Home Healthcare Nursing

The Ultimate Cheat Sheet on Homecare


Home Health services help adults, seniors, and pediatric clients who are recovering after a hospital or facility stay, or need additional support to remain safely at home and avoid unnecessary hospitalization. These Medicare-certified services may include short-term nursing, rehabilitative, therapeutic, and assistive home health care. This care is provided by registered nurses (RNs), licensed practical nurses (LPNs), physical therapists (PTs), occupational therapists (OTs), speech language pathologists (SLPs), home health aides (HHAs) and medical social workers (MSWs) as a limited number of up to one hour visits, primarily through the Medicare Home Health benefit. Professional Caregivers are trained to work with your family to develop an individualized home care services program. As part of this process, we match your loved one’s needs to a select group of compassionate in home care providers. With Elite Home Healthcare Services as your in home care provider, you are planned to be part of the caregiver selection process. Home Care Services with Elite Home Healthcare Services.


As your home care services provider, you will enjoy personalized service built around your needs. We know you have a lot of questions about home care services for your elderly loved one. The team of dedicated professionals at your local Elite Home Healthcare Services office is on hand to answer all your questions and to address any concerns you have. You can call your local Elite Home Healthcare Services franchised office at any time to learn about our in home care services. When you choose Elite Home Healthcare Services as your home care provider, we begin by reviewing your loved one’s needs. We will meet with involved family members and, when necessary, consult with the physician(s) of the care recipient, social workers, hospitals, or nursing home staff.


Our goal is to get a complete picture of your loved one’s in-home care needs. Our franchised agencies are trained to work with your family to develop an individualized home care services program. As part of this process, we match your loved one’s needs to a select group of compassionate in home care providers. With Elite Home Healthcare Services as your in home care provider, you are planned to be part of the caregiver selection process. Some of the services provided include:


  • Grooming Assistance

  • Dressing Assistance

  • Walking Assistance

  • Meal Preparation/Diet monitoring

  • Light Housekeeping

  • Errands and Shopping

  • Medication Reminders

  • Joyful Companionship

Respite Care for Family Caregivers Care is Available Mornings, Mid-Day and Evenings Temporary or Long Term Care is Available Weekends and Holiday Care is Available 24 Hour Care Available More

We Respond To Your After Hours Call In 15 Minutes or Less! Nothing is more frustrating than to get voice mail when calling an in home care services agency in the evening or on the weekends.


If you receive voice mail when you call Elite Home Healthcare Services, our franchised home care agencies are trained to call back within fifteen minutes. We’re committed to providing you with superior home care services and to meeting your needs in the way that’s most convenient for you! Find an Elite Home Healthcare Services Office Near You! You can learn more about our home care services and our compassionate caregivers by calling (678)-705-4424. We look forward to meeting your family!

What’s So Trendy About Adult Day Care That Everyone’s Going Crazy Over It?

What is Adult Day Care? Adult day care offers mental, social, and physical activities for adults who’ve lost some independence due to cognitive impairments or chronic health conditions.


Benefits of Adult Day Care

The benefits of adult day care: provides meals, activities, and social interaction in a facility where older adults are monitored by trained staff.


Services Offered in Adult Day Care

Adult day services are the perfect fit for families who wish to keep their aging loved ones at home, but need help during the day while they work.

Who uses Adult Day Care? Adult day care is an important care option for family caregivers who give unpaid in-home care for elderly relatives, disabled adults, friends, or neighbors.


Adult Day Care Staff

Adult day care staff requirements are not as stringent as medical facilities no nurses or certified nurse aides unless they provide day health.


Paying for Adult Day Care

Adult Day Care Costs. The adult day care costs for each state are listed according the cost of adult day care in the state. The list of adult day care cost allows you to see how costs vary across the country.


Does Medicare Pay for Adult Care? Medicare partners with Medicaid to sponsor the Program of All-Inclusive Care for the Elderly. It pays for adult day care.


Does Medicaid Pay for Adult Care? Adult day health centers deliver programs for health, therapy, social services and activities to people needing care. Medicaid Waivers help individuals pay for care.


Adult Day Services

Older adult daily living centers are also known as adult day services centers.  What is an older adult daily living center? Adult day services centers operate for part of a 24-hour day and offer an interactive, safe, supervised environment for older adults and adults with a dementia-related disease, Parkinson’s disease or other organic brain syndrome. Adult day services centers offer a community-based alternative to institutionalization and provide a reliable source of support and respite for caregivers. All adult day centers in Pennsylvania provide personal care, nursing services, social services, therapeutic activities, nutrition and therapeutic diets and emergency care. Some centers offer additional services such as physical therapy, occupational therapy, speech therapy, medical services, podiatry, etc. to meet the range of client needs.


How do caregivers choose an older adult daily living center for their loved one? The Department’s Caregiver’s Guide to Selecting an Adult Day Services Center brochure offers tips for selecting the appropriate adult day services center. In addition, the National Adult Day Services Association offers consumers and caregivers a site visit checklist. More information: Contact your local Area Agency on Aging to determine whether you or a loved one qualifies for services.


“Adult Day Care” . n.p., 1 Jan. 1970.Web. 15 Jan. 2016.
“Home & Community Care ” Adult Day Services. n.p., 1 Jan. 1970.Web. 15 Jan. 2016.

Eliminate Your Fears And Doubts About Affordable Care Act.

The Affordable Care Act market reforms apply to group health plans. On Sept. 13, 2013, the IRS issued Notice 2013-54, which explains how the Affordable Care Act’s market reforms apply to certain types of group health plans, including health reimbursement arrangements (HRAs), health flexible spending arrangements (health FSAs) and certain other employer healthcare arrangements, including arrangements under which an employer reimburses an employee for some or all of the premium expenses incurred for an individual health insurance policy. The notice also provides guidance on employee assistance programs or EAPs and on section 125(f), which prohibits the use of pre-tax employee contributions to cafeteria plans to purchase coverage on an Affordable Insurance Exchange (also known as a Health Insurance Marketplace).


The notice applies for plan years beginning on and after Jan. 1, 2014, but taxpayers may apply the guidance provided in the notice for all prior periods. On February 18, 2015, the IRS issued Notice 2015-17 which provides transition relief from the excise tax under section 4980D with respect to failures to satisfy the market reforms by certain small employers reimbursing premiums for individual insurance policies, S corporations reimbursing premiums for 2-percent shareholders, and certain health care arrangements for employees with health coverage under Medicare and TRICARE.



The Affordable Care Act provides more options than ever for how you get and pay for coverage. You and members of your family can be covered, even if you have pre-existing health problems. You can apply for financial assistance from the federal government to help pay for care and coverage purchased through the Marketplace. State- and federally run Health Insurance Marketplaces are available to help you shop, compare, and buy health care coverage.

The Affordable Care Act, also known as the health care law, was created to expand access to coverage, control health care costs and improve health care quality and care coordination. The health care law does not change VA health benefits or Veterans’ out-of-pocket costs. Because comprehensive national data for the effects of menu labeling do not exist, FDA did not quantify the benefits associated with section 4205 of the Affordable Care Act and this rule making.


Download Article Tips for Choose Home Care Services


Some Affordable Care Act  studies have shown that some consumers consume fewer calories when menus have information about calorie content displayed. Consumers will benefit from having important nutrition information for the approximately 30 percent of calories consumed away from home. Given the very high costs associated with obesity and its associated health risks, FDA estimated that if 0.6 percent of the adult obese population reduces energy intake by at least 100 calories per week, then the benefits of section 4205 of the Affordable Care Act and this rule would be at least as large as the costs.


The Affordable Care Act not only makes health care more affordable for families and small business owners and raises taxes on high earners, large businesses, and the health care industry. It also limits medical deductions.  Tens of millions of families will benefit from new tax credits which will help them reduce their premium costs and purchase insurance. American families making less than $250,000 as a group will see their taxes cut by hundreds of billions of dollars.




Affordable Care Act Summary. (1970). On January 13, 2016, from http://obamacarefacts.com/affordablecareact-summary/.


3 Surefire Steps for Beating the Assisted Living Blues

Assisted Living

Seniors today are not the seniors of yesteryear-most live full, active, and balanced lives. So deciding to move into assisted living, senior community, or another type of senior housing can be a confusing process for seniors and their families alike. The process of choosing assisted living communities can be daunting, but fortunately, there are resources that can help you.


We’ve compiled questions to ask and things to think about when considering assisted living communities. Choosing the right community requires serious consideration, so take your time when evaluating the services, features, and policies offered by those communities.



  • As you arrive at the residence, do you like its location and outward appearance?

  • As you enter the lobby and tour the residence, is the decor attractive and homelike?

  • Do you receive a warm greeting from staff welcoming you to the residence?

  • Does the administrator/staff call residents by name and interact warmly with them as you tour the residence?

  • Do residents socialize with each other and appear happy and comfortable?

  • Are you able to talk with residents about how they like the residence and staff?

  • Do the residents seem to be appropriate housemates for you or your loved one?

  • Are staff members appropriately dressed, personable, and outgoing?

  • Do the staff members treat each other in a professional manner?

  • Are the staff members that you pass during your tour friendly to you?

  • Are visits with the resident welcome at any time?

Physical Features

  • Is the community well-designed for your needs?

  • Is the floor plan easy to follow?

  • Are doorways, hallways, and rooms accommodating to wheelchairs and walkers?

  • Are elevators available for those unable to use stairways?

  • Does a physician or nurse visit residents regularly to provide medical checkups?

  • To what extent are medical services available and how are these services provided?

  • Are handrails available to aid in walking?

  • Are cupboards and shelves easy to reach?

  • Are floors made of a non-skid material and carpets firm to ease walking?

  • Does the residence have good natural and artificial lighting?

  • Is the residence clean, free of odors, and appropriately heated/cooled?

  • Does the residence have sprinklers and clearly marked exits?

  • Does the residence have a means of security if a resident wanders?

Needs Assessments, Contracts, Costs & Finances

  • Is a contractual agreement available that discloses healthcare and supportive services, all fees, as well as admission and discharge provisions? What are the policies for refunds and transfers?

  • Is there a written plan for the care of each resident?

  • Does the residence have a process for assessing a potential resident’s need for services and are those needs addressed periodically?

  • Does this process include the resident, and his or her family and facility staff, along with the potential resident’s physician?

  • Are there any government, private, or corporate programs available to help cover the cost of services to the resident?


  • Is staff available to meet scheduled and unscheduled needs?

  • Can the residence provide a list of services available?

  • Is staff available to provide 24-hour assistance with activities of daily living (ADLs) if needed? ADLs include dressing, eating, mobility, hygiene and grooming, bathing, toileting, using the telephone, shopping, and laundry.

  • Does the residence provide housekeeping services in residents’ units?

  • Can residents arrange for transportation on fairly short notice?

  • Are pharmacy, barber/beautician, and/or physical therapy services offered on-site?

It’s important to be prepared when calling and touring assisted living centers. Each community is unique, if you’ve seen one assisted living facility; you’ve seen one assisted living facility. Review the checklist below to stay organized, compare communities and ask the right questions to help you decide on the community that’s right for your loved one.


Questions to Ask When you Call or Visit

  1. What is your staff-to-resident ratio?

  2. What kind of experience and training does your staff possess?

  3. How many staffers are on duty overnight?

  4. Can staff administer medications?

  5. Do you have a nurse on staff 24/7?

  6. Do you have any experience with (issues or diagnosis of your care recipient)?

  7. Do you do an initial assessment prior to admission?

  8. What types of apartments are available?

  9. What is the monthly cost per apartment type?

  10. If there is a wait list, how many are on it and what is the policy?

  11. Tell me about some of the current residents.

  12. Do you have any outdoor space?

  13. What is your discharge policy?

  14. What additional services are available if the needs of a resident change?

  15. What are your billing and payment policies?

  16. Are all services included in the monthly fee? If not, what and how much are additional services?

quailty home health

Senior Helper Care Strategies

Assessing Senior Helper Care Options


We have an aging population in the United States. The odds are that most people reading this are either in need of finding elder care or they will be soon. It is important to look out for your future or the future of your loved one as soon as possible. Not making your future a priority will make it more difficult when the time comes to find home care options.


If you decide to place your loved one under the hands of senior care help, you have three options. These three options are placing them in a nursing home, a family member can become a senior helper, or hire in-home care. Here is a closer look into your three available options that may work for you.


Nursing Home/Assisted Living Facility


The most common path taken is placing your loved one in a nursing home or assisted living facility. These two places are similar, but they are not entirely the same. Although, they both are a very big change in the life of a senior. Nursing homes are the most usual and traditional choice. With this option there is care available for you loved one twenty-four hours a day by the senior helpers. The conditions are very similar to a hospital.


Generally, the senior has a room with their own bed and receive visitors during certain hours of the day. Assisted living facilities offer better amenities. In this case the senior has more freedom to come and go as they please as if it were their own home. In both cases, your loved one will receive around the clock attention.


Also, there will always be a medical professional close by if they need emergency treatment. The senior helpers will make sure to give your elderly one the care they need and deserve. The drawback with this option is of course with the senior’s adaptability to the circumstances. It may be unfamiliar to them to be in a facility and not with loved ones.


Also, these places may give a sense of finality about their situation. Sometimes the elderly will feel that they are in a worse situation being in a facility. Another major concern is the expense of housing your elderly loved one in such a facility. These costs may be very high and you may require financial assistance.


DIY Elderly Caregiver


The least expensive route is for you or a family member to become a senior helper for your loved one. The main question to ponder is are you qualified enough to tend to your loved ones specific needs? Taking care of someone’s every need is not as easy as it may seem. It requires much time and effort.


Secondly, does this qualified member have the amount of time it takes to put into caring for your loved one? If you or your family member can answer yes to either of these questions, then this is most likely your best plan of action. One word of caution though – family members tend to become burned out after caring for their loved ones so thoroughly.


The care giving process has also been known to put a strain on the family relationships at times. For this reason, eve if you choose the DIY care route it may want to consider still hiring a professional. A part-time in-home caregiver will relieve some of the burdens you will be carrying.


In-Home Care


The senior care option that is growing most in popularity in recent years is hiring an in-home senior helper. There are several advantages to going this route. They include:


Flexibility – Treatment plans can be customized around the specifics of the patient.


Better Quality of Life – Aging senior prefer to remain at home. In this way they are more familiar and comfortable with their surroundings at such a time.


Affordability – Because the care is administered at home, there is no overhead needed for the expense of maintaining a medical facility. This allows the in-home caregivers to pass the savings along to you. Though not as cheap as DIY senior care, at home administered by a professional is far more affordable than a nursing home or assisted living facility.


Click Here to See Video on How to Choose the Right Caregiver

Couples Counseling

Marriage Counseling Work Statistics

Does Marriage Counseling Work?


Every day thousands of troubled married couples search the internet for a counselor that can fix their relationship.  The average cost of a couples counseling session is around $100 an hour.


Many troubled couples believe that their counselor to bring some solace to the situation. Statistics show that the number of married couples that are willing to pay for counselor is equal to the number that believes that counseling will work.


With this said, does marriage counseling work? Or, is investing in marriage counseling $100 down the drain?


Children Counseling


Here is a profound statistic:  Roughly 90% of troubled couples that looked for expert advice ended up getting a divorce. So…does marriage counseling work? Sure, only about 10% of the time.

What’s important to consider is not the statistics of whether or not marriage counseling works, but the reasons why it doesn’t work.  And then understand how counseling can work to help a relationship.


Click Here to Download Marriage Counseling Work Statistics Article


There are four main reasons why marriage counseling may not work.


Reason 1:


The main factor is that the marriage counselor is an outsider in the relationship. You and your partner have spent the past 365 days of the year with each other. There is so much more to the relationship than you could ever tell the counselor.



Reason 2:


Another reason marriage counseling may not work is because the information given to the counselor may not be accurate. You and your partner are more than likely not professionally licensed counselors. So, you may not know which information is important and which information is of lesser importance.


Reason 3:


The other obstruction to marriage counseling working can be Privacy. You or your partner may not want to divulge all information to your counselor. To be an effective counselor, your counselor needs to know private matters in a couple’s life. Most people don’t want to give very personal information.  Honesty is important in counseling. If you or your partners are not willing to tell the truth, you may not find counseling useful for you.


Reason 4:


Inexperienced Counselor:  How qualified is your counselor is in their practice?  Many times troubled couples are so desperate for help, they will seek the marriage counsel work statistics of any old counselor.


Sometimes, an inexperienced counselor can assign blame onto one partner.  An inexperienced counselor can cause more frustration within a relationship, because a partner feels like they can’t change. They may not even be sure they are the problem. So, one partner feels betrayed.


When an individual feels like this they may revert back to their negative patterns. Or they may act out in more destructive ways. These actions may cause harm to the partner or even to themselves.


Also, you may want to find out if your marriage therapist is married.  For obvious reasons, your therapist should have a successful marriage.


For these 4 main reasons, statistics show couples counseling will not work 90% of the time. So, if you and your partner are having issues, counseling may cause more disaster than refuge. Marriage counseling statistics show this to be true.


In conclusion, if you want to take your chances against marriage counseling work statistics, find a Credible Counselor.


Good Credentials, Noteworthy Reviews and a Good Marriage to Model are some Key Factors.

long term care

Home Care Solutions


The biggest advantage of in-home care for seniors; it allows older adults to age in place and avoid making the move to an institution.



At home, a senior feels most comfortable with the environment. The significant factor of receiving care at home depends on the level of need by a person. For example, does one need nursing or medical care? If so, home care is not the best choice. If medical care is not an issue, then a professional caregiver through a private hire or a non-medical home care agency would suffice.



Adult children of seniors serve as primary caregivers to the ill or elderly loved ones. In-home care assistance (through private hire or home care agencies) allow family caregivers to carry own with their life priorities like work, child care, spousal relationship, and more time for self.



In general, receiving non-medical home care reduces unavoidable hospital readmission, and research show that individuals are recuperating from illness, injury, or surgery heal more quickly when recovering at home instead of a medical facility.



Home Care Solutions



In-home care gives families the confidence and peace knowing their aging loved ones are comfortable at home and receiving professional, compassionate, and personalized care.



In many cases, it’s the most satisfying form of senior care and sometimes more affordable than other types of care. There are lots of other reasons for the growing demand for our services, too.



Home Care Solutions is Popular



Benefits of Home care offers a person with individual needs to stay home. The services might be for people who are getting older, who are chronically ill, who are recovering from surgery, who live with a disability. Home care services include:



• Personal care, like help with bathing, washing hair, shaving, or getting dressed.
• Homemaking, like cleaning the house, yard work, and laundry.
• Cooking, meal preparation, shopping, picking up medications, or delivering meals.
• Health care services from a home health aide.



You can get almost any type of assistance at home that you want or need. Some services are free or given by volunteers. Many others you have to pay for out-of-pocket. Sometimes community-based services, offered by local or the state government, covers the cost of care.
Home Care services vary from simple companion care to more complex personal care needs and monitoring.



The primary benefits offered include:



• Delivered in the comfort of home
• Promotes healing
• Provides a safe place for contagious infections
• Easier for family and friends to visit
• Allows freedom and independence
• More affordable than inpatient care (recovery care) at a nursing facility or hospital
• Tailored to specific needs of each person
• Person-centered care designed for needs of the senior
• Reduces re-hospitalizations
• Prevents or postpones institutional living



Protects Personal Freedom



Once the transition to a health care facility occurs, particularly nursing home, a senior gives up a significant amount of freedom. So, if a loved one can remain at home safely with some level of care, they’ll maintain more privacy and dignity. And they can “call the shots” to a greater extent about their personal choices regarding meals, schedules and other activities of daily living.


Click Here to Download Home Care Solutions Article 


Home Care Solutions is Better Health


When a loved one is aging and has an acute or chronic illness, it is critical that they receive appropriate nutrition, medication, rest, and medical supervision. For many people, home health care workers can help loved ones maintain their level of wellness for a longer period.




Research shows that home health care services:



• Improve clients’ ability to walk or move around,
• Get in and out of bed and have less pain when moving around,
• Improve bladder control,
• Get better at bathing,
• Become short of breath less often,
• Require less urgent, unplanned medical care in general and related to a wound.


Click Here to Download Home Care Solutions PowerPoint


Saves Money



Compare the costs to what you would pay for a loved one to live in a nursing home or assisted living facility.


Care Type  and National Average Monthly Cost


Home care (8 hrs per week) = $693


Adult day care (weekdays only)  = $1,495


Assisted living  = $3,600


Home care (44 hrs per week) = $3,813


Nursing Home (double occupancy room for one person) = $6,692


Nursing Home (single occupancy for one person) = $7,604



A typical home health care visit occurs in a two to four block of time two to three times a week.



Provides Companionship


Studies show that people living with chronic illness or disability, living at home is often the best option for physical and mental well-being. It’s difficult to quantify the advantages of companionship for someone needing home care, but research indicates that social isolation can do as much harm to someone’s health as smoking.


The National Institute of Mental Health noted that in 2004, nearly 16% of suicide deaths were individuals over 65 years of age.  Isolation and quietness take over in environments that once were lively with children, pets, and neighbors in the hustle and bustle of everyday life.


Reduces Stress for Client and Loved Ones


Home Care Solutions benefit a senior who has more needs than family members can provide due to work, or need time away from care responsibilities. Home care staff can help families to avoid missing family time, children’s activities, and declining career opportunities.


If you’re considering home care services, ask the following questions that help finding the best provider for your needs.


If you’re recovering from surgery or need long-term care for chronic illness, or you have a loved one facing a similar situation, home care offers medical and household care.



Home Healthcare Nursing

Geriatric Care Manager


Unfortunately, there is no sure way to find out if the geriatric care manager you work with will be the right one for you. There are many different types of care managers. A lot of them are connected to organizations dedicated to the elderly. Then there are others which are not connected to any single organization.



These care managers provide a phenomenal job for their clients through their own practice. There aren’t any firm guidelines or requirements for this field. Although, there are some questions you may want to ask. Here’s a list of questions when you’re seeking to work with a geriatric care manager:




Where have they worked before?




Home Healthcare NursingExperience is important at any job. Experience with an agency working directly with the elderly is greatly preferred. People tend to look for those with previous public health experience. In fact, it is an essential requirement for this position.




Your care manager should be able to provide you with some references to their work. Previous to employment, you should ask for these qualifications. They should have dealt with the elderly and be sensitive to their client’s needs. If they don’t have this experience you may want to seek another geriatric care manager.



What is their professional training?




When considering your geriatric care manager, insist that they have a license or degree in public health nursing. A certification in social work, health management, and other related fields is also helpful.



If you find that they don’t have a degree, do not write them off. If they can show you extensive work history and positive reviews take this into consideration. This will definitely compensate for the lack of degree or license.



You should consider doing your research on the online web. Many times clients leave reviews. These will be beneficial to you in picking the right geriatric care manager. If you see that the care manager only has 1 or 2 star reviews, consider other options. If they have 4 to 5 reviews than give them a call. It is important not to settle at this time, for the sake of your elderly loved one’s needs.



Does the geriatric care manager belong to any professional organization?





 This is a big plus. Although it does not ever guarantee work credibility, it does show willingness to be involved and their professional attitude. It also shows their willingness to have their credentials verified.


Usually the best professional geriatric care managers get involved with the community and like some recognition for their achievements. They also like to bring awareness to their practice.



What is the geriatric managers fee structure?




You will want to find out what you will need to pay and what exactly you will get for your money. The price range varies greatly from manager to manager.  There are some places that will offer special discounts.



Others may even provide free assistance to those who may qualify. Some offer a flat rate, while others are known to charge by the hour. All these things vary and will need to be researched before picking your geriatric care manager. Make sure to clarify this and to get the pay rate in writing.



Do they have personal recommendations from their previous clients?




To me, this is the most important question of all questions. You may have all the degrees and licensure in the world. This still may not ensure the best care for your client.



Providing at least one positive recommendation that will vouch for the quality of your work is a big game changer.  Speak with someone who has used their services in the past. This will give you a much better idea of what will come out of your time with the care manager.



These are not the only questions that will need to be asked when considering a geriatric care manager. They are just some of many. Although, these questions are a good starting point. They will make your road to finding a care manager much easier.



Take some time to write down whatever questions you may have been wondering about. It is important to be comfortable with your choice. It’s also important to get all of your questions answered so you know you make the right choice.



Click Here to Download Geriatric Care Article


Click Here to Download Geriatric Care Manager PowerPoint

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