Tag: best dementia care Philadelphia

Hand-under-Hand: A Key Technique in the Positive Approach to Care

Posted on by Peter R. Abraldes

The Hand-under-Hand® technique, developed by dementia care expert Teepa Snow, is a central component of the Positive Approach to Care® (PAC) philosophy. This method emphasizes connection, safety, and dignity while assisting individuals living with dementia in everyday tasks. Unlike traditional hands-on approaches, Hand-under-Hand promotes mutual cooperation and communication by using a respectful, guiding physical interaction that encourages participation rather than passive compliance.

In this technique, the caregiver gently slides their hand under the person’s hand, creating a supportive grasp that enables the individual to retain some control while being guided (Snow, 2010). This shared grasp is modeled after how people naturally hold hands when walking side by side—it fosters trust, minimizes resistance, and ensures that both parties can feel safe during interactions. For example, when helping someone with eating, the caregiver’s hand supports and guides without taking over, promoting autonomy.

One of the hallmarks of PAC is recognizing that behavior is a form of communication, particularly when verbal skills decline. Hand-under-Hand is not just a physical maneuver—it becomes a mode of nonverbal communication that conveys respect, understanding, and reassurance (Snow, 2014). Through this technique, caregivers can help reduce anxiety and agitation by signaling intentions clearly and respectfully before acting.

Additionally, the technique is rooted in brain science. As dementia progresses, people often lose fine motor skills but retain gross motor abilities longer. Hand-under-Hand capitalizes on these preserved abilities, allowing individuals to remain involved in tasks like grooming, eating, or dressing for as long as possible (Positive Approach to Care, 2023). This engagement can boost a person’s sense of purpose and reduce feelings of helplessness.

In summary, Teepa Snow’s Hand-under-Hand technique offers a compassionate, brain-informed way to assist people living with dementia. By prioritizing dignity and participation, caregivers can strengthen relationships and enhance quality of life.

hand under hand AI Hand-under-Hand: A Key Technique in the Positive Approach to Care

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Fishing with Older Adults: A Relaxing, Rewarding Outdoor Activity

Posted on by Peter R. Abraldes

Fishing is a peaceful, low-impact activity that provides both mental and physical benefits, making it an ideal outing for older adults. Whether from the bank of a lake, a dock, or a gently rocking boat, fishing allows older adults to reconnect with nature, engage in meaningful conversation, and enjoy the satisfaction of a catch. With a few thoughtful adjustments, fishing can be accessible and enjoyable for individuals with mobility or vision limitations.

fishing with older adults Fishing with Older Adults: A Relaxing, Rewarding Outdoor Activity

Customizing the Experience

1. Choose an Accessible Location:
Look for fishing spots with flat, paved paths and sturdy railings. Docks with ramps or fishing piers designed for wheelchairs or walkers can make the experience safe and easy to navigate.

2. Seating and Shade:
Bring along comfortable, portable chairs with back support and armrests. Set up under shade if possible, to protect from sun exposure. Umbrellas or wide-brimmed hats also help provide comfort during longer outings.

3. Use Adaptive Gear:
Fishing rods with larger handles, automatic reels, or button-activated casting tools can help those with reduced grip strength or dexterity. Tackle boxes with organized, easy-to-see compartments also help with visibility.

4. Consider Vision-Friendly Solutions:
High-contrast fishing lines (such as neon yellow or orange), large-print instructions, and brightly colored bobbers can help those with limited vision. Pre-tied hooks and simplified gear reduce the need for close-up detail work.

5. Plan for Comfort and Safety:
Keep water, snacks, and sunscreen on hand. Make sure older adults are dressed in layers and wear non-slip footwear. Always consider weather and temperature to avoid overexertion.

6. Make it Social:
Fishing is often more about the experience than the catch. Bring a companion or caregiver to assist with the physical aspects and to share stories, laughter, and moments of calm.

A Memory in the Making

Fishing with older adults is more than a pastime, it’s a way to connect across generations, stimulate the senses, and promote well-being. By tailoring the experience to meet their physical needs, you can help create an outing that is both accessible and deeply meaningful.

Honoring Black Nurses: Pioneers of Care and Advocacy

Posted on by Peter R. Abraldes

Black nurses have played a crucial role in shaping healthcare, breaking racial barriers, and advocating for equitable medical treatment. As we celebrate Black History Month, we recognize the resilience, skill, and compassion of these healthcare pioneers.

nurse hands Honoring Black Nurses: Pioneers of Care and Advocacy

Trailblazers in Nursing

One of the earliest Black nurses, Mary Eliza Mahoney, became the first African American licensed nurse in 1879. She dedicated her career to fighting for racial equality in nursing, co-founding the National Association of Colored Graduate Nurses (NACGN) in 1908.

Harriet Tubman, known for leading enslaved people to freedom, also served as a nurse during the Civil War, providing care to wounded soldiers and advocating for better medical treatment for Black troops.

Susie King Taylor was another Civil War nurse who worked tirelessly to treat soldiers while also teaching formerly enslaved individuals how to read and write.

The Fight for Equity in Healthcare

Throughout the 20th century, Black nurses pushed for desegregation in healthcare. Mabel Keaton Staupers, a relentless advocate, fought for the inclusion of Black nurses in the U.S. Army and helped integrate the American Nurses Association (ANA).

During the Civil Rights Movement, Black nurses like Estelle Massey Osborne worked to open doors for Black professionals in education and hospital leadership, ensuring greater opportunities for future generations.

Black Nurses Today

Black nurses continue to impact healthcare through leadership, education, and advocacy. Organizations like the National Black Nurses Association (NBNA) support the advancement of Black nurses while addressing health disparities affecting Black communities.

As we reflect on Black history, we celebrate the invaluable contributions of Black nurses—past and present—who have shaped the profession with their dedication and perseverance. Their legacy serves as an inspiration to all, reminding us of the power of advocacy, education, and compassionate care.

Mitigating Fall Risks in Homes for Seniors

Posted on by Peter R. Abraldes

Falls are a leading cause of injury among seniors, but many of these accidents can be prevented by making simple adjustments to the home environment and adopting safe habits. Below are practical steps to reduce fall risks and create a safer living space for older adults.

1. Declutter and Organize

Remove unnecessary furniture, cords, and other tripping hazards from walkways. Keep frequently used items within easy reach to reduce the need for climbing or bending.

2. Improve Lighting

Ensure all areas of the home, including stairways and hallways, are well-lit. Use nightlights in bedrooms and bathrooms to help seniors navigate safely during the night.

3. Install Grab Bars and Railings

Place sturdy grab bars in bathrooms near toilets and showers. Secure handrails on both sides of staircases to provide added stability.

4. Use Non-Slip Surfaces

Place non-slip mats in bathrooms, kitchens, and entryways. Secure area rugs with double-sided tape or replace them with non-slip versions.

5. Rearrange Furniture

Allow for wide, clear pathways throughout the home. Rearrange furniture to accommodate mobility aids like walkers or wheelchairs.

6. Wear Proper Footwear

Encourage seniors to wear well-fitted, non-slip shoes indoors. Avoid slippers or shoes with smooth soles that can slide on surfaces.

7. Conduct Regular Health Checks

Regular vision and hearing checks can help seniors maintain their balance and awareness of their surroundings. Discuss medications with healthcare providers to identify any side effects that might affect balance.

8. Promote Strength and Balance Exercises

Encourage seniors to participate in activities like yoga or tai chi to improve strength, flexibility, and balance. These exercises can significantly reduce the risk of falls over time.

By taking these preventive measures, families can help ensure that seniors enjoy a safe, comfortable, and fall-free home environment. For additional support, consider a professional carepartner to help mitigate the fall risk for your loved one on an ongoing basis. To learn more, call us today at 610-323-9800.

Fall Risk Mitigating Fall Risks in Homes for Seniors

Making the Most of a Snow Day with Seniors Who Need Home Care

Posted on by Peter R. Abraldes

Snow days offer a perfect opportunity to create warm and engaging experiences for seniors, even if they require home care. Thoughtful planning can ensure the day is filled with fun, comfort, and meaningful connections. Here are some ideas to enjoy a snow day safely and joyfully:

2 Making the Most of a Snow Day with Seniors Who Need Home Care

1. Craft a Cozy Atmosphere

Make the environment inviting with warm blankets, soft lighting, and a cozy corner for activities. Hot drinks like cocoa or herbal tea can add to the ambiance.

2. Engage in Indoor Activities

  • Arts and Crafts: Painting, knitting, or making holiday-themed decorations can keep hands and minds active.
  • Board Games and Puzzles: Play familiar games like Scrabble or work on a large-print puzzle together.
  • Reminiscing with Photo Albums: Share stories while looking through old pictures to spark joyful memories.

3. Incorporate Gentle Exercise

Encourage light stretching or chair yoga to keep seniors active. These exercises promote circulation and flexibility without overexertion.

4. Watch Classic Movies or Listen to Music

Create a playlist of their favorite songs or watch classic films they enjoy. It’s a simple way to relax and connect.

5. Enjoy Winter Views

Position a chair by the window so they can enjoy watching snowflakes fall or observe outdoor wildlife. If they’re up for it, bundle them up for a short stroll or sit on a porch for some fresh air.

6. Bake or Cook Together

If they’re able, involve them in making simple winter treats like cookies or soup. Even light participation, like stirring ingredients, can be rewarding.

7. Facilitate Social Connections

Use video calls to connect with family and friends. This can bring joy and alleviate feelings of isolation during a quiet snow day.

8. Share Stories or Read Aloud

Whether it’s a favorite novel, poetry, or short stories, reading together fosters bonding and stimulates the mind.

Safety Tips:

  • Ensure walkways are clear of snow and ice to prevent falls.
  • Keep the home warm but well-ventilated.
  • Have emergency supplies on hand, such as flashlights and medications, in case of power outages.

A snow day doesn’t have to mean a quiet day indoors. With thoughtful planning, it can be an opportunity for connection, creativity, and comfort that seniors and caregivers alike will cherish.

Learn more about how NursePartners can help support your loved one today! Call 610-323-9800.

Effective Ways to Communicate with Someone Living with Dementia

Posted on by Peter R. Abraldes

Communication with someone living with dementia often requires creativity and patience. Teepa Snow, a renowned dementia care expert, emphasizes the importance of using multiple senses to connect before providing care. Here are some strategies inspired by her teachings to foster meaningful interactions:

1. Visual Cues

Use your body language and facial expressions to convey warmth and understanding. Approach the person from the front to avoid startling them, ideally at or below their eye level. Make eye contact to establish a sense of connection. Hand gestures can also help provide context to your words.

2. Gentle Touch

Touch is a powerful tool for communication. Extend your hand forward once they see you. Only when they accept your hand, then use the hand-under-hand technique to convey reassurance and support. Do not touch from behind or without them having visually acknowledged your presence.

3. Tone of Voice

The way you speak is just as important as what you say. Use a calm, friendly, and reassuring tone. Speak slowly and clearly, avoiding sudden changes in pitch or volume, which might cause confusion or distress. Reiterate as many of their words as possible in your response.

4. Engaging Their Senses

Dementia often heightens sensitivity to sensory input. Incorporate other senses to create positive experiences:

  • Smell: Familiar scents like lavender, fresh flowers, or favorite foods can evoke memories or provide comfort.
  • Sound: Play soothing music or sing familiar songs. Music often taps into deep-seated memories and emotions.
  • Taste: Share small portions of their favorite snacks or drinks to create moments of joy.
  • Sight: Use photographs, colorful objects, or natural light to stimulate engagement.

5. Focus on the Moment

People living with dementia thrive on meaningful, present-moment interactions. Simplify your communication by using short sentences and giving them time to process and respond. When words fail, nonverbal cues like a smile or holding hands can speak volumes.

6. Adapt and Be Patient

Flexibility is key. If a particular approach isn’t working, adjust your tone, gestures, or actions. Remember that their responses may not always align with your expectations, but your effort to connect has value.

Remember it is more about how you make them feel, rather than who is correct. If you find yourself becoming frustrated, take a step back, leave the room, and reapproach in a few minutes.

By embracing these techniques, caregivers can create more positive and fulfilling interactions, fostering a sense of safety and connection for those living with dementia. As Teepa Snow advocates, compassionate and sensory-aware communication can profoundly improve the quality of life for individuals and their caregivers alike.

NursePartners uses the Positive Physical Approach to Care to interact with our clients and their families. NursePartners GEM coaches and trainers ensure that carepartners are also undergoing five hours of training annually. If you would like to learn more about how we can support your loved one, call us today at 610-323-9800.

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Empowering Older Adults: The Importance of Involvement in Their Own Care

Posted on by Peter R. Abraldes

As people age, maintaining a sense of autonomy and purpose becomes increasingly important. One of the most effective ways to achieve this is by actively involving older adults in their own care. By fostering engagement, older adults not only experience improved health outcomes but also a greater sense of dignity and well-being.

carepartner with senior in wheelchair Empowering Older Adults: The Importance of Involvement in Their Own Care

The Benefits of Involvement
Encouraging older adults to participate in decisions about their care helps them feel valued and respected. Research shows that when individuals are active participants in their care, they are more likely to adhere to treatment plans, improve their physical health, and sustain emotional resilience.

For example, older adults who help set their care goals are more likely to feel motivated to follow through with physical therapy, medication schedules, or lifestyle changes. Additionally, their firsthand insights can guide caregivers in developing personalized care plans that align with their preferences and values.

Strategies for Engagement

  1. Open Communication: Establishing clear, empathetic dialogue is crucial. Caregivers should ask questions, listen actively, and validate concerns to build trust.
  2. Education and Resources: Providing accessible information empowers older adults to make informed decisions about their care options.
  3. Shared Decision-Making: Collaborating with older adults to create care plans ensures that their wishes are respected and incorporated.
  4. Encouraging Independence: Supporting activities they can perform safely on their own helps reinforce confidence and self-reliance.

A Partnership in Care
Involving older adults in their care is not just a best practice; it’s a partnership. Families, carepartners, and healthcare providers must work together to create an environment where older adults feel empowered and supported. By doing so, we honor their wisdom, respect their autonomy, and enhance their quality of life.

By prioritizing engagement, we enable older adults to take ownership of their health and well-being—an essential step toward aging with dignity and grace. Learn more about how NursePartners can support your loved one in the comfort of their home: 610-323-9800.

Minimizing Fall Risks in the Home for Older Adults

Posted on by Peter R. Abraldes

Falls are one of the leading causes of injury among older adults, but many of these incidents can be prevented with simple adjustments to the home environment. By proactively identifying and addressing potential hazards, families can create safer living spaces and support the independence of their loved ones.

senior care Philadelphia, fall risk Philadelphia, dementia care Philadelphia

Common Risk Factors

As individuals age, physical changes such as reduced balance, muscle weakness, and declining vision can increase the likelihood of falls. Medications, chronic health conditions, and cluttered living spaces further contribute to the risk.

Practical Steps to Reduce Fall Risks

  1. Declutter and Organize: Keep pathways clear of unnecessary items, such as cords, rugs, and furniture, to prevent tripping hazards.
  2. Improve Lighting: Ensure all rooms, hallways, and staircases are well-lit. Install nightlights in frequently used areas like bathrooms and bedrooms.
  3. Install Grab Bars and Handrails: Secure grab bars in bathrooms near toilets and bathtubs, and ensure sturdy handrails are on all staircases.
  4. Use Non-Slip Surfaces: Place non-slip mats in showers, bathtubs, and entryways. Replace slippery rugs with non-skid backing.
  5. Keep Essentials Accessible: Store frequently used items within easy reach to minimize the need for climbing or bending.
  6. Encourage Proper Footwear: Non-slip shoes or slippers with good traction provide better stability than socks or loose-fitting footwear.
  7. Regular Vision and Health Checks: Routine check-ups can address vision problems and other medical conditions that increase fall risks.

The Role of Technology & Dementia

Consider using fall detection devices or wearable alert systems for added safety. These tools can provide peace of mind for both older adults and their families.

However, if an older adult is living with dementia, you will want an extra pair of eyes and ears on the ground. This is because the older adult may revert back to previous behaviors and forget why safety measures were implemented.

If you seek supplemental care, consider when it would be most beneficial for the older adult. They may be prone to wake and wonder at unusual hours. These are the hours when you would want the assistance of a certified nursing assistant.

To learn more about how NursePartners can best support your loved one, call us today at 610-323-9800.

Home Care Can Improve Your Parent’s Quality of Life

Posted on by Peter R. Abraldes

As parents age, maintaining independence and quality of life becomes increasingly challenging. A professional non-medical home care company can bridge the gap between their desire for autonomy and the need for extra support, offering tailored services that improve their overall well-being.

1. Personalized Care for Unique Needs

Non-medical home care is not one-size-fits-all. Services such as assistance with bathing, dressing, meal preparation, and medication reminders are customized to meet your parent’s specific needs. Caregivers ensure they receive the support necessary to stay comfortable and safe at home. All carepartners at NursePartners are certified nursing assistants with a working history caring for older adults.

2. Companionship and Social Engagement

Loneliness and isolation can significantly impact a senior’s mental health. Professional caregivers provide consistent companionship, engaging your parents in conversation, hobbies, and outings, which fosters emotional well-being and reduces feelings of isolation. This requires a comprehensive plan of care that takes into account your parent’s personality, hobbies, work history, and life experiences.

3. Maintaining a Safe Environment

Home care professionals are trained to identify and minimize risks in the home. From fall prevention measures to mobility assistance, they help create a secure environment that allows your parents to live confidently in their space. NursePartners completes a no cost initial assessment which includes ensuring that the home is safe for the older adult.

4. Relief for Family Members

Balancing caregiving with work and other responsibilities can be overwhelming for family members. A professional home care company provides peace of mind, knowing that your parent is in skilled and compassionate hands. We also engage the family in the ongoing case management of their parent.

5. Promoting Independence

Rather than taking over, caregivers aim to empower your parents, encouraging them to participate in daily tasks to the extent they are able. This approach preserves their sense of independence and dignity. NursePartners proactively suggests activities that your parent and the carepartner can do together.

Investing in a professional non-medical home care company is not just about meeting basic needs; it’s about enhancing your parent’s quality of life. With personalized support, companionship, and a safe home environment, your loved one can enjoy their golden years with greater joy and fulfillment.

Want to learn more about how NursePartners can support your parent? Call today at 610-323-9800.

caregiver stress management for dementia alzheimer s Home Care Can Improve Your Parent's Quality of Life

Drafting a Comprehensive Plan of Care

Posted on by Peter R. Abraldes
care plan writing Drafting a Comprehensive Plan of Care

Older adults require a plan of care to help them age in place. We typically assume this document outlines health limitations and daily medications. However, a really good plan should cover much more. It needs to ensure that the older adult is best supported physically, socially, and emotionally, incorporating their lived experiences into its design. This personalized document brings together healthcare providers, caregivers, and family members to ensure coordinated, consistent, and compassionate care.

What is a Comprehensive Plan of Care?

A comprehensive plan of care is a detailed, individualized guide that outlines an older adult’s medical, emotional, and daily living needs. It includes key components such as:

  • Health Goals: Long-term and short-term objectives for managing chronic conditions or improving overall health.
  • Medications: A complete list of current prescriptions, over-the-counter drugs, and supplements, including dosages and potential interactions.
  • Diet and Nutrition: Personalized dietary recommendations to address nutritional deficiencies, manage chronic illnesses, or accommodate preferences.
  • Activities of Daily Living (ADLs): Support for tasks like bathing, dressing, eating, and mobility, tailored to the individual’s capabilities.
  • Social Engagement: Opportunities for fostering connections to reduce isolation and promote emotional well-being.
  • Crisis Management: Emergency plans for acute medical situations, including contact information and advanced directives.

Why is a Comprehensive Care Plan Essential?

  1. Holistic Health Management
    Older adults often face multiple chronic conditions such as diabetes, heart disease, or arthritis. A comprehensive care plan ensures that these conditions are addressed collectively rather than in isolation, minimizing complications and improving outcomes.
  2. Improved Coordination Among Care Teams
    Involving multiple healthcare providers can lead to fragmented care without a unified plan. A care plan streamlines communication among doctors, nurses, therapists, and caregivers, reducing redundancies and improving efficiency.
  3. Empowers Older Adults and Their Families
    A care plan gives older adults a sense of control over their care while keeping family members informed and involved. This collaboration fosters trust and reduces stress for all parties.
  4. Prevents Medical Errors
    With detailed documentation of medications, allergies, and treatment preferences, care plans help prevent harmful errors, such as drug interactions or unnecessary procedures.
  5. Supports Aging in Place
    For those who wish to remain in their homes, a care plan outlines resources and adaptations needed to safely and comfortably age in place.
  6. Addresses Emotional and Social Needs
    Aging is not just a physical journey; it is also an emotional and social one. A comprehensive care plan includes strategies for maintaining mental health and fostering meaningful relationships.

Crafting an Effective Care Plan

Creating a care plan involves collaboration between healthcare professionals, caregivers, and the older adult. Here are some steps to ensure its success:

  • Conduct a Thorough Assessment: Evaluate physical, emotional, cognitive, and social needs.
  • Consider the Environment: Ensure that the home is safe and make adjustments if not. Consider how the older adult can best optimize their space.
  • Set Realistic Goals: Establish achievable objectives that align with the older adult’s preferences and values.
  • Update Regularly: Life circumstances and health conditions evolve. Revisit and adjust the plan as needed.
  • Leverage Technology: Use tools like medication reminders, telehealth, and digital monitoring to enhance care.

Conclusion

A comprehensive care plan is not just a document—it’s a lifeline that promotes dignity, independence, and quality of life for older adults. Whether managing chronic conditions, preparing for emergencies, or ensuring meaningful daily interactions, this tailored approach empowers older adults to age with grace and confidence. By investing the time and effort into creating and maintaining a care plan, families and caregivers can provide the kind of support that truly makes a difference.