Elderly care, or simply eldercare (also known in parts of the English speaking world as aged care), is the fulfillment of the special needs and requirements that are unique to senior citizens. This broad term encompasses such services as assisted living, adult day care, long term care, nursing homes (often referred to as residential care), hospice care, and home care. Because of the wide variety of elderly care found nationally, as well as differentiating cultural perspectives on elderly citizens, cannot be limited to any one practice. For example, many countries in Asia use government-established elderly care quite infrequently, preferring the traditional methods of being cared for by younger generations of family members.
U Care is yet another innovation in quality stroke care by the staff at the UofL Hospital, the first hospital designated as a comprehensive stroke center in Kentucky by the Joint Commission. In addition, UofL Hospital once again has been awarded the top level of distinction by the American Heart Association/American Stroke Association with the Get With The Guidelines Target: Stroke Elite Plus, Gold Plus award. The award recognizes the hospital’s success in providing the most appropriate stroke treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence. Hospitals must achieve 85 percent or higher adherence to all Get With The Guidelines-Stroke achievement indicators for two or more consecutive 12-month periods and achieve 75 percent or higher compliance with five of eight Get With The Guidelines-Stroke Quality measures to receive the Gold Plus Quality Achievement Award.
With a long history of providing stroke rehabilitation to its patients, Craig Hospital can fulfill any type of health care need that your loved one might have. Maintaining a close relationship with numerous trauma centers, this facility offers great health care support to stroke patients. With extensive experience in treating both adolescent and adult patients, the doctors at Craig Hospital take part in interdisciplinary teams that help treat each stage of stroke damage. The care units offer two therapy gyms, a supervised activity room, and special rooms designed for individual therapy. Most patients begin treatment in the West Unit, and as they progress with rehabilitation and recovery, they can move to the East Unit. The various therapy classes at Craig Hospital include a skills class, a fit class, a speech group, and educational programs.
Medications delivered directly to the brain. Doctors may insert a long, thin tube (catheter) through an artery in your groin and thread it to your brain to deliver tPA directly into the area where the stroke is occurring. This is called intra-arterial thrombolysis. The time window for this treatment is somewhat longer than for intravenous tPA, but is still limited.
Due to health and economic benefits, the life expectancy in Nepal jumped from 27 years in 1951 to 65 in 2008. Most elderly Nepali citizens, roughly 85%, live in rural areas. Because of this, there is a significant lack of government sponsored programs or homes for the elderly. Traditionally, parents live with their children, and today, it is estimated that 90% of the elderly do live in the homes of their family. This number is changing as more children leave home for work or school, leading to loneliness and mental problems in Nepali elderly.
When a weakened blood vessel ruptures and spills blood into brain tissue, it’s called a hemorrhagic stroke. The most common cause for the rupture is uncontrolled hypertension (high blood pressure). There are two other types of weakened blood vessels that can also cause hemorrhagic stroke: aneurysms (swellings within vessels) and arteriovenous malformations or AVMs (abnormal tangles of blood vessels).
You’re probably familiar with Siri, or at least the concept of it. Apple introduced this voice-activated feature in 2011, and they’ve been adding features ever since. Siri will answer your questions and give you sports updates. She’ll give you reminders and set alarms or timers while you’re cooking. Send texts and place calls or FaceTime just by using your voice. Siri makes it easy for you to life your life hands-free. It’s available on all Apple devices, including iPhone, iPad, Mac, Apple Watch, Apple TV, and HomePod.
A local example of the life-saving stroke care making a difference was a man who came to Marshall North ER in June with weakness and impaired speech. Tests showed the patient to be a candidate for teleneurology and possible tPA – a clot busting medication. Through the teleneurology system – which links rural hospitals with a neurologist at Huntsville Hospital using a computer monitor – the medical team determined tPA should be administered. The patient received the drug and, after close monitoring, was transferred to Huntsville Hospital.
Armistead has been like my “right hand.” I can’t say enough positive things about them. I have found that they have always had someone available when we’ve needed their assistance. And the best part is, my aunt really enjoys them; she always looks forward to the staff coming in and they have become like “family” to her as well as to the rest of us. They have never let us down!
Population ageing is a challenge across the world, and China is no exception. Due to the one-child policy, rural/urban migration and other social changes, the traditional long-term care (LTC) for the elderly which was through direct family care in the past will no longer suffice. Barely existent now, both institutional and community-based services are expanding to meet the growing need. China is still at an earlier stage in economic development and will be challenged to build these services and train staff.
Intravenous injection of tissue plasminogen activator (tPA). This injection of recombinant tissue plasminogen activator (tPA), also called alteplase, is considered the gold standard treatment for ischemic stroke. An injection of tPA is usually given through a vein in the arm. This potent clot-busting drug ideally is given within three hours. In some instances, tPA can be given up to 4.5 hours after stroke symptoms begin.
“We are thrilled to support the University of Louisville Hospital – Comprehensive Stroke Center’s U Care program with our RN-led clinical AfterCare model. Patients and their caregivers need more resources and ongoing support when managing the transition from a hospitalization to another setting or home. We look forward to implementing this model and future programs to help UofL Hospital provide a differentiated patient experience for the communities it serves,” said Dr. Brian Holzer, CEO of Lacuna Health.
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. 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.
The family is one of the most important providers for the elderly. In fact, the majority of caregivers for the elderly are often members of their own family, most often a daughter or a granddaughter. Family and friends can provide a home (i.e. have elderly relatives live with them), help with money and meet social needs by visiting, taking them out on trips, etc.
Care for the elderly in England has traditionally been funded by the state, but it is increasingly rationed according to a joint report by the King's Fund and Nuffield Trust as the cost of care to the nation rises. People who have minimal savings or other assets are provided with care either in the home (from visiting carers) or by moving to a residential care home or nursing home. However, research by the Live-in Care Hub indicates that 97% of older people do not want to move into a care home so they often struggle without support on their own. This is true for both those who will receive state funding for their care and those who will have to pay for it themselves out of savings or by selling other assets. Larger numbers of old people need help because of an aging population and medical advances, but less is being paid out by the government to help them. A million people who need care get neither formal nor informal help.