Risk Factors for Dehydration in Later Life

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Amy Blackburn, Gerontologist

When water loss exceeds water intake, the result is dehydration. Dehydration is directly caused by any of the following: persistent high fever; heavy sweating; use of drugs that deplete fluids and electrolytes, such as diuretics; overexposure to sun or heat; persistent vomiting or diarrhea; and not taking in sufficient amount of water.

Dehydration Increases in Frequency in Adults Over Age 65

Risk Factors

The following risk factors are most commonly identified with dehydrated older adults:

  • Mobility/functional ability
  • Visual impairment
  • Speaking ability
  • Incontinence
  • The number of times fluids are offered
  • Number of diseases present
  • Number of medications
  • Institutionalization
  • Difficulty eating and drinking
  • Vomiting and diarrhea
  • Acute infection
  • Multiple chronic diseases
  • Depression
  • Loss of interest in self-care
  • Age

Abilities, Dependency, and Need for Assistance

Mobility/functional ability (due to mental and physical issues) can contribute to an inability to recognize the need for fluids or to access needed fluid replacement. Problems with physical mobility, such as those caused by stroke or arthritis, may affect manual dexterity and the ability to hold a cup of water; limited self-care abilities may require assistance with fluid intake. Additional research supports an inverse relationship between dependency level and fluid intake, i.e. the more dependent the older adult, the lower the fluid intake. This increased dependency creates more of a need for assistance by caregivers. People who acquire visual impairments may become dehydrated for this same reasoning.

Conscious Decision-Making and Need for Monitoring

Research has suggested that dehydration in incontinent patients is the conscious decision by the patient to limit fluid intake to reduce episodes of incontinence. The presence of multiple diseases and/or medications put older residents in skilled nursing facilities at risk for dehydration. When medications are not properly monitored with sufficient fluid intake, dehydration may result. In addition, certain chronic conditions may take precedence over smaller concerns such as fluid intake. Caregivers in assisted living communities are trained to think in terms of helping with Activities of Daily Living (ADLs). One important ADL is preparation/eating meals, however, nutrition/fluid intake should be just as closely monitored as medications.

Normal Aging Process

Universal, inevitable physiological changes occur as people age, which is one reason age is considered a risk for dehydration. These physiological changes include: altered homeostatic mechanisms that regulate fluid balance; reduction in the sense of thirst; the kidneys are not as efficient at conserving water; and visual changes. Those homeostatic mechanisms are altered with aging because of metabolic changes that occur. This reduces the body’s reserve capacity and the ability to respond rapidly when the balance is thrown off. An additional metabolic change that occurs is the decreased sensitivity of the volume osmoreceptors that stimulate thirst. Older adults, then, do not feel thirsty and may not drink water when they are actually dehydrated. Thirst is the body’s way of indicating a need for water, and this signal actually lags behind the body’s need. Even with younger adults, the onset of thirst occurs when a person has already lost 0.8% to 2% of body weight. In other words, once people feel thirsty, they are already 2-3 cups dehydrated.

Symptoms of Dehydration

Signs and symptoms of dehydration resulting from as little as 1% to 2% loss of body weight can include fatigue, weakness, and loss of appetite. Dehydration resulting from a 3% to 4% loss of body weight can include the following symptoms: dry mouth, decreased or absent urination, sunken eyes, wrinkled skin, flushed skin, apathy and impatience. Heat exhaustion caused by dehydration resulting from a 5% to 6% loss of body weight includes the following symptoms: difficulty concentrating, headache, irritability, and sleepiness. Dehydration resulting in a 7% to 10% loss of body weight can result in heat stroke and death. Symptoms may include dizziness, spastic muscles, loss of balance, delirium, confusion, coma, low blood pressure, severe thirst, increase in heart rate and breathing, exhaustion, and collapse.

Assessment of Dehydration

Some forms of assessment of dehydration include: auxiliary (skin) moisture; intraocular pressure; febrile episodes; physician and nursing evaluation; and biochemical (hematocrit, serum osmolality, and serum urea nitrogen/creatinine ratios). During nurse evaluations, some characteristics often identified include: longitudinal tongue, furrows, sunken eyes, dry mucous membranes, upper body muscle weakness, speech difficulty and confusion.

Known triggers for dehydration can help skilled nursing and assisted living staff identify care plans to improve functional status. These triggers include: failure to eat or take medications, diarrhea, fever, vomiting, not consuming all liquids provided, diminished cognitive status, internal bleeding, dizziness, vertigo, recent weight loss, IV or tube feedings, and taking a diuretic.

Issues Related to Dehydration and Aging

Among some issues related to dehydration and aging are: preventable hospitalization, increased morbidity and mortality, increased health care costs, and misdiagnoses. Dehydration is the most common fluid and electrolyte problem in both long-term and at-risk community-dwelling elderly. It is one of the ten most common diagnoses in patients age 65 and older for hospital admission reports. In 1991, Medicare reimbursed over $446 million for hospitalizations with dehydration as the principle diagnosis, amid close to 50% dying within a year of admission, and 17% dying within 30 days of admission.

Improper assessment can result in misdiagnosis. Often the first indication of dehydration is an acute change in mental status, reasoning, problem-solving ability, and memory or attention, characteristics very similar to depression and dementia. Dehydration can be a primary cause of delirium, which has the same clinical manifestations as dementia, depression, psychotic states, and anxiety. Improper assessment also can lead to a chain of reactions including improper treatment plans (due to misdiagnosis), further complicating interactions among conditions and compromising the general health of the older adult and the ability to do something about it.

Conclusion

Due to increased risk factors for older adults, dehydration often increases after age 65. As dehydration increases, it is important to know the reasons for dehydration, its characteristics, and how to properly assess it. Presumably, proper assessment results in a higher probability of correct diagnosis and, hopefully, effective treatment. Effective treatment is especially important for older adults since they can become vulnerable with all of the interacting difficulties during the aging process. It is remarkable that so many health problems can be relieved merely by increasing water intake.

Unavoidable vs. Preventable Physical Changes that Accumulate and Interact in the Aging Adult

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Amy Blackburn, Gerontologist

Introduction

Physical changes that occur with aging fall into two categories: normal and pathogenic. Certain universal, inevitable, and irreversible occurrences can be predicted by age alone; they are part of the normal aging process. Preventable physical changes also occur with aging, and some are preventive for a few years rather than eliminated completely. As long as the losses are minimized, interactions with normal aging processes can be minimized. However, conditions still accumulate and interact with each other in the aging adult, causing additional problems. Goals for optimum quality of life in assisted living, and formal/informal caregivers at home, should be to limit the accumulation and interaction of multiple issues during the aging process.

Normal Aging

Unavoidable physical changes can be predicted by age alone and, therefore are labeled as “normal.” Everyone who ages will experience these physical changes. The ultimate physical change that everyone will experience is death.  Other physical changes that result during normal aging include: decreased lean body mass (sarcopenia), increased body fat, wrinkles and age spots, loss of reproductive capacity, decreased function of the central nervous system, decreased ability to regulate body temperature, decreased pain sensitivity, and decreased lung and kidney capacity. The intensity of each of these normal occurrences with aging depends on lifestyle decisions and on differences in external environments. For example, being sedentary, poor nutrition, smoking, drinking, and taking drugs are conscious lifestyle decisions that will affect the intensity of the above-listed physical changes that occur during normal aging.

Sensory systems are also unavoidably affected as one ages. Normal occurrences in vision include: decreased acuity and changes in depth perception, color perceptions, and light/dark adaptation. Hearing loss can be minimal or enough to require a hearing aid. Smell and taste are affected by loss of taste buds. Touch is affected as is sensitivity to pain. The extent of the loss of each sense is dependent on the individual. All of these physical changes are universal, irreversible, and inevitable issues of the normal aging process, capable of accumulating with pathogenic and preventable changes.

Pathogenic Aging

Pathogenic age-related conditions can be unavoidable, yet, not part of the normal aging process. Not everyone who ages will experience disease and sickness. Therefore, pathogenic aging cannot be predicted by age alone. Conditions in this category can be acute or chronic. Acute conditions are short-term; chronic conditions are long-term and persistent. The most common chronic condition, especially among women, is arthritis. Two of the most common conditions, both of which can result in death, are cancer and stroke. Some cancers and strokes can be prevented and included in preventable physical changes.

Preventable Physical Changes

Two major preventable diseases are osteoporosis and heart disease. Both result in physical changes that can drastically alter lifestyles and leisure activities. Osteoporosis can be prevented by weight-bearing exercise, and taking calcium and vitamin D supplements. Women most commonly acquire this disease due to estrogen loss.  Hormone replacement therapy is often used, but this has been known to cause certain cancers. Heart disease can be prevented by healthy eating habits and regular, moderate exercise. However, this is dependent on genetics as well, and cannot be solely prevented by lifestyle modifications.

Physical changes sometimes result from accidents. The most common accidents are falls. Falls are caused by inactivity, visual impairments, medication effects, gait disorders, and/or disease. By strengthening the muscles and working on balance, falls often can be prevented (or at least decrease injuries resulting from them). Healthy eating habits, exercise, and some vitamin supplements can decrease the chances of disease and sickness, or decrease the amount of loss with certain physical changes. When this happens, even if only for a short time, it can greatly minimize accumulation and interaction of additional issues during the aging process.

Physical Changes Collide

The accumulation and interaction of normal and pathogenic, unavoidable and preventable physical changes are what cause eventual death. Aging itself is not a disease; it is not the reason someone dies. For example, hearing and vision loss can interact with acute and chronic pathologies. When surgery is needed for a broken hip, medications and an exercise regimen are required. But some older adults may find it difficult to hear the proper exercise protocols and read proper medication instructions. This is one reason why professional caregivers in the home or at an assisted living facility are often necessary to provide that individualized assistance during times that are so vital to prevent further decline.

When a chronic condition like arthritis is present, exercise may be hindered unless a professional is able to demonstrate and monitor modified movements. Also, something as simple as opening a bottle of medication can be problematic. Even when assistance is provided with multiple medications, various side-effects would require monitoring to prevent interactions causing decline. The goals in acquiring assistance are to stop or slow decline of health. Oftentimes, this is accomplished when progression is emphasized in areas of strength.

 Conclusion

Normal physical changes that are universal, irreversible, and inevitable occur in the sensory system, the central nervous system, and other systems, and in addition, obvious outer changes of the muscles and skin occur. Acute and chronic pathologies, on the other hand, produce avoidable physical changes. Examples include osteoporosis, heart disease, and stroke. Regular physical activity can decrease muscle loss, increase bone density, increase balance, and prevent the occurrence of falls. As these changes accumulate and interact, life can become difficult for the older adult and further problems can result. The most important concept to focus on is preventable physical changes, even if negative conditions are only postponed for a few years. If this can only be accomplished through professional programming in assisted living or with well-trained caregivers, it is worth optimum quality of life while aging.

The Medicaid Spend Down is the Best Kept Secret in Houston

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The money that the government was providing for retirement was for being self-sufficient and making ends meet. But as the Houston elderly care facilities are experiencing, many elderly people are not able to live by themselves anymore…. who will pick up the tab for that? Is it the Government?

In most assisted living cases the answer would be no. Finding assisted living facilities in Houston can be very difficult especially if there are financial difficulties. Many seniors are living with a small pension and social security. That money is enough to get them by until assistance with daily living tasks is needed.  Contrary to popular belief, getting approval for Medicaid assistance does not happen quickly. This is especially true if there are assets.  A house, stocks, bonds and other assets all adds up.

With a few exceptions depending if the person in need of care still has a spouse living at home, the government will let you keep just at $2000 in countable assets.
What happens when you need assisted living in Houston and you have assets? There is a term called Medicaid spend down. If your income is too high to qualify then that income must be “spent down” to qualify to the level that Medicaid accepts.

For example, a person in need of assisted living in Houston may have a small pension and social security but they do not have the amount for the monthly fee needed to pay the facility; there is however $20,000 in savings. There are a few elder care facilities in the Houston area that will accept clients that have an amount to “spend down” and then keep them as clients once Medicaid is approved. Assisted living facilities in Houston that will accept clients and allow them to stay in an elder care residential home are the exception rather than the rule.

Are you looking for the best senior care in Houston but not sure where to start? CarePatrol of Houston can help guide you and your family through this challenging time. Every facility is personally visited by a CarePatrol Senior Consultant to provide choices in senior care facilities that will be the best fit. Each and Every senior living facility that is recommended is checked for care and safety violations. A CarePatrol consultant will tour with you at the facilities so you can make sure you or your loved one will be cared for in the manner you desire. Best of all, the personalized service provided by each CarePatrol of Houston’s Senior Care Consultant is free to the family.

Knowing When To Get Help For Your Loved One With Dementia

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It’s not always obvious when to ask for help, or when to make changes to the care that the person with dementia is getting. Providing good care means meeting the needs of the person receiving care. Depending on preferences, needs and abilities, it may be appropriate to look for more assistance, a dementia care plan, or different care choices.

How much care a person needs depends on how independently he or she can walk, eat, use the restroom and bathe.

If you are not sure if it’s time to get additional help, ask yourself a few questions:

Safety

Is the person with dementia safe? What type of supervision is necessary? Does the person require supervision for some activities such as cooking or using certain appliances? Does the person need 24-hour supervision or care?

Health

Does the health of the person with dementia require specialized care? Does he or she require help with medications? Is the health of the person with dementia or the health of the caregiver at risk?

Care

Does the person with dementia need more care than he or she is receiving right now? Does the person need help toileting, bathing, dressing or grooming? Is caring for the person becoming difficult for you? Can you physically manage providing the care needed?

Social Engagement

Is the person with dementia engaged in meaningful activities during the day? Would spending time with other people with dementia be beneficial? Does more focus need to be placed on memory care?

Baby Boomers – By the (Really Big) Numbers!

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The Baby Boomer generation is defined as people born between 1946 and 1964. Over the course of those 15 years, more than 75.8 million Americans were born. In 1957 alone, there were 4.3 million babies! The peak years were between 1956 and 1961.

This means that in 2011, the youngest Baby Boomers began turning 65. In fact, according to various reports, 10,000 baby boomers will retire every day for the next 20 years or so. Similar analysis is that another person will turn 65 every 7 seconds.

The average baby boomer will be 55 years old in 2010. The full impact of this generation will become more important for assisted living and other aging related issue through the decade of 2020 – 2030, when the baby boom generation first reaches their mid-70s. By 2030, there will be more than 72 million Americans over the age of 65. This population will be nearly 20 percent of the total U.S. population.

Currently, health care industry reports indicate that about 8 million of the elderly population have some form of disability requiring assistance. This number is projected to be 15 million by 2020. Similarly, by 2030, more than 6 of every 10 boomers will manage more than one chronic condition.

Meanwhile, the life expectancy in the U.S. is continuously rising. For women it is 80 years, and for men, it is 74 years. With better overall health, many of the baby boomers will live far longer than previous generations. According to the US Census Bureau, the American population over 65 years of age will double to 70 million over the next 30 years. According to one projection, the number of people age 85 and older could grow by more than 345% from 5.5 million in 2010 to 19 million in 2050.

When You Need Help

In June 2013, I found myself needing to move my dad from the Independent living facility that he had been living in for almost 2.5 years to a higher level of nursing. I needed to move him in a relatively short amount of time, because his health was declining, and I was getting ready to go on an extended trip outside of the country.

Quickly, I found out that I had no idea what I was doing, who to contact, or where to go. So, I googled, and quickly came across one of Care Patrol’s competitors. I filled in a form on the website. Next thing I knew- in less than 30 seconds, I got the first call. In the first three days, I got over 20 calls. My name had been given to everyone in the area. I was also given a list of the places in the area, and basically let loose. Great. I got a bazillion phone calls, even more emails, and a list. Fantastic. Also, not very helpful. I was pretty much in tears by that point.

So, I picked up the phone and started calling. It turns out that my dad actually needed an even higher level of care than I knew. So, none of the places whose information I had been given were a suitable match. Most of them wouldn’t allow my dad to keep his caregivers. Some wouldn’t take a 2 person transfer or a hoyer lift transfer. And very few would allow him to keep his cats.

I kept dialing until I found a place to move him, toured, and moved him in. I got lucky. I had resources, and I eventually found a place to move him, but I will say that the month of June was frantic to say the least.

On the day I was returning from my trip, my father passed away. I had some serious time to reflect on what I wanted to do with life, and where I was going, since I had graduated from Duke with my MBA in May. I decided to purchase the Care Patrol Franchise because I wanted to ensure that others didn’t have to endure the confusion and insanity that was the time where I was looking for a place for my dad.

Depression and Physical Activities in Older Adults

Amy Blackburn, Gerontologist

Introduction

Depression can affect up to 25% of the elderly population. Depression is characterized by social withdrawal, loss of interest in activities, weight loss or gain, difficulty sleeping, low energy, and a state of hopelessness. This disorder, along with the use of excessive medications and additional chronic disorders, decrease quality of life for older adults. Depressed people are more likely than nondepressed people to be physically inactive and have unhealthy eating habits. Older depressed people also have more physical disability than those who are not depressed. Significant impairments in functioning (which often lead to disability with older adults) are associated with depression. Studies have shown a correlation between physical activity and significantly fewer depressive symptoms, even in people diagnosed with Major Depressive Disorder (MDD). The relationships between depression, disability, and physical activity have shown a major breakthrough in research.

Definitions

  1. Major Depressive Episode: a period of at least two weeks during which there is either depressed mood or the loss of interest in pleasure in nearly all activities; symptoms must persist for most of the day, nearly every day; a symptom must either be newly present or must have clearly worsened compared with the person’s previous status; there must be either clinically significant distress or some interference in social, occupational, or other important areas of functioning (DSM IV).
  2. Major Depressive Disorder: one or more Major Depressive Episodes (MDE) without a history of Manic, Mixed, or Hypomanic Episodes; an episode is considered to have ended when the full criteria for MDE have not been met for at least two consecutive months; during the two month period, there is complete resolution of symptoms or the presence of depressive symptoms (DSM IV).

Medication Mismanagement

Studies have shown that 20%-60% of patients in primary care stop taking antidepressants within three weeks of the drugs being prescribed. Since the government started restricting use of excessive medications in skilled nursing facilities because of side effects, statistical and clinical decreases in symptoms have been reported with the use of behavioral interventions. When older adults living alone at home inadequately manage antidepressant medication, it is more vital for them to manage those symptoms in other ways. The implications of physical activity having an effect on depression in older adults could be monumental.

Physical Activity Interventions and Cognitive Therapy Groups

Studies have shown that reduction in depression symptoms were similar in physical activity interventions and cognitive therapy groups. Program-specific physical activity, such as strength training and aerobic exercise developed by professionals, was particularly comparable to benefits of cognitive group therapy. People who participated in exercise programs were statistically less depressed than those who did not participate.

Possible Explanations of Effects of Physical Activity on Depression

Effects of physical activity on depression could be due to psychosocial factors, such as learning a new skill or socializing; such as what is found in assisted living. Depressed people are significantly less active, more likely to be unmarried, and have fewer close friends and relatives. In addition, health behaviors such as smoking, abstaining from excessive alcohol, being sedentary, and extremely high/low body mass index (BMI) increase risk for disability and need for assistance with activities of daily living (ADLs). In contrast, having more close friends and relatives significantly reduced the risk for disability. Studies have shown that depression alone increases the risk of ADL disability and mobility disability by up to 67% and 73% respectively.

Physical activity is positively associated with general well-being and psychological well-being in all age and gender groups. Positive mental health may be enhanced or maintained through physical activity (especially in social settings with older adults); or at least stop them from escalating to levels of clinical significance. Studies have shown this particular relationship to be stronger in women than men. Professionally programmed exercise in social settings may enhance well-being by providing a personal sense of mastery over one aspect of his or her life; it also may provide distraction from daily stress; or provide opportunities to receive extrinsic and intrinsic reinforcement such as socialization and physical changes. Tranquilizing psychological effects of regular physical activity and exercise occur from the release of endorphins, increasing a euphoria that could last for several hours, reducing symptoms of depression at least for the short term.

Conclusion

With the strong relationship between depression and disability, physical activity may be effective in maintaining functional ability and promoting an enhanced sense of well being in older adults. In addition to the long-term effects, physical activity has beneficial short-term effects on depression. While antidepressant medication is recommended for those diagnosed with MDD, the additional benefits of physical activity provide sound reason to include it as a part of the care plan. If an elderly loved one is depressed at home, a social environment such as assisted living homes with professionally developed programs will most likely enhance quality of life.

Assisted Living Residence vs Nursing Home

Many times we get calls telling us that a family member or an individual senior needs to move into a “Nursing Home”. After speaking with them and delving more into a Care Discovery, we find that they actually do not need a nursing home and would be fine at an assisted living residence. Let’s see the differences between the two and see why an Assisted Living community may be a better choice.

Most people know what a Nursing Home is. That is, when a senior requires extensive medical care such as a ventilator, or any condition requiring 24 hour nursing care that cannot be provided at home for any reason, a nursing home is the appropriate choice. Another reason one might want or need for a nursing home is finance. Nursing homes accept Medicaid and Medicare. If one does not qualify for Medicaid or Medicare runs out, the cost of private pay in a nursing home can be as high as $10000 per month or more.

Assisted Living communities in contrast, are mainly private pay. They provide much of the care of a nursing home. In most cases, as long as the resident does not need serious medical care, they can live a comfortable high quality life. They are normally apartment type living with organized acitivities, events for the seniors, meals, and transportation. They also provide everyday neccessities such as salons, banking and a convenience store on the premises. In summary, they are like an all-inclusive resort. Along with the above, it is a very social setting allowing the residents to be a part of a community as much as they like or they may prefer to live a more private life.

For those residents that require help, caregivers are provided for Activities of Daily Living such as bathing, getting dressed, medical reminders and anything else that may be needed. In most cases, a resident can live a fruitful comfortable life, in a Assisted Living community, until the end. A final point is that in general the cost for private pay is a lot less than a Nursing Home.

Medication Management in Aging: Tips to Consider

The ability of an individual to properly manage his or her prescriptions and other supplements will in a large part direct the course of how independent an aging person can be.

Non-adherence to complex medication regimens is a major cause of nursing home placement of frail older adults.

In the United States, an estimated 3 million older adults are admitted to nursing homes due to drug-related problems at an estimated annual cost of more than $14 billion. Older adults are the largest users of prescription medication, yet with advancing age, they are more vulnerable to adverse reactions to the medications they are taking. Approximately 30 percent of hospital admissions of older adults are drug related, with more than 11 percent attributed to medication non-adherence and 10–17 percent related to adverse drug reactions (ADRs).

Older adults discharged from the hospital on more than five drugs are more likely to visit the emergency department (ED) and be re-hospitalized during the first 6 months after discharge. Nursing interventions that assist older adults in managing their medications can help prevent unnecessary, costly nursing home admissions, hospitalizations, and ED visits, as well as improve their quality of life.

While anyone can assist in setting up and arranging the loved one’s medicines, a licensed nurse in an assisted living or memory care community is the only legally permitted individual to actually administer, or hand over the medication to a patient who is not capable of self—administration, as determined by a physician. (Data from Agency for Healthcare Research & Quality, NCBI 2008)

Fortunately, many newer drugs are more targeted with lower side-effect profiles than their original ‘parent’ agents (antidepressants & anti-anxiety agents for example). Anyone however could have an atypical or idiosyncratic response to a single drug or in combination. A diligent physician and pharmacist will regularly inquire as to how the meds are managed and by whom.

As a pharmacist for over 25 years, I strongly advised patients and their caregivers with complex regimens to stick to one pharmacy for all their prescriptions, and keep their doctors informed on delayed or premature refills, duplicate therapy, and related concerns. When a senior can participate and engage in their drug therapy, the direct impact on their sense of autonomy, recovery, and overall well-being is tremendous.

Elderly: Burden or Blessings

The elderly can be seen as burdens rather than blessings. Sometimes we are quick to forget the sacrifices our parents made for us when they are in need of care themselves. Instead of taking them into our homes—whenever that is safe and feasible—we put them in retirement communities or nursing homes, sometimes against their will. We may not value the wisdom they have acquired through living long lives, and we can discredit their advice as “outdated.”

Not all elderly people need or want constant, live-in care in their children’s homes. They may prefer to live in a community with other people their age, or they may be quite capable of complete independence. Regardless of the circumstances, Care Patrol can help; we still have obligations to our parents. If they are in need of financial assistance, we should help them. If they are sick, we should take care of them. If they need a place to stay, we should offer the best, this is where CarePatrol can help the family.

Families have so many choices to make when the search for senior housing options arises. With so many options available, such as assisted senior housing or residential care homes, it’s easy to feel confused and overwhelmed by all the different kinds of communities. It’s important to learn the differences between the many elder care solutions that are out there so you can make the right choice for your elderly parents or other loved ones. Care Patrol has been helping families for almost two decades find safe, quality senior housing options.

We should never allow the cares of the world to overshadow the things that are most important—especially the people in our own families. The Bible says, “Honor your father and mother”—which is the first commandment with a promise—”that it may go well with you and that you may enjoy long life on the earth” (Ephesians 6:2-3)

Why We Do What We Do

Why would anyone want to be in the business of helping seniors?

For many of us it starts out with a personal experience. A loved one or friend begins having difficulties with everyday tasks. They struggle with the things we all take for granted. Many of us began our journey as caregivers and helpers. After awhile the task of helping becomes overwhelming. We start to see the situation is getting worse and more help is needed.

For us it was my Dad. He had a bad heart, Asbestosis, and diabetes. It was a family effort with my Mom being the primary caregiver. For almost five years Dad hung on and the toll it took was great. Mom was worn out and if Dad had lived longer she would not have been able to continue.

It was after the fact that we began to learn about options. Home Care and assisted living were terms that were new to us. We just didn’t know. One day we heard a radio ad that changed our life forever. We started our Senior Business 6 months later. That was ten years ago and our life has been blessed in ways we could not have comprehended.

So why do we do what we do? For us it was a call to service that could not be denied. Let our experienced senior advisors give you the information and help you need.

Ken Keeley, CSA

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