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Elderly care emphasizes the social and personal requirements of senior citizens who need some assistance with daily activities and health care, but who desire to age with dignity. It is an important distinction, in that the design of housing, services, activities, employee training and such should be truly customer-centered. It is also noteworthy that a large amount of global elderly care falls under the unpaid market sector.[1]

Given the choice, most older adults would prefer to continue to live in their homes (aging in place).[15] Many elderly people gradually lose functioning ability and require either additional assistance in the home or a move to an eldercare facility.[15] The adult children of these elders often face a difficult challenge in helping their parents make the right choices.[16] Assisted living is one option for the elderly who need assistance with everyday tasks. It costs less than nursing home care but is still considered expensive for most people.[17] Home care services may allow seniors to live in their own home for a longer period of time.
Thailand has observed global patterns of an enlarging elderly class: as fertility control is encouraged and medical advances are made, births shrink and people live longer.[5] The Thai government is noticing and concerned about this trend, but tends to let families care for their elderly members rather than create extraneous policies for them.[31] As of 2011, there are only 25 state-sponsored homes for the elderly, with no more than a few thousand members of each home.[31] Such programs are largely run by volunteers and are services tend to be limited, considering there is not always a guarantee care will be available. Private care is tough to follow, often based on assumptions. Because children are less likely to care for their parents, private caretakers are in demand.[31] Volunteer NGOs are available but in very limited quantities.[31]

SeniorCare Inc. was founded in 1972, and has evolved into a multi-faceted non-profit organization that now provides consumers with a one stop portal for elder and disability services and information.  We provide assistance through many avenues: Meals on Wheels, the Massachusetts Home Care program, and other supportive services.  We also have evidence-based wellness programs and volunteer services.
That’s why it’s important to treat the underlying causes of stroke, including heart disease, high blood pressure, atrial fibrillation (fast, irregular heartbeat), high cholesterol, and diabetes. Your doctor may give you medications or tell you to change your diet, exercise, or adopt other healthy lifestyle habits. Surgery may also be helpful in some cases.

Marshall Medical’s Stroke Network team includes the physicians and staff of the ED who are the first line of treatment once a patient enters the ED with stroke symptoms.  Alongside them are Stroke Coordinator Ken Atchison, and Quality Data Analyst-RN Allison Trammell who work to promote the evidence-based guidelines and assist the ED to ensure they are familiar with any new updates. This team’s effort in promoting evidence-based guidelines and providing the very best treatment possible to patients coming in to the ED is worthy of recognition.
In the United States, most of the large multi-facility providers are publicly owned and managed as for-profit businesses.[10] There are exceptions; the largest operator in the US is the Evangelical Lutheran Good Samaritan Society, a not-for-profit organization that manages 6,531 beds in 22 states, according to a 1995 study by the American Health Care Association.[14]
We at NYU Langone’s Comprehensive Stroke Care Center are fortunate to have recently opened the Ronald O. Perelman Center for Emergency Service, which serves as the first line of urgent care for patients that are suspected of having a stroke. A stroke alert prompts a team of experts from our center to come to a patient’s bedside within minutes to confirm or rule out a stroke, allowing treatment and rehabilitation to begin as soon as possible.
The GWTG-Stroke program is a voluntary program created by the American Heart Association and made available to all hospitals in the U.S. in 2003. To receive a PAA from the program, participating hospitals must meet each of seven individual performances measures -- such as prescription of anti-thrombotic medication within 48 hours of admission -- in 85% of hospitalizations for at least 1 year.

SeniorCare Inc. was founded in 1972, and has evolved into a multi-faceted non-profit organization that now provides consumers with a one stop portal for elder and disability services and information.  We provide assistance through many avenues: Meals on Wheels, the Massachusetts Home Care program, and other supportive services.  We also have evidence-based wellness programs and volunteer services.

The GWTG-Stroke program is a voluntary program created by the American Heart Association and made available to all hospitals in the U.S. in 2003. To receive a PAA from the program, participating hospitals must meet each of seven individual performances measures -- such as prescription of anti-thrombotic medication within 48 hours of admission -- in 85% of hospitalizations for at least 1 year.


The need for increasing amounts of care, and known weaknesses in the care system (such as skilled workforce shortages and rationing of available care places), led several reviews in the 2000s to conclude that Australia's aged care system needs reform. This culminated in the 2011 Productivity Commission report and subsequent reform proposals.[26] In accordance with the Living Longer, Living Better amendments of 2013, assistance is provided in accordance with assessed care needs, with additional supplements available for people experiencing homelessness, dementia and veterans.[27]
Promoting independence in self-care can provide older adults with the capability to maintain independence longer and can leave them with a sense of achievement when they complete a task unaided. Older adults that require assistance with activities of daily living are at a greater risk of losing their independence with self-care tasks as dependent personal behaviours are often met with reinforcement from caregivers.[42] It is important for caregivers to ensure that measures are put into place to preserve and promote function rather than contribute to a decline in status in an older adult that has physical limitations. Caregivers need to be conscious of actions and behaviors that cause older adults to become dependent on them and need to allow older patients to maintain as much independence as possible. Providing information to the older patient on why it is important to perform self-care may allow them to see the benefit in performing self-care independently. If the older adult is able to complete self-care activities on their own, or even if they need supervision, encourage them in their efforts as maintaining independence can provide them with a sense of accomplishment and the ability to maintain independence longer.[43]
Dispatch: The second step in the chain of survival is ‘dispatch’, which involves activating emergency medical services. In most cases, this involves calling 911. Medical dispatch should be thoroughly trained to identify a possible stroke patient so that the appropriate level of EMS services can be dispatched to the patient.  Simply stated, the faster EMS can be dispatched, the quicker lifesaving treatment can be delivered.
One of the major causes of elderly falls is hyponatremia, an electrolyte disturbance when the level of sodium in a person's serum drops below 135 mEq/L. Hyponatremia is the most common electrolyte disorder encountered in the elderly patient population. Studies have shown that older patients are more prone to hyponatremia as a result of multiple factors including physiologic changes associated with aging such as decreases in glomerular filtration rate, a tendency for defective sodium conservation, and increased vasopressin activity. Mild hyponatremia ups the risk of fracture in elderly patients because hyponatremia has been shown to cause subtle neurologic impairment that affects gait and attention, similar to that of moderate alcohol intake.[47]
Delivery:  Delivery is the prompt transport of the patient to a hospital, preferably a stroke center. Emergency medical personnel should be trained in performing a rapid assessment of the patient’s condition. If a stroke is suspected, the patient should be transported to an appropriate receiving hospital as soon as possible. A medical history and baseline mental status should be documented. The time since onset of symptoms should also be noted and is referred to as ‘time zero’, or the last time the patient was seen to be normal. Emergency medical workers need to provide pre-arrival information to the receiving facility so that the ED can prepare for the arrival of a potential stroke patient.
Nous n’assurons pas de formation diplômante (longue) mais travaillons sur la formation continue qui va accompagner le professionnel tout au long de son parcours professionnel afin de maintenir et actualiser ses connaissances et savoirs faire. Nos formations sont reconnues par les Organisme Paritaires Collecteurs Agréés (OPCA) et plusieurs Groupes d’EHPAD, Associations, Indépendant ou structures publiques nous font confiance. Les objectifs de Santé Publique recherchant le maintien à domicile des personnes âgées y compris celles souffrant de maladies cognitives dégénératives ouvrent des perspectives importantes dans le développement des métiers liés à ces problématiques et donc aux formations qui y sont associées.
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Best Personal Care is a wonderful facility. I put my father at this facility 10 months ago. The staff at Best Personal Care communicated consistently and helped my father to become independent again. They made sure that he took all his meds and took him to his doctor appointments. They also were very helpful in making sure that he had continuous activities to help keep his mind occupied. I highly recommend Best Personal Care. Arnie and Anglelina are very caring people. My father has been to many other facilities that were not near as proactive with his care. Best Personal Care lives up to their name and made a big difference in helping my father to get better and be able to live independently again.
According to the United States Department of Health and Human Services the older population—persons 65 years or older—numbered 39.6 million in 2009.[11] They represented 12.9% of the U.S. population, about one in every eight Americans.[11] By 2030, there will be about 72.1 million older persons, more than twice their number in 2000.[11] People 65-plus years old represented 12.4% of the population in the year 2000, but that is expected to grow to be 19% of the population by 2030.[11] This will mean more demand for elderly care facilities in the coming years. There were more than 36,000 assisted living facilities in the United States in 2009, according to the Assisted Living Federation of America[12] in 2009. More than 1 million senior citizens are served by these assisted living facilities.[12]
“We are currently negotiating funding with the HSE, to further develop the service so that it’s rapidly available to everybody,” says Thornton. “We began the service without any additional funding or new structures in place. There are charities such as the Irish Heart Foundation that are currently in the process of reviewing guidelines to publish a formal protocol for patients and doctors on how to approach and deal with a large-vessel stroke. But we need the HSE to formally recognise the importance of medical thrombectomy and to support urgent development of the service because it is essential that stroke patients in Ireland are getting the best standard of care possible.”
Google is known for its accessibility, and its assistant is available across a number of products. Get it on your phone, speaker, watch, laptop, TV, or in your car. It connects to frequently used products like Netflix, YouTube, and Spotify. You can tell your Roomba where to clean by using Google Assistant, and it’ll connect to smart home devices like a Nest thermostat. Google Assistant is available on Google Home, as well as apps on Google Play and the iTunes app store.
Legal incapacity is an invasive and sometimes, difficult legal procedure. It requires that a person file a petition with the local courts, stating the elderly person lacks the capacity to carry out activities that include making medical decisions, voting, making gifts, seeking public benefits, marrying, managing property and financial affairs, choosing where to live and who they socialize with. Most states' laws require that two doctors or other health professionals to provide reports as evidence of such incompetence and the person to be represented by an attorney. Only then can the individual's legal rights be removed, and legal supervision by a guardian or conservator be initiated. The legal guardian or conservator is the person to whom the court delegates the responsibility of acting on the incapacitated person's behalf and must report regularly his or her activities to the court.
^ Donald R Hoover; Stephen Crystal; Rizie Kumar; Usha Sambamoorthi; Joel C Cantor (December 1, 2002). "Medical Expenditures during the Last Year of Life: Findings from the 1992–1996 Medicare Current Beneficiary Survey". Health Service Research. 37 (6): 1625–1642. doi:10.1111/1475-6773.01113. PMC 1464043. PMID 12546289. Last-year-of-life expenses constituted 22 percent of all medical, 26 percent of Medicare, 18 percent of all non-Medicare expenditures, and 25 percent of Medicaid expenditures.
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