In Home Care for Incontinence

In home care services are often used by family members to help provide care for senior loved ones, but the specific circumstances and types of care needed vary significantly from one family to the next. Some families need senior care for dementia, while others need services for elders coping with mobility issues. But of all types of assistance needs, perhaps none are as sensitive as in home care services for incontinence. However, because incontinence issues are common among the elderly, understanding this type of care is critical to help families through what can be a difficult situation.

Most seniors don’t mind asking for a little assistance around the house; cleaning projects, yard care, moving a piece of furniture, help grooming the dog, etc. They also might need a little help with reminders about appointments, help shopping and general housekeeping tasks. However, when it comes to care for incontinence, many seniors are too embarrassed to ask family members for help, as well as being too modest and prideful to accept it if help were offered anyway. Fortunately, this is precisely where an in home care provider can help.

In home care workers are people who are trained to provide care for seniors at a number of different levels. Because these people are professionals in their field, many seniors are able to enter into a level of care-related comfort with them, including comfort that allows care for incontinence issues. This can be extremely beneficial for families that have tried to provide care in the past but been refused.

The specific level of assistance needed in order to properly and compassionately manage incontinence issues varies from person to person. Some in home care workers need only to provide gentle reminders on a regular schedule, while others may provide assistance in the dressing and changing room, while still others may need direct care in the bathroom; especially if incontinence issues are exacerbated by mobility problems.

For many families incontinence issues are poorly understood, ignored, or simply not recognized. This poses a health and safety issue because improperly addressed incontinence issues can lead to other problems, including unsanitary conditions, illness and infection. In addition to providing direct care services, in home care providers can also help to educate family members about incontinence issues and how to provide proper care. This can be especially helpful for everyone in the family, including those that share senior care responsibilities, those that provide full time care, relief care, as well as loved ones not involved in direct care.

Incontinence problems can be extremely embarrassing and many families don’t know how to address the issue. Direct discussion is often the best approach, but it can also lead to a quick rebuttal. Speaking with a professional about incontinence care for seniors before having this discussion may be a better idea. If this is something that’s been struggled with in family, call a professional senior care agency for an immediate consultation about in home care services and how they can help with incontinence, and how they can help you develop a tactful plan for discussion with your loved one.

Senior Care for Dementia

Senior care for dementia can rapidly address, manage and improve the quality of life not only of the sufferer of this condition, but also for family members and loved ones involved in their care. Because this illness occurs in multiple forms and affects each person differently, it’s important to understand that senior care for dementia must be individualized in its approach to manage care and support of patients and their families. Knowing exactly what senior care can do for your loved one afflicted with dementia is critical in order to make the right choices for your family.

There are four primary functions that senior care for dementia serves:

1.) Help prepare the home for proper care

In many cases difficulties in caring for a loved one with dementia arise because the home living environment is not properly equipped to provide the right level of support. In-home care specialists will often work together with family members to create a safe and functional space that caters to the needs of a dementia patient. This can include:

*Installation of security and safety devices (locks on doors and windows for seniors that might wander and become disoriented, safety locks on dangerous household items, rubber runners on furniture edges, etc.)

*Ramps for use with wheelchairs, walkers or canes

*Safety bars in the shower, near the toilet, and anywhere else where physical stability is needed in the home

*Installation of safety lights, night lights and other means of illumination

*Arrangement of household furniture for better access, including acquisition of senior-care related items like specialized chairs or recliners.

*Management or restriction of automobile use when required

Of course, this is just a partial list €” each case is different and so each home will therefore need to be setup differently in order to provide the right level of care.

2.) Education

As a result of a lack of knowledge on the part of family and others involved in caring for a dementia patient, some seniors may not receive the type of treatment and care they need. A senior care in-home service will help to carefully educate family members and others that interact with the dementia-afflicted senior about this condition and how it can be correctly managed. This education is also critical in order to assist loved ones in understanding dementia-related behaviors that might be difficult to deal with if not approached from the right perspective.

3.) Direct care

The primary benefit of a senior care for dementia service is the direct care involved. This can help to alleviate the often stressful burden of constant care for a person who is no longer able to properly care for themselves. Direct care includes:

*Hygiene €” bathing, teeth care, showering and grooming
*Assistance with mobility
*Care for incontinence
*Grocery shopping, meal preparation and special diet maintenance
*Limited housekeeping, laundry
*Shopping and errands
*Transportation to appointments
*Medication Reminders
*Relief and respite care for family or other caregivers
*Companionship

The level of direct care that your loved one with dementia will require depends on your individual circumstances. Additionally, these needs are likely to change over time and a professional home care provider will work with you to ensure that you’re adequately prepared to deal with these changes as they occur.

4.) Support

Most importantly, senior care for dementia can provide invaluable support at a time when families need it most. Education, resources, community outreach, support groups and more can all be accessed by working with a qualified in home care provider. Support isn’t just for the person suffering from this condition €” because dementia affects everyone close to the patient, care is meant to benefit family and loved ones as well.

Anaesthesia and Critical Care: A Deep Insight

Critical care medicine requires a deep understanding of the complex principles of the practice with anaesthesia being an important element. Anaesthesia and critical care are two medical disciplines that are technology intensive with significant improvements being made in patient care over the last few decades. Thanks to technology and the introduction of gas analyzers, oximeters, electronic infusion pumps, and portable ultrasound, there has been a significant reduction in mortality rates attributed to anaesthesia. For the most part, anaesthesia has been specifically mentioned in the 2000 Institute of Medicine book “To Err Is Human: Building a Safer Health System” as an exemplary medical subspecialty.
Focusing on a perioperative environment
When it comes to anaesthesia and critical care the focus has shifted from an operating room setting to a broader perioperative environment. More than intraoperative events such as equipment failure and unanticipated difficult airway, the emphasis are more on perioperative considerations that can have an impact on an illness and its mortality. Anaesthetists have a unique understanding of the medical illnesses a patient who undergoes surgery suffers as well as the impact on specific areas of the body on which the operation is performed.
In preoperative evaluation, an anaesthetist performs a physical examination, review of lab tests, and assesses the need for testing prior to surgery. Anaesthetists have several important functions during surgery. They provide continual me dical assessment and monitor and control a patient’s vital life functions. Another major responsibility is to control a patient’s pain and level of consciousness in order to make conditions conducive for surgery.
PACU and critical care
In the PACU or Post-Anaesthesia Care Unit, pain control is optimized while the anaesthetist determines when a patient has recovered enough to be moved to a regular room or an intensive care unit. As an aftermath of PACU, anaesthetists are uniquely qualified to coordinate patient care in critical care units due to their extensive training in clinical pharmacology and resuscitation. In such settings, they provide extensive medical assessment and diagnosis, cardiovascular and respiratory support, and infection control. Dr. Rowan Molnar is currently the Director of Anaesthesia in an Australian Government Project in Papua New Guinea and is a past Editorial Reviewer at the Journal of Anaesthesia and Intensive Care. As a senior specialist anaesthetist he has extensive clinical experience in anaesthesia at full service hospitals both in Australia and internationally.
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