dying father-in-law. After he passed away, he became the primary caregiver for his mother-in-law, who had Alzheimer’s disease. He was plagued by lackluster staff that didn’t fulfill their family’s needs, he said.
Mr. Douglas’ frustration brought him to the St. Joseph Chamber of Commerce, where he met Rebecca Evans of the Small Business & Technology Development Center. She knew Mr. Ulmer was facing similar difficulties and encouraged Mr. Douglas to give him a call.
That night, Mr. Douglas was at Mr. Ulmer’s house with a vision.
One month later, they had gotten their business license. A month after that, they had sold everything they owned and cashed in their 401(k) plans.
And a few days into 2011, they were moved into their office and were ready to take their first client.
Mr. Douglas said the clients’ needs always come first.
“It’s weird having other people come in your home,” he said. “It just is. There’s no way to sugarcoat that. And (other home health companies) say, ‘Hey, this is how we’re going to do it.’ Whereas we come in and say, ‘How do you want us to take care of your loved one?’”
And if that means it costs more money, so be it. For the first six or eight months of working the business, neither of them brought home a penny.
Mr. Douglas vividly remembers having to sell a car to pay his bills one month because they had nothing left. It was his last — and only — option.
“The first month we were able to take money out of here was the month after I had no idea how the hell I was going to pay the next month’s bills,” Mr. Douglas said. “God’s gonna help you out, but He’s gonna make you sweat it a bit first.”
After three years of operation, they’ve grown to 89 employees.
Comfort of Home recently started expanding into Kansas City, and they said they hope to continue to grow into other surrounding areas.
Only a year and a half into the business, they’d already surpassed their three-year projections. They hope to continue to grow while providing quality service.
“It can be tough,” Mr. Douglas said. “In this job, you can have basically the most rewarding day of your life one day and the toughest day of your life the very next day. You never know.”
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