Six Things We Wish You Knew About Hospice…

At Heavenly Helpers Senior Home Care, we have seen firsthand what great things hospice does for the individual and the family facing an end of life situation. We are not a hospice organization, but if a hospice agency has a client who needs someone to stay with him or her (perhaps the family can’t or the hospice team doesn’t have someone available), that is where we can come in. In the last several months, we have had a number of in-services for our caregivers that pertain to hospice care.

There are several things I find myself wishing everyone knew about hospice. Here are six that I want to highlight:

1. People are not taking advantage of hospice early enough to really reap all the benefits it has to offer. I was shocked to hear that only 33% of all hospice patients live 7 days or less.

2. Some people mistakenly believe hospice care is only for cancer patients. Not true! Qualification is based on certification that the patient probably has 6 months or less to live if their disease or affliction runs its natural course.

3. Everyone can utilize hospice regardless of financial situation. Medicare, Medicaid and private insurance will cover hospice so that no one will be turned away.

4. Hospice isn’t about lessening care by any means! In fact, there is something called the “hospice effect” whereby a certain percentage of patients so greatly benefit from the care and attention, they actually get better! These patients are then able to come off hospice! Just remember that hospice care is not curative.

5. Hospice provides one year of bereavement services for the family after the patient dies. This is something that probably too few families either know about or take advantage of.

6. A person may stay on hospice more than 6 months. As long as the hospice medical director and the patient’s doctor continue to certify that the patient probably has 6 months or less to live, hospice will continue for another 6 months. There have been patients that have been on hospice for several years.

We hope this will serve as a guide to any questions you may have concerning end-of-life care, as well as a resource to other sources rich in information.

Nursing & Home Care

Home Healthcare Nurse is the professional, contemporary journal serving the educational and communication needs of home care and hospice nurses. The journal is highly interactive and timely, focusing on the multidimensional, interdisciplinary and specialty practice areas of home care nursing. Clinical, operational, and educational home care nursing issues are the core of the publication; plentiful columns and features focus on practical, up-to-date approaches to everyday situations, as well as analysis and interpretation of how healthcare trends affect the home care nurse’s practice.

Home care agencies can provide nurses and nursing assistants to help with skilled care as well as the general activities of daily living. Your local home health agency can also provide skilled care services such as nursing and physical therapy when needed.

Home infusion Therapy

Home infusion therapies are prepared under the supervision of our specialized pharmacists, and are then delivered and administered to patients by Home Care infusion nurses or trained caregivers. Home infusion is primarily used to treat infectious diseases, heart failure, cancer, intractable pain and nutritional disorders. Home Care brings more than 100 years of collective experience in the infusion industry providing clinical leadership, vision and focus.
Home Care manages a wide range of complex injectable and infusible therapies that require special handling, clinical oversight or outcomes monitoring. The following therapies are available for use in a patient’s home, physician’s office, skilled nursing facility or an Rx Solution treatment center.
Home Medical Equipment
We can also be their source for comprehensive medical equipment and supplies for home use Some examples of the types of home medical equipment that we have available include:
 Bathroom safety equipment
 Crutches and canes
 Hospital beds
 Walkers
 Wheelchairs

Some Considerations When Choosing A Live In Caregiver

If you are responsible for the well being of an elderly parent or friend, there may come a day when you will have to consider hiring a live in caregiver. This is one decision that should not be entered into lightly; you will be determining what is best for your loved one over the course of their final years. With this in mind, let’s take a look at some of things that you should consider when engaging the services of the person who will be seeing to your elderly parent’s or friend’s welfare.

To begin the process of selection, you can either place a classified ad or enroll the services of a placement agency, or both. If placing an ad, you will want to specify as many details as possible regarding the nature of the care required. You may also wish to include things such as salary and specific skills required. One advantage of using a placement agency is that they will have a listing of pre-qualified candidates.

Regardless of where your candidate comes from, the interview process is pivotal. Here is where you have the opportunity to get a sense of the person being considered. Ask for valid identification, for example a driver’s license. Also, be sure to get a feel for their experience and areas of expertise. Different people require different levels and types of care.

One good way to ensure that you are hiring a competent and caring person is to ask for references. Unfortunately, these can be falsified or manipulated. Since sound elderly care is so important you will need to do some further investigating. Ask candidates to provide past residences and phone numbers as well as verifiable employment history. These will help ensure you hire a trustworthy in-home care provider.

Expanding on the above, you will also need to conduct a background check before offering the job. It will be worth the money you spend with a background screening company to know your loved one is being cared for by someone with a clean record.

After you have completed the interview process (and hopefully you have interviewed more than one) the next step is to make an offer. This should be in the form of a written document. It should outline salary, benefits, and the rules of the house. You need to be as specific as possible. Will the caregiver have free and unlimited internet access? Will there be a food allowance? Are some areas of the house out of bounds? You get the idea.

Since you will be directly paying an employee, it is important to remember that you are now a legal employer. Contact the Internal Revenue Service to obtain an employer identification number. Do not forget to check if your state has taxation requirements for new employers. Seeing to these matters early will save you untold grief down the road.

Hiring a caregiver to provide senior home care can be an affordable alternative to sending your loved one to a place that is new and strange to them. It allows them to stay in place in which they are familiar and comfortable. Your job is to find the right person.

Things to Know in Selecting In Home Caregiving Services

Caregiving for a loved one is a demanding, challenging job and no one is outfitted to do it alone. For many, the challenges of caring for a loved one are part of daily life. If your senior loved one has difficulty living independently, you have options other than a nursing home, assisted living or other senior care facilities. With home care services, your loved one can receive ’round the clock’ or hourly assistance to help them live life according to their needs and on their terms. Even for seniors who only need a little help in their daily living, in home care services may be a good option.

Live-In Home Care

Live-in home caregivers stay for multiple days at a time in the senior’s home. They are expected to provide the senior with full-service, day and night care as needed. Live-in caregivers are able to give their complete attention to sustaining a well-conditioned and positive environment for your loved one. When selecting a live-in home care provider, make sure you choose someone who has enough experience and staff to give senior clients proper safety, care, companionship, and emotional support.

Hourly Home Care

Many elderly people do not need 24-hour or live-in care, and so they use their care providers on an hourly basis. For example, they may need assistance and appropriate care only during the morning evening, on Saturdays and Sundays, or when they visit their doctors or other appointments. With this choice, elderly people can get the appropriate care they need, in the proper place and at the right time.

By obtaining help as required, seniors are able to maintain their normal day-to-day schedules as independently as possible. Thus they can thrive by being in their familiar surroundings, with their own possessions and pets as they are given the help they need.

When searching for an hourly, or “come and go” caregiver, you should look for someone with the same expertise as a live-in home care provider. This includes the agency or the caregiver you may hire. Like a 24-hour or live-in caregiver, the hourly person should also be able to provide safety, emotional support, and companionship to their senior clients. They should also be devoted to the well-being and protection of their clients.

Care Outside Home

During hospital admissions caregivers can also be used for providing companionship and monitoring to your loved one. They may also accompany seniors on vacations or travel to insure their comfort and safety. Now you can have your much needed peace of mind knowing a reliable, professional caregiver is there for your loved one.

Here are some things you may want to consider when preparing to find an agency that will provide quality care to your loved one:

Working with agencies

– Conduct an in-depth appointment interview with each selection. Screening applicants on the phone should always be followed with a face-to-face personal interview. Initially this interview will be with the agency management, but later you will want to meet their proposed caregiver(s).

– Be particular of all the tasks, abilities, and daily activities that are required for your situation.

– Discuss compensation and payment schedules. Do not pay for services in advance. Payment should never be made directly to the caregiver, but instead the agency should issue invoices for payment.

– Ask for several work and personal reference sources, and then check them thoroughly. Confirm the information provided, and ask all sources about experience, credibility, punctuality and the care provider’s capability to deal with stress and difficult tasks.

– Demand the highest levels of general and professional liability insurance coverage.

– Hire only an agency that has properly background checked and credentialed all of their proposed caregivers. Additional credentialing should also include health screenings, drug testing, proper licensing and training.

Be sure to ask the following questions:

– How are your employees screened?
– Do you guarantee a compatible “fit” of your proposed person with the client?
– Is your agency licensed, and by whom?
– Does your agency have any special accreditations, such as the Joint Commission?
– Are your proposed personnel payroll employees of your agency, or independent contractors?
– Can I see a copy of your business insurance coverage’s? Does this include bonding of your employees?
– Do you require an upfront deposit or length of service commitment?
– What are the training programs and standards of experience for your personnel?
– Will you provide specific competency training to meet our unique family needs?
– How, and by whom, are your personnel supervised? Do you charge for these management services?
– What are your processes for emergencies or caregiver cancellations?
– Is your agency licensed and insured to provide medical services as well as basic in home care services?
– How do you include the extended family in the provision of your services?
– Does the program offer transportation, meal preparation, laundry and light housekeeping?
– What is the cost of services? How do you handle invoicing arrangements?

Using these criteria are a great starting point to define the agency and caregiving services that will be required for your situation. Doing this level of homework will protect the client at a critical point in their lives when they need care at home. Doing all these things will allow you to start care with the confidence that you have done your best to select the highest level of care for your loved one. After the start of services, ultimately the real determination about the effectiveness of your decision will come down to the level of the actual care provided in the home, and the relationship that develops with the agency, caregiving staff and the client. This dynamic should be reviewed regularly by the family and adjustments made as necessary to insure continuation of the best possible care for their loved one.

Article Source: http://EzineArticles.com/6869634

The Differences Between a Referral Agency and an In Home Caregiving Service

Many people are not aware of the differences between a service provider and a referral service. However, these two different types of companies have some major differences, some of which can easily make a big difference in the level of care that is received. When you have an elderly relative or other loved one that is in need of in home care, you want the very best care that is available. Referral agencies do not employ their caregivers, but rather they are independent contractors that are technically self-employed. Caregiver services have employees that are on the company payroll. As such, they are required to be fully trained, amongst other things. This distinction has some major implications for the quality of service that you will receive.

Having a caregiver that is employed with a larger caregiving service will save you a good deal of trouble. Because the caregiver that will be coming to your home will be an employee rather than an independent contractor, there will be many additional benefits. For one, you will know that these people have been screened closely by the service employing them. Having a thorough background check, including both criminal and reference checks, you will have a higher degree of safety as you will be guaranteed to have a person of strong morals and sound character.

This is also a guarantee that the caregiver will have the necessary training to handle any situation that might arise while on the job. You cannot have this same guarantee with an independent caregiver recommended through a referral agency. And while the fact remains that most caregivers out there are experienced and know what they are doing, going through a service that employs and thoroughly trains their caregivers will guarantee that you get the quality of service you expect and deserve. This will eliminate a good deal of worry on your part.

Being employed by a service comes with another positive factor. The employees of the service are held more accountable for their actions. This lessens the amount of liability that the person receiving care will experience. If the person providing care is held to a higher standard, the quality of service, then, will follow suit. Better training, greater expectations, and more accountability will all be factors that benefit the person receiving care as well as their families.

A referral agency usually does not fully insure or bond their caregivers either. These are just another couple additions that will augment the reliability of employed caregivers. Remember that the more safeguards that are in place, the better the level of service will be. You don’t deserve to worry about the type of care that your family member is receiving, go with a service that will help alleviate these worries.

Article Source: http://EzineArticles.com/6691633

The Differences Between a Referral Agency and an In Home Caregiving Service

Many people are not aware of the differences between a service provider and a referral service. However, these two different types of companies have some major differences, some of which can easily make a big difference in the level of care that is received. When you have an elderly relative or other loved one that is in need of in home care, you want the very best care that is available. Referral agencies do not employ their caregivers, but rather they are independent contractors that are technically self-employed. Caregiver services have employees that are on the company payroll. As such, they are required to be fully trained, amongst other things. This distinction has some major implications for the quality of service that you will receive.

Having a caregiver that is employed with a larger caregiving service will save you a good deal of trouble. Because the caregiver that will be coming to your home will be an employee rather than an independent contractor, there will be many additional benefits. For one, you will know that these people have been screened closely by the service employing them. Having a thorough background check, including both criminal and reference checks, you will have a higher degree of safety as you will be guaranteed to have a person of strong morals and sound character.

This is also a guarantee that the caregiver will have the necessary training to handle any situation that might arise while on the job. You cannot have this same guarantee with an independent caregiver recommended through a referral agency. And while the fact remains that most caregivers out there are experienced and know what they are doing, going through a service that employs and thoroughly trains their caregivers will guarantee that you get the quality of service you expect and deserve. This will eliminate a good deal of worry on your part.

Being employed by a service comes with another positive factor. The employees of the service are held more accountable for their actions. This lessens the amount of liability that the person receiving care will experience. If the person providing care is held to a higher standard, the quality of service, then, will follow suit. Better training, greater expectations, and more accountability will all be factors that benefit the person receiving care as well as their families.

A referral agency usually does not fully insure or bond their caregivers either. These are just another couple additions that will augment the reliability of employed caregivers. Remember that the more safeguards that are in place, the better the level of service will be. You don’t deserve to worry about the type of care that your family member is receiving, go with a service that will help alleviate these worries.

Article Source: http://EzineArticles.com/6691633

Alliance Media acquires Imagination Outdoor in Mozambique

Alliance Media Mozambique concludes the purchase of Imagination Outdoor, previously owned by MOP Portugal (Portugal’s largest Out Of Home Company). Alliance Media, as an investor in African Out Of Home media is pleased to strengthen its portfolio in Mozambique, while MOP has decided to hone their focus on the Portuguese market.

The Imagination Outdoor portfolio brings to the existing Alliance Media holding multiple illuminated billboards across central Maputo. The location of these sites allows advertisers to target lower, middle or upper LSM’s across all the entry points and main landmark areas of Maputo’s CBD.

This acquisition makes Alliance Media the largest Out Of Home player in Mozambique. The additional outdoor sites (including wall sites and backlit billboards) complement Alliance Media’s existing Out Of Home range across the other nine Mozambican provinces. “We are proud to be able to offer truly national campaigns across all ten provinces and across all LSM groups in Mozambique. This is the kind of value we enjoy bringing to our clients, as their partners in building successful brands in Africa.” says Greg Benatar, Sales and Marketing Director, Alliance Media.

Alliance Media is awarded Superbrand status (again)

On 4 November 2016, Superbrands East Africa hosted a distinguished awards ceremony at the Villa Rosa Kempinski. The evening was dedicated to the celebration of exceptional brands in Uganda, Tanzania and Kenya.
Alliance Media is awarded Superbrand status (again)
Her Excellency, The First Lady Margaret Kenyatta, graced the evening as the guest of honour. Top executives across ten industries were in attendance including Alliance Media’s Edgar Mabhiza. The evening saw mentalist Larry Soffer presenting the new edition of the Superbrands EA book, Volume IV.

“Superbrands is excited to pay tribute to the most valued brands in East Africa at this our tribute awards ceremony, each one, be it internationally known or homegrown, has connected their story to consumers through hard work and determination to provide quality. We are honoured to celebrate all the outstanding brands in the region,” said Jawad Jaffer, the Project Director and Associate Publisher Superbrands East Africa.

Alliance Media sees the recognition received by Superbrands East Africa for the past six years as a true accolade because it underpins the fact that Alliance Media fully understands the importance of creating a strong brand.

Alliance Media is awarded Superbrand status (again)
Alliance Media’s clients’ use outdoor and airport advertising to build their brands across the African continent and this Superbrands Award shows that Alliance Media is a partner who knows how to grow brands.

Superbrands is the world’s largest independent arbiter of branding. It identifies and pays tribute to exceptional brands by recognising, rewarding and reinforcing leading brands from all over the world. Superbrand status strengthens a brand’s position, adds prestige and sets the brand apart from its competitors.

Alliance Media partners with Botswana at 50

On 4 October, Lesotho celebrated its 50th year of independence and Alliance Media, who has business investments in the country, is helping Lesotho celebrate.
Alliance Media has contributed to Lesotho’s trade and industry by creating employment, adding to the economy and providing Out Of Home (OOH) media to the country’s advertisers since 2003.

“Alliance Media is pleased to donate this advertising site to the country for the month, to publicise its 50-year anniversary of independence,” says Greg Benatar, Sales and Marketing Director, Alliance Media.

Alliance Media helps Lesotho celebrate 50 years of independence

Alliance Media Lesotho offers an extensive range of billboards and outdoor advertising sites strategically positioned on high traffic routes, across the country from the capital of Maseru, to the Northern most points of Butha-Buthe and the Southern points of Qacha’s Nek and Quthing, as well as in numerous smaller towns and rural areas.

Airport advertising at the Moshoeshoe 1 International Airport in Maseru is available through Alliance Media providing clients with targeted advertising of decision makers and travellers in and out of Lesotho.

Alliance Media is Africa’s leader in billboard and airport advertising. Advertising in Lesotho can be booked by contacting info@alliancemedia.com or on +27 11 880 4664.

Cargiver, Caregiving, Health Care, Home Health Care

Caregiving

In the olden days, the life expectancy of an average male was around 50 years; and of a female was around 55 years. However, these days people live much longer due to several reasons, such as better medical treatment and enhanced living conditions. Currently, men are expected to live up to 75 years and women are expected to live up to 80 years. And the number of people aged 65 years and above, is anticipated to increase every year.

These senior citizens prefer to remain independent and retain their dignity for the rest of their life. Yet, as they grow older there is a tendency to become dependent on other people; due to ill health, disability, weakness etc. Hence, as our population ages, caregiving becomes essential as well as important. It basically refers to looking after older adults and providing them regular assistance in the form of nursing and other supportive care.

During the earlier days, all the aged and sick persons received proper attention and care from their young children and other family members. However, nowadays most of the younger generation people have a busy work schedule and modern lifestyle. Also, some aged persons either live alone or stay far away from their families.

Caregiver

Hence, there was a need and demand for a dedicated person, usually known as a caregiver; either from within the family or outside, to look after elderly and ailing people. A caregiver offers required support to an aged, sick, injured or disabled person; that includes medical help and other associated care. These care recipients may either be living in their residence or in some health care institution.

Generally a family member, relative or friend; including an adult child or a spouse is referred as a primary or voluntary caregiver. They may have to give up their work in order to take care of ailing persons. Hence, professional care is now provided by a skilled person; to assist older adults in their daily activities and related health requirements. These home health care services enable elderly patients to lead an independent, better and healthier life.