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Palliative Care

What Is Palliative Care and How Can I Know if It’s the Right Choice for a Loved One?

Palliative care can be a difficult topic for anyone involved with chronic or potentially terminal illness. People suffering from those conditions often feel like accepting palliative care is tantamount to giving up. Likewise, the person's family will often feel like they've let him down. This is one of the few downsides to the love family members have for each other. Feeling the need to take care of others often results in people shouldering more than they need to. In fact, most of these viewpoints come from a misunderstanding of what's involved with palliative care.

Asking About Palliative Care Suggests the Answer

How does one know if palliative treatment is the right choice for a loved one? The easy answer is that it usually is the right choice if the question has even come up. People seldom ask about palliative treatment when everything is going smoothly. Instead it usually comes up in one of two ways. A person with a serious condition might start to feel as if their condition is causing a negative impact to others. Or a family member taking care of them might start to wonder if they're up to the task. Both parties in this situation want the best for each other. And when the question comes up it's usually in the context of strain appearing in one or both people. It's important to stress that this kind of help is exactly what palliative treatment is all about. It should never be seen as giving up. Instead, the treatment is all about finding quality of life in the midst of difficult medical conditions.

Palliative Treatment Centers on Quality of Life

In reality palliative treatment is heavily focused on quality of life. People often talk about fighting various diseases or conditions. However, it's just the nature of life that people will eventually face a condition which can't be cured. But this by no means should be taken to mean it's the end of the fight for life. One can't always fight for duration of life. But there's always options to increase the quality of life one has remaining to them. And this is exactly what palliative treatment involves. Prior to palliative treatment one is focusing on trying to fight the battle for their health in two different fields. The patient is trying to beat a particular medical condition and retain quality of life. At a certain point it's evident that the condition is going to be a permanent concern. The fight should therefore move into focusing on quality of life.

Medical Care as a Continual Process Which Adapts to Changing Needs

Palliative treatment should therefore be seen as a continuation of the prior efforts. This is also where one sees a shift in how to approach overall care. It's natural to rely on doctors when treating an illness. However, the patient's family members often make the mistake of assuming that they need to take over when treatment shifts to quality of life issues. The problems with this approach should be apparent when one really looks into it. Medical issues should always be handled by professionals when possible. Even when it's possible for people to take on some of that responsibility there's a question of need. Whose needs are being taken care of if a family tries to provide quality of life care?

Family members usually aren't prepared to provide palliative treatment on their own. At the same time they often feel as if they should be able to do so. It can create guilt for both the patient and family members alike. However, the sentiment and need is fully undeserved. Someone should no more be expected to provide palliative treatment on their own than they should be expected to provide services comparable to a medical doctor. Medical resources exist for a good reason. Expert palliative treatment exists to improve the life of both the patient and his or her family. But what exactly is involved with palliative treatment? This can be best understood by considering a hypothetical example of someone located in Monterey County.

Focusing on Medical and Emotional Needs

Consider the example of a daughter hoping to find help for her mother. To begin, she'd want to concentrate on senior care Monterey County style. The emphasis on local care might seem surprising at first. However, senior care Hollister or Monterey County style brings important distinctions. It means that people are able to enjoy a climate and setting which fits in with their needs. Palliative treatment puts a heavy emphasis on comfort. Quality of life is often vastly improved when people find a local social and environmental climate which promotes relaxation.

Next, it's important to keep one point in mind above any other. Palliative treatment focuses on the needs of a patient rather than on the patient's prognosis. This might seem like a small distinction at first. However, one needs to really consider how most medical conditions are treated.

If someone has cancer than almost everything revolves around it. If a doctor asks how the patient feels it's not about whether they're having a pleasant day. The question is always about how a patient's life might provide clues about the cancer. Even loved ones will usually need to focus on the condition. It's not out of any callousness. It's simply that people need to understand the condition in order to understand what a person is capable of at any given time.

Talking over the medical condition helps people understand how to approach the individual at any given time. And this is just the approach which people outside the medical profession are forced into. It's usually their first time dealing with late stage cancer. And the same general philosophy applies to any severely restrictive medical condition. Doctors need to focus on treating the condition. And family members aren't familiar enough with medical treatment to adapt to intuitively adapt to it.

Palliative treatment instead focuses on the patients rather than the conditions they might suffer from. This usually comes as a huge relief to everyone involved. Family members no longer have to feel like they're essentially acting as a medical support team. They can instead be the sons and daughters, husbands and wives, or anything else for their loved ones. For many people palliative care is about resuming an actual life with their loved one.

Finding Relief in the Midst of an Often Difficult Struggle

The person entering into palliative treatment is often relieved as well. It's easy to misunderstand what people are interested in at the end of their journey. People with decade upon decade left to them often find it hard to see the world any differently. However, people closer to the end start to consider what the world will be in the future. And in particular they often find themselves worrying about their loved ones. The idea of the illness wracking their body causing pain to loved ones can become a serious issue. Basically, it's easy to find oneself worrying about causing worry in others.

The person's loved ones often feel the same way before palliative treatment is brought into the discussion. It's easy for a family to worry about causing their ailing loved one additional stress. However, people struggling to meet the needs of such a loved one are usually far less successful in hiding their own pain than one might imagine. The toll it takes on both parties can be significant. And in the end it often risks the last years of someone's life.

Palliative treatment is essentially a choice to never give up on life. It means that people accept the help of the experts in order to maximize quality of life in the midst of difficult medical concerns. And in the end it means that a family can celebrate their ailing loved ones life with them rather than stressing over how to provide proper care. The highest quality is there for the loved one because it's provided by experts. This doesn't just refer to experts in medical care either. These are experts who understand that finding joy in the midst of illness is both possible and a priority.


Central Coast VNA & Hospice compassionate end-of-life care

5 Essential Benefits of Hiring an Outside Agency

When you're seeking care for elderly loved ones, you have several different options to explore. One of those possibilities is to work with an outside home health care agency. Considering the benefits of doing so can help you to understand why looking more into this option is a useful step.

Services Tailored to Your Family's Needs

A home health agency can help your loved ones to receive the services that they need. Individuals who enroll in a home health care program are quite diverse as are their needs. Therefore, a representative can sit down with you and your family to determine what services are the most appropriate for your loved one. Also, these services can be set up on a schedule that makes sense.

In other words, your loved one might require care around the clock.  Your relative might need supervision for a few hours per day while the rest of the family is out. Furthermore, you might be attending work, school, grocery shopping and other tasks. Another benefit here is that home health care agencies might offer services that you didn't even know existed. By speaking with a representative, you can learn about a host of possibilities that can significantly better the life of your loved one.

Medical Services

When enrolling in a program with a home health care agency, some individuals need monitoring. For example, they may have conditions that render them a hazard to themselves. As a result, they are in need of supervision during the day or night. Other individuals are in need of a companion or a person who can help to take them out during the day. Still, other cases require medical services. A home health care agency should have a staff of individuals who are trained in providing medical care. This care could be for a certain condition, or the staff members could help to provide at-home treatment for the clients.

At the current time, your loved ones might not have medical needs that elicit outside assistance. However, you should take into account the fact that situations can change. Selecting a home health care agency means that you are preparing for the future. In the event that your loved one does end up needing medical care in the future, you don't have to switch providers. Instead, you can simply add on services from a provider that they are already familiar with, which can bring a sense of comfort.

Varied Payment Plans

As you are researching options to provide care for your loved ones, you are likely focused on obtaining the highest quality of assistance possible. However, it is difficult to quell the sounds of financial concerns ringing through your mind. Financial worries should not stifle you from receiving high-quality care for your relatives.  Home health care providers can help calm some of these fears. Many home health care providers have a variety of payment option that they accept.

For example, you may very well not have the cash to pay for all of the services out-of-pocket. Even if your relatives have been saving for all of their lives, they might not be able to afford the sums either. Therefore, you can speak with the home health care provider about options for going through insurance. In the event that you discover that your relative's insurance is not going to cover the entire amount of the treatment, you should speak further with a representative from the home health care agency. You may discover that payment plans are available so that you can pay off the services on a monthly basis. Doing so can be far less overwhelming than dealing with one huge bill.

Engaging Treatment

As you are researching different options for treatment, you might become worried about the mental and emotional health of your loved ones. In other words, you may have concerns that bringing in a home health care agency could make them feel as though they are incapable of taking care of themselves. This environment is not one that a professional team of providers wants to create, so you can have a sense of confidence that you and the staff members are on the same page.

Also, you can speak about your concerns with the representative. You may discover that many of the clients like spending time with their home health care aides or nurses because they provide a level of companionship. After losing a spouse or when living with family members who have work and school, many elderly individuals become lonely. The home health care provider can make these individuals feel happy and comfortable in their own homes again. They might go for outings, or they may sit inside and play puzzles or games when the weather is chilly.

Professional Reputation

You might feel overwhelmed by the options when you are trying to find home health care providers. In fact, you might have met with some in the past and did not feel comfortable with what they were offering. Fortunately, professional outside agencies are available. Consider the benefits of working with an agency that decades of experience in the field. By doing so, you are getting the chance to hire professionals who know about a host of different scenarios and who are also up-to-date on the latest methods and technologies.

As you are checking out and researching the different possibilities, make sure to look into the reputation of the facility. You may want to speak with your relatives' doctors for recommendations and ask relatives and friends what facilities they have used. When you are reading reviews online, just do so with a cautious eye. Sometimes, people are paid to write fake reviews, so you do not want to fall prey to them. Knowing that professional entities are available can help to encourage you to pursue this route.

When you need to hire assistance for your loved ones, you might feel overwhelmed by the possibilities. What's good to know is that reputable home health care agencies with the right services are available for you.

VNA & Hospice has been delivering Home Healthcare services for people living throughout Monterey and San Benito Counties as well as the southern portions of both Santa Cruz and Santa Clara Counties.


Central Coast VNA & Hospice compassionate end-of-life care

What Is Hospice?

When you or someone close to you suffers from an illness or condition that does not come with any type of cure, you may want to consider a type of care known as hospice care. If you are not familiar with hospice, this is a type of care aimed at assisting individuals who are estimated by their doctor to have six months or less to live. You might be considering obtaining hospice care for a loved one or someone close to you.  It's important that you're aware of what this care entails and the types of services provided with it. Additionally, this may include home health care.

What Is Hospice?

Hospice is a type of care that is provided to people who only have a short amount of time to live. The goal of hospice is to make sure that these individuals receive proper care and are as comfortable as possible in the time that they have left.  Patients receive individualized care.  These care plans can address a wide range of issues that include physical, spiritual, and emotional pain.

Provided assistance is available whenever necessary to the family caregivers of the patient in question. Hospice refers to this as bereavement support.  In the event the patient has passed away, availability remains offerable. Most hospices believe that the overall quality of life provided for a person is as important as their length of life.

Types of Services Offered With Hospice Care

Most reputable hospices follow guidelines set forth by Medicare on how to take care of an individual and manage their illness. The myriad of services provided through hospice care include:

  • Physical therapy as well as occupational therapy
  • Short-term care in a home or inpatient setting
  • Short-term care offering a respite to family caregivers having emotional difficulties brought about during care
  • Counseling for the patient as well as their loved ones
  • Counseling on how to maintain a healthy and effective diet
  • The provision of medications for the relief or management of symptoms caused by the terminal illness
  • The administration of a wide range of medical equipment that includes bandages, walkers, and wheelchairs

There are also some hospice services available for you to select but aren't covered by Medicare. Something that you should be aware of.  Generally, Medicare doesn't cover treatments that can cure your illness or are completely unrelated to that specific terminal illness. Administered care in an emergency room or nursing home is also not covered.

Eligibility For Hospice Care

When attempting to determine whether or not you or someone you know is eligible for hospice care, there are a variety of factors to take into account. In order for you to fully qualify for the services provided through hospice, a standard physician, as well as a hospice physician, will need to certify that you meet the necessary criteria for obtaining these services. The primary criteria require patients requesting hospice care to have a life expectancy that is set at six months or less. In the event that the condition or disease progresses as it's been diagnosed.

In some cases, an individual may live past the original six months. If this occurs, hospice generally extends its coverage. Specifically, if their condition causes the decline in their overall health. If their health improves, and it appears as though the original life expectancy is substantially longer than believed, it's possible for the patient being discharged from hospice. Hospice care remains available in the event of being discharged from hospice but your condition eventually declines again.

Hospice Solely for Cancer Patients?

Many people believe that hospice specifically accepts individuals diagnosed with cancer.   This is not always the case. There is a range of additional diseases and conditions that hospice patients may have.  This may range from dementia and lung disease to heart disease. Anyone diagnosed with an illness or disease that is life-limiting will likely be eligible for this care.

Is Hospice Provided At Home?

When you are thinking of obtaining hospice care, you may be wondering where provided care occurs. In the majority of situations, it's possible to receive this type of care from the comforts of your own home. The hospice team will be able to assist with a wide range of everyday tasks. This also includes household chores that you may be unable to complete yourself. If you or the individual close to you suffers from a substantial amount of pain, the control and management of this pain can be a priority for the hospice team.

Most individuals want to remain at home in their final days.  This is why most hospice services tailor to this expectancy. The hospice team in charge of your care can consist of additional professionals. This may include massage therapists and dietitians, which allows you to obtain the level of care that you deserve. Many of these individuals will also be able to provide you with friendship and companionship. All of which is especially important for people who live alone.

VNA & Hospice has been delivering Home Healthcare services for people living throughout Monterey and San Benito Counties as well as the southern portions of both Santa Cruz and Santa Clara Counties.


Home Health Care Nurse

How To Find A Good Home Health Care Nurse

Home Health Care NurseWith the year coming to an end, it's easy to realize just how much time has passed. Everyone is growing older and it's important to make sure your loved ones are taken care of. Take a moment to check in with your elderly loved one at this year's family reunion. That's the best way to make sure everyone is getting the help they need.

Some people are hesitant to approach their relatives about the topic of health care because they think it means sending people away to nursing homes. However, that is simply not the case. There are many ways to access affordable home health care. This allows your loved ones to receive the help they need in the environment they are most comfortable in.

There are a number of options available so it's important to choose what works best for you and your family. However, narrowing down your options to the right choice can be tricky. To help you out, we've complied a list of tips to help you find good nurse who provides excellent home health care services.

Know Your Situation

As we mentioned earlier, it's important that you take into account the specific needs of you or your loved ones before you choose a home health care nurse. Say you are looking for nurse to help you with your health care needs at home. Do you want a nurse to be in your house a few hours a day or a few days a week? Or, maybe you'd like someone who is available 24/7. It really depends on what would make you healthiest and happiest.

As you get more information from home health care providers, make sure you voice your situation and your specific preferences. This will help you weed out any options that won't meet your needs early on. As you narrow your search, you can become more and more specific until you find the home health care provider that best meets all of your health needs.

Experience Is Needed

First, to ensure the nurse you are hiring is well-qualified for the position, make sure the place she comes from is fully certified. If the provider has many awards and positive reviews, it stands to reason that their nurses will be equally as amazing.

Next, it's important to make sure the nurse you want to hire can handle all the tasks you need help with. We recommend meeting with potential nurses beforehand. This will allow you to ask about each nurse's set of skills to find one that best suits your needs.

Personality Is Key

One of the most important things you can do when looking for a home health care nurse is to make sure your potential nurse has a personality you can get along with. Why? Well, most home health care nurses provide more than just health care services. They can also help with domestic tasks like housekeeping, shopping, and more.

If you're in need of assistance with many of the tasks mentioned, that means that you'll be spending a lot of time with the nurse you choose. If you're stuck with a nurse who has habits that drive you nuts, you are going to make yourself miserable. In order to find a nurse who's company you'll enjoy, we recommend setting up an interview. This will allow you to ask your potential nurse questions about him or herself. If you like what you here, you can proceed with hiring them. If not, you can save yourself time and start looking for a nurse who is a better fit.

Ask For References

To confirm that you've found the right nurse for you or your loved one, make sure to request references from previous patients. This will give you a chance to see how others perceive the nurse you are considering. Here are some positive things you should keep an eye out for:

  • Perfect Punctuality (You want a nurse who always gets his or her tasks completed on time.)
  • Friendly Personality (You're going to want someone you enjoy spending time with.)
  • Great Eye For Detail (You'll want a nurse who notices everything, it could save your life.)

Need More Help?

If you follow the tips above, you'll be able to find  the perfect nurse from the right home health care provider. However, if you find yourself having trouble, don't worry. Local home health care providers will be happy to answer any of your questions. In fact, many of them have websites full of informative blogs full of the information you are looking for.

If you live in California's Central Coast area, an important resource available to you is Central Coast Visiting Nurse Association (VNA). VNA provides a number of health care services, including home health care, to residents throughout Monterey county. Call 831-372-6668  to speak with one of  VNA's exceptional home health care  nurses. Or visit VNA's website to learn more: https://goo.gl/zSYBz3

 


palliative care benefits

Top 3 Benefits of Palliative Care

While most people think of palliative care as something only for the seriously ill, it can benefit the elderly, too. In palliative care, a specialized medical team works with the patient, caregiver, family and the patient’s doctor to develop treatments that provide symptom relief and reduce stress. Palliative care treatment doesn’t mean the same thing for everyone. It may include one or more of the following:

  • massage therapy,
  • exercise plan,
  • special diet,
  • respiratory treatments,
  • physical therapy,
  • mental health counseling,
  • spiritual counseling, or
  • other treatment, as recommended.

How It Helps Mental Outlook

Many studies examined the link between palliative care and patient outlook using cancer patients. Many of the complaints these patients had before the care program included those many elderly echo:

  • lack of or reduction in physical strength,
  • time spent in bed during the day,
  • inability to do something they intended ir wanted to do, and
  • being dependent on others.

These factors reduce their quality of life which affects their mental outlook. One study conducted in a nursing home found patients most desired physical activity even during their last three days of life. Most study participants cited a desire for increased mobility (88 percent).

The Right Exercise for You

With that in mind, and knowing that physical exercise extends long-term health and longevity, adding an exercise routine to elderly palliative care makes good sense. Doctor recommended and care giver-assisted exercise can help even those getting a late start in the exercise game. Consult your doctor to form an exercise plan that’s safe, but not too strenuous. Talk with your doctor about your interests to develop a plan you’ll enjoy. It might include walking or dancing or seated exercises. Swimming or water aerobics provide gentle, weightless exercise. You can even build a routine using Wii games.

Reap the Benefits

Of course, you’ll benefit from increased physical strength and abilities, but exercise as a part of palliative care, also provides many other benefits. One study of a group exercise program of 50 minutes of activity revealed improved emotional functioning and reduced physical fatigue. Weight-bearing exercise increases bone density which results in fracture reduction. Body fat reduction improves heart health and blood sugar levels. The improved blood flow during exercise also helps bolster mental acuity and lower dementia and Alzheimer’s risk. Finally, exercise helps alleviate depression and reduce anxiety. So, palliative care helps you reap benefits in the three important areas of:

  • symptom reduction,
  • physical strength, and
  • mental health.

Enhance your medical treatment by including palliative care. Many insurance programs cover it. Many hospitals now offer palliative programs as an integral part of treatment. Enjoy the benefits of natural ways of alleviating pain and symptoms, and reducing stress and anxiety. Getting started is easy. Call your doctor and ask about palliative care services.


VNA & Hospice is dedicated to providing the highest quality healthcare to residents of the Central Coast and Monterey County. Registered nurses and skilled staff members provide many services, including senior home care, hospice health care, palliative care, orthopedic rehabilitation, and more.


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