• Web cams & sensor systems like the AttentiveCare and AT&T Remote Monitor systems provide an inside look at the home, so family members or “call center” can watch for any potential accidents an elderly or disabled individual might have at home.  The sensor systems can also send alerts to the appropriate monitoring parties when doors or windows are opened–or even when water is leaking from a faucet in the monitored home.
• Emergency response pendants like those provided by KMC’s LifeLine program and others give seniors a sense of safety, knowing they can call for help at the push of a button if they fall or otherwise need assistance.  Emergency responders are quick to respond to the call.
• Telehealth monitors collect readings for a patient’s weight, blood pressure, and other physiological measurements without having to make a doctor’s appointment.  Again, the readings are automatically transmitted to a “call center” that collects the data and forwards the information on to doctor’s offices or other appropriate responders.
• Automatic pill dispensers remind patients to take their medications by voice message, text, and/or flashing lights, and dispense the right dose at the right time.  Many can even call the family caregiver in the event that the patient misses a dose.

The health care industry has made great strides in technology for in-home care clients over the past decade.  For more information on how to coordinate a loved one’s care at home, contact us or call AAging Better In-Home Care at (208) 777-0308 in the Coeur d’Alene, Post Falls or Hayden areas, (208) 263-7889 in the Sandpoint, Bonners Ferry or Priest River areas, or (208) 784-1505 in the Kellogg, Wallace or Pinehurst areas.

• Assistance with Bathing
• Assistance with Dressing
• Assistance with Grooming or Personal hygiene
• Exercise
• Walking, transfers and repositioning
• Meal planning and preparation
• Housekeeping–cleaning and laundry

Other non-medical services that may need to be included in a “Plan of Care” for the elderly or disabled individuals are companionship services, as well as respite services that are designed to provide relief and “a break” for a family caregiver who may be caring for a loved one.  In-home care agencies, like AAging Better In-Home Care, are valuable resources for families to consult and discuss what services or accommodations might be needed.  Our agency provides a free in-home assessment to determine the care requirements of each new client and then works closely with the client or family member/s to develop a Plan of Care, provide guidance along the way, and implement and monitor continuing care and services.  As industry experts, in-home care agencies know how to maximize available resources to assure that all needs are met and that the care provided at home ensures a safe, comfortable, and enjoyable environment for the loved one.

At AAging Better, we take pride in helping families coordinate long-term care for their aging loved ones.  To find out more about our services, contact us online or call us at (208) 777-0308 in the Coeur d’Alene, Post Falls or Hayden areas, (208) 263-7889 in the Sandpoint, Bonners Ferry or Priest River areas, or (208) 784-1505 in the Kellogg, Wallace or Pinehurst areas.

Home care agencies, like AAging Better In-Home Care of North Idaho, are valuable resources to use when planning your finances because agencies such as ours can help you address what services are covered under different programs like Medicare and Medicaid.  When discussing financial planning with a home care agency be sure to:

• Ask that they go over the various payment options.  Many people dealing with long-term care for the first time are under the impression that Medicare or Medicaid will cover the costs of all their care—which is not accurate in many circumstances.  Companies such as AAging Better In-Home Care can direct you toward the different governmental agencies that can help you begin the process of creating realistic financial plans for in-home care.

• Ask about state programs.  Many states have special programs that offer funding to those with special needs and require home care.  Home care agencies know their state’s programs and should be able to identify if you or your loved one qualify for any special funding.  In some circumstances, these programs are available to residents regardless of income level.

• Ask what can be covered by your insurance.  Some insurance plans include long-term care policies, which can subsidize the policy holder’s home care costs.

For more information about financial planning for your long-term care, contact AAging Better In-Home Care online or call us at (208) 777-0308 in the Coeur d’Alene, Post Falls or Hayden areas, (208) 263-7889 in the Sandpoint, Bonners Ferry or Priest River areas, or (208) 784-1505 in the Kellogg, Wallace or Pinehurst areas.

• Ability to use a telephone: This is an important function for seniors in the event of an emergency.  If the senior can operate a phone, look up phone numbers, and dial a few well-known numbers, he or she may not need assistance in this area.  However, if the senior can only answer the phone, but not dial, or cannot use a phone at all, this is a strong indication that some level of in-home assistance is needed.
• Shopping: Depending on mobility, some seniors may be able to shop for themselves, while others may need someone to accompany them to the store or to have their shopping done by a home caregiver.  This, along with meal preparation, is one of the primary services we at  AAging Better In-Home Care offer our clients.
• Food preparation: Proper nutrition is important for aging seniors, and you may find that your loved ones are not maintaining an adequate diet from the meals they prepare for themselves.  If this is the case, they may need assistance with meal and snack preparation.
• Housekeeping: Daily household chores can be daunting for most frail seniors.  This is an area where many home-care clients require assistance to help maintain the proper upkeep and safety of their homes.  Again, this is one of the primary services we offer.
• Medication responsibilities: A certain amount of memory loss is common with aging, so many seniors feel the need to have medication reminders.  This is one of the most frequent services we offer to clients in their homes or those already in Assisted Living Facilities.  For seniors with Alzheimer’s disease or dementia, this assistance is particularly important.

Seniors will likely find that, as they age, their need for assistance in many areas of daily living will increase.  Contact Aaging Better In-Home Care for further details about how we can help assess your in-home care needs and to discuss the many different options for care.  Contact us online or call us at (208) 777-0308 in the Coeur d’Alene, Post Falls or Hayden areas, (208) 263-7889 in the Sandpoint, Bonners Ferry or Priest River areas, or (208) 784-1505 in the Kellogg, Wallace or Pinehurst areas.

Minimal to Minor Care at Home:

• Emergency Responsiveness: The individual is able to negotiate stairs, call for assistance or respond appropriately to someone helping him or her during an emergency.
• Mobility: The individual is able to walk and transfer himself or herself from a bed or chair independently with infrequent falling.
• Activities of Daily Living (bathing, dressing, feeding, etc.): The individual is able to accomplish most activities with little help; perhaps needs assistance with meals or housekeeping, or reminders about medications, assistance grooming, etc.
• Mental Status: The individual has little to no mental impairment.

Move to Full-time Care at Home:

• Emergency Responsiveness: The individual needs definite or major assistance in the event of an emergency.
• Mobility: The individual is prone to falls and needs either stand-by or full assistance walking or transferring.
• Activities of Daily Living: The individual needs reminders and/or full assistance with many or all activities of daily living.
• Mental Status: The individual has mild to moderate memory impairment, becomes disoriented often, and/or exhibits mild confusion.

If the individual is in need of full, round-the-clock assistance, our agency is well equipped to offer this service to families or the individual.  However, if significant dementia or Alzheimers is a large part of the picture, family members may want to consider an assisted living facility.  If your family needs further guidance in determining the level of care for a relative, Aaging Better In-Home Care is happy to help.  Contact us online or call us at (208) 777-0308 in the Coeur d’Alene, Post Falls or Hayden areas, (208) 263-7889 in the Sandpoint, Bonners Ferry or Priest River areas, or (208) 784-1505 in the Kellogg, Wallace or Pinehurst areas.

• Webcams: Installing webcams throughout the home allows both family members and caregivers the ability to virtually check in on the senior at any time.  Webcams also allow family members who live far way to video chat with their loved ones.  While the issue of privacy is of concern, this technology has proven to be a life-saver in some instances where the loved one has fallen and been unable to get up.  Where webcams have  been installed in instances like this, families have been very happy with the results.

• Sensor Monitors: In conjunction with webcams, sensors can be placed throughout the home to track movement.  These are particularly handy for seniors with ambulation or wandering issues, such as someone with mild Alzheimers or dementia that is not advanced enough to require institutionalization.   Most sensor systems connect to a TV or computer monitor and an internet connection so that the company monitoring the sensors can detect anything out of the ordinary and contact family members or a response team quickly.

• Medical Alert Pendants: These handy devices are becoming increasingly popular with seniors and disabled individuals as this technology continues to be updated to increase their effectiveness.  They are worn by the subscriber and a button is pressed in the event of a fall or other emergency, connecting the senior to 911 or another emergency response service.  The cost is usually around $25-$30 per month for subscribers.  Kootenai Medical offers this technology via its Lifeline Program in Coeur d’Alene.  A call to this office can get an appointment for a technician to come out to the subscriber’s home and set up the call pendant.  It does require a land line (phone), however.   Currently, this technology does not work with cell phones.

• Automatic Pill Reminders/Dispensers: These are perfect for patients with dementia or Alzheimer’s disease.  An alarm in the pill dispenser goes off, alerting the senior to take his or her medication by voice message, and dispenses the correct dosage.  If the senior misses a dose, an alert is sent to the caregiver after 90 minutes.

Technology is increasing the level of independence that seniors can experience in their homes.  For more information on these home care options, contact AAging Better In-Home Care online or call us at (208) 777-0308 in the Coeur d’Alene, Post Falls or Hayden areas, (208) 263-7889 in the Sandpoint, Bonners Ferry or Priest River areas, or (208) 784-1505 in the Kellogg, Wallace or Pinehurst areas.

• Private Duty Care: Private duty services are typically “non-medical” services that include housekeeping, transportation, laundry, meal preparation, shopping for groceries or personal care services, such as assistance with dressing, bathing or grooming.  It can also include care of those with dementia, like Alzheimer’s, or respite care for those family caregivers that need a little time away from caring for their loved one.  Private duty care services are usually paid for directly by the client or his or her family.  Some services may be covered by long-term care insurance, workers’ compensation, or armed services (Veterans Affairs) funding. An important thing to note, however, is that private duty services are not covered by Medicare.  Private duty may be covered by Idaho’s Medicaid Program but the individual would have to contact the Eligibility Department in Coeur d’Alene to determine if they qualified for Medicaid services.  It’s usually a fairly long process to become approved.

• Home Health Care: Home health care is skilled nursing care that is usually required in the home for treatment of an illness or injury – wound care, injections, diabetes or blood pressure monitoring, and other treatments that require nursing skills.  Home health care can also provide physical, respiratory, occupational or speech therapy.  Unlike private duty care, many home health services are covered under Medicare when it’s in conjunction with a discharge from the hospital, providing that specific conditions are met.

• Geriatric Care Management: Geriatric care managers handle the details of an individual’s life or estate that fall outside the realms of direct care providers, such as financial and estate management. They can also coordinate care for an individual, mediate family communications, or assist with moving to another living arrangement or closing up of a household. Geriatric care management is traditionally an out-of-pocket expense.

• Hospice Care: Hospice care is a special type of in-home care, designed to provide comfort and support for patients who are nearing the end of a terminal illness. Hospice provides a range of services, including nursing, mental health, and spiritual advising. Coverage for hospice care is typically offered by most private insurance providers and through Medicare.

For more information about the different models of in-home care and what type of care is right for you, contact AAging Better In-Home Care online or call us at (208) 777-0308 in the Coeur d’Alene, Post Falls or Hayden areas, (208) 263-7889 in the Sandpoint, Bonners Ferry or Priest River areas, or (208) 784-1505 in the Kellogg, Wallace or Pinehurst areas.

Compared to “real food” options of low-fat yogurt and an orange (a typical breakfast for seniors or others), which has around 206 calories, 12 grams of protein, 31 grams of carbohydrates, 3.5 grams of fat, 467 grams of calcium, and 71 mg of vitamin C, here’s how some of the most popular drink supplements weigh in:

a.)  Boost (8 oz.): 240 calories, 33 grams of carbohydrates, 15 grams of protein, 6 grams of fat, 300 grams of calcium, 0 grams of fiber, 60 mg of vitamin C

b.)  Ensure (8 oz.): 220 calories, 41 grams of carbohydrates, 9 grams of protein, 6 grams of fat, 300 grams of calcium, 3 grams of fiber, 30 mg of vitamin C

c.)  Carnation Instant Breakfast Essentials (11 oz.): 250 calories, 34 grams of carbohydrates, 14 grams of protein, 5 grams of fat, 500 grams of calcium, 0 grams of fiber, 30 mg of vitamin C

Clearly in this and almost all instances, the best choice for ongoing adequate nutrition is real food, in this case the yogurt and fresh orange which have the lowest calories and highest calcium, fiber, and vitamin C.  However, drink supplements do offer important nutritional value for those who struggle to meet their caloric and nutritional needs.  In some cases, the can of supplement may be the only “meal” a senior manages to get down that morning–or for lunch or dinner.   As mentioned in the previous blog on weight loss, it’s essential family members closely monitor a frail elderly individual’s food intake to ensure they don’t just get all of their needs from supplemental drinks because these kinds of supplements were never meant to be substitutes for real food.

If the loved one or senior is unable to eat on a regular schedule, for whatever reason, it’s very important to make sure these nutritional drinks are balanced with a diet that includes fresh fruits and vegetables (frozen is an acceptable second choice), whole grain breads and pastas, dairy products like cheese, low fat milk, and cottage cheese, as well as proteins from other sources like meats, beans and nuts.

AAging Better In-Home Care provides trained, compassionate caregivers that will come into the senior’s home to prepare nutritious meals, as well as, do the grocery shopping and all the clean up.  We ensure frail and elderly individuals obtain the proper nutrition needed to stay safe and effective in their own homes rather than be moved to an assisted living facility if they can no longer cook or take care of themselves.

For more information about meal preparation and all our services, contact us online or call us at (208) 777-0308 in the Coeur d’Alene, Post Falls or Hayden areas, (208) 263-7889 in the Sandpoint, Bonners Ferry or Priest River areas, or (208) 784-1505 in the Kellogg, Wallace or Pinehurst areas.

1. Has the senior complained of loss of appetite, digestive problems, or chewing or swallowing difficulties?  Has there been decreased food intake over the past several months due to these complaints?
2. Has the senior experienced a sudden or a steady weight loss during the last 3 months?  Weight loss, particularly in those who are not active, can be an indication that the person is not eating properly or that there may be other serious conditions going on.
3. Does the senior have mobility issues?  Being bed-bound or unable to go outside and do their own grocery shopping or eating out at restaurants can cause nutritional challenges.
4. Has the senior suffered psychological stress or acute disease in the past 3 months?  Loss of a spouse, a family member or simply being alone during the holidays can cause significant stress in a person’s life and the elderly have even less ability to cope well with such events than younger people do, especially if the senior is left isolated and alone from the loss.  And illness almost always causes seniors to lose some weight but if the illness is a prolonged one, the accompanying weight loss should be a definite concern to be watched closely.
5. What is the senior’s body mass index (BMI)?  A BMI of 18.5 or less may be a sign that the person is not eating enough, while a BMI of 30 or more can indicate obesity.  BMIs are not normally calculated outside of fitness gyms or doctor’s offices but when the BMI is known and followed closely at doctor’s visits or elsewhere, and it continues to drop for no apparent reason, BMIs are a good way to alert family members to the fact that a senior may not be eating or absorbing their foods properly.

If you or your loved one has been displaying any of these signs, consult a physician as soon as possible.  Another way to help counter ongoing weight loss or frailty due to poor nutrition is to call upon the services of an agency like AAging Better In-Home Care.  Our agency can place a caregiver in the home who will do the shopping and cooking for the senior and ensure they are getting their proper nutritional needs met.

For more information on how AAging Better can assist you or your loved ones with nutritious meal preparation and monitoring, contact us online or call us at (208) 777-0308 in the Coeur d’Alene, Post Falls or Hayden areas, (208) 263-7889 in the Sandpoint, Bonners Ferry or Priest River areas, or (208) 784-1505 in the Kellogg, Wallace or Pinehurst areas.

Protein needs typically do not change for older adults; however, some proteins, like turkey, chicken, and fish are healthier than red meats.  Other foods with high levels of protein include:

• Eggs (even those with higher cholesterol levels do fine with a minimum of two eggs per week but for those with good cholesterol levels, eggs 3-4 times a week are encouraged)
• Peas
• Beans (all beans are a very good source of protein)
• Tofu
• Nuts (raw nuts are much healthier than roasted and salted but a small handful of either is usually recommended rather than larger amounts eaten at one sitting)

Fat should be something that older adults reduce in their diets; however, there are some “good” fats that can and should be part of a healthy diet, including:

• Olive oil (recommended as a primary cooking oil or on salads)
• Seeds
• Sunflower oil
• Avocados
• Nuts (high in fats but good sources of protein)

Calcium is a very important nutrient that helps minimize bone loss in older adults.  Milk, cheese, and yogurt are all good sources of calcium, as are:

• Figs
• Tofu
• Kale
• White beans
• Cabbage

A healthy, nutrient-rich diet is vital for older adults.  Aaging Better In-Home Care understands the unique challenges of senior nutritional needs and trains all of its caregivers in the proper preparation of healthy meals.  For more information about our shopping and meal preparation services, contact us online or call us at (208) 777-0308 in the Coeur d’Alene, Post Falls or Hayden areas, (208) 263-7889 in the Sandpoint, Bonners Ferry or Priest River areas, or (208) 784-1505 in the Kellogg, Wallace or Pinehurst areas.