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STOP! Home Care Experts Recommend This Quick Stoplight Self-Assessment for COVID-19

Home Care

Use this COVID-19 self-assessment tool from the home care team at Nightingale.

Nightingale Homecare is dedicated to ensuring our patients’ safety and good health during the COVID-19, or “coronavirus” pandemic. Anyone can get the virus and may have mild or severe symptoms. However, if you are an elder adult with underlying conditions, such as heart disease, lung disease, hypertension or diabetes, you are considered to be at higher risk for developing more severe complications from the virus, and need to be particularly cautious.

Of course, the best way to prevent illness is to avoid being exposed to this virus, so it is important to stay away from people who are sick, or may unknowingly have the virus. The virus is thought to spread mainly from person to person who are in close contact, or through respiratory droplets when an infected person coughs or sneezes.

People with pre-existing conditions are encouraged by the CDC to stay home whenever possible and to go out only for medical care.  If you do venture out, do so with a cloth face covering, avoid crowds, and stay at least six feet from others at all times. It is especially important to use hand sanitizer while out and to wash your hands often with soap and water for at least 20 seconds after being in a public place.

While home, you should pay special attention to your hand hygiene, especially after blowing your nose or coughing, and avoid touching your face, nose and mouth. It is also important to clean and disinfect frequently touched surfaces daily: tables, counters, doorknobs, phones, keyboards, toilets, faucets, sinks, and light switches.

Anyone who does come into your home should always self-screen, and not come in if they are feeling sick, have a temperature, or have been recently exposed to anyone with, or suspected of having, COVID-19. In addition, your guests should wear a cloth face covering, practice good hand hygiene, and stay at least six feet from you at all times.

All of Nightingale’s patients are asked to self-screen for the virus daily. To self-screen effectively, you must know the symptoms associated with COVID-19. The following is a list of known symptoms of COVID-19:

· ·      COUGH · · ·      DIARRHEA
· ·      SORE THROAT · · ·      VOMITING
· ·      SHORTNESS OF BREATH · · ·      NEW CONFUSION
· ·      LOSS OF TASTE/SMELL

·      CHEST PAINS

·      BLUE COLOR IN LIPS, FACE OR EXTREMITIES

· · ·      TEMPERATURE > 100.4

·      SHAKING WITH CHILLS

·      MUSCLE ACHES

 

At Nightingale Homecare, we ask all our patients to go through the following self-checks daily. We use a tool called a stoplight self-assessment, and patients are asked to evaluate if they are in the GREEN, YELLOW or RED ZONE.

THE GREEN ZONE

If you can affirm all of the statements below, you would be considered to be in the GREEN ZONE, and would not need to do anything other than monitor for symptoms that may develop and continue taking precautions.

  • I am breathing easily.
  • I have no fever or chills.
  • I am not coughing, wheezing, or experiencing chest tightness or shortness of breath.
  • I do not have a sore throat.
  • I am able to maintain my normal activity level.
  • I am alert without confusion or unusual fatigue.
  • I have no loss of smell or taste.
  • I have no diarrhea or stomach upset.
  • I have no color changes in my face or extremities.

THE YELLOW ZONE

If you note any of the following symptoms, you would be in the YELLOW ZONE, and you would need to contact your health care provider right away.

  • I am coughing more than usual, or have a sore throat.
  • I have a fever over 100.4 degrees Fahrenheit when taken orally (or a tympanic recording), or 99.4 under the arm (or temporally).
  • I have loss of smell or taste.
  • I have diarrhea or vomiting.

THE RED ZONE

If you affirm any of the following statements, you would be in the RED ZONE and would require immediate, emergency medical attention:

  • I am experiencing unrelieved shortness of breath.
  • I have a persistent cough.
  • I have a fever over 101.4 degrees Fahrenheit when taken orally (or a tympanic recording), or 100.4 under the arm (or temporally).
  • I have a change in the color of my skin, nails, or lips to gray or blue.
  • I have unrelieved chest pain.
  • I have confusion.

Contact the Phoenix in home care team at Nightingale Homecare for more resources to help protect yourself and those you love from COVID-19 and other illnesses, and to learn more about our professional, customized home care services for seniors, available throughout Phoenix and the surrounding area.

Long-Distance Caregiving: How to Continue to Help After the Holidays

Long-Distance Caregiving

Long-distance caregiving is easier with these tips.

During holiday visiting, families often uncover concerns with a senior loved one that hadn’t been apparent through shorter visits or over the phone. And for family members who live at a distance, it can be quite a challenge to head back home, feeling helpless to know exactly how to help.

If this describes your situation, Nightingale Homecare, your trusted Phoenix home care agency has some helpful suggestions to provide you with peace of mind, and your loved one with the help he or she needs.

Planning

When it’s not possible to simply drive across town to help an older loved one, it’s helpful to hold family meetings regarding the potential “what ifs” that might arise, such as:

  • Living preferences according to who may be able to help in the event of an injury or illness. Roleplay some scenarios, such as if the senior experienced a broken hip following a fall and needed rehabilitative care.
  • Determining factors that will indicate that it’s time to consider care options. What might that look like?
  • Finances and other resources required and available for caregiving, including how much time family members can afford to miss from work for caregiving tasks.
  • Advance directives and wills: it is important that all paperwork is in order, and that family members impacted maintain a copy.

Monitoring

Living at a distance from a senior loved one makes it easy to put off the uncomfortable task of assessing the older adult’s health and wellbeing; yet, it is important to ensure these things are evaluated on a regular basis.

  • Obtain the name and contact information for your loved one’s primary care physician, and stay in touch with the office.
  • Ensure that there is a signed HIPAA Release of Information Form filed at each of your loved one’s doctors’ offices so you can communicate freely with each physician (and keep a copy for yourself).
  • Call your loved one regularly to check in and offer help with resolving or preventing any problems.
  • Maintain a list of other potential resources in your loved one’s neighborhood: neighbors, friends from church, other local family members who can be part of the support network. Make sure these contacts know that you are part of the long-distance caregiving team and have your contact information.

Traveling

Difficult issues are bound to occur, and often at a moment’s notice. It may not be feasible to travel home for each issue, so determine in advance when you will travel and when to call on other resources for help.

  • Determine if a situation is a true medical or care crisis. In your decision-making process, consult with your loved one’s doctor, social worker, or nurse for details and to get their opinions on whether you should be there.
  • Is there someone locally available who can help resolve the problem, or check in on the situation?
  • It’s perfectly fine if you prefer to visit just to put your mind at rest. If staying at home will cause you to worry, then it may be best to go.

Nightingale Homecare Can Help

Engaging the services of Nightingale Homecare, the top-rated Phoenix home care agency, is the perfect solution for long-distance caregiving needs. Providing as much or as little assistance as needed, and offering a full range of both medical and non-medical care, families know they can trust our care professionals to pay close attention to their loved ones’ needs, and to catch any concerns immediately, allowing them to be addressed before they become a more serious problem. Call us at (602) 504-1555 to learn more.

Phoenix Senior Care Experts Share the Best Assistive Devices to Ease Life at Home

Assistive Devices

Assistive devices help seniors enhance quality of life at home.

As we age, physical and self-care abilities may gradually decline, often making simple tasks and activities challenging. Tasks such as getting out of a chair, walking across the room, or buttoning a shirt can be difficult. There are a wide range of assistive devices that can make these tasks easier, while providing the added benefit of increasing independence and improving confidence, mobility and safety.

Assistive devices are specifically designed to aid people who have difficulty performing activities of daily living, including mobility, dressing, feeding, toileting, bathing and grooming. Our experts in home care in Phoenix, AZ have compiled a list of recommended assistive devices that can help the seniors you love enjoy a higher quality of life in the comfort of home.

Walker: Walkers are used by individuals who can bear weight but need support on both sides. The walker top frame should be even with the person’s hips. The walker should be directly in front of the individual, as he or she places both hands on the handgrips, stands erect, and slightly flexes the elbows, walking normally and looking ahead.

Walking Cane: Canes are used by a person who needs assistance with balance, but is able to walk without much difficulty. The top of the cane should be even with the person’s hip bone, and held with the hand opposite the weak leg, standing erect with elbows slightly flexed. A caregiver should be positioned on the person’s weaker side.

Wheelchair or Electric Buggy: For people whose symptoms greatly limit or eliminate walking for any distance, a wheelchair or electric buggy can provide quality of life, allowing the person to go out to do some shopping, go to appointments or visit friends and family.

Wheelchair Ramp: A wheelchair ramp makes it easy to get into and out of the home, either on a wheelchair or while walking to limit negotiating stairs.

Stair Lift: Stairways in the home can present a risk for people who are vulnerable to slips and falls. Not only are stairs difficult to maneuver for people with restricted mobility, but the severity of an injury suffered is much greater than one that would result from a fall on a level surface. Stair lifts offer a means of getting safely up and down stairs independently.

Grab Bars: Grab bars are invaluable in helping seniors maintain balance, and should be placed in hallways, near the person’s bedside, along stairwells, in bathrooms, etc. Grab bars are relatively straightforward to fit and can be made reasonably unobtrusive, but they can make a major difference in a senior’s ability to get around the home. 

Raised Toilet Seat: A raised toilet seat will make it easier to sit down, get up, and maintain balance while using the toilet.

Commode: A commode placed next to the senior’s bed or chair will limit the distance from bed or chair to the toilet and reduce the possibility of a fall. 

Shower Bench or Board: A shower bench or board will allow the person to sit while showering and avoid falling in the shower. Consider a hand-held shower head, too.

Shower Caddy: A shower caddy, placed at an appropriate height, will reduce the risk of accidents in the shower as a person reaches to get shampoo and soaps.

Long-Handled Sponge: A long-handled sponge in the shower enables a person to reach difficult places, helping to maintain balance and prevent injury.

Walk-in Shower: If a person’s mobility is limited, a conventional bath or shower presents a major challenge along with the risk of serious injury from any resulting fall. Installing a walk-in shower in the existing bathroom is a wonderful option that will improve safety.

Hip Protectors: Hip protectors are padded accessories which can be worn as a belt or incorporated into underwear. The idea is to protect or the person’s hip bones from some of the impact of a fall. 

Reaching Aids: There are a range of assistive devices on the market which help a person who is unsteady on his or her feet to reach for an item safely, without stretching or over-balancing.

Nightlights: Place nightlights in bathrooms, bedrooms and dark hallways to prevent falls.

Seat Lift: If your loved one struggles with standing up from a chair, a seat lift will eliminate that struggle and will reduce the risk of a fall. A seat lift raises the person from a sitting position, gradually and steadily, up to a standing position

Video Doorbell: A video doorbell allows the senior to see and communicate with people at the door before getting up.

Fall Detector: A fall detector is essential to have access to immediate assistance in the event of a fall.

Power Failure Alarm: This type of alarm will alert the senior when power is lost and provide emergency lighting.

Automatic Swing Door Opener: This type of door opener is extremely helpful, enabling the individual to open doors hands-free.

Voice-Activated Lights: These lights can be turned on and off without getting up.

Mattress Lift:  A mattress lift helps seniors get in and out of bed with ease.

Sound Amplifier: For those with hearing difficulties, a sound amplifier will help the person to hear conversations or the television.

Dressing Stick: This device helps eliminate reaching and bending, which can cause falls, while allowing increased independence in dressing.

Stocking Aid, Long-Handle Shoehorn, Zipper Pulls and Button Hooks: These are wonderful for people with impaired limb function, allowing for maximum independence in dressing.

Contact the professionals in home care in Phoenix, AZ at Nightingale Homecare for help with obtaining these or other assistive devices, and for in-home care services to enhance safety, socialization, comfort, and engagement in life for a senior you love!

Strike a Pose! Try These Types of Yoga for Elderly Adults to Help Seniors Thrive

September is National Yoga Awareness Month, and the benefits of yoga, regardless of a person’s age, are phenomenal. Yoga for elderly adults, when combined with other healthy lifestyle habits such as diet and exercise, has been shown to minimize hypertension, strengthen bones, and help with weight loss. It may even reverse heart disease, according to one study.

Yoga for elderly

Yoga for elderly adults can be extremely beneficial.

At Nightingale Homecare, providers of the highest quality senior care Phoenix, AZ and the surrounding area have to offer, we love helping the older adults in our care engage in ability-appropriate yoga. In addition to enhanced physical health, yoga for elderly adults can also improve memory, boost the senior’s mood and outlook, and reduce anxiety.

Here are a few great senior-friendly yoga exercises to try at home with your loved one (after receiving approval from his or her doctor):

  • Half Chair at the Wall: Stand about 12” from a wall, with the back touching the wall. Lift the arms forward and up over the head, facing the palms toward each other, and then slowly bend the knees and squat towards the floor, until a seated position is achieved about halfway to the floor. Hold while taking five breaths, and then stand and repeat.
  • Warrior: Stand and place feet hip-width apart, while the right foot is held still, bend the right knee to a right angle, and shift the left foot back about 3 feet, pointing the left toes out to the side. Raise the arms straight up near the ears and look up. Hold for three breaths, return to standing straight on both legs, and repeat.
  • Cobbler’s Pose: From a seated position with legs spread out and the spine straight, bend the knees and bring the feet up toward the pelvis area, with soles touching. Press the elbows against the thighs, coaxing them closer to the floor (without causing any discomfort or pain).
  • Alternate-Nostril Breathing: Place the tips of the right index and middle fingers between the eyebrows, and then place the thumb on the right nostril and the ring and pinky fingers on the left nostril. While pressing the thumb against the right nostril, breathe in through the left nostril. Alternate for the next breath, and repeat for five minutes.

Let Nightingale Homecare help the seniors in your life maximize health and quality of life! Our care team is always available to provide the encouragement and motivation for older adults to engage in yoga and other exercise programs, along with a wide range of personalized medical and non-medical in-home care services. To learn more about our services in senior care in Phoenix, AZ and the surrounding areas, call us at (602) 504-1555 at any time!

Fostering Freedom: How to Help Seniors Stay Independent Throughout Aging

Sun City home health care

Discover how to help seniors stay independent and safe.

It’s a common struggle among family caregivers: deciding when to step in and help, and when to step back and allow an older loved one to accomplish as much as possible independently. It requires a delicate balancing act. On the one hand, we need to ensure safety is never compromised; yet on the other hand, we never want to do anything to damage a senior’s self-worth and self-esteem.

So the question becomes, how can we help seniors stay independent, while ensuring safety? The Sun City home health care experts at Nightingale Homecare have several key recommendations:

  1. Remember: You’re a team! Changing the mindset from working for a senior to working with a senior can make a world of difference in your approach. Talk with the older adult in an open and honest way about the challenges and concerns he or she is facing, and how you can best provide needed support. Naturally, these needs will change over time; and when cognitive issues come into play, communication strategies will need to be modified as well. But we all appreciate being asked for our input, and to know that value is placed on our feelings.
  2. Allow time before jumping in to help seniors. It may seem more efficient to take care of tasks yourself, but doing so may be at the expense of your loved one’s self-image. Instead, factor in plenty of extra time for tasks, allowing the senior ample opportunities to tackle them independently whenever possible.
  3. Focus on the senior’s strengths. If certain tasks prove to be too challenging for your loved one, shift the focus to those he or she is able to manage more easily. For instance, if preparing an entire meal is too difficult, ask the senior to manage creating her special dessert recipe while you work on the main course.
  4. Remind the senior that helpful workarounds are a positive. A senior may balk at the idea of using a walker or wheelchair initially, or in having grab bars installed in the bathroom. And many times older adults are resistant to the idea of needing someone to help with everyday activities that they’ve been managing their entire lives. Providing a reminder that assistance and home modifications are empowering, allowing the senior to accomplish more independently and to remain in the comfort of home throughout aging, can be beneficial.

At Nightingale Homecare, it’s our mission to deliver the highest quality in-home care help for seniors with the respect and dignity that allow for maximum independence and autonomy at all times. Never coming in and taking over, we work together with seniors and their families to develop a plan of care that addresses all needs – including those for personal freedom. Contact our Sun City home health care team at (602) 504-1555 to request a free in-home consultation and discover how we can improve life for a senior you love.