Senior Health Fair at the Elk’s

Join Elite Home Health & Hospice in partnership with the Lewiston Elks Lodge No. 896

Together, we proudly present the 2022 LC Valley Senior Health Fair.

This event takes place on Wednesday, September 14, 3:00 – 6:00pm at the Lewiston Elks Lodge, 3444 Country Club Drive, Lewiston.

During the event there will be senior health screenings, senior health related vendors and presentations, plus refreshments and a giveaway.

The event is open to the community and FREE of charge. For more information or to RSVP 509-758-2568.

August is Psoriasis Awareness Month

According to Psoriasis.org, psoriasis does not have a clear origin. However, what results is an inflammatory response that demonstrates dysfunction of the immune system. The physical signs of the inflammation such as raised plaques and scales may result from an overactive immune system. This changes the speed of cell growth and impacts the life cycle of skin cells from weeks down to days. Doctors have to manage additional complexities in seniors when considering treatment (Balato et al., 2014). Managing comorbidities, the challenges with taking multiple medications, and progressive functional impairment of body systems impact what treatment options are available. The first strategy is to use a topical treatment (Balato et al., 2014).

Inflammation caused by psoriasis can impact other organs and tissues in the body (psoriasis.org). Other conditions may co-exist, such as arthritis which can result in permanent joint damage. A significant concern for seniors is in the overall management and strategy as these conditions can go undiagnosed and therefore untreated (Butler and Koo, 2015). Increasing awareness and understanding of this disease is critical for effective management.

Resources:

https://www.psoriasis.org/about-psoriasis/

https://link.springer.com/article/10.1007/s40266-014-0156-6

https://link.springer.com/chapter/10.1007/978-3-319-18380-0_5#citeas

August is National Immunization Awareness Month

The National Immunization Awareness Month (NIAM) is an opportunity to learn and better understand the role of vaccines in your healthcare plan. According to the Center for Disease Control and Prevention, this annual observance highlights the importance of getting recommended vaccines throughout your life. The COVID 19 pandemic has impacted all aspects of life. There have been known challenges with patients’ ability to attend important appointments and receive routine vaccinations. There has been significant questions raised about vaccines and how they work which has created delays in how people are accessing and scheduling immunizations.

During NIAM, we encourage you to talk to your doctor, nurse or healthcare provider to ensure you and your family are protected against serious diseases by getting caught up on routine vaccination. If you have questions, ask your provider. If you are on our home health, palliative, or hospice services, ask one of your clinicians for information and resources.

June is Migraine & Headache Awareness Month

Our role in home health and hospice is to meet the needs of our patients where they are and help them achieve their goals. Managing the debilitating side effects of chronic headaches and migraines in the elderly is a unique skill that requires our attention for home health recovery and supporting the patient through symptoms while on hospice.  In the realm of home health, successful management of migraines is critical as there is an increased risk for stroke and other neurological symptoms if left untreated; in fact, poorly treated migraines often resulting in the severity intensifying which impacts quality of life (Curto et al., 2018).  Part of the management involves assessment of body weight, hydration needs, muscle/fat ratios, and albumin levels; each of these is vital in advocating for pharmacological solutions and identifying environmental factors which may be impacting the patient’s management of their condition (Wijeratne et al., 2019; Curto et al., 2018). Further, routine medication reviews address common challenges in the geriatric population for low treatment adherence resulting in suboptimal health outcomes (Wang & Wang, 2021). Addressing these concerns may result in further determination of other underlying conditions that may be a cause for headaches, such as elevated blood pressures (Wang & Wang, 2021).  Knowing these elements, aids providers in creating comprehensive strategies for their patients. Finally, medication reviews also help to address misuse of prescribed medications in the management of migraines in the elderly (de Rijk et al., 2017).  Home health completes regular medication reviews and access to healthcare professionals to train proper dosing and administration.

If you are looking to learn more, check out these resources:

https://headachejournal.onlinelibrary.wiley.com/doi/abs/10.1111/head.13247

https://link.springer.com/article/10.1007/s11916-021-00976-x#citeas

https://www.karger.com/Article/Abstract/494758

https://www.tandfonline.com/doi/full/10.1080/14656566.2018.1543660

Weekly Pulse for May 30, 2022

Home Health
(Therapy)
Start Date
Hospice
(Nursing)
Start Date
Clarkston5/315/30
Lewiston5/315/30
Moscow6/15/31
Orofino6/15/31
***Start Dates are contingent on receiving a complete referral***

Clinical Focus

Thank you for joining us this month on our journey exploring asthma and allergy awareness, the importance of air quality and its impact on our respiration, lessening the stigma of mental illness in our practice and outreach to patients, optimizing treatments for osteoporosis and arthritis management, and creating frameworks for patient’s understanding of stroke risk. We also had the opportunity to recognize the work of our speech-language pathologists, nurses, and administrative professionals. Thank you for joining us!

Question Corner

What does an occupational therapy assessment look like?

Of all the professions involved in home health services, occupational therapy is the one that is uniquely trained for assessing patients’ capacity for optimal living in their home setting. Occupational therapists complete a comprehensive health history review, as well as a medication review, to identify the health related obstacles. They then engage in a review of the patient’s necessary and chosen activities. They assess how the patient is completing these tasks and the obstacles the patient is encountering in completing each of the components. They will then perform a physical assessment to review the patient’s capacity for movements and the bodily limitations that may impede certain positions and actions. They will review adaptations already in place and assess the effectiveness. They will assess the environment to identify the setup that best optimizes the setting or hinders a chosen activity. They will assess the patient’s learning style to identify changes in cognition and supportive systems for learning and using new processes. They will engage in a psychosocial review to identify support systems and involved parties. They then collaborate with the patient and family to identify treatment targets and create a plan of care. The certified occupational therapy assistant may lead some treatment sessions in collaboration with the occupational therapist during the home health course. If you have questions about occupational therapy and home health, reach out to us at info@EliteHHH.com

People to know

Clarkston Liaison/Lifeline – Angie (509) 780-8097

Lewiston Liaison – Beth (509) 254-1381

Moscow & Orofino Liaison – Scott (509) 234-3102

Business Development – Ashley (509) 843-7605

May is Stroke Awareness Month!

Rehabilitation in stroke recovery engages in multiple approaches for neurological remapping. This approach is dependent on the brain’s ongoing plasticity despite insult. The evidence for these rehabilitative approaches lies in activity-dependent changes in the brain (Braun, et al., 2021). Research is actively exploring the role of dose in recovery with stroke. This discussion becomes critical when advocating for ongoing patient-directed interventions, such as rehabilitative services. Identifying the right frequency of visits and the right duration of practice for a particular skill set to engage neurological remapping is critical in achieving results (Hayward, et al., 2021). Professionals in physical therapy, speech-language pathology, and occupational therapy are engaged in this dynamic when addressing motor challenges and rehabilitating individuals at the various phases of recovery often driving the changes in placement and therapy access (Hayward, et al., 2021). The continuum of service delivery from the acute care setting through skilled nursing and home health are directed by anticipated improvements given treatment at a specified dosage (Braun, et al., 2021). The complexities of this recovery are becoming increasingly diverse with considerations related to pharmacological intervention and timing, nutritional intake and management, and inflammatory responses in the system that impact recovery (Couch, et al., 2021). The reality for recovery from stroke is the complex approach employed by multiple professionals who engage in the rehabilitative process.

Home health services are often a supportive step in the transition home for many patients who have experienced stroke. Efforts in creating modifications and setting-up the home environment are a focus at this phase and often involve a different skill set from those in the acute care hospital setting or rehabilitative skilled nursing setting. We encourage our rehabilitative professionals to train and employ these unique skills to optimize outcomes for our patients recovering from stroke.

Resources for stroke awareness include:

https://www.sophe.org/

https://www.cdc.gov/stroke/communications_kit.htm

https://www.ninds.nih.gov/News-Events/Events-Proceedings/Events/Stroke-Awareness-Month

https://www.stroke.org/en/about-the-american-stroke-association

https://www.hap.org/blog/2021/05/may-is-national-stroke-awareness-month

Recovery from stroke is a long process, likened often to a marathon. The role of healthcare professionals in the rehabilitative space is to continue building and supporting the optimal exercises and environment to gain returns. While progress can feel limited in the later phases, understanding that stroke recovery is ongoing after the acute stage is critical for families and patients in pursuing the right resources. Professionals in rehabilitation are able to support strategic goals within the home setting to aid patient’s participation in life tasks of choice. Ask us how we can help your patients at the various phases of recovery to support their daily living.

Weekly Pulse for May 23, 2022

Home Health
(Therapy)
Start Date
Hospice
(Nursing)
Start Date
Clarkston5/315/30
Lewiston5/315/30
Moscow6/15/31
Orofino6/15/31
***Start Dates are contingent on receiving a complete referral***

Clinical Focus

This week we have the opportunity to acknowledge the work of the team behind the scenes at Elite Home Health & Hospice. Our office staff manages everything from the supplies we need to the communications with all of our community partners. These individuals handle incoming calls and requests by phone, fax, and mail; they process referrals to have a patient seen as soon as possible; they coordinate therapists and nurses to meet the patient needs; they collaborate with local physician offices, hospitals, and specialists to collect all the necessary treatment information for the clinical team to build a plan, and they meet with families who have questions about home health, palliative, and hospice services. The operations of Elite Home Health & Hospice is built on the hard work of a team of local office staff. We would not be able to deliver life changing service without each and every one of them!

Question Corner

What does intake for home health and hospice entail?

Elite Home Health & Hospice currently receives referrals by fax or hand delivery. An intake coordinator will review the packet to assure all the necessary documents are included. If anything is missing, the liaison will reach out to local physicians/hospitals for the information to meet the Medicare requirements. For home health, the intake coordinator will then call the patient to let them know the services that have been ordered and the start date of those services. For hospice, the intake coordinator will reach out to the clinical liaison to communicate with the patient and family about any questions or concerns they have regarding hospice services; this often results in an in-person informational to support the patient and the family. A clinical review of the referral is completed to assure all the Medicare requirements are met. Communication with providers for additional information often occurs to support the referral. The patient and family are then called to share the appointment date and the nurse that will guide them through the process. If you have questions about accessing home health or hospice services, reach out to us at info@EliteHHH.com  

People to know

Clarkston Liaison/Lifeline – Angie (509) 780-8097

Lewiston Liaison – Beth (509) 254-1381

Moscow & Orofino Liaison – Scott (509) 234-3102

Business Development – Ashley (509) 843-7605

May is Osteoporosis and Arthritis Awareness Month!

Risks associated with aging include complexities from falls and fractures. Osteoporosis and arthritis are two common conditions that create complexities with managing aspects of mobility, gait, and strength in the aging process. All of which are factors in identifying fall risk and ultimately fracture risk. Osteoporosis is considered a disease of the elderly characterized by a reduction in bone mineral density. After age 45, there is a known decline in muscle mass and tone. Falls after the age of 65 show an increase in complications where 15-20% of those impacted will see a decline in function leading to severe physical disability and a loss of independence (Moga, et al., 2020). These declines in independence are also associated with the loss of function resulting from disease processes like that of arthritis. Functions of the hand and the decline in grip strength and dexterity may also contribute to functional decline when disease of peripheral artery disease, obesity, and cognitive impairments were also present (Siviero, et al., 2020). Managing changes in progressive functional deterioration through monitoring of power, performance, and muscle force are integral in preserving function (Genest, et al., 2021). Through the interdisciplinary assessments of physical and occupational therapy professionals, Elite engages in comprehensive care planning. This involves a home evaluation for potential fall risks and obstacles. This also includes assessing a patient’s baseline for current physical condition and potential risk factors.

Home health services through Elite Home Health & Hospice engages a comprehensive approach to assure that the approach is based in researched and functional integrations. Our mutual goal with the patient and providers is to identify and treat to meet the patient’s needs.

Resources for osteoporosis and arthritis include:

https://www.bonehealthandosteoporosis.org/news/osteoporosis-awareness-and-prevention-month-2022-exercise-to-maximize-bone-health/

https://www.asbmr.org/advocacy/national-osteoporosis-month

https://www.cdc.gov/arthritis/communications/features/arthritis-awareness.html

http://blog.arthritis.org/news/arthritis-awareness-month/

Professionals in physical therapy and occupational therapy utilize their unique skills to assess not only the patient’s function, but their living environment and their desired activities. Approaches like this build patient buy-in to the rehabilitative process and engage the patient where mobility needs are vital and meet the goal of ongoing independent living. Further, Elite engages professionals who have a passion for patients in the geriatric phase of life. This means the approach to recovery will acknowledge the changes the body experiences with age, the role of comorbid conditions, and the variations in recovery expected.  Progress and results are shared to support collaboration. Consider Elite as part of the treatment plan!

Weekly Pulse for May 16, 2022

Home Health
(Therapy)
Start Date
Hospice
(Nursing)
Start Date
Clarkston5/315/30
Lewiston5/315/30
Moscow6/15/31
Orofino6/15/31
***Start Dates are contingent on receiving a complete referral***

Clinical Focus

May has been an eventful month on our website. We have spent the month of May highlighting the importance of understanding and managing air quality as part of asthma and allergy management. We also highlighted mental health and building awareness about the stigmas associated with healthcare professional in addressing patients with health conditions and mental health concerns. This week we are highlighting osteoporosis and arthritis management and the role of physical and occupational therapy in creating a sustainable independent living solution. We will finish out the month with stroke awareness and the rehabilitation team that collaborates to build a recovery plan and adaptation to a new normal. Join us!

Question Corner

What does an initial assessment from physical therapy look like?

 Physical therapists are uniquely trained in the body systems and function to support movement and mobility. Initial assessments often involve a review of medical history, understanding current medications, and self-identified mobility challenges. These challenges may present as discomfort and pain in specific joints or areas of the body or as difficulty in performing desired tasks. The physical therapist will then complete an exam, reviewing the physical capacity, including range of motion, strength, and coordination of major muscle groups. They will assess how the patient transitions and posture in various positions. They will assess mobility patterns such as gait, and they will assess the use of equipment being employed to support the patient in the current setting. They may assess risk factors and recovery, such as falls, and the role of the environment within these risk areas, such as stairs and the frequency of use. The physical therapist will assess exertion and activity tolerance to identify obstacles to success. After the assessment, the physical therapist will create a treatment plan with an interval of visits to help the patient meet their goal. The physical therapy assistant may provide some of these visits as well as the physical therapist.  If you have questions about physical therapy and home health, reach out to us at info@EliteHHH.com  

People to know

Clarkston Liaison/Lifeline – Angie (509) 780-8097

Lewiston Liaison – Beth (509) 254-1381

Moscow & Orofino Liaison – Scott (509) 234-3102

Business Development – Ashley (509) 843-7605