Tag Archive for: eldercare

Senior playing jenga

Love Your Brain: 5 Simple Ways to Support Brain Health  

As we get older, it is important to find ways to support brain health. About 1 in 9 Americans over the age of 65 have Alzheimer’s disease. Researchers expect that number to double by 2050. 

But, there is good news. You can support your brain health and lower your chances of developing Alzheimer’s disease and other related dementias. Growing research has shown that lifestyle changes can significantly impact our brain health. 

Here are a few brain health tips you can put into practice! 

Exercise to Improve Blood Flow in Your Brain 

We all know exercise is good for our body, but it also benefits our noggin! Participate in regular exercise that raises your heart rate. This increases the blood flow in your body and your brain, helping you think more clearly. Several studies have shown that regular physical activity may decrease cognitive decline.  

Improve your brain health by adding some of these activities into your routine: 

  • Walking indoors or outdoors 
  • Swimming 
  • Aerobic exercise classes 
  • Dance 
  • Yoga 

Fuel Your Brain with Antioxidant-Rich Food 

There is no magic food or supplement that will prevent the onset of dementia. But, eating a balanced diet is just as good for your brain as it is for the rest of your body.  

Eating a Mediterranean-style diet has been shown to reduce the risk of Alzheimer’s disease. That means limiting red meat and going easy on the dairy. You’ll also want to increase the amount of fruit, veggies, and fish in your diet.  

Next time you reach for a bite to eat, try some of these Mediterranean brain-healthy foods: 

  • Salmon and other seafood 
  • Dark chocolate 
  • Nuts 
  • Potatoes 
  • Fruit 
  • Leafy green vegetables 

Use Your Brain “Muscles” to Stay Sharp 

Staying mentally engaged keeps your brain sharp. Like the muscles in your body, it’s a “use it or lose it” scenario. Mental exercises can promote the growth of new brain cells, and this regular development of new cells may decrease your likelihood of developing dementia. 

Maintaining mental sharpness doesn’t require crosswords and jigsaw puzzles (though studies show those mind challenges can help). Even participating in stimulating conversation, picking up a new hobby, or playing a game of chess can benefit your brain health. 

Try activities that are: 

  • Creative – Pick up painting, quilting, photography, or drawing.
  • Challenging – Don’t just do what comes easy; try something that challenges you a little. 
  • Novel – Master a new language, skill, or concept that is unfamiliar to you.
  • Stimulating – Attend a lecture on an interesting topic or spend time discussing a book with a friend

Give Your Brain the Rest it Needs 

When talking about brain health, we don’t always touch on sleep. But, sleep is a crucial aspect in protecting your brain from cognitive decline.  

Beta-amyloid plaque is an abnormal protein that builds up in the brain of some people. The presence of this plaque is a known precursor to Alzheimer’s disease. Researchers have found that a lack of sleep can increases the amount of beta-amyloid plaque in the brain. It is important to get quality rest to support your brain health. 

If quality sleep is something you’re missing, try some of these things: 

  • Reduce daytime sleeping.
  • Speak with your doctor about adjusting medications that may be keeping you awake. 
  • Avoid looking at your phone, tablet, or computer before bed. 
  • Meditate prior to bedtime.
  • Avoid heavy meals before bedtime. 

Get Mental Health Support to Protect Your Brain 

Untreated depression later in life has been linked to cognitive impairment and dementia development. Seek care quickly if you are experiencing symptoms of depression or have other mental health concerns. Your primary care physician may prescribe medication to help alleviate symptoms, refer you to a therapist, or both. 

Speaking with a trusted therapist benefits your overall well-being, including your brain health. Your therapist can help you process grief, develop healthy coping strategies, and give you tools to overcome your mental health concerns. 

Activities for seniors

Engaging Activities for Seniors of All Ability Levels

For many older adults, staying active is a priority. Keeping up with friends, exercising, and giving back to the community brings fulfillment and joy. WelbeHealth helps facilitate meaningful physical and mental activities for seniors of all abilities.

“At WelbeHealth, activities for are adaptable to any level of ability. We find ways for every participant to engage,” says Esther De Santiago, Engagement Supervisor, Adult Engagement and Activities in Stockton. “These activities are done in a group setting. It is wonderful how the other participants cheer each other on.”

Festive Activities for Seniors

Many of our participants’ favorite activities for seniors are related to holidays and other special occasions. Our centers celebrate birthdays monthly, and national holidays are also celebrated, such as Veteran’s Day. This year, one center honored participant Veterans by giving them a certificate and a special pin to wear.

The Day of the Dead (Dia De Los Muertos) is a two-day Mexican holiday that reunites the living and the dead. Families create offerings to honor their loved ones who have passed on. Participants and staff at one WelbeHealth center worked together to create an altar to honor their friends and family members who have died. They read poetry to express their emotions and remember their loved ones.

Each Halloween, WelbeHealth staff and participants like to dress up in costumes. You’ll find all kinds of spooky characters at our centers––and Halloween candy, of course!

Thanksgiving is always a special time at WelbeHealth. Our centers serve a special candle-lit meal, display fall decor, and share what they are thankful for. After Thanksgiving, there is always lots of holiday cheer! Festive activities, meals, and decor make our centers cheery and bright all the way through New Year’s Day!

Sprint craft activity
Seniors at WelbeHealth do a craft activity.

Educational Activities

Malcomb Forbes, an American entrepreneur, said “It’s never too late to learn.” At WelbeHealth, we agree! Our activity directors bring in guest speakers to present on interesting topics such as poetry, history, and music. We’ve even had Hawaiian dancers come to share and give a hula performance.

We’ve also found that our very own staff and participants are extremely talented. We sometimes give a participant a little tap on the shoulder and ask if they’d like to present their expertise to the center. One of our participants gave a virtual presentation on her writing and art to her peers. She hopes to present in person eventually. We also had an amazing performance by a participant who is an expert in African dance and belly dancing.

One WelbeHealth staff member is a fire-breather. His performance really “lit up” the expressions of the center staff and participants!

Creative Activities

Many of our participants love to get their creativity flowing. Creative activities for seniors like embroidery, origami, knitting, and crocheting are done at the centers.

“Creative projects are something that people of all ages can engage in,” says De Santiago. “When you finish a project and realize that you created something, it can be very satisfying. Plus, we all have fun sharing ideas and creating together.”

Some participants have given back to the community through creative arts. At one WelbeHealth center, a group of participants crochet and knit clothing items to donate to a local NICU. The babies in the NICU get an article of clothing made with love by WelbeHealth participants, and participants get the fulfillment of serving these precious babies and their families.

Entertaining Activities for Seniors

We have a lot of fun at our day centers. If you ask us, fun includes dancing and singing! Participants of all abilities can engage in singing and some form of dancing. Activity directors always adjust so no one is left out of the merriment!

Thriller by Michael Jackson is a classic spooky tune played around Halloween. The famous “thriller dance” accompanies the 1982 song. At one center, participants and staff learned the Thriller dance,  standing or while seated in a chair. Laughter and cheers were shared by all!

Karaoke is a favorite activity for seniors at WelbeHealth. Many of our participants are vocally gifted and love to belt out a song for their peers. Whether you can carry or tune or not, staff and participants always cheer each other on. Whoever has the microphone is guaranteed to feel supported and celebrated!

Exercise Activities

We know that exercise is good for our bodies. It can be great for our minds too! That’s why WelbeHealth incorporates exercise into the daily list of activity options. For those who want to participate in the exercise activities, there are always modifications that can be made. Participants of all ability levels can take part and benefit from the movement.

Exercise activities done in the WelbeHealth centers include:

  • Chair Zumba: An exciting dance workout usually done alongside Latin-inspired music.
  • Tai Chi: A gentle exercise that promotes balance and stretching.
  • Therabands: Band exercise that provides light resistance to strengthen muscles.
  • Group Dance: Led by rehabilitation therapists, this is a fun, light aerobic exercise.

Supportive Activities for Seniors

WelbeHealth participants make it a point to support one another in times of loss and grief. Our participants are never alone in their pain. Each of our centers has support groups to connect participants and allow them to share their story and encourage one another.

As an example, the Forever Friends support group consists of participants and one WelbeHealth staff facilitator. The purpose of the group is for participants to support their peers as through life transitions.

In addition to support groups, WelbeHealth offers mental health services. Combined, support groups and counseling can provide the mental and emotional support seniors need to navigate loss and grief.

Join in the Fun at WelbeHealth

As you can see, there are a lot of activities for seniors at the WelbeHealth centers. An activities calendar is available to participants and their families, so they can see all that is offered. Our activities directors are open to suggestions too!

Learn more about becoming a WelbeHealth participant.

Elder Fraud: How to Protect Yourself

The FBI estimates that American seniors lose $3 billion a year to elder fraud. Unfortunately, scammers often target seniors because they can be trusting and may have built up a healthy savings account over their lifetime.

Being aware of scams targeting seniors can help you protect yourself. It’s important to recognize the common tactics used in elder fraud so you know if it is happening to you or a loved one before it is too late.

What is Elder Fraud?

Elder fraud is any fraud that targets older adults. Scammers may target seniors by phone call, text message, email, or mail.

For victims, the financial impact of elder fraud can be devastating. The average victim of elder fraud loses around $34,000. Not only does it take a toll financially, but being a victim of fraud can hurt your mental and emotional health too.

Common Scams that Target Seniors

During the pandemic, there has been an increase in scams targeting seniors. As older adults spent more time online to connect with friends and family, fraudsters targeted seniors through emails and other online avenues.

Here are some of the top scams targeting seniors.

  • Romance Fraud
    The criminal targets widows and single elders, earning their trust. Eventually, the scammer asks for small sums of money and then larger.
  • Fake Grandchild
    Scammers will call a senior and say something like, “Hi Grandma, it’s your favorite grandchild.” Then they ask for money for rent, a car repair, or similar.
  • Charity Scams
    Using a fake charity name, criminals ask seniors to donate to a charity that supports a good cause. Online fund-raising pages can also be fraudulent.
  • Government Impersonation
    Criminals claim they work for the government and tell elders they’ll be prosecuted or fined if they do not comply with their request.
  • Tech Support Schemes
    A pop-up appears on the computer screen and says to call a number to resolve a computer issue. When the senior calls, the scammer poses as a tech support representative. They pretend to “fix” the computer remotely while gaining access to sensitive information and asking for payment in return.
  • Sweepstakes and Lottery Scams
    Criminals call or email claiming that the designated senior has won a prize. They say that an initial payment needs to be made by the individual to gain access to the prize.
  • Phishing Emails
    Phishing emails may look like they’re from a company you know or trust. Scammers disguise themselves to gain access to your passwords, bank account numbers, and other sensitive information.
  • Widow Schemes
    Scammers will call a surviving spouse after losing a husband or wife. They claim to work for a financial institution associated with the deceased spouse and claim they need money to pay for fees, overdue bills, etc.

How to Avoid Being a Victim of Elder Fraud

Scammers are always creating new tactics and avenues to target seniors. Here are steps you can take to stay on guard and protect yourself.

Hang Up and Call Back

Scammers often disguise themselves as a business or organization you’re familiar with. They may even disguise their number, so it looks like you’re receiving a call from a local area code. If you receive a call from a person claiming to be from your bank, the Social Security Office, or a particular charity, and they ask for personal information, hang up.

Then, find your most recent bank statement or the official phone number online and call back. This ensures that you speak with the legitimate organization or business.

Be Careful of Links and Attachments

Even if you know and trust the individual who sends you a link via email, social media, or text message, be cautious before clicking on it. You may want to call your friend or family member to verify that they sent you the link. Clicking on suspicious links can lead to viruses or spyware being downloaded to your device–something you want to avoid.

Be Aware of Acquaintances

Sadly, scammers aren’t always strangers. Be cautious when lending money to friends or family members with addiction issues, financial difficulties, or a history of criminal activity.

Reporting Elder Fraud and Scams

If you think you may be a victim of elder fraud, reach out to someone you trust. Don’t feel embarrassed. It’s important to address the issue before it becomes worse.

You can also report the scam to the local police, file an internet crime complaint, or call your local FBI office. Reporting the crime is the first step in getting the scam shut down so other seniors won’t be defrauded.

Lisa Gildea, dental hygienist, and Florentino

Dental Care Helps Seniors and Their Family Caregivers

At WelbeHealth, health care and dental care are integrated and coordinated. Once a medical provider does an initial assessment of a senior entering our program, the senior sees our dental team for preventive dental care and any necessary dental treatments.

Lisa Gildea, an RDHAP (Registered Dental Hygienist in Alternative Practice) at WelbeHealth, has made a difference in the lives of many seniors including Florentino, age 92, and his adult daughter and caregiver, Patricia.

A Caregiver’s Experience

Patricia has been delighted with the services WelbeHealth provides for her father, Florentino, especially the dental services and the in-home support they receive from Home Instead Agency—all provided through the WelbeHealth program. Patricia says, “The regular assistance with quality care from WelbeHealth and the Home Instead Caregivers allows me to continue working my full-time career, while still taking care of my father and my home. I cannot emphasize enough how much peace of mind this generates. If I can pull it off, anyone can. Just don’t give up.”

Patricia says, “Lisa Gildea has been extraordinary with my father. I have never experienced dental customer service like Lisa provides through the PACE program. Lisa spends significant time with me on the phone both before and after each of my father’s dental appointments. She assesses his situation, provides me with the supplies we need for his dental care, and answers all my questions.”

For Patricia, whose father still has a beautiful full set of teeth, it is important to help maintain his teeth now that he can’t do it for himself. Patricia says, “My father spent a lifetime taking care of his teeth, and now it is my turn to help keep them in good condition. As a caregiver, it is important to stay optimistic and tenacious. We have to persevere in finding ways to advocate and take care of ourselves and the elderly in our family and community.”

Patricia continues, “WelbeHealth sets up all his appointments, provides Lisa for his dental care, and picks him up for his appointments. They don’t give up on their geriatric patients. My father really responds to Lisa. She is creative with how she cleans his teeth, is kind, nurturing, and he picks up on that.”

Lisa Gildea and Florentino in a WelbeHealth center

Lisa Gildea and Florentino in a WelbeHeath center

Medical and Dental, all Under One Roof

Lisa Gildea talks about WelbeHealth’s integrated medical and dental services to seniors at community presentations in the Stockton and Modesto areas of California.

The presentations cover the services that WelbeHealth provides to qualifying seniors, with a special focus on its dental services. In each presentation, Gildea provides supplies for tooth brushing and flossing, and dental education such as diet, how to brush teeth and how to floss.

Table with supplies and educational materials at outreach event

Supplies and education for seniors at an outreach event

Gildea explains to senior groups that a WelbeHealth dentist typically handles the first dental visit. The dentist takes a set of x-rays, does an exam, and then explains the cleaning needs and treatment plan to the dental hygienist.

Gildea says, “I do an assessment, a cleaning, fluoride treatment, and put each senior on a routine maintenance and preventative care plan.” She adds, “At WelbeHealth, our goal is to keep seniors as healthy as possible while living in their own homes and communities.”

Gildea says there are advantages to having medical and dental all under one roof. “I can quickly talk to other providers if the senior needs a prescription, for example. Everybody understands what the senior needs—that’s part of the all-inclusive nature of the service.”

WelbeHealth transportation brings seniors to the day center for their appointments. Gildea says, “Many seniors don’t have their own transportation, so it is all pre-arranged according to their needs. If a senior comes in for a cleaning, they can also go to other appointments at the center that day, such as a routine medical check-up, lab work, or physical therapy. This minimizes the number of trips and separate appointments needed.”

Lisa Gildea at community outreach event

Lisa Gildea educates seniors at community outreach events.

The Importance of a Healthy Smile

A healthy smile can boost seniors’ confidence, keep them eating nutritious foods, and promote good health. Gildea says, “Many seniors have worked an entire lifetime and haven’t had access to dental care. I love providing seniors access to dental care to bridge that gap. At WelbeHealth, I have the flexibility to do what is best for the individual.”

Gildea continues, “Helping a senior go from poor oral health to good oral health is very rewarding. And it makes my job feel so much bigger than just doing dental cleanings. I teach seniors about the importance of good daily dental habits and routine dental care. The results are incredible and valuable because our general health is connected to our oral health.”

Gildea says she also enjoys helping seniors go from feeling nervous or fearful about their dental hygiene visit to being comfortable and excited about their visits.

COVID-19 Considerations

With COVID-19 still active in our communities, seniors are often concerned about safety. Gildea says, “WelbeHealth is very cautious about COVID-19, and has good safety measures in place. The pandemic also highlights a growing need to see seniors at home. When needed, I can visit seniors safely where they live.” Gildea takes a portable dental unit to home appointments with all the comforts of the dental office, and she has mobile X-ray equipment.

Gildea says, “Some seniors are in memory care and cannot get to the dental suite, so going to them can be the best option for their dental care.”

Comprehensive Care

WelbeHealth is unique, as it serves as both the payor and the provider. There are no outside restrictions on services such as dentures, extractions, crowns, or fillings. The dental hygienist can do deep cleanings and create maintenance schedules that fit the individual’s needs.  The dentist and dental hygienist collaborate and share information to create a treatment plan that best accommodates the patient.

Seniors enjoy the benefits of personalized and coordinated medical and dental care and have access to activities and socialization along with meals at the center. Depending on the need, Gildea will see between four and six seniors in a typical day. Gildea says, “WelbeHealth allows me to take my time with each senior, and to see them as often as I feel is necessary. This setting gives me the freedom to make decisions based on what is best for the individual.”

Nurse coordinator

Care Coordination for Seniors

Seniors with complex medical conditions often need help managing their care. They see multiple doctors and specialists. They’re taking multiple medications, have several medical appointments a month, and may need assistance in their home. Professional care coordination for seniors can help manage a senior’s health care.

Research shows that 35 percent of those over age 65 have no one assisting them with coordinating their care. Thirty-four percent say a family member coordinates their care.

Care coordination can be beneficial for seniors and caregivers, especially for the 85 percent of older adults who live with one or more complex medical conditions.

What is care coordination?

Seniors, or their spouse or adult child, often do the work of coordinating their care. They make appointments, provide transportation, communicate with physicians, and assist in the home.

Professional care coordination for seniors is more in-depth and comprehensive. It involves multiple medical experts who specialize in the health of the elderly. The team helps the senior meet their medical needs, provides the needed resources, and updates the care team. Care coordination is personalized and uses the input of the patient and caregiver.

The benefits of care coordination for seniors and their families

  • Doctors stay informed. Living with a complex medical condition often means having more than one doctor who provides your care. One goal of care coordination is to keep all healthcare providers informed. This saves the patient from redundant testing, screening, and treatment. Changes in medication, new or worsening symptoms, and changes in medical history are all topics to be shared among your team of physicians.
  • Better healthcare outcomes. Studies have shown that professional care coordination results in better health outcomes. Patients are often more satisfied with the quality of care because it is personalized and streamlined.
  • Social and emotional needs met. Care coordination focuses on the patient’s physical, social and emotional health. Healthcare professionals connect the patient to resources such as counseling and support groups and promote wellness of the mind.
  • Relief for caregivers. Family members often take on coordinating care for their aging loved one. As their loved one’s condition grows more complex, it can be a lot to manage. Professional care coordination for seniors relieves caregivers of doing this, while keeping them informed. Therefore, they have more time to work, rest, or tend to their own health needs.

WelbeHealth provides care coordination for seniors with complex medical conditions.

WelbeHealth’s program of all-inclusive care for the elderly (PACE)  provides professional coordinated care to seniors.

Interdisciplinary Team

At the heart of WelbeHealth’s PACE is the interdisciplinary team. This team stays current on each senior in their care, and adjusts care as needed. Each team member specializes in caring for seniors with complex medical conditions. The team includes specialists such as:

  • Primary care physician
  • Nurse
  • Physical therapist
  • Occupational therapist
  • Recreation therapist
  • Dietician
  • Social worker
  • Home care coordinator
  • Transportation professional

Day Center

WelbeHealth’s day centers make providing coordinated care seamless. In the day center, seniors can get many physical needs met and socialize with other participants. Under one roof, participants can receive:

  • Primary care
  • Dental, vision, and hearing care
  • Physical and occupational therapy
  • Recreational therapy
  • Nutritious meals and socializing with other seniors and staff
  • Exercise
  • Personal care (bathing, grooming, etc.)

Telehealth and Home Care

Professional care coordination for seniors often involves home care. Seniors sometimes need help with housekeeping and personal care. WelbeHealth coordinates that care when it is medically necessary.

Telehealth can help keep seniors connected with healthcare professionals 24/7. This accessibility can help give peace of mind to seniors and their caregivers.

Coordinated Care is Impactful for Seniors.

Coordinated care is impactful for seniors with complex medical conditions. WelbeHealth provides personalized, coordinated care, keeping seniors living well, at home.

Caregiving for elders

Costs of Caring for an Aging Loved One

Many adult children care for a parent in their golden years. Some are surprised by the costs of caring for an aging loved one. Family caregivers spend an annual average of $7,400 of their own money on caregiving expenses. In combination with a possible loss of income due to time away from work, it can sometimes be a financial strain for families.

Here are three steps you can take to reduce out-of-pocket caregiving expenses and recover some financial costs.

1.  Create a budget and track expenses.

Caring for an elderly loved one includes many expenses that you may not think of. Keep track of these expenses. After a few months, you can better predict what your caregiving expenses will be and adjust your budget accordingly. If you have siblings or other loved ones who may share the caregiving costs with you, it is a useful tool to split costs evenly. If you haven’t already, consider asking your loved ones for help with these caregiving expenses.

Possible Recurring Caregiving Expenses Possible One-time Caregiving Expenses
·         Groceries

·         Medical co-payments

·         Travel to and from doctor’s appointments

·         Incontinence supplies

·         Clothing

·         In-home professional care

·         Housekeeping

·         Mortgage

·         Home modification (railings, shower seat, etc.)

·         Medical alert system

·         Vehicle modifications

2.  Research tax implications of caregiving.

Understanding IRS guidelines for caregiver and senior filing can save you money and help you recoup some of your caregiving costs. If you meet these seven requirements outlined by the IRS, you may be able to claim an elderly parent as a dependent on your tax return. You may also be able to deduct medical expenses and home modification costs up to a certain amount. If you’re not sure about IRS rules and guidelines, talk to a tax professional to make sure you qualify for these benefits.

3.  Consider professional support.

For caregivers who want to keep their loved one at home, participating in a local Program of All-Inclusive Care for the Elderly (PACE) can provide professional medical care and significantly reduce the costs of caring for an aging loved one.

PACE provides eligible seniors the following services, typically at no added cost:

  • Preventive care and routine screenings
  • Dental and vision care
  • Transportation to medical appointments
  • Medical supplies, home safety modifications, and much more

PACE participants have a team of health care professionals that work to develop a customized care plan for each individual.

To learn more about WelbeHealth’s PACE services, visit welbehealth.com.

Taking care of an elder

3 Tips to Stay Well While Being the Caregiver of a Senior

Nearly 17 percent of Americans are caregivers to an elderly adult over the age of 50. Choosing to care for an older relative is a selfless act. One of the best things you can do for them is to stay physically and emotionally strong. Here are three simple tips to maintaining your well-being as a caregiver of a senior.

1.  Take Care of Yourself

As a caregiver of a senior, it is important to continue taking care of yourself. Caregivers commonly neglect their own health needs. In the long run, this can wear you down and make it harder to provide care to your loved one. Make sure you continue to maintain your own doctor appointments, mental health, and other health and wellness needs.

2.  “Caregiver of a Senior” Support Groups

Caregiver support groups can be a source of community and friendship. By joining a support group, you can find the support and wisdom that makes a world of difference. Here are some resources to help you find in-person or virtual support groups to connect with other caregivers.

3.  Ask for Help

As the caregiver of a senior, it can be difficult to admit that you need help. But as a caregiver, asking for and accepting help can be a gift to yourself and your loved one. Siblings, in-laws, friends, and neighbors can often provide relief when you’re feeling overwhelmed.

If your loved one has more complex medical needs, then finding professional help may be necessary. At WelbeHealth, we provide caregivers with respite care, transportation to medical appointments, and home care assistance.

Learn more about how WelbeHealth can support you as a caregiver.

 

Did You Know? More than 58% of family members experience less caregiver burden after enrollment in a Program of All-Inclusive Care for the Elderly (PACE).

 

Seniors sitting on a bench

Supporting the Mental Health of Seniors

Health care doesn’t just include care for the physical body; it includes care for the mind too. Solely focusing on physical health and disregarding the mental health of seniors can reduce their quality of life. WelbeHealth recognizes this. As a PACE provider (Program of All-Inclusive Care for the Elderly), WelbeHealth addresses all aspects of wellness to keep seniors living safely in their community.

An estimated 20 percent of Americans over age 55 have a mental health disorder. Unfortunately, only three percent of those individuals seek out mental health services. WelbeHealth supports the mental health of seniors through a collaborative, gentle approach to improve well-being and health outcomes.

1.   Building Trust

Rona Lomeda is a Complex Case Nurse for WelbeHealth. Her 30 years of experience in behavioral health and geriatric care have shown her the key to successfully treating the mental health of seniors is trust.

Lomeda says, “The most important thing we do is make sure our seniors feel loved. That’s what develops trust in the relationship. Ultimately, that’s how we provide the best care to seniors struggling with mental illnesses.”

WelbeHealth also builds trust by being available 24/7. Whether participants are at the day center, in their home, or on the road, WelbeHealth is just a call away. Staying in close communication with seniors lets them know that they always have someone they can lean on in times of fear, confusion, or loneliness.

2.   Nurturing Companionship Among Peers

Over 40 percent of seniors report feeling lonely on a daily basis. And, studies have shown that loneliness can be as bad for your health as smoking 15 cigarettes a day. That’s why WelbeHealth helps provide companionship for all participants, especially those with mental illness.

WelbeHealth participants find companionship through:

  • Coming to the day center
  • Eating meals with other participants
  • Engaging in center activities that interest them
  • Visiting with caring staff members
  • Calling the WelbeHealth team via phone or tablet
  • Visiting with drivers and other participants during transportation rides

3.   Providing Individual Care and Education

Untreated mental illness can have a domino effect on other areas of health. For example, a senior who is severely depressed may not feel like taking their diabetes medication, which can harm other areas of their body.

To help solve this, WelbeHealth provides individualized care and education.

Lomeda says, “If a patient has trouble taking daily pills, we consider administering their medicine through injection once a week. These kinds of adjustments can make all the difference in the health of the participant. Once we have trust built, we can educate them on the importance of taking their medication and find the best ways to administer it for them.”

Professional therapists are also available to support the mental health of seniors at WelbeHealth. Therapy sessions are done in person or via telemedicine when needed. Visiting with a therapist regularly can help older adults work through feelings of grief, accept a challenging health diagnosis, and support them in overcoming anxious thoughts and feelings.

“We try to connect seniors to therapy instead of prescribing medication right away,” says Lomeda.

4.   Giving Relief to Caregivers

Some WelbeHealth participants live alone. Others live with a caregiver, such as a spouse or adult child. Being a caregiver can be exhausting, especially if your loved one has a mental illness. WelbeHealth makes it a priority to provide support to caregivers, so they can best care for their loved one.

Caregivers of WelbeHealth participants benefit from:

  • Respite care
  • Education
  • Transportation for their loved one
  • Support groups
  • Home care assistance

Supporting the mental health of seniors is just one way WelbeHealth helps older adults and their families. WelbeHealth provides primary care, physical and occupational therapy, dental care, vision care, and more. Visit our FAQ page or contact us for further information.

Medi-cal changes for California seniors

What is PACE? How can it help me stay independent?

What is PACE, and how can it help me stay well and independent?

Too often, elders and their caregivers struggle to get the help they need in their homes. Maybe you’re experiencing this challenge yourself. If so, you may not realize that WelbeHealth provides an affordable alternative to nursing home care, called PACE. PACE is a program that keeps seniors with complex health conditions living safely in their homes and gives families the support they need. But, what exactly is PACE? What are the benefits of the program? Below, we’ll explain.

What is PACE?

PACE (Program of All-Inclusive Care for the Elderly) is a healthcare option for seniors whose health issues may affect their independence. This program is a great alternative to nursing home care and gives seniors the support they need to continue living safely in their homes.

WelbeHealth provides PACE in a way that participants and their families often say seems almost “too good to be true.” We are committed to unlocking the full potential of seniors through our courage to love, pioneering spirit and shared intent. The program is funded by the federal government, and WelbeHealth is a licensed PACE provider in the state of California. When you enroll in PACE with WelbeHealth, we provide your care, and are also financially responsible for your care. Essentially, the program is your health care provider and health insurance combined.

Fun Fact: As of June 2021, 139 PACE programs were operating in 30 states, serving nearly 56,000 older Americans.

What does the PACE program do?

Once enrolled in the program, participants get access to preventive, coordinated care. A personalized care plan is tailored to each participant’s unique physical and emotional needs. Most coordinated care is administered at the day center. Here are some of the healthcare services provided by the program:

Transportation

For seniors who no longer drive, transportation can be a hassle and a burden for families. PACE provides transportation from your home to the day center and to medical appointments. Rides are wheelchair accessible and comfortable. In addition to taking you from place to place, the highly trained drivers deliver medication and medical supplies to your home when needed.

Dental, Vision and Hearing

Hearing aids, eyeglasses, and dentures are not always covered by Medicare. Participants of PACE receive these medically necessary items at no cost. As a program participant, you’ll have access to a dentist, mental health specialist, ophthalmologist, and more.

If the PACE care team determines that you need to see a specialist to treat a complex medical condition, they will coordinate the visit. Treatment for COPD, dementia, kidney disease, diabetes, and heart disease are all accessible through the program’s network of specialty physicians. And all the transportation is coordinated for you!

FYI: The average PACE participant has 6 chronic conditions. The PACE team is experienced in caring for seniors who have multiple diagnoses.

Social Engagement

Science has proven that social interaction does wonders for our mental and physical health. That’s why PACE has a team of activity specialists who coordinates social activities. Whether it’s board games at the day center, themed meals, or group exercises, there is always plenty going on at the PACE center.

In-Home Assistance

Upon enrollment, we will do a safety assessment in your home. We’ll look for trip hazards, like cluttered walkways and loose rugs. Next, we will make improvements to your home to make it safer, such as installing wheelchair ramps and grab bars if needed. Educating seniors and their caregivers is an important step in preventing falls.

If your PACE care team determines that it is medically necessary, you may also receive medical care in your home from registered nurses and certified nursing assistants. This may include incontinence care, injections and blood draws, as well as wound care.

Telemedicine

PACE participants gain access to telehealth services. You’ll be given a tablet that allows you to access your care team on-demand. Many participants enjoy the comfort of knowing someone is always available if an emergency should occur. Via telehealth, participants can check in with nurses, track their vitals and medications, and participate in virtual activities.

Medication Management

Over 20 percent of older adults report not taking medication as prescribed due to the high cost of their medication. Did you know cutting pills and skipping doses can actually worsen health conditions? When enrolled, your team of healthcare professionals will make sure you take the right medication at the right time each day, which keeps you healthy and living independently.

Additionally, PACE offers Medicare Part D prescription drug coverage. Once you become a program participant, you’ll get your Part D-covered drugs and all other necessary medication from PACE.

Will I have to change my doctor?

Upon enrolling in the program, you’ll begin seeing a doctor at the PACE center. All your healthcare services will be provided by PACE. The doctors and medical staff are highly experienced in caring for seniors with complex medical conditions, so you can trust you’re in good hands.

What are the benefits of PACE?

Interdisciplinary Team

Many parts work together to keep a car running well. Likewise, you need many healthcare providers working together to keep you living well. The PACE interdisciplinary team (IDT) is made up of senior healthcare experts whose top priority is providing you with personalized, coordinated care. They work together, meeting regularly to make sure your needs are met.

The PACE care team consists of:

  • Primary care physician
  • Nurses
  • Physical and occupational therapists
  • Dietitian
  • Social worker
  • Recreational therapist
  • Home care coordinator
  • Transportation professional

Caregiver Support

Because the interdisciplinary team handles all the complicated details of your care, family members and caregivers are relieved from many stressors. Transportation, refilling medications, and coordinating appointments are all done by PACE, significantly reducing caregiver burden. Caregiver training, support groups, and respite care also keep family members supported and educated.

Fast Fact: 97.5 percent of family caregivers would recommend PACE to someone in a similar situation.

What are the PACE eligibility requirements?

Prospective participants must meet the following criteria to be eligible for the PACE program:

  • 55+ years of age
  • Live in the designated service area
  • You are certified by the state as meeting the need for nursing home level of care
  • You can safely live in the community when you join

How much does PACE cost?

What you pay depends on your financial situation.

If you are: Cost (out-of-pocket):
Eligible for Medicaid No cost
Eligible for Medicare and Medicaid No cost
Eligible for Medicare only Pay Medicaid portion, plus monthly premium for Medicare Part D
Not eligible for Medicaid or Medicare Self-pay rate
  • 90 percent are dually eligible for Medicaid and Medicare
  • 9 percent are eligible for Medicaid only
  • 1 percent pay a premium

PACE focuses on you and your care.

The goal of PACE is to provide vulnerable seniors in our communities with the care, medical treatment, and support they need to safely live in their homes for as long as possible. Seniors benefit from personalized, coordinated care, as do their caregivers. With many healthcare services and benefits to the program, it’s a good alternative for many seniors who want to safely age in their homes and community. To learn more, contact us today.

 

UC Berkeley Study Reveals WelbeHealth’s Rapid Adaptation To COVID-19 Eldercare Yielded Exceptional Results And Saved Lives

As policy momentum grows toward home and community-based services, study recommends that policy choices focus on the Program of All-Inclusive Care for the Elderly (PACE), and it’s 45-year track record of success in serving the most complex elderly patients.

SILICON VALLEY, Calif., July 14, 2021 — A new study from UC Berkeley’s Berkeley Roundtable on the International Economy (BRIE) features WelbeHealth in a case study illustrating how this California eldercare PACE provider responded early and decisively to the COVID-19 crisis with exceptional results.

“By rapidly transforming its care model, WelbeHealth had exceptional results: as COVID-19 cases rose across the country — and in particular within nursing home populations — WelbeHealth did not have a single COVID-19 death during the first 8 months of the pandemic. The first WelbeHealth loss from COVID-19 occurred on November 21, 2020 and 10 WelbeHealth participants died of COVID-19 since the beginning of the pandemic.”

-UC Berkeley

READ THE STORY: 

Welbehealth: Case Study of Adapting PACE Under COVID-19

Key findings:

  • WelbeHealth and the PACE community overall had lower death rates than nursing homes; the national PACE COVID-19 death rate was 3.8%, nearly one-third the 11.8% death rate in nursing homes. WelbeHealth calculated a death rate of 2.4%.
  • WelbeHealth acted early and decisively to minimize exposure with an Incident Command response strategy, dispersing tablets for telehealth visits, PPE, thermometers, food, medication, and other essentials into participants’ homes, and providing nearly all care remotely, which proved effective.
  • PACE’s capitated payment model moves the risk from payor to care provider, aligning incentives and encouraging innovation and efficiency in keeping patients well.
  • Technology provided an important amplification to PACE’s model of care — it allowed for regular check-ins and informed decision-making on care needs. However, the social aspect of the PACE day center cannot be replaced by technology, and it is clear that in-person visits are vital.
  • With America’s senior citizen population set to double by 2040, the demand for long-term care will skyrocket. The pandemic underscored that work must begin now to meet the needs of present and future vulnerable elders.
  • Existing home and community-based services (HCBS) such as PACE demonstrated profound success during the pandemic leading to fresh momentum among policymakers to expand these options further.

PACE’s person-to-person, fully integrated approach maintains the participant’s highest level of independence and quality of life[i]; PACE participants experience an 80% drop in rates of depression after joining.[ii] At a time when America is searching for a better way forward in eldercare, PACE is a proven approach for this vulnerable group.

 

“While PACE has a 45-year track record of success, it remains optional in Medicaid while nursing home benefits are required — it’s time for every vulnerable elder in the country to have access to this gold standard of long-term care,” said Elizabeth Carty, Chief Regulatory Affairs Officer of WelbeHealth.

 

Many PACE participants reside in medically underserved areas like San Joaquin County, California, where WelbeHealth’s creative problem-solving and speed to action kept seniors safe in their homes when resources for the elderly were relatively scarce.

 

“As other healthcare organizations were assessing the potential impact and spread of the pandemic, the WelbeHealth team had already taken its crisis response to the next level, ” said Amy Shin, former CEO of Health Plan of San Joaquin. “I was impressed with how nimbly this team charted out a plan not only to keep seniors safe and vaccinated but to vaccinate the community as well. This study’s findings should alert legislators that this style of home and community-based services is the ideal model of care for frail seniors.”

 

What is PACE?
PACE (Program of All-Inclusive Care for the Elderly) serves low-income seniors who meet their state requirement for nursing home level care allowing them to live independently in their own homes and communities while receiving fully coordinated medical and dental care, physical and occupational therapy, transportation, meals, day programs, home care assistance and more, managed by an 11-person integrated care team. The “one-stop-shop” PACE day centers are the hub of the program, offering seniors a pleasant place to receive care, socialize and enjoy meals within a state-of-the-art facility.

About WelbeHealth
WelbeHealth is a physician-led healthcare organization that provides seniors with high-quality, compassionate care so they can live in their own homes and communities rather than a nursing home. To accomplish this, WelbeHealth uses the PACE (Program of All-Inclusive Care for the Elderly) model. WelbeHealth currently operates four programs in the Stockton/Modesto, Pasadena/Burbank, Long Beach, and Fresno communities of California.


[i] Center for Consumer Engagement in Health Innovation, “Care That Works: Program for All-inclusive Care for the Elderly.” https://www.healthinnovation.org/resources/publications/care-that-works-pace

[ii] National PACE Association, “COVID Data Demonstrates That the PACE Model Is Safer Than Nursing Home Care.” https://www.npaonline.org/about-npa/press-releases/covid-data-demonstrates-pace-model-safer-nursing-home-care

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