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Mindfulness in Nutrition: An Introduction

National Nutrition Month offers a unique opportunity to explore the intersection of nutrition and mindfulness. Mindful eating is about more than what we eat; it’s about how we eat, bringing full attention to the experience of nourishment and the act of caring for the body. This practice is particularly beneficial in home health care or hospice care, where certain physical conditions may hinder the basic joy of eating.

The Essence of Mindful Eating

Eating is as essential of a bodily function as breathing. Since we use the breath as a source of mindfulness, then it’s only natural to extend that awareness to other human functions, like eating.

Mindful eating is an approach that involves being fully present during meals, paying attention to the taste, texture, and aroma of food. Instead of thinking of the inaccessible past or the imaginary future, the practice calls on focusing awareness on eating and eating only.

Is there a specific sensation you can notice while eating or drinking that you’ve never noticed before? Perhaps it’s a particular taste. Maybe it’s the food or water making its way through your body. Simply notice any sensations that arise.

Mindful eating transforms routine meals into sources of pleasure and comfort, creating a deep connection between body and mind. It also provides a fresh perspective to alleviate negative thought patterns, fostering gratitude for easy access to food—a relatively recent achievement for humanity.

Adapting Nutrition Mindfully

Adapting to the changing nutritional needs is crucial. Mindfulness helps in recognizing these changes without judgement, allowing caregivers to adjust meals according to preferences and needs, while still maintaining nutritional balance. This approach respects the patient’s bodily cues and enhances their sense of control and dignity.

Developing awareness of how certain foods impact your well-being is a key aspect of mindful eating. Start by paying close attention to how you feel after consuming different foods. Notice any changes in your energy levels, mood, digestion, or even sleep patterns. Does a particular food leave you feeling energized or sluggish? Do you experience a sense of calm or, conversely, agitation?

Keeping a simple food diary can be incredibly helpful in this process. In it, jot down what you eat and any physical or emotional responses you observe. Over time, patterns will emerge, guiding you towards foods that truly nourish and benefit your body and mind, and away from those that don’t align with your well-being.

Overall, knowing what to eat can be complicated, but Dr. Andrew Weil’s approach is quite simple: try to eat the rainbow. This means diversifying your diet with vibrant, colorful foods to ensure a variety of nutrients, health-protective phytonutrients, fiber, enjoyment, and balance.

Creating a Mindful Eating Environment

The environment where one eats can significantly affect their experience. Creating a calm, pleasant dining atmosphere can encourage mindfulness and enhance the enjoyment of meals. Simple changes, such as reducing distractions, playing soft music, or using visually appealing tableware, can make a big difference. Of course, everyone is different, so change your environment to whatever makes you happy!

Your Journey Towards Mindful Nourishment

We invite you to embark on this journey of mindful eating, whether for yourself or in your caregiving practices. It’s an opportunity to transform everyday meals into moments of presence, gratitude, and joy.

Why not begin today? With your next meal, take a moment to fully engage with your food. Observe its colors, smell its aromas, and savor each bite. Notice how this simple act can change your experience of eating.

Celebrating Pulmonary Rehabilitation Month: A Journey of Recovery and Resilience

Introduction to Pulmonary Rehabilitation Month

March marks Pulmonary Rehabilitation Month, a time dedicated to spotlighting the transformative impact of pulmonary rehabilitation on individuals living with chronic respiratory diseases such as Chronic Obstructive Pulmonary Disease (COPD), asthma, pulmonary fibrosis, and other lung conditions. This month, we not only focus on the remarkable journey of recovery and resilience facilitated by pulmonary rehabilitation programs but also delve deeper into the nuances of this comprehensive care.

The Comprehensive Approach of Pulmonary Rehabilitation

Pulmonary rehabilitation always takes a holistic approach aimed at improving the overall quality of life for those affected by chronic respiratory conditions. This comprehensive intervention program includes patient-specific exercises, nutritional counseling, psychological support, and extensive education about lung health. Each aspect of this program is individualized to meet the unique needs of the patient, ensuring a personalized and effective rehabilitation process.

Exercise Importance

At the heart of pulmonary rehabilitation is the specialized exercise regimen meticulously developed by experienced Physical and Occupational Therapists. These exercises are designed not just to improve lung function and endurance, but also to help patients accomplish daily activities with reduced breathlessness. Patients often after being diagnosed with a persistent lifelong lung diagnosis lose hope in their ability to complete daily activities, which is why therapy/ exercise is so important to rebuild their independence and confidence. Beyond these benefits, these exercises play a crucial role in improving mucus mobility. Effective mucus clearance is essential for respiratory patients as it reduces the risk of infections and further lung complications. The movement and breathing techniques taught in these sessions are key to maintaining clear airways and improving overall health. “According to the 2017 report of the Global Initiative for Chronic Obstructive Lung Disease (GOLD), pulmonary rehabilitation (PR) is the most effective therapeutic intervention for reducing dyspnea and improving physical performance and quality of life.”1

Nutrition’s Role in Respiratory Health

Nutrition also holds a pivotal role in supporting lung function and the overall well-being of patients with respiratory conditions. Skilled Dieticians are able to develop a balanced diet for each patient rich in antioxidants, adequate hydration, and appropriate food choices can significantly impact mucus production and consistency. These dietary adjustments, along with weight management strategies, are essential for reducing breathing difficulties and enhancing lung health. Moreover, a well-balanced diet bolsters the immune system, which is particularly crucial for patients with chronic respiratory diseases, and ensures sufficient energy levels for daily activities and participation in rehabilitation exercises. Research has shown combining a nutritional advice and intensive exercise program into pulmonary rehab to greatly improve quality of life to our patients. 2

Mental Health Support in Pulmonary Rehabilitation

Chronic respiratory diseases can be mentally and emotionally taxing, often leading to conditions like anxiety and depression. Addressing the mental health aspect is a crucial component of pulmonary rehabilitation. Counseling services and support groups provided as part of these programs offer a safe and supportive environment for patients to share their experiences, challenges, and triumphs. This emotional and psychological support is invaluable in helping patients cope with their condition and improve their overall mental health.

Educational Empowerment in Managing Respiratory Health

A significant aspect of pulmonary rehabilitation is the education provided to patients and their families. This education encompasses various topics, including disease management, medication adherence, and effective breathing techniques. By equipping patients and their families with this knowledge, pulmonary rehabilitation programs empower them to take an active role in managing their condition. This proactive approach is vital in enhancing the effectiveness of the treatment and in improving the patient’s quality of life.

The Multidisciplinary Team Behind Successful Rehabilitation

The success of pulmonary rehabilitation is largely attributed to the collaborative efforts of a multidisciplinary team. This team typically includes other healthcare professionals such as physicians, respiratory therapists, nurses, and psychologists. Each member plays a critical role, providing a comprehensive approach to care that addresses the physical, nutritional, and psychological needs of respiratory patients. Their combined expertise ensures that every aspect of the patient’s health is considered and catered to, leading to more effective and holistic care.

Conclusion and Call to Action

As we observe Pulmonary Rehabilitation Month, it’s important to recognize and celebrate the positive impact these programs have on the lives of patients with chronic respiratory diseases. It’s a time to raise awareness about the importance of pulmonary health and to acknowledge the dedicated professionals who support the respiratory wellness journey. Pulmonary Rehabilitation Month is not just a time for awareness; it’s an opportunity for reflection on the advancements in respiratory care and a call to action for healthcare providers and patients alike. Embracing the comprehensive care that pulmonary rehabilitation offers can significantly improve the lives of those living with chronic respiratory diseases, offering them a breath of hope and a path to better health.

Mathew Kovalchick, DPT, OCS


Citations:
1. Gloeckl R, Schneeberger T, Jarosch I, Kenn K. Pulmonary Rehabilitation and Exercise Training in Chronic Obstructive Pulmonary Disease. Dtsch Arztebl Int. 2018 Feb 23;115(8):117-123. doi: 10.3238/arztebl.2018.0117. PMID: 29526182; PMCID: PMC5852307.
2. Korkmaz C, Demirbas S, Vatansev H, Yildirim E, Teke T, Zamani A. Effects of comprehensive and intensive pulmonary rehabilitation and nutritional support on quality of life and functional status in patients with chronic obstructive pulmonary disease. J Int Med Res. 2020 Apr;48(4):300060520919567. doi: 10.1177/0300060520919567. PMID: 32314629; PMCID: PMC7175054.

Prioritizing Patient Safety in Healthcare Settings During Patient Safety Awareness Week

Patient Safety Awareness Week provides an opportunity to focus on the critical issue of patient safety, particularly in Skilled Nursing Facilities (SNFs), Assisted Living Facilities (ALFs), and Home care/Hospice environments. These settings, catering to some of the most vulnerable populations, require specific safety protocols to protect residents and patients. This article aims to touch on some of the key safety measures that need to be accounted for and best practices for these care environments, ensuring the safety and well-being of residents, patients, and loved ones.

Understanding Unique Risks:

Each of these settings presents unique challenges and risks. In SNFs and ALFs, residents often face mobility or cognitive impairments, increasing the risk of falls or medication errors. In home care and hospice settings, the variability of the home environment and the need for family involvement in care add layers of complexity to maintaining safety standards.

Medication Management:

In all of the settings, effective medication management is critical. This includes accurate medication administration, monitoring for adverse reactions, and coordination between various healthcare providers. Utilizing medication management technologies and involving caregivers and family members in the process can significantly reduce medication errors. Possibly leading to unwanted issues. Being aware of the adverse reactions can be simple, but it’s important to learn to recognize them.

Fall Prevention and Mobility Safety:

Fall prevention is a major concern in SNFs and ALFs. Implementing regular risk assessments, modifying environments to ensure safety (e.g., installing grab bars, ensuring adequate lighting), and using mobility aids are essential measures for all residents. In home care settings, similar issues persist, however the additional need to assess the home environment and educate family members on fall prevention strategies are equally important. Caregivers and family members are usually with the patients longer than you are and ensuring they have the proper tools and education for safety is not always prioritized.

Infection Control:

Infection control protocols are vital, especially in communal living environments like SNFs and ALFs, and for home care patients with weakened immune systems. In settings where patients interact with each other or are close by leads training in hand hygiene, proper use of PPE, and stringent cleaning protocols can help prevent the spread of infections. It’s easy to forget until it’s too late, then you will never forget again. to higher risks of infections spreading.

Emergency Preparedness:

Emergency preparedness is crucial, particularly in SNFs and ALFs. This includes having evacuation plans, ensuring staff are trained for emergencies, and having adequate supplies and backup systems in place. In home care settings, creating a personalized emergency plan for each patient, involving caregivers, is essential. This could involve the best course of action for EMS to access the patient or evacuation safety from the residence.

Caregiver and Staff Training:

All of these listed in the article require training, as this faced with not only an emergency, but a small decision to wash your hands or infection control could save someone’s life. Continuing education although healthcare providers view them as another thing on our to do list sometimes or something to cross off, it is to ensure the safety of yourself and others. 

Patient and Family Education:

Educating patients and families about safety measures, care plans, and what to expect in these settings allows them to participate actively in the care process and gives them a chance for them to advocate for their safety and well-being. This isn’t a job for them, it’s their life. 

Patient Safety Awareness Week serves as a reminder of the continuous need to prioritize safety in these settings. By focusing on specific risks, developing tailored strategies, and involving caregivers, families, and patients, we can create safer environments for the ones we care for. Let’s use this week to recommit to the highest safety standards and to recognize the dedication of those who work tirelessly to provide safe, compassionate care. The patients will thank you. 

Mathew Kovalchick, DPT, OCS

End Stage Renal Disease: Patient/Family Education

What is end stage renal disease?

ESRD happens when your kidneys are no longer able to work at the required level that is needed to sustain life. Renal disease is classified in stage 1 through 5. When your classification is 5, your kidneys function poorly and they are not able to remove the waste products in your blood.

Why is this happening?

In most cases, renal disease is caused by other health problems such as diabetes, high blood pressure, and genetic diseases. Sometimes your kidneys may stop working suddenly after suffering a heart attack.

Common Signs of Decline

While not all signs and symptoms may occur – below reflects common signs and symptoms:

Renal Failure (Chronic)

The patient has 1 and either 2 or 3. Documentation of conditions in #4 support hospice eligibility.

  1. The patient is not seeking dialysis or renal transplant or is discontinuing dialysis.

AND

OR

** Creatine Clearance Calculation

(140 – age in years) x (weight, in kg) – 72 x (serum creatine in mg/dl)

Multiply answer by 1 for men and by 0.85 for women

The absence of one or more of these findings, comorbidities may also support eligibility for hospice care.

Renal Failure (Acute)

The patient has 1 and either 2 or 3. Documentation of conditions in #4 support hospice eligibility.

  1. The patient is not seeking dialysis or renal transplant or is discontinuing dialysis.

AND

OR

Handwashing: The Best Way to Prevent the Spread of Germs

National Handwashing Week is celebrated in the United States during the first full week of December. It is a time to raise awareness of the importance of handwashing and to teach people how to wash their hands effectively.

Handwashing is one of the simplest and most effective ways to prevent the spread of germs. Germs can be found on all sorts of surfaces, including doorknobs, light switches, and countertops. When we touch these surfaces and then touch our eyes, nose, or mouth, we can transfer germs to our bodies and get sick.

When to Wash

Handwashing with soap and water removes germs from our hands and prevents them from spreading. It is especially important to wash our hands at certain times, such as:

washing hands

Effective Handwashing

To wash our hands effectively, we should follow these five steps:

  1. Wet our hands with clean, running water (warm or cold), turn off the tap, and apply soap.
  2. Lather our hands by rubbing them together with the soap. Lather the backs of our hands, between our fingers, and under our nails.
  3. Scrub our hands for at least 20 seconds. Need a timer? Sing the “Happy Birthday” song twice.
  4. Rinse our hands thoroughly under clean, running water.
  5. Dry our hands with a clean towel or air dry them.

Teaching Children the Importance of Handwashing

Handwashing is one of the best ways to protect ourselves and others from getting sick. By following the five steps above, we can all help to keep our communities healthy.

kids washing hands

In honor of National Handwashing Week 2023, here are some tips for teaching your children about the importance of handwashing:

By teaching your children about the importance of handwashing, you can help them to develop healthy habits that will last a lifetime.

Need more tips or assistance with your loved one?  We are here to help.  Contact us today to learn more about our services!

World AIDS Day: How Hospice Can Help

Each year on December 1, people worldwide recognize World AIDS Day, a day dedicated to remembering and raising awareness about the HIV and AIDS epidemic. We take part in this day to remember the lives lost since 1988 and raise awareness for help and support for those living with this condition.

History of World AIDS Day

The first World AIDS Day took place in 1988, which makes 2023 the 35th anniversary year of this remembrance day. Each year has a specific theme, and this year’s theme is “World AIDS Day 35: Remember and Commit.” Over the past 35 years, scientists and healthcare professionals have made significant advancements in the understanding and available treatments for this condition. Furthermore, this awareness day is also dedicated to helping to reduce the stigma associated with HIV and AIDS.

world AIDS day

World AIDS Day was first started in 1988 to help raise research funds and fight prejudice surrounding this condition. Since then, people all over the world have stood together to take part in this important day.

Hospice Benefits for Patients with Advanced AIDS

We offer supportive hospice care for individuals with advanced AIDS. Our hospice care services help patients with terminal illnesses live the rest of their lives in as much comfort as possible. Our hospice care services can meet a variety of needs for patients with advanced AIDS, which can help provide symptom and pain management.

hands making a heart with red ribbon

During the last stages of AIDS, a person may experience night sweats, swollen lymph nodes, and other uncomfortable symptoms. Hospice care can provide personalized comfort and care during these final stages. In addition to physical support, hospice care can also provide spiritual and emotional support during this difficult time. We also provide additional support for family members and caregivers, as well as bereavement support.

Ask Us About Our Hospice Care Support

If you or a loved one is living with AIDS, our team is here to help. Ask us about how our supportive and personalizable hospice care services can help provide support and enhance your quality of life. For all of our services, we take a team-oriented approach to provide the best care possible for you and your loved one. Contact us today to learn more.

National Pancreatic Cancer Awareness Month: What People Should Know

National Pancreatic Cancer Awareness Month, a time to raise awareness of this deadly disease. Pancreatic cancer is the fourth leading cause of cancer death in the United States, with a five-year survival rate of just 10%. However, early detection and treatment can improve survival rates significantly.

Here are some things you should know about pancreatic cancer:

pancreatic cancer awareness

How Home Health Can Help People with Pancreatic Cancer

Home health care can provide valuable support to people with pancreatic cancer and their caregivers. Home health aides can help with activities of daily living, such as bathing, dressing, and grooming.

Home health nurses can provide skilled nursing care, such as wound care, pain management, and medication administration. They can also teach patients and caregivers about the disease and how to manage it at home.

Other home health services that may be helpful for people with pancreatic cancer include:

cancer patient

How Hospice Can Help People with Pancreatic Cancer

Hospice is a type of care that focuses on providing comfort and support to people with terminal illnesses. Hospice can be provided at home, in a nursing home, or wherever the patient calls home.

Hospice care for people with pancreatic cancer may include:

Hospice care can help people with pancreatic cancer live their remaining time as comfortably and fully as possible. Hospice care can also provide support to caregivers during this difficult time.

If you are a patient with pancreatic cancer or a caregiver for someone with pancreatic cancer, please know that you are not alone. There are many resources available to help you, including compassionate hospice care in the place you call home. To learn more about how we can help, please contact us today!

Making the Transition to Hospice with Alzheimer’s and Other Forms of Dementia

comforting loved one with Alzheimer's

Alzheimer’s disease and other forms of dementia are progressive diseases that eventually lead to end of life for those suffering. When your loved one reaches more challenging stages of dementia, hospice care is extremely valuable.  Hospice is a specialized type of care that focuses on comfort and quality of life for patients who are terminally ill—with a prognosis of six months or less if their disease runs its normal course.

How to Transition to Hospice Care with Ease and Peace of Mind

Transitioning to hospice care can be a difficult decision, but it can also be a relief for both patients and caregivers. Hospice care can provide your loved one with the support and care they need during their final months of life.  You do not need to wait until the very end to initiate hospice—which is a common misconception. 

To transition to hospice care with ease and peace of mind, here are a few tips:

Talk to your loved one’s Primary Care Physician (PCP). 

If your loved one does not have a Primary Care Physician, we can help you obtain an order for hospice care.  The PCP will write an order to initiate hospice.  This is step one.

Get to know the hospice team.

Once you meet with us, you will be assigned a team of caregivers who will work with you to create a care plan for your loved one. The hospice team will include nurses, social workers, aides, and other professionals who are skilled in caring for people with dementia.

Let us take care of the rest!

We will bring in all necessary supplies and durable medical equipment (DME) that your loved one will need to be safe and comfortable in the place they call home.

More Ways We Can Help…

Our Hospice agency can provide a variety of services to help you and your loved one transition to hospice care. These services may include:

If you are considering hospice care for your loved one with Alzheimer’s or another form of dementia, please contact us today. We make the process simple, letting you focus on what matters most!

National Family Caregivers Month: Celebrating the Heroes without Capes

November is National Family Caregivers Month, a time to celebrate the millions of Americans who provide unpaid care to their loved ones. Caregivers play a vital role in our society, helping people with chronic illnesses, disabilities, and age-related impairments live their best lives.

Caregivers provide a wide range of services, from helping with activities of daily living like bathing and dressing to providing emotional support and companionship. They may also manage their loved one’s medications, transportation, and finances.

Caregiving can be a challenging but rewarding experience. Caregivers often report feeling a sense of purpose and satisfaction in helping their loved ones. However, caregiving can also be stressful and demanding, both physically and emotionally.

holding hands

Recognizing & Supporting Caregivers

That’s why it’s important to recognize and support caregivers during National Family Caregivers Month and throughout the year. There are many ways to do this, such as:

How Caregivers Help Those They Love

Here are some of the ways that caregivers help those they love:

Improve physical and mental health.

Caregivers can help their loved ones stay healthy by managing their medications, providing transportation to medical appointments, and helping them follow their doctor’s recommendations. Caregivers can also help their loved ones cope with stress and anxiety, and maintain a positive outlook on life.

Promote independence.

Caregivers can help their loved ones maintain their independence by assisting with activities of daily living, such as bathing, dressing, and cooking. Caregivers can also help their loved ones stay connected with their community and participate in activities that they enjoy.

hugging loved one

Provide companionship and emotional support.

Caregivers offer their loved ones companionship and emotional support, which can be essential for their well-being. Caregivers can listen to their loved one’s concerns, offer advice and encouragement, and help them to feel loved and valued.

Thank you, Caregivers!

Caregivers are essential to our society, and they deserve our appreciation and support. During National Family Caregivers Month, let’s celebrate the caregivers in our lives and show them how much we care.

If you are a caregiver and would like to know more about the services we provide, please let us know.  We would be happy to serve you and your loved one!

Caring for and Loving Someone with Alzheimer’s

Alzheimer’s disease is a progressive brain disorder that slowly destroys memory and thinking skills. It is the most common cause of dementia in older adults. Alzheimer’s disease affects everyone differently, but it eventually leads to severe cognitive impairment and death.

There is no cure for Alzheimer’s disease, but there are treatments that can help manage the symptoms and slow the progression of the disease. Caring for someone with Alzheimer’s can be challenging, but it is also a rewarding experience.

Here are some tips for caring for and loving someone with Alzheimer’s:

Educate yourself about the disease.

The more you know about Alzheimer’s disease, the better equipped you will be to care for your loved one. There are many resources available online and in your community that can provide you with information and support.

Create a safe and supportive environment.

People with Alzheimer’s disease are at risk of falls, wandering, and other accidents. It is important to create a safe and supportive environment for your loved one. This may involve removing tripping hazards, installing locks on doors, and using GPS tracking devices (such as medical alert bracelets or inserting Air Tag-like devices in shoes).

therapy for alzheimer's patient

Establish a routine.

People with Alzheimer’s disease often thrive on routine. Establish a regular schedule for meals, activities, and bedtime. This can help to reduce stress and anxiety. (Tip: use colorful plates to help make food easily identifiable).

Be patient and understanding.

Alzheimer’s disease can cause people to behave in ways that are frustrating and confusing. It is important to be patient and understanding. Remember that your loved one is not trying to be difficult. (Try not to raise your voice—rather, use a calming tone as much as possible).

Take care of yourself.

Caring for someone with Alzheimer’s can be physically and emotionally demanding. It is important to take care of yourself. Get enough sleep, eat healthy foods, and exercise regularly. Make time for activities that you enjoy. 

Here are some specific ways to show love and support to someone with Alzheimer’s:

Spend time with your loved one.

Even if your loved one cannot engage in conversations or activities like they used to, they still enjoy spending time with you. Make time to simply sit with your loved one, hold their hand, or listen to music together. (Music therapy has proven to be effective in calming/lessening anxiety + helps with activities such as reminiscing).

Reassure your loved one that you love them.

Tell your loved one that you love them and appreciate them. Let them know that you are there for them and will always support them.

loving alzheimer's patient

Help your loved one maintain their sense of identity.

Encourage your loved one to continue doing activities that they enjoy. Help them to stay connected with their loved ones and community.

Celebrate your loved one’s accomplishments.

No matter how small, celebrate your loved one’s accomplishments. This will help to boost their self-esteem and confidence.

Caring for someone with Alzheimer’s can be challenging, but it is also a rewarding experience. By following the tips above, you can provide your loved one with the care and support they need.

Life is a Journey.  We are With You Every Step of The Way!

Contact us to learn more about how we can help you and your loved in the place they call home.

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