Hospice: The Gentle Goodbye A Post by Phyllis

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Pair of angel wings on heavenly blue background

Just after dawn on December 11, 2007, my mother went to God. There was a beautiful peacefulness that fell over that bright, winter morning that seemed perfect. Mom had battled several chronic, debilitating diseases that slowly robbed her of her energy and physical function. Her mind was always clear and her determination to live to see her grandchildren grow and to be with her husband of 59 years was intact. Unfortunately, her body had betraying her. Mom and I were very different. Our life’s journey together could best be described as rocky but the journeys end was her last gift to me.

It began one Thursday evening when I went to visit my parents. Mom had just come home from yet another unavoidable hospitalization. She was out of immediate danger but the likelihood of a relapse and perhaps a challenging surgery was weighing heavy on her mind. She looked tired, frail and was having difficulty speaking. I could sense she was in pain although she characteristically denied it. As I sat down next to her, she looked me right in the eye and in a clear voice said, “I’m too weak to live and too strong to die. I want to go to God.” She went on to explain that she was done taking her medications, had seen her last doctor, and had been to the hospital for the last time. If those declarations weren’t enough she asked me, “What are you going to do?” I knew immediately what she meant. She wanted me to take control of this out-of-control situation. She was entrusting me to help her live her last days in comfort and dignity. She wanted me to ensure that her transition from this life would be as gentle on her husband, children, grandchildren, and family as possible. The best solution was to arrange for hospice services.

I was the nurse in the family and I tried my best to collaborate with mom’s private doctor. We spoke so often that we were on a first name basis for many years. Dr. Bob had grown very fond of my parents and their relation. Our common goal was to keep mom comfortable and out of the hospital. Once my mom’s wishes were clear, my role was then to ensure that those wishes were carried out. First, I helped my dad understand and accept her decision. Next, I call Dr. Bob and explained her request. He was very supportive. We both knew that the only treatment he could offer her was palliative. Clearly, in his medical opinion, mom had less than six months to live. He made all the arrangements from his office. Finally, it was now time to call my sister.  The inevitability of losing our mom to death was here. Thankfully, as in all things pertaining to our parents, we would do this together.

The next twelve days were exceptional. Mom was peaceful with her decision. She enjoyed her days with dad, her visits with her grandchildren, and her messages from family and friends. Although she refused to take any more medication, she did allow the hospice nurse to obtain an order for pain meds so she could be truly comfortable. The hospice team arranged for a priest to come to the house. She received the sacraments of Holy Communion and the Anointing of the Sick. Mom prayed her rosary daily and in a few days slipped into a coma.

For twelve days the angels from hospice supported my family through the process of letting go. They immediately responded to phone calls and answered endless questions. Nurses came daily with supplies, understanding, and support. Their presence and professionalism allowed me the opportunity to be a daughter and not a nurse. On the day that mom died, it was the hospice nurse that we called first. She came right away, pronounced her and walked us through the next step.

The Value of Choice

I have been a nurse for 30 years now. For the majority of my career I practiced in critical care and emergency trauma units. I fought death constantly with knowledge, skill, medications, and technology. I had limited success. During the last 10 years however, my focus has shifted from the length of one’s life to a profound appreciation for the quality of one’s life. High tech healthcare has its place when lives need to be saved. However, death does come to us all.

Hospice services allow for the care of loved ones to take place in safe, familiar surroundings with those they love close by. It empowers the patient through their last days, offers them the respect of honoring their choices and the dignity of privacy. Hospice care assists the family during horrific moments of anger, regret, and grief that under less supportive circumstances could seriously challenge the family’s unity.

It’s important to understand that hospice is a philosophy of care rather than a specific place. It is an option for people whose life expectancy is six months or less. Treatment outcomes are based on pain and symptom relief rather than pursuing curative measures. This approach enables the person to live his/her last days with dignity, grace and support. Hospice affirms life and does not hasten or postpone death. Hospice care focuses on all aspects of physical, social, emotional, and spiritual well-being. There is no age restriction. Anyone in the last stages of life is eligible.

Hospice Care Services

  1. The Interdisciplinary Team: Team members include doctors, nurses, social workers, counselors, home health aides, clergy, therapists, and trained volunteers who offer support based on their areas of specialty. The team provides a comprehensive palliative plan of care aimed at relieving symptoms and giving social, emotional, and spiritual support.
  2. Pain Management and Control of Symptoms: The goal of these services is to help the patient to achieve comfort while allowing them to remain alert enough to make important decisions and remain in control.
  3. Spiritual Care: Since people differ in their spiritual needs and religious beliefs, spiritual care is individualized and never forced.
  4. Home Care and In-patient Care: Hospice care is typically centered in the home. However, it may be necessary to admit the patient to a hospital, extended-care facility, or a hospice in-patient facility. The hospice team can then facilitate this transfer and stay involved in the patient’s treatment. The team can also facilitate resuming in-home care when appropriate.
  5. Family Conferences: These conferences are facilitated by the hospice nurse or social worker. They serve to help family members stay informed about the patient’s condition and what to expect. Family conferences also provide an opportunity and safe forum to share fears, feelings, talk about expectations, and learn about the process of dying.
  6. Bereavement Care: Bereavement is the time of mourning following a loss. The hospice team works with surviving family members to help them through the grieving process. The team can refer family members and friends to other professional services if necessary. Bereavement follow-up services are provided for at least a year after the loved one’s death.

Hospice Care Settings

Approximately 80 to 90 percent of hospice services are provided in the home. But, it is important to know that if the patient’s lives in a nursing home, hospice services can be offered there as well. Hospitals that treat seriously ill patients often have a hospice program too. Some hospitals have a dedicated hospice unit, while others have hospice teams who visit patients in any unit. Lastly, many communities have independently owned hospice centers that feature in-patient care as well as home care hospice services. Independent hospice center can benefit individuals who do not have family caregivers.

Who is eligible for Hospice Care?

  1. You are eligible for hospice care if your doctor has certified your prognosis as not longer than six months. This applies to anyone of any age. Should you be blessed with improved health and no longer need hospice care, you will remain eligible to reapply for hospice care if it is necessary in the future.
  2. While the majority of hospice referrals are cancer related, hospice is not exclusively for cancer patients. People with terminal neuromuscular diseases or any end stage disease can also benefit greatly from the services. It is not uncommon for people with Alzheimer’s to be referred to hospice when they are in the final stages of the illness.

Are Hospice Services Expensive?

Hospice care customarily costs less than conventional care in a hospital or nursing home. This is because with home hospice, you pay only for the specific care that you need. In addition, volunteers may often provide many services at little or no cost, such as telephone support, meal preparation and running errands. Most private insurance plans, Medicare and Medicaid cover the services.

While patients usually pay out-of-pocket for any services not covered by insurance, hospice services can be provided without charge if you have limited funds. If you are unable to pay, most hospices will try to provide care using funds raised from community donations and charitable foundations.

Closing Thoughts

Hospice care truly provides for the gentlest of goodbyes. It allowed me the space and time to be able to cherish my last moments with my mom. I look back on those days in peace not pain and I will always be grateful for the last gift my mom gave me, her trust.

References

National Hospice & Palliative Care Organization

http://www.nhpco.org/custom/directory/main.cfm

Center for Medicare & Medicaid Services

http://www.cms.hhs.gov/center/hospice.asp

National Association for Home Care & Hospice

http://www.nahc.org/

A Senior Caregiver’s Guide to Prevent Falls A Guest Post by Roger Sims

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Falls are the primary cause of fatal and nonfatal injuries in the elderly. Every year, more than two million seniors are rushed to the emergency room after falling.

Several things can lead to the elderly falling, such as:

  • Vision problems
  • Difficulty walking
  • Medication side effects that cause vertigo
  • Foot or leg pain
  • Household hazards

There is nothing to worry about, as it is easy to eliminate risk factors for falling. Fortunately, falls are easily preventable. Taking the right precautions can make your loved one’s home a safe environment. To ensure the safety of your loved ones, take the following steps to avoid these accidents.

Removing Household Hazards

Household hazards are the easiest risk to eliminate. As your parents get older, mobility can become an issue. Start by removing clutter around your house. These potential hazards include things like electrical cords, loose rugs, and knick-knacks. Clear all pathways of objects they might trip over, and do a thorough examination of their home.

You may find you’ll have to do minor repairs to correct a sloping step, broken tile, or loose floorboard. Rearrange their furniture so they will always have something stable to hold onto as they walk around. If they use a mobility device like a cane or wheelchair, increase doorway widths to 36 inches so they can maneuver easily.

Addressing Eye Problems      

Of course, removing excess clutter and creating safe pathways won’t help much if they can’t see where they’re going.

Failing eyesight that comes with age can cause elderly people to misjudge distance and depth. Not only would it be hard to determine how far away a table edge is, but they could also have difficulty navigating staircases when going down.

The best way to avoid this issue is to regularly get your elderly loved one’s eyes checked in case their prescription needs to be updated. Encourage them to always wear their prescription glasses, even if it’s just for a short trip to the bathroom in the middle of the night.

Ensure your home is well-lit and light switches are easily accessible. A lack of literal blind spots will aid your aging loved one in moving around the house, regardless of the time of the day.

Reading glasses should not be worn while walking, especially outside. Those who wear progressive lenses should ask their doctors for a separate pair for general outdoor activities, as these types of glasses may interfere with distance perception.

Increasing Physical Activity

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 One of the best ways to help prevent falls is to improve their balance by strengthening their core and lower muscles. As your loved one ages, their physical fitness and abilities may begin to decline. Muscle tone will gradually disappear and flexibility will decrease. This can be easily combatted by regularly engaging in light exercise.

Activities that focus on strengthening the core, improving strength in the lower extremities, and improving balance are suggested to any senior looking to start a new exercise program. For caregivers, check out your local community centers to find fitness classes that are senior citizen friendly. Tai Chi is one often-recommended exercise. If you can’t find a class your aging loved one would like to join, simply encouraging them to walk a little bit each day is fine.

Some older people may not be inclined to start a new exercise program, for any number of reasons. In such a situation, offering to join your aging loved one in classes or short walks every day may encourage them to participate. Not only will you be helping them stay fit, but you’ll also be able to bond with them over a new activity.

For elderly individuals who already have trouble walking unassisted, it may be advisable to invest in equipment that allows them to walk independently while still having constant support. Canes and walkers are ideal for a senior who still wishes to get around but who may already have trouble doing so without a little helping hand.

Implementing Other Safety Precautions

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 Even the ideal physical fitness level for your loved one’s age stands no chance against slippery floors or just plain bad luck. As a final precaution against easily avoidable falls, it’s best to look into safety equipment that can be installed around your home to eliminate any chance of an accident.

 Bathrooms are particularly notorious for slips and spills, for both elderly and young patients. Implementing assistive devices should be a top priority. Look for grab bars that can be attached to shower walls and bathtub sides, as well as non-slip bath mats that allow the elderly to stand without worrying about sliding on wet tiles. For those unable to stand in the shower, a bath chair can make showering a safer and more independent experience. Transfer benches are another option to help your senior get in and out of the shower.

Additionally, installing handrails on both sides of your stairs is recommended to ensure your loved one’s safety when they use the stairs. These handrails can provide a stable device for them to hold onto, but they can also be used in the event of a fall. Grabbing onto the rail can either stop the fall and allow them to steady themselves or can be used for them to get back up.

Providing the elderly with proper-fitting shoes is another important step. Make sure they wear comfortable, well-fitting—and, in the case of the ladies, low-heeled—shoes with a non-slip sole. These are essential in allowing them to move around without added difficulty and preventing them slipping on a wet surface.

Final Thoughts

Remember, if you are caring for an elderly relative, falls don’t have to happen. They are easily avoidable with the right safety precautions and a few additions like assist bars in the shower stall or handrails on the staircase.

Images

https://www.shutterstock.com/image-photo/smiling-young-female-assisting-mature-woman-176324681?src=yz8OPnBNmLZjvdB8rJDgIA-1-70

https://www.shutterstock.com/image-photo/interior-bathroom-disabled-elderly-people-handrail-525831979?src=GJ1MmVS4wrhtvzpJLLZmsQ-1-0

https://www.shutterstock.com/image-photo/senior-couple-doing-sport-outdoors-jogging-127325003?src=G3W_tz2mojGm_EHzoGZn2w-1-4

Sources:

https://www.agingcare.com/Articles/Preventing-elderly-Falls-110499.htm

https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html

https://www.agingcare.com/articles/falls-in-elderly-people-133953.htm

http://training.mmlearn.org/blog/senior-fall-prevention-help-for-caregivers

https://www.ncoa.org/healthy-aging/falls-prevention/preventing-falls-tips-for-older-adults-and-caregivers/6-steps-to-protect-your-older-loved-one-from-a-fall/

 

 

 

6 Easy Ways To Stay Organized and Productive as a Caregiver A Guest Post by Maggie Drag

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Being a caregiver is arguably one of the most noble professions out there – but it can also take a serious toll on your personal life. Here are 6 work-life balance tips to help you reduce stress, and ultimately make you the best caregiver for not only your clients, but for yourself, too!

1.) Plan Ahead

If you have multiple clients, or work as a live-in caregiver, keeping track of their favorite foods, interests, and medications may seem like a job in itself. Keeping a daily planner can help! If you’re constantly on your phone, try downloading an app like Fantastical, ReQall and Evernote. They are super easy to use and will allow you to set up alerts and various notifications in case you’d like to be reminded of their doctor appointments, and even your own appointments with your caregiving agency, for example. At the end of the day, keeping on top of your clients’ needs and preferences will save you a lot of stress and in the future.

2.) De-Clutter

From old receipts and grocery lists, you may have trouble remembering which documents belongs to who! Here are some easy ways to help both yourself and your client, and try doing it together and make it fun while you’re at it! First, organize your bills and clients’ bills in a binder for safe-keeping. Next, divide up your coupons into a handy coupon organizer for easy access. Finally, keep track of your own caregiving documents, from contracts, care plans and emergency contacts in a folder. Try organizing each folder by client if you have multiple, and keep a small notepad to jot down any other helpful information.

3.) Think Ahead

As a caregiver, you know that life as you know it may change in a second, whether it be your client’s health, a sudden re-assignment, and not to mention changes in your personal life. First, make sure you have a list of emergency contacts (including your agency) prepared in case you are unable to help your client or need to be relieved at any point. Next, be sure you have a plan set up for a medical emergency based on your client’s health history. Keeping track of their food allergies for one is a simple but critical step to preventing emergencies in the future.

4.) Reconnect with Loved Ones

If you’ve lost touch with a close friend, since you started another assignment, remember this: Caring about your job is one thing, but caring about your relationships is far more important in the long run. Call your distant relative via Facetime – you could even plan a day where you help your client Facetime their grandchildren after you connect with your own family!

You carry a great responsibility as a caregiver, and while your friends and family should understand that you are often very busy, don’t forget to show them some appreciation and keep in touch!

5.) “Me” Time

Being a caregiver takes a lot of work, but it is incredibly rewarding and allows you to build meaningful relationships and touch so many lives. However, as much as you may love your job, don’t forget to carve out some time for yourself each day– even if for only an hour, to do some gardening, watch some old movies, surf the internet, and even go out for a relaxing day at the spa. If you are a live-in caregiver, ask your client if they’d like to join in on the fun! This will help you stay productive and engaged in your assignment in a much more meaningful way.

6.) Take Care of Yourself

As much as you care about your job as a caregiver, don’t forget that the first step to being an amazing caregiver is taking good care of yourself. Keep up with exercise, eat a balanced diet but make sure you’re getting the necessary rest between assignments first and foremost- especially if you work overnight. Sleep allows your body and brain to replenish, not to mention stay alert on important assignments and throughout the day if your client needs extra supervision when taking medications, for example. Losing sleep can ultimately take a serious toll on your health in the long run, so don’t be afraid to ask your agency about rescheduling your assignments or for tips on how to manage your sleep schedule to help you be your best for your clients.

About the author:

Maggie Drag is the owner and founder of a homecare agency located in central Connecticut. With over 27 years of experience in the industry, Maggie shares her knowledge and tips about care at home.  Visit homecare4u.com  to learn more about Maggie Drag.

4 Top Strategies for Finding Your Dream Job by Phyllis

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Originally Publish Date: March 16, 2017 https://www.aorn.org/aorn-org/surgicalexpo/conference-blog/find-your-periop-dream-job

 

I want to share some career coaching guidance with you:

1. Build a Strong Resume that Reflects Your Worth

Ensure your full name with credentials appears at the top in the header along with your contact information. The correct formatting is, name (middle initial optional), highest academic credential, RN, certification. For example, Mary A. Smith, MSN, RN, CNOR. A summary or statement of intent is no longer advised.

Your first section should be Academic Education. Start with your highest degree. If you’re still in school, it’s acceptable to note the date you started and an anticipated date of graduation. Next list your Professional Experience, Certifications & Memberships and Continuing Education & Computer Skills. End with Honors/Awards & Achievements.

If you find a job posting on the AORN Career Center site or other site, read it carefully and make sure that important phrases contained in that job posting language are also contained somewhere in your resume. This will increase the likelihood that the computer will recognize the language and select your resume, over others, for the recruiter to read.

2. Develop an Elevator Pitch

Once your resume is pulled, it is likely that you’ll get a screening call from a recruiter. This could be a make or break conversation. A successful screening conversation is the gateway to an actual interview. When the recruiter asks, “why did you apply for this position?” or “tell me about yourself?” you must be ready to share a ninety-second clear, passionate, and compelling answer that communicates you’re a serious candidate.

Take your time to form the exact four to five sentences that make your point. It may take an hour’s worth of revisions to get this just right but the return on your investment could be huge. You want to sound prepared but not rehearsed in your delivery. You may use your elevator pitch more frequently than expected. It’s always professional and polished to have it ready when networking and speaking with colleagues or vendors.

3. Invest in Your Own Resilience

Nurses downplay the need to take care of themselves so they can take care of others. Caring comes so naturally that we often forget that we cannot render quality, safe care when we’re physically tired or energetically depleted. Ensuring that we take good care of ourselves is actually quite generous. Building resilience allows us to stay fresh and available so we can deliver a consistent caring product every day.

Here are two suggestions for keeping your resilience well full. Incorporate some silent, still time into your life. Nurses are professional doers and always on the go. That may mean you take a walk and just experience the outdoors. It could mean that you discover meditation or yoga. There’s peace in stillness and we can all use a break from the endless noise of our thoughts.

Allow yourself to be cared for by others. Nurses are always giving and the only way to balance that is to allow yourself to receive. Lose the need for control and perfection by finding a way to delegate more at work and at home. Resist the urge to host every holiday and enjoy being a guest. Both of these practices will be hard at first but stick with it and notice the change in your energy level and yourself.

It’s been my honor to be the career coach for AORN since 2012. Each year at the conference, I have the opportunity to meet some AORN members for the first time and reconnect with members from past events. The most common question I’ve been asked over the years is, “so what is coaching all about?” This brings me to my final piece of career advice – career and personal coaching.

4. Consider Career and Personal Coaching

Career coaching is a great way to get individualized guidance and assistance with establishing your professional goals, making career choices, creating an academic roadmap, polishing interview techniques, and becoming skilled in marketing yourself. It often involves reviewing and revising resumes and learning how to increase your chances of getting your resume into the right hands once it’s uploaded to an organization’s career page. Sharpening your social media skills on sites such as LinkedIn is often useful as well.

Personal coaching is the process of supporting personal growth in a nonjudgmental manner. It can be challenging to remain clear and authentic about your goals and yourself as you try to navigate your life. Responsibilities, set-backs, and the demands of an adult life can overshadow your understanding of the present and cloud your vision for the future. Our human nature creates blind spots to options and solutions. Coaching provides vital support as one explores behaviors and attitudes that can short-circuit success in life and career.

Nutrition and Meal Planning For the Hurried Caregiver a Guest Post by Breanne Fleat

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A caregiver has a vital responsibility of safeguarding their recipient, be it a family member, a friend or as part of their job. Diet and nutrition are some of the basic needs for people requiring such care, in an effort to keep the body strong and energetic. However, diet and nutrition isn’t just important for them, it’s important for you, the care provider too. With our current lives full of deadlines and schedules we usually don’t have the time to design a reliable meal plan or even stick to conventional eating patterns.

Looking after your own health is vital. Being in tip top condition will not only help you feel more energised but you will be encouraging your care recipients to wake up, shape up, eat up and try to live their healthiest life possible.

We all know how easy it is to skip meals, grab the first ready meal in the shop or neck back some energy drink because you just don’t have the time or energy. But, the fact is you will either gain excessive weight or completely ruin your metabolism and health from living this way.

Unfortunately, most conventional meals, do, require adequate preparation and cooking times, which may be almost  impossible in your situation. Fortunately, the following tips are here to help you maintain a healthy life, with consideration of your RDI (Recommended Daily Intake):

Nutrition Shortcuts
your aim is to get all the required nutrients in the day, within a tight schedule. This means that your choices have to be easily digestible and assimilated in the body. The issue you have is that foods such as bread, grains and some proteins require the body to be resting, in order to digest suitably and you just don’t have that time.

As much as I recommend eating whole foods where possible, you can get supplement snacks that contain either one or a combination of nutrients. Instead of picking up a chocolate bar and energy drink, why not head to your local health food store and pick up one of these healthier snacks instead? You may even be able to buy them online. Most meal replacement and supplement snacks are filled with nutrients, lots healthier than normal snacks and reduce the need for spending hours in the kitchen, combining meals.

Micro is Important
For a busy caregiver, you rarely have time to rest and recover. Throughout this time your body stands very high chances of catching infections and a strong immune system is needed. This is where micronutrients come in.

Micronutrients are vitamins and minerals which help keep your body ticking along as it should.  Minerals such as Magnesium and iron, and Vitamins E and C help to detoxify the body, reducing the intensity of fatigue and lowering your risk of infections.

Quick Micro Tip: Try replacing your morning coffee or energy drink with a multivitamin tablet, or better yet add spinach to your usual breakfast, for a hit of iron and vitamin c then have almonds as a magnesium and vitamin e filled mid-morning snack.
Smoothies and Juices
you only need a couple of minutes to create a vitamin packed smoothie consisting of bananas, avocados, strawberries or even melons. The best thing about them is that you can carry them around with you during the day.

In addition, one glass of fruit juice or smoothie can contain at least 3 of your 5 a day, making it a reliable source of micro and macro nutrients, which you need for coping with the day’s commitments.

You can even include fruits with exceptional benefits such as thorn melons, to boost your immunity, especially when attending to a person with communicable diseases.

Quick Smoothie Tip: Try adding spinach to your smoothies – it may sound strange at first, but it’s practically tasteless, yet filled with loads of nutritional benefits.

Meal Planning
Planning what to eat, when and why is hectic for anyone, let alone a caregiver. Not only do you have to try and plan what you and your family will be eating, but it’s highly likely you will have to plan something entirely different for your recipient.

However it’s important to remember the phrase “prior planning prevents poor performance” and don’t we know it. Planning helps you to eliminating the decision-making process, which, for me, ends up in opting for empty snacks or fast foods.

Quick Planning Tip: Buying raw foods in advance will create a reasonable timetable to help you organise around. Plan your fresh meals for the days post shopping trip and plan tinned or frozen foods in the run up to your next supermarket trip

Cook for Freeze
No matter how busy you are, there is ALWAY a little free time, whether it’s early in the morning, late in the evening or on the weekends. This is the best time for batch cooking.

Some people advocate for a cook one-freeze three concept, where you cook an excess of a particular meal and freeze the remainders (usually another 3 servings) while others will cook one main ingredient as use it for 2 or 3 different meals.

Quick Freezer Food Tip: Make sure you set a reminder to get food out of the freezer to defrost ready for the next day otherwise you’ll be more tempted by grab and go snacks.

Change how you cook
Just because you’re personal time is sparse, shouldn’t mean you have to give up on the things you love. Food is a necessity but it’s also there to be enjoyed. Just because slow cooking sounds time consuming, doesn’t mean it is.  Using a slow cooker is a great way to ensure your meal is thoroughly flavoured and cooked with minimal time or effort.

Don’t let your lack of time take away from the enjoyable experience of cooking and eating.

Quick slow cooker tip: There’s usually a slow cooker version of most meals – got something you particularly love? Look up how to slow cook, you may find you love it even more after.

 

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BIO: Breanne is a writer, blogger and chief editor, at ProteinPromo.com. She is keen on providing readers with nutrition and wellness hints and tips to ensure readers are living their healthiest possible life.

 

THANK YOU SeeSee. Florence “SeeSee” Rigney, RN is the oldest working nurse…!

 

Florence “SeeSee” Rigney is the oldest working nurse in the United States. Last May, a video of her 90th birthday celebration went viral. The recording captures her in blue scrubs and a bedazzled “happy birthday” tiara holding back tears among her cheering colleagues. For 70 years she’s worked on and off as an operating room nurse at Tacoma General Hospital. When she first started, she got paid $115 a month. These days, she gets a ton of attention for being a high-energy compassionate nurse who still moves down the halls of the surgical unit faster than women a third her age. In 2015, Rigney was on The Dr. Oz Show and nominated for a March of Dimes Nurse of the Year award. Her birthday video was shared by The Huffington Post, The Today Show and BuzzFeed. She admits she feels a bit like a local celebrity even though she’s bashful about all the publicity. “I feel very honored to think that all of this has happened to me just because I turned 90, and I’m still here!”

Make These Urgent Lifestyle Changes To Lower Stroke Risk: A Guest Post by Katrina Rice

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A stroke is not a medical mystery that strikes patients randomly. In fact, 90% of strokes are due to factors like high blood pressure, high cholesterol and other medical risks which are all preventable. Even so, you do not have to train like a professional athlete, eat like a beauty queen or live like a monk to avoid this heart condition.

Whether you are a patient, a patient’s caregiver or simply a person concerned with this risk, by simply making modest alterations to your lifestyle and including wise health habits, you can significantly reduce your risk of stroke. Below are some scientifically-based facts about how to improve your self-care and prevent this devastating brain attack:

Quit Being Sedentary

According to Dr. Hugo Aparicio, a neurologist at Boston Medical Center and also an assistant professor at Boston University School of Medicine, it has been established for many decades that using leisure time to insert regular exercises such as going to the gym, taking long walks, or simply playing sports can significantly reduce the likelihood of getting a stroke.

Therefore, exercise should not be considered an activity mainly for the weekends and instead, it has to be an regular activity at least 30 minutes per day.

Lose The Excess Weight

As Dr. Aparicio points out in his “Framingham Heart Study”, the risk factors of a stroke are not isolated and in fact are all interconnected with the rest of your physical condition.. Exercising does not only reduce fat, it also helps increase the body’s sensitivity to insulin thereby creating a more efficient metabolism. A well-oiled metabolism is needed to prevent your blood sugar from soaring high and put you at risk of diabetes, which may lead to coronary diseases.

For morbidly obese patients, there might be a need to consider weight loss surgeries. And for those who can’t perform physical exercises due to mobility issues, a strict and regulated diet can help. Some people claim and stand by the coleus forskohlii benefits as an effective aid for people who need to lose weight quickly. Using supplementation requires a good amount of research so you ought to be cautious about it.

Apart from stroke and diabetes, this lifestyle change can also prevent other metabolic disorders, cancer and delay the onset of dementia among elderly people, and we all will get older, assuming we survive long enough.

Always Regulate Your Blood Pressure

According to Martin O’Donnell, the lead author of the published study in the medical journal “The Lancet”, you can easily stay on top of your blood pressure by using readily available equipment.

In developed countries such as the US, people have easy access to devices that quickly read their blood pressure, whether it be readily available at the supermarket or purchasing an inexpensive BP apparatus for home use. Individuals nowadays can also get a little help from doctors by simply asking for prescription to immediately help lower their blood pressure.

Eat A Healthy and Balanced Diet

Limiting red meat, avoiding processed food and eliminating fried and salty foods works best in preventing stroke. In fact, there are more precise dietary guidelines you can follow if you want to be very keen on preventing this deadly condition. A balanced diet comprised of low-carb vegetables, fruits, and fish – as protein is the most ideal. If much help is needed, seek a nutritionist’s expertise.

Aside from the vitamins and minerals your health receives from such whole foods, fish like tuna, mackerel, salmon and sardines are great sources of omega-3, an essential fatty acid your body needs to prevent heart diseases. However, there are a number of individuals who can’t include fish in their regular diet so taking fish oil capsules as supplements is also an alternative prevention.

Quit Smoking

Smoking does not only affect the lungs and the liver, it also infects your heart. Smoking is one of the culprits of elevated LDL (bad cholesterol). Too much cholesterol in your bloodstream can create arterial obstructions and create blood clots.

These tiny clots – if left untreated, can travel to your brain and cause the stroke you were trying to prevent in the first place. So if you are making a lifestyle change, begin here. You can quit smoking by asking help from your physician. They can offer you alternatives on how you can successfully quit smoking.

Treat Existing Heart Conditions

Stroke and other heart diseases are somehow interrelated. One major risk factor is having atrial fibrillation – a heart rhythm problem that many Americans are affected with. With regular checkups, individuals who have this heart condition can get regular treatments and anti-clotting medications.

According to Dr. Aparicio, you don’t need to do everything all at once. It’s a matter of addressing the top contributors to the risk of stroke – such as high blood pressure, high blood cholesterol levels and smoking. As soon as you can see minor improvements in your health, you can start incorporating exercises and other active physical routines.

There is this unrealistic expectation that you have to have the right body weight, the ideal diet and the life of a monk to prevent a stroke. But as what Dr. O’Donnell says, “The risk factors of stroke are a continuum. So if you can’t apply all the preventative measures, modest changes will reduce your risk of stroke”.

Bio of the Author:

Katrina Rice

Katrina Rice is a mom and a freelance writer. She strongly believes in the concept of holistic wellness through healthy and natural living, travelling and immersing one’s self in new activities. A self-proclaimed health enthusiast, she hopes to inspire more people to do the same.

 

 

 

Talks with Greg; Conversations In Caregiving – Sheila Warnock

 

For more than fifteen years, EmblemHealth has been a leader in the arena of family caregiving. Talks with Greg; Conversations In Caregiving is a video series designed to explore topics with experts involved for many years in caregiving. Every episode will have a new guest from a different facet of the professional caregiving world who has been a longtime partner with EmblemHealth.

OUR FOCUS IS EDUCATION

Caregiving will touch everyone at some point in life yet it often remains in the shadows of the public/media spotlight because it does not make for a picture that melts the heart but rather one to be avoided at all costs. Not so much because people are uncaring but rather frightened and uneducated.

Sometimes, friends disappear when illness strikes because they don’t know “what to do or what to say.”

And often the person needing support and their caregiver hide the fact and carry the entire burden alone rather than admit they could use help.

STC’s focus is on educating caregivers, patients and their concerned friends, neighbors, co-workers and acquaintances about the profound personal benefits to everyone involved through sharing the care.

Because we find that family caregivers often tend to be isolated and therefore less likely to reach out for help, we target professionals, and faith communities. They see caregivers and patients on a daily basis and are best situated to identify those who could benefit from a STC group. We also seek to reach working caregivers through corporations.

https://sharethecare.org/

Tel: 212 991-9688