Recently, as part of the celebration of National Rural Health Day, Bradley County Medical Center announced it has been recognized by The Chartis Center of Rural Health and the National Organization of State Offices of Rural Health (NOSORH) for overall excellence in Outcomes, reflecting top quartile performance among all rural hospitals in the nation.

About This Box: Jessica Alba’s The Honest Company is the super popular source for premium, natural, and effective home essentials. With this subscription, you’ll get to pick as many products as you want, from laundry and cleaning products to shower goods and more. You can subscribe to a single product or as many as you want, and savings is based on how much you buy: Save 10% on orders $25+, 15% on orders $50+, and 25% on orders $100+. Check out all of our Honest Company reviews to learn more.
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.
This inspection took place on 17 September 2018 and was carried out by one inspector. The provider was given 48 hours’ notice of the inspection visit because it is a small domiciliary care agency and we needed to be sure that they would be in the office. We also needed them to get people’s consent for us to visit them at home or telephone them as part of the inspection.
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At Voorhees Senior Living, you’ll feel right at home from your very first visit. Life at Voorhees is a chance to live healthy  and happy, and where every day brings a new experience. We promote personal independence in a comfortable, homelike setting. Here, we celebrate our resident’s individuality and encourage a warm, family environment. Each floor plan boasts a bright, airy, and open feel and is yours to personalize and decorate to your preferences.
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.
After you’re treated for stroke, you may be screened for atrial fibrillation (AFib)—a heart rhythm disorder that, untreated, causes an estimated 15 percent of strokes. Because an irregular heartbeat may not appear for weeks, your Cone Health doctors may recommend placing an implantable loop recorder—a small device that can monitor your heart for up to three years, giving us a better chance of uncovering your AFib and helping you prevent subsequent strokes. Cone Health is a leader and early adapter of this technology for stroke prevention.
Impaired mobility is a major health concern for older adults, affecting 50% of people over 85 and at least a quarter of those over 75. As adults lose the ability to walk, to climb stairs, and to rise from a chair, they become completely disabled. The problem cannot be ignored because people over 65 constitute the fastest growing segment of the U.S. population.
Most stroke survivors receive treatment in a rehabilitation program. Your doctor will recommend the most rigorous therapy program you can handle based on your age, overall health and degree of disability from your stroke. Your doctor will take into consideration your lifestyle, interests and priorities, and the availability of family members or other caregivers.
For medical help such as changing dressings, providing post-surgical rehabilitation, overseeing medications, aiding with physical therapy, or helping with mobility devices, you'll want home health care provided by caregiver who's gone through training and is being supervised by a nurse. (Keep in mind that licensing and certification requirements vary by state; you'll want to ask lots of questions about your caregiver's qualifications.)
Ischemic strokes are the most common. They occur when an artery is blocked and blood flow to the brain is stopped. Caused by build-ups of fatty deposits on the inside of an artery wall which then becomes completely clogged. Ischemic strokes account for eighty percent of all strokes suffered. Some ischemic strokes are preceded by stroke-like symptoms called transient ischemic attacks (TIAs). These may occur months before the stroke. The loss of vision in a TIA may be described as a feeling that a shade is being pulled down over your eyes. The symptoms are usually temporary and improve within 10 to 20 minutes.
When a patient comes into the emergency department at any Forrest Health hospital with the symptoms of an acute ischemic stroke, a computer with an advanced webcam will be brought to the bedside where the clinical team will connect with a neurologist on call at Ochsner.  The neurologist, patient and clinical team can see and speak to each other throughout the consult.  The physician will examine the patient and review the CAT scan of the patient’s head, providing guidance on advanced treatments within minutes.
With one simple call, we can direct consumers to a wide range of services available in the North Shore and Cape Ann area. If you need more information, or wish to make a referral, or refer yourself for assistance, contact us. SeniorCare and its programs are funded, in whole or in part, by contract or grants with the Massachusetts Executive Office of Elder Affairs, the Older Americans Act, local funds, foundations, and private contributions, which may be tax deductible.           
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.
About This Box: Care/of is a personalized & customizable vitamin and supplement subscription. Select which products you want to receive, and Care/of will send you a month’s supply of personalized daily packs. You can take their quiz to get recommendations specific to your needs, or make your selections a la carte; there are 30 supplements to choose from, including vitamins, minerals, probiotics, Ayurvedic herbs, and more. Check out our latest Care/of Reviews to learn more. 

Stroke is an emergency "brain attack", cutting off vital blood flow and oxygen to the brain. Ischemic stroke occurs when arteries are blocked by blood clots or by the gradual build-up of plaque and other fatty deposits. About 87% of all strokes are ischemic. Hemorrhagic stroke occurs when a blood vessel in the brain breaks, leaking blood into the brain. Hemorrhagic strokes account for 13% of all strokes.
Considered to be one of the best stroke rehabilitation centers in America, the Rehabilitation Institute of Chicago, also known as RIC, takes care of more patients who have suffered from strokes than most other hospitals in the entire country. The medical staff includes specialists in physical medicine and rehabilitative techniques who are renowned for their expertise. Some of the finest speech language pathologists will guide your loved one in relearning how to speak or swallow if necessary. RIC also offers some innovative technologies that are hard to find at other stroke centers. The robot-assisted walking therapy is one of these cutting-edge technologies; it uses robotic devices that are attached to the patient, helping him move his legs in a natural manner. Physical therapy is complemented by patient training, education, and support groups to maximize the treatment’s effectiveness.
After you’re treated for stroke, you may be screened for atrial fibrillation (AFib)—a heart rhythm disorder that, untreated, causes an estimated 15 percent of strokes. Because an irregular heartbeat may not appear for weeks, your Cone Health doctors may recommend placing an implantable loop recorder—a small device that can monitor your heart for up to three years, giving us a better chance of uncovering your AFib and helping you prevent subsequent strokes. Cone Health is a leader and early adapter of this technology for stroke prevention.

The form of care provided for older adults varies greatly among countries and is changing rapidly.[2] Even within the same country, regional differences exist with respect to the care for older adults.[3] However, it has been observed globally, older people consume the most health expenditures out of any other age group,[4] observation that shows comprehensive eldercare may be very similar. One must also account for an increasingly large proportion older people worldwide, especially in developing nations, as continued pressure is put on limiting fertility and decreasing family size.[5]


Personal care products are those essential items you use to get clean and look your best every day. Most of these items are frequently found and used in your bathroom, including soaps and shampoos for the shower, razors and creams for shaving, floss and toothpaste for oral hygiene, and a variety of other tools and products, including hairdryers, feminine hygiene items, Olay-body-wash'>hand soap or deodorant. These are all important elements in your day, and they can relate not only to your health but also to your ability to stay presentable and confident in a variety of different professional and personal social situations. With free two-day shipping on most of our personal care items, which are already available at Every Day Low Prices, you can stock up on all your favorite personal care products so you'll never exhaust your supply.
Your doctor will check your blood pressure and use a stethoscope to listen to your heart and to listen for a whooshing sound (bruit) over your neck (carotid) arteries, which may indicate atherosclerosis. Your doctor may also use an ophthalmoscope to check for signs of tiny cholesterol crystals or clots in the blood vessels at the back of your eyes.
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]
Impaired mobility is a major health concern for older adults, affecting 50% of people over 85 and at least a quarter of those over 75. As adults lose the ability to walk, to climb stairs, and to rise from a chair, they become completely disabled. The problem cannot be ignored because people over 65 constitute the fastest growing segment of the U.S. population.

Sunrise Senior Living received the highest numerical score in the J.D. Power 2018 Senior Living Satisfaction Study, based on 2,539 total responses among 7 senior living communities measuring experiences and perceptions of residents/family members/friends, surveyed October-December 2017. Your experiences may vary. Award applicable to United States only. Visit jdpower.com

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.

About This Box: Care/of is a personalized & customizable vitamin and supplement subscription. Select which products you want to receive, and Care/of will send you a month’s supply of personalized daily packs. You can take their quiz to get recommendations specific to your needs, or make your selections a la carte; there are 30 supplements to choose from, including vitamins, minerals, probiotics, Ayurvedic herbs, and more. Check out our latest Care/of Reviews to learn more. 
These boxes were also highly ranked by readers in this category, but we felt they deserve to be in a class of their own. They contain more “lifestyle” type products and aren’t about replenishing daily-use items that you’re running low on– but they are personal care in the sense that they’re all great boxes to promote health, wellness, and self-care:

About This Box: Billie is an Instgram-friendly razor subscription for women Billie lets you choose your preferred handle color, but from there it’s pretty simple. Unlike the competition, they only offer one level of razor– but it’s designed specifically for women, with 5 blades surrounded with an aloe shave soap (so you can shave without needing additional product). Your first month will include a handle, magnetic holder, and two 5-packs of replacement cartridges. Check out our Billie Reviews to learn more.


This app is an easy-to-use voice-activated assistant that offers many of the same features listed in the apps above. Lyra offers the added feature of continuing the same conversation across multiple devices like smartphones, tablets, and computers by logging in to keep everything connected. Its creator claims you can speak to Lyra in any dialect, as it is “capable of understanding multiple languages, context, and intent.” Lyra is available on Google Play and the iTunes app store.  
Drug/Device: Drug administration, if appropriate, is the next link in the chain of survival. If the patient is a candidate for fibrinolytic therapy, the window of opportunity for administration is narrow. According to the American Heart Association guidelines, fibrinolytic therapy should be administered within three hours of the onset of symptoms. If the patient is not a candidate for drug therapy they may qualify for Endovascular therapy to remove the clot mechanically rather than with fibrinolytics.

“If a patient does experience the symptoms of a stroke, it is vital to receive appropriate clinical assessment and scanning in hospital early to confirm it is a blockage of a blood vessel. Patients are then referred to our interventional lab in Beaumont Hospital, the main route to thrombectomy. We will do an endovascular procedure, puncturing the artery and groin to pass a tube in the blood vessels up to the neck and head. Through the tube, we place a stent retriever, which pulls the blood clot out, restoring blood flow to the brain tissue.


Having all this expertise in a single place, focused on you, means that you're not just getting one opinion. Your care is discussed among the team, your test results are available quickly, appointments are scheduled in coordination, and the most highly specialized stroke experts in the world are all working together for you. What might take months to accomplish elsewhere can typically be done in a matter of days at Mayo Clinic.

About This Box: Make your period something to celebrate with Bonjour Jolie, a time-of-the-month subscription that serves up treats, gifts, and pampering presents alongside handy supplies. Indulge in snacks, body care items, jewelry, and other surprises, alongside menstrual items and even Advil! Vegan? Kosher? Halal? Maybe it’s your first period, or perhaps you prefer something gender neutral? Bonjour Jolie has a slew of options to fit your dietary needs and a broad, inclusive range of preferences. What’s more, supporting this company helps support several inclusive causes that promote the health and well-being of all. Be sure to read our Bonjour Jolie reviews to learn more.

A less restrictive alternative to legal incapacity is the use of "advance directives," powers of attorney, trusts, living wills and healthcare directives. The person who has such documents in place should have prepared them with their attorney when that person had capacity. Then, if the time comes that the person lacks capacity to carry out the tasks laid out in the documents, the person they named (their agent) can step in to make decisions on their behalf. The agent has a duty to act as that person would have done so and to act in their best interest.


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[28] 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.[29]
Nurse practitioners (NP) are advanced practice registered nurses that manage acute and chronic medical conditions, both physical and mental, through history and physical exam and the ordering of diagnostic tests and medical treatments. NPs are qualified to diagnose medical problems, order treatments, perform advanced procedures, prescribe medications, and make referrals for a wide range of acute and chronic medical conditions within their scope of practice. Their education includes a Bachelor of Science in Nursing (BSN) or other undergraduate degree, and requires a license as a registered nurse (RN) and experience as an RN in a health care setting. They must graduate from an accredited graduate (MSN) or doctoral (DNP) program and achieve a board certification.
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).
Drug/Device: Drug administration, if appropriate, is the next link in the chain of survival. If the patient is a candidate for fibrinolytic therapy, the window of opportunity for administration is narrow. According to the American Heart Association guidelines, fibrinolytic therapy should be administered within three hours of the onset of symptoms. If the patient is not a candidate for drug therapy they may qualify for Endovascular therapy to remove the clot mechanically rather than with fibrinolytics.
A less restrictive alternative to legal incapacity is the use of "advance directives," powers of attorney, trusts, living wills and healthcare directives. The person who has such documents in place should have prepared them with their attorney when that person had capacity. Then, if the time comes that the person lacks capacity to carry out the tasks laid out in the documents, the person they named (their agent) can step in to make decisions on their behalf. The agent has a duty to act as that person would have done so and to act in their best interest.
Leaving the home you’ve known is difficult. No matter what any place tells you, nothing will be able to replace the memories you’ve built. At Andrews, we believe that your best, most fulfilling life is ahead of you. Our senior living facilities allow you to spend your golden years in a modern facility that gives you independence when you want it, and help when you need it. Make great memories with friends and families. Finally, this is your time. Enjoy it!
Around the clock care is ideal for someone coming home from the hospital after surgery, suffering from a debilitating condition such as a stroke, or someone with Alzheimer’s or other dementia-related conditions and is at risk when left alone unattended. Around-the-clock care is also a good option for family caregivers who need a break or will be away on vacation. Some families even opt for around-the-clock care to ensure their loved one has someone to assist them with the activities of everyday life, to escort them to appointments and outings and to provide care and support as required.
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