What’s A Geriatrician?

“Something to do with old people.” This sums up what most people can tell you if you ask them to explain geriatrics. According to the American Geriatrics Society, the definition is simple. It’s a medical specialty focused on the high quality, person-centered care we all need when we age.

Think about it this way. Our children benefit from healthcare that’s focused on what growing bodies and minds need, so we make sure they see a pediatrician. Shouldn’t we apply that same thought process to older adults?

What’s a Geriatrician?

That’s the name for geriatrics doctors. They are medical professionals who specialize in the care of adults who are 65 and older. Most are doctors of internal or family medicine, and the only difference is that they’ve undergone an extra one to two years of training to understand and treat conditions most commonly found in older adults, such as mobility issues, osteoporosis, arthritis, and Alzheimer’s disease.

A geriatrician also has deeper experience and knowledge about helping people who have multiple chronic health conditions caused by aging. They understand how an older body can respond to different medications and treatments. 

A standard internal or family medicine doctor usually has patients who are between the ages of 30 to 60 years old. Their range of experience tends to be based on treating people at these ages. If they’re asked to care for an older adult, they may not have the depth of experience to help them understand how standard medical treatment for younger adults might impact an older patient.

Should All Older Adults See a Geriatrician?

According to this US News & World report, there are only about 7,500 certified geriatricians in the United States. Research shows that about 30% of people over the age of 65 would benefit from the specialized care of a geriatrician. There’s a growing demand for this special doctor, but there definitely are not enough. This demand is forecasted to increase 45% by 2025.

So, should you worry if you are or care for an older adult who’s not seeing a geriatrician? The general consensus is that the existing relationship you have with an internal or family medicine doctor is sensible to maintain as long as this medical professional is confident that they have the experience to treat the specific medical conditions of an older adult.

A doctor’s priority is to make sure that patients under their care are getting the best possible treatment and advice. Often, they’re the ones who will make the recommendation that an older adult under their care seek out the specialized attention of a geriatrician.

More Than Memory Care

Until recently, Grace Homes specialized in memory care. It’s a distinct form of assisted living care that specifically caters to people living with Alzheimer’s disease, dementia, or other types of memory problems. Our group of residences and staff were geared to focus on this area.

But the world of residential senior care homes is changing. The transformation comes in response to the way society views assisted living today – which is no longer only for the elderly. Today, Grace Homes is proud to be able to provide a living environment capable of caring for all types of health conditions, as well as a wider age range for residents.

Healthy Connections

There’s growing research showing the physical and emotional benefits of intergenerational living. Studies by the national Institute on Aging indicate that older adults who experience social isolation experience a variety of mental and physical disorders

Both large senior care organizations, as well as smaller residential senior care homes such as those operated by Grace Homes, are seeing the benefits of welcoming new residents who are sometimes only in their 30s to 50s. To do this, we must expand the type of care we offer.

That’s precisely what we’ve done. Today, Grace Homes is able to provide for all types of chronic illnesses and disabilities, instead of specializing only in memory care. New residents living with chronic illnesses such as diabetes, heart disease, cancer, Parkinson’s, and other disabilities can be accommodated. As a result of this greatly expanded type of care, the existing residents are being joined by new – and sometimes younger – ones.

Residents and their visitors, as well as caretakers, have noticed a growing change. It was always comforting and welcoming. Residents developed deep bonds and friendships. The intergenerational camaraderie has created an even deeper sense of family in the homes.

A Growing Trend

Grace Homes is not alone in moving in this direction. Already there are hundreds of intergenerational day care facilities which have opened for business throughout the United States. There’s also a growing movement by retirement communities and organizations to forge ties with nearby preschools, high schools, or colleges. The connections encourage regular exchanges between people of different ages.

The trend goes beyond America. Similar programs have already been set up in the Netherlands and France.

Recognized by the State of Minnesota

Grace Homes now participates with the elderly waiver program administered by the Minnesota Department of Human Services, which is for people over the age of 65. The trio of care homes also participates with the Minnesota’s Community Access for Disability Inclusion (CADI) program, which is for people who are under the age of 65.

It started with memory care, but the future for Grace Homes is simply care.

Stuck In the Elevator with Gail

 

Our More Interesting Version of ‘Meet the Staff.’

Grace Homes Housing manager

Grace Homes Housing Manager, Gail Hoch

Gail Hoch

Each month we are going to introduce to a member of our office staff.  Instead of the same ole ‘meet the staff’ with a picture and bio we wanted to make it more fun and personal.  Ours is called Stuck in the Elevator with ________.  This month you get to meet the employee who has been here the longest.  She knows this company like the back of her hand and thank goodness because I don’t know where I’d be if I weren’t able to call Gail. We are all a little sad that she isn’t in the office every day as she used to be. She has been made the House Manager of our Residential Care Homes for seniors, Grace Homes. Because of this, she has a new office in our Oakridge Home in Hopkins, MN.  Don’t let this make you think we don’t see her.  We still manage to come up with enough stuff for her to have to come back over to the offices and get us all in line.

She’s the “it girl” of Matrix.  She’s been with Matrix for 22 years.  Her seniority in the company is not what makes her unique, she has earned every bit of her status by being really good at and actually caring about her job and the clients we care for. If you have a question, you go to Gail. I followed Gail for several weeks when I first began, and my head was spinning at all of the things she was taking care of and keeping in order.  She remembers everything and still even to this day, thank goodness,  will remind me of something I am supposed to remember, and for this I am thankful. She doesn’t do it undesirably, it’s more of an older sister has your back kind of way.  Gail has a warmth to her that makes everyone feel comfortable, respected, and appreciated.

Gail earned an Associates in Applied Science degree in Office Administration and Medical Office Assistant degree from the Minnesota School of Business.  She has over 22 years experience working in the office setting.  Prior to accepting the position as Housing Manager at *Grace Homes in July 2018 Gail was the Operations Manager at the Matrix Home Health Care Specialists corporate office managing day to day operations including client intake and management, maintaining and auditing clinical records, maintaining and auditing policies and procedures, part-time staffing, creating and maintaining forms, billing, accounts receivable, and marketing.  In her new position, she is still doing much of the same with managing resident intake and admissions, house tours, resident records, staffing, and billing.

 

 

HOW DID YOU FIND MATRIX?

GH: Job placement program through college.

 

WHAT GETS YOU OUT OF BED IN THE MORNING?

GH: Coffee!!

 

WHAT IS THE MOST RECENT APP YOU DOWNLOADED AND WHY?

GH: Messenger – the facebook app.  I did not have it downloaded yet on my new phone and someone sent me something so I had to download the app to open it.  Nothing exciting, however, the video that was shared was of two elderly women dancing to ‘Watch Me’ (whip/nae nae)… worth the download!

 

WHAT IS SOMETHING FEW PEOPLE KNOW ABOUT YOU?

GH: I’m going to be a grandma!

 

WHO INSPIRES YOU?

GH: Depends on the day – honestly, lots of people.  My children definitely – they inspire me to be a better parent and a better person.

 

WHAT IS YOUR GREATEST FEAR?

GH: Being alone.  Okay… and spiders, centipedes, and generally all creepy – crawly things.

 

WHAT IS SOMETHING YOU LEARNED LAST WEEK?

GH: I was reminded that things are not always what they seem and never judge a book by it’s cover.

 

WHAT THREE WORDS WOULD YOU USE TO DESCRIBE MATRIX?

GH: Compassionate, Experienced, Professional

 

WHAT ADVICE WOULD YOU GIVE  YOUR 13-YEAR-OLD SELF?

GH: Slow down – you don’t have to grow up so fast!

 

WHAT IS SUCCESS TO YOU?

GH: Being able to find the perfect balance in life – still working on it and I will let you know when I find it.

 

AT WHAT AGE DID YOU BECOME AN ADULT?

GH: Hmmm, interesting question… 20 maybe?

 

WHAT DO YOU LIKE MOST ABOUT MATRIX?

GH: After 22 years with Matrix, there have been many things through the years that have kept me here- it is a company that has evolved and grown with the times, adapted and overcame.  One thing has not changed is the passion to provide the best care we possibly can and be a company that people want to work for.

 

IF YOU HAD TO EAT ONE MEAL FOR THE REST OF YOUR LIFE EVERYDAY WHAT WOULD IT BE?

GH: Oh my … just one… I can’t do it!  Does salad, steak, crab legs, spaghetti, lasagna, and cheesecake count as one meal?

 

WHAT IS YOUR MOTTO OR PERSONAL MANTRA?

GH: Finding Balance 🙂

 

WHAT IS AN ABILITY YOU WISH YOU HAD?

GH: Go back in time.

 

YOU ARE THE HAPPIEST WHEN

GH: Spending time with the people I love.

 

WHAT ARE YOUR HOPES FOR THE SENIOR CARE INDUSTRY?

GH: I hope more people find passion in caring for the elderly – it is such an important job!

 

IF YOU COULD MEET ANYONE, LIVING OR DEAD, WHO WOULD IT BE AND WHY?

GH: I can’t think of any one person… I can think of lots of people that would be interesting to meet but no one person in particular.  I know my daughter would really like to meet Tyler and Josh with Twenty One Pilots – so I would want to meet them so she could meet them….(you’re welcome Maddie!)

 

WHAT WAS THE LAST EXPERIENCE THAT HAS MADE YOU A STRONGER PERSON?

GH: Losing a beloved family member has taken tremendous strength and resiliency.

 

That is our second edition of “Stuck in the elevator.”  Next month we will have the Q&A with our RN Keeley Nanry.  Thanks for reading and if you are thinking you might want to be a part of this team check out the details below?

 

To learn more about joining our team and providing compassionate care services:

 

 

  • Apply by submitting an application via fax:  952-525-0506 Attn: HR Manager

 

 

 

Please direct any specific inquiries to Elizabeth, our HR Manager,  by calling 952-525-0505

 

 

“We’re there for you”

Matrix Home Health Care Specialists & Grace Homes

What is Person-Centered Care and How To Distinguish It

I think it was my 2nd staff meeting, during the section where we are getting updates on each client ’s care and their well-being I heard someone say person-centered care. I perked up because I wasn’t sure what they were talking about but I could tell that I was going to like it. I asked them to back up and explain to me what person-centered care meant. After they explained that person-centered care is at the center of all that we do at Matrix and is the core of every resident plan of care. Person-centered care means, everything we do for the client is based upon THEIR specific needs, desires and is what best fits them, not us.

 

Core Characteristics of Person-Centered Care are:

  • Resecting and Valuing the individual as a full member of society
  • Providing individualized emotional and physical spaces for care that are in tune with people’s changing needs
  • Understanding the perspective of the person in all care and activities
  • Providing supportive opportunities for social engagement to help people live their life and experience well-being.

 

Going over this material brought a quote to mind, so I looked it up and found out who said it. I think it describes the essence of person-centered care.

 

“A good physician treats the disease; a great physician treats the patient who has the disease.” – Sir William Osler

 

It is more than knowing how to care for someone who has a specific illness. Understanding the person and the context of their illness. It is taking into consideration the whole story. Each and every one of us is more than a specific illness or disease and what is right for one of us may not be what is right for the other. Understanding this is person-centered care.

Person-Centered Care Language

When speaking to our clients or residents caregivers need to be mindful of the terms used not to be dehumanizing. Here are some examples:

 

 

Here is a chart that makes it easy to discern what type of care you or your loved one is receiving.

 

 

Is person-centered care the norm?

The answer no but on a more positive note, it is becoming more available. Even though the term is relatively new in the industry, it embodies a way of thinking and a value system that is as old as humanity, even if it is not the most common practice. It is simply about doing things with people and not to them.

We here at Matrix/grace homes are dedicated to creating environments that become places where elders can continue to live and, most importantly, make their own choices and have control over their daily lives. This kind of care not only enhances the quality of lives of our residents or clients but also for our staff. It promotes a more intimate, empathetic approach that overall increases a sense of community and spirit of love for everyone involved.

 

To learn more about joining our team and providing compassionate care services:

 

  • Visit the employment page of our website www.matrixhomehealthmn.com
  • Apply by submitting an application via fax: 952-525-0506 Attn: HR Manage
  • via email: eengeldinger@matrixhomehealthmn.com
  • use this link http://bit.ly/work4matrix
  • Please direct any specific inquiries to Elizabeth, our HR Manager, by calling 952-525-0505

 

“We’re There For You.”

MATRIX HOME HEALTH CARE SPECIALISTS + GRACE HOMES

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What Hearing Loss And Dementia Have In Common

Many symptoms of hearing loss in seniors—such as disinterest, personality changes, and general confusion—are also the same symptoms of dementia. For this reason, it’s important to get professional medical attention so the proper issue is being treated.

After arthritis and heart disease, hearing loss is the third most common physical condition experienced by seniors. A third of all people have hearing loss by the age of 65. Statistics show that only one in five seniors who could benefit from hearing treatment seek help. Many put it off until it becomes a constant obstacle to communication—and this hesitation can increase their risk of dementia.

A Connection to Serious Health Conditions

More studies must be done, but most medical experts agree that there is a connection between hearing loss and its impact on dementia or cognitive decline.

One part of this theory is that if the brain is constantly trying to interpret sounds that are difficult to hear, it spends less time and energy on things like memory and thinking. Cognitive load is decreased. Hearing loss may also contribute to faster rates of decline of the parts of the brain that process sound. These are the same areas of the brain that help with memory and the senses. Finally, people with profound hearing loss often withdraw from social activities. Studies show that decreased social engagement can contribute to cognitive decline.

Solutions

First and foremost, it’s crucial to have a medical professional determine if the cause of behavioral changes is because of the onset of dementia or Alzheimer’s disease, or as a result of hearing loss. If it’s because of hearing loss, it’s time to remedy the situation.

Be prepared. Hearing aids are expensive, and they may not even be affordable for seniors who are on a fixed budget. Medicare will not cover hearing examinations or hearing aids. While they can make an amazing difference, hearing aids can cost as much $2,500 for each ear—or even more.

There are alternatives to hearing aids, and they may be a better solution. These alternatives are called personal sound amplification products. They’re less expensive because unlike hearing aids, they are not regulated by the FDA.

So, while they are not required to meet specific technical or performance standards, it doesn’t mean they can’t be just as effective. It only means that you’ll have to be more careful by doing deeper research into the quality of the device you purchase. The cost savings is well worth the time spent.

Don’t let hearing problems rob a senior you care for of their quality of life. There are relatively inexpensive options to hearing aids, and even these may help to ward off the conditions that may lead to cognitive decline.

Visiting Someone With Alzheimer’s Disease

Alzheimer’s Disease can make strangers out of loved ones as the disease progresses. Even so, they may still appreciate and benefit from visits by family and friends.

Caregivers may be used to the behavior caused by Alzheimer’s disease. For the rest of us, it takes some getting used to. You can prepare your visit for success by following these tips.

Don’t

  • Ask, “Do you remember?” Problems with memory already frustrate seniors with Alzheimer’s throughout the day. A question like this is likely to cause them embarrassment or anger.
  • Take nasty or mean things they say to you personally. This behavior is often caused by confusion, anger, or fear. They don’t mean it.
  • Argue with them. Let it go if they insist something is correct.
  • Assume they can’t remember anything. Alzheimer’s disease doesn’t rob them of all their memories, and many seniors with the disease have many moments of clarity.

Do

  • Keep your body language and tone of voice friendly and positive. It’s not necessary to speak louder than your normal tone of voice—unless you know they struggle with hearing loss. Let them ask you to speak up first.
  • Gently introduce yourself while you make eye contact. You might be certain they know who you are, but this might be an incorrect assumption.
  • Allow for silences in your conversation. A senior with Alzheimer’s may simply enjoy your nearby physical presence.
  • Speak slowly. Converse with short sentences, and stick to a single idea. Be sure to give them some extra time to respond. Go with the flow if they switch the subject—even if it’s not true or doesn’t make sense. In fact, it’s often best to let them direct the conversation.
  • Ask open-ended questions. If Alzheimer’s is impacting their ability to make decisive responses, it’s easier for them when there’s no absolute right or wrong answer.
  • Talk about shared memories from the past. Alzheimer’s is known for its disruption of short-term memory. They’re more likely to be able to remember occurrences from long ago.
  • Come with a photo album or some of their favorite music. Make it an activity that engages them and gives them the opportunity to lead if they choose.
  • Offer a gentle hug if you’re certain they would permit and enjoy it.

Finally, remember that a visit may be just as stressful to a senior with Alzheimer’s disease as it is for family members and friends who are not used to being around someone who has succumbed to dementia. They may be frustrated by their inability to remember who you are. Use that frustration positively. Retell the story of a favorite shared moment. Make it new again.

Understanding dementia before you visit makes it easier for you, and for them.