san diego homecare Tag

The 2017 Taste of Rancho Santa Fe benefits 10 Local Charities, said Lauren Reynolds, Founder of At Home Nursing Care and Co-Chair of the 2017 Taste of Rancho Santa Fe. At Home Nursing Care offers accredited quality home care in San Diego and Los Angeles. The Taste of Rancho Santa Fe event, taking place on Sunday, October 1, 2017 at the Inn of Rancho Santa Fe – hopes to raise more than $100,000 to benefit ten local non-profits. “Through our application and screening process, we picked non-profits which align with the Rotary core value of service over self – with an emphasis on under-served communities,” said Laura MacKinnon, President of the Rancho Santa Fe Rotary Foundation which is the charity arm of the local Rotary club. With 22 wineries/breweries and 10 restaurants committed already to participate in this year’s Taste of Rancho Santa Fe, the 5th annual, the event promises to be an elegant and festive event. Tickets are on sale now at www.tasteofrsf.org at $100 – and all of the net proceeds are distributed to the causes that participate. Organized and run by the Rancho Santa Fe Rotary Club, the event relies mostly on volunteers to keep overhead low, leaving more money for the 10 benefitting charities. Among those picked as a beneficiary of the Taste of Rancho Santa Fe this year is Cancer Angels of San Diego – which provides funds and resources for families struggling with cancer, such as Sergio and Silvia. The couple has three young children, and Sergio was diagnosed with brain cancer. Cancer Angels provided the family with financial assistance. “I have no words. It brings tears to my eyes because I am so grateful that they have helped us so much when we felt like we had no hope for our financial situation and still having to go through all this,” Silvia wrote of their assistance. Another beneficiary is the Eric Paredes Save a Life Foundation, which provides free heart screenings to youth ages 12 to 26 to detect heart conditions that can lead to Sudden Cardiac Arrest. Jacob Li, a student/athlete at Torrey Pines High School, is one of those students who attended a free Eric Paredes Screen Your Teen event at the request of his mother; only to find out he had an irregular heartbeat which required surgical correction. “A quick, painless ECG test of my heart saved my life,” shared Jacob. [caption id="attachment_2635" align="aligncenter" width="150"] Jacob Li - TB Basketball[/caption] After undergoing surgery, he’s back on the court and is feeling healthy. His mother, a Diana Li, is now a board member of the Eric Paredes Save a Life Foundation. “As a parent of a teen found at-risk, I am beyond thankful for this free, lifesaving resource. Don’t wait, register your kids today. It could just save their life,” she said. Learn more at epsavealife.org. Money raised at the 2017 Taste of Rancho Santa Fe will help both...

State of the art new hospital set to open in La Jolla on 2016. More than 200 San Diegans turned out  Monday to celebrate the groundbreaking of the Jacobs Medical Center,  a new 245 room facility that will house three new specialty hospitals: the Hospital for Cancer Care, the Hospital for Advanced Surgery and the Hospital for Women and Infants. [caption id="attachment_163" align="alignleft" width="300"] From left, Dr. David Brenner, Carol Vassiliadis, Joan and Irwin Jacobs, Chancellor Marye Anne Fox[/caption] Named for benefactors Joan and Irwin Jacobs, who donated $75 million dollars to the project, the Jacobs Medical Center will have private rooms, interactive technology, and will serve as a bridge between research being carried out at UC San Diego and bedside hospital care. Lauren Reynolds, President and C.E.O. of At Home Care Solution, the leading provider of in home care across San Diego, served as Master of Ceremonies.  She is an active member of the Alumni Association and graduated from UC San Diego in 1994.   [caption id="attachment_174" align="aligncenter" width="300"] Lauren Reynolds Introducing Guests[/caption] "I am so proud of my alma mater," Reynolds remarked, "...

At Home Nursing Care is sponsoring free event to to help family caregivers cope with caring for someone they love.  Owner/Founder Lauren Reynolds will serve as Emcee.  Reynolds understands the stress facing families as her own mother needed home care for 10 months before passing away of breast cancer at age 58.  [caption id="attachment_796" align="alignleft" width="150"] Reynolds and her mother at 58th birthday, months before her death[/caption] [caption id="attachment_684" align="alignright" width="150"] Our wonderful San Diego home care client with his caregiver.[/caption] Family caregivers are a critical link for those suffering from illness or a loss of independence, but with that responsibility comes stress and anxiety. To provide support for family caregivers,  the San Diego Caregiver Coalition invites you to a free event on April 5th in Rancho Bernardo. Called "Back to the Basics, Caregiving 101", this three hour morning seminar will give family caregivers information about basic steps to take when caring for someone else, including advise from an Elder Law Attorney and also a discussion about the myths of hospice. Speakers include Alejandra Ceja-Aguilar from the Southern Caregiver Resource Center, Attorney Richard Scott from the Elder Care Law Firm and Jennifer Marsh of Elizabeth Hopsice. Lauren Reynolds, owner/founder of At Home Nursing Care will provide opening remarks and will introduce San Diego Council Member Carl DeMaio. To register, simply call 1-800-827-4277 or go online at www.sharp.com. Download a flier here: Caregiver Coalition's Caregiving Conference-RB-Final If you are a family caregiver in need of support or a reputable agency to assist with your San Diego homecare needs, we invite you to give us a call at 760-634-8000.  We offer a no-cost, in home meeting with family caregivers to discuss your in home options.  Our Nursing Supervisor creates a plan that is unique to your loved one's needs and ensures your home care needs in San Diego are met. [caption id="attachment_1966" align="alignleft" width="150"] We are licensed and accredited.[/caption] At Home Nursing Care is a licensed and accredited provider of in home care, easing the burden on family caregivers.  Our home care services in San Diego and Los Angeles include helping with safety monitoring, companionship, bathing, dressing, meal preparation and more.  We are also licensed to provide in home nursing care, including medication management.  For more information, give us a call at 760-634-8000.  We invite family caregivers to visit our website, or email us at [email protected]  ...

Many people are wondering how a proposal to end a federal "exemption"for personal care attendants and home care aides will end up affecting the costs for clients and employment home health care laws for employers. In a presentation to home care employers, attorney John Gilliland tried to stress that while major changes may be in store, agencies will be able to adapt. "This wont put you out of business," he said, clients will still need help.   A sad, unintended consequence is that the higher costs associated with the changes will force some seniors into skilled nursing homes rather than aging in place at home. A proposal by the U.S. Labor Department would end an exemption that allows employers to not pay overtime to "companions" who provide care in someone's private home.   This exemption has allowed longer shifts, such as 12 hour shifts and "live-in", where the caregiver spends 24 hours in the home, but generally sleeps eight hours a night. The proposed change would also mandate that caregivers be paid minimum wage, something that's already law in California. Gilliland said that there are 17 states across the country which have already eliminated the exemption and companies and clients have adjusted. For live in care, he said, clients will be given a choice:  Do they want continuity of care with one caregiver for most of the week at a higher rate, or do they want costs lowered by having multiple caregivers in the home working less than 40 hours total? Archana Acharya, an attorney with Murphy Law Group in Los Angeles, said of the proposed changes, "It's a grey area right now." Hypothetically, in California, here is how the rule change for live in care may play out. Right now families are charged a basic rate for 16 hours of work, provided the caregiver gets 8 hours of sleep, five of those hours uninterrupted. The average rate in San Diego County is $200 - 240 per day for that service. Under the new plan, if a family wants more continuity of care, for a 24 hour "live-in" shift, they could expect to pay a regular rate for the first 8 hours, time and a half for the second eight hours, and double time for the last four hours, adding up to sixteen hours per day of work.  Eight hours of sleep time could be deducted from the employee's pay and the client's costs, if the employee actually got 8 hours of sleep.  The costs to the client would likely be as much as $300 a day. Another requirement of the proposed rule change is that records must be kept of any interruption of sleep time.   Employees would have to keep a time sheet noting any reason for waking up overnight.  In California, if an employee gets less than five hours of uninterrupted sleep, they must be paid for all 24 hours.    It's at that point that the costs would skyrocket for clients, and it would probably be less expensive to move into a nursing facility.  Worst case, the client would...

A recent USA Today article states that there is an increase in seniors living over the age of 90.  According to author Haya El Nasser “The number of people living to age 90 and beyond has tripled in the past three decades to almost 2 million and is likely to quadruple by 2050”. Seniors who live longer generally have some sort of disability or need help at some level of living. Sandy Markwood, CEO of the National Association of Area Agencies on Aging, indicates that the focus needs to be on being able to help these seniors live at home as long as possible as nursing home cost could rise to average $72,000 a year. Long Term Care at any level, in the home, assisted living or nursing home can add a tremendous cost to seniors and their families. Government Programs Only Pay For About 16% Of Long Term Care Government programs such as Medicare, Medicaid and the Veterans Administration will cover the cost of long-term care under certain conditions. Medicare will cover rehabilitation from a hospital stay or limited care at home if there is a skilled (medical) need. The Veterans Administration will cover the cost of nursing home care indefinitely if the veteran is at least 70% service-connected disabled. The VA will also cover other forms of home-based or community-based care if there is a medical need. Medicaid will cover both medical and non-medical related long-term care but in order to qualify for Medicaid a person has to have less than $2,000 in assets and income that is insufficient to pay the cost of care. Funding Long Term Care with your Life Insurance Policy Drawing cash from life insurance or changing a life insurance policy should only be done after reviewing with an expert advisor.  Loss of the policy and death benefit could prove to be a detriment.  If, however you have accumulated cash in a life insurance policy and no longer need the coverage you may consider using the cash for long term care or purchasing a LTC rider to your current policy. New insurance products are being developed to cover both life insurance and long term care insurance. ElderLawAnswers reports: “A new law makes the purchase of products that combine annuities or insurance policies with long-term care insurance more attractive. These "hybrid" products are gaining in popularity due to a law that went into effect January 1, 2010, making distributions from life insurance and annuities tax-free when used to pay for long-term care. The same law also allows owners of annuities or life insurance policies to exchange their old policies for insurance for long-term care or hybrid policies without being taxed.” Combination sales which include life insurance, annuities and traditional long-term care coverage are becoming popular with insurance companies and may prove a method of financing long term care.  Investigate closely, however to find what exactly will be covered.  Some policies do not cover home care costs or complete costs of nursing homes. Long Term Care Insurance Funding for All Long Term Care Needs The first long-term care...

On December 15th, The Department of Labor announced a new proposed rule that could dramatically change how seniors and those with disabilities access home care.  The proposal would eliminate a long standing federal labor code exception that allows home care agencies and private families to avoid paying overtime and minimum wage to live-in caregivers.    (In California and many other states, minimum wage is already mandated by state law and paid, but the overtime exemption still exists.  Most reputable agencies in California already pay higher than minimum wage for hourly home care workers.) The overtime exemption dates back to 1974 and it was intended for domestic employees who “provide companionship services for individuals who (because of age or infirmity) are unable to care for themselves…” The idea was to allow a family or individual to hire a “caregiver” and set a wage for live-in, allowing the family to avoid excessive regulations regarding mandatory breaks, paperwork, etc.   Over the last three decades, the exemption has also been used by third party employers, such as home care agencies, to put caregivers in the home for so called “live-in” shifts.   The caregiver is typically paid for 16 hours of work per day and is given 8 hours of rest. The caregivers take meal breaks in the home and have access to restrooms, a phone, tv, and rest as needed.  However, regular labor codes, such as providing a 15 minute break every five hours of work, are not applicable. The Labor Department cited a large growth in the home care industry and a growing number of workers employed as caregivers as a reason to re-examine the live-in overtime exemption. Under the rules proposed December 15th, home care agencies and registries would no longer be able to use the exemption for live-in workers.   It’s not yet clear if that would mean live-in caregivers would have to be paid minimum wage the first 8 hours, time and a half the second four hours, then double time the next four hours.  If that is true, the cost to seniors and their families would go up by roughly 50 percent per day.   The result could be that families would turn to the underground economy for care and would perhaps hire unscrupulous individuals who are not vetted, trained, or supervised. Under the proposed new rules, Individuals and families could still use the exemption if they hired privately, however, that use would be narrowed.  For example, they could not hire a “professional” caregiver, or someone who provides care as a vocation.   They’d be able to use the exemption only if they hired a family member, friend, or someone who doesn’t ordinarily earn income from caregiving. The proposed rule clarifies that only incidental housework could be performed by the live-in caregiver.  Tasks such as cleaning dishes or doing a load of laundry would be okay.  Vacuuming would not be okay. Other incidental tasks to be allowed would include bathing, dressing, grooming, toileting, driving to appointments, feeding, etc. It’s also not clear what affect this would have on nannies or babysitters,...

There is no question health care spending is a critical issue.   Approximately 17 % of our gross domestic product is related to expenditures in health care, an amount that's seen a steady rise. Health care reform was proposed as a solution to the rising costs, but Steve Espinoza of the Hospital Association of San Diego and Imperial County warns the road ahead is clouded with fog and haze. Take Accountable Care Organizations for example.  Espinoza explains them this way, "It's like a unicorn, everyone knows what it is, but no one has ever seen one." What is Health Care Reform? The Health care reform is a 10 year process, with a watershed year being 2014, assuming the constitutional challenges are met and an individual mandate to buy insurance or face a penalty survives. Accountable Care Organizations are one part of the plan.  Put simply, ACO's are a way to reduce costs, by reducing unnecessary tests or procedures.  Those in the organization would share the cost savings and the potential risks of getting less reimbursement for undesirable outcomes.  Another major goal is to reduce hospital readmission rates within a 30 day period for the same diagnosis. Espinoza likens the idea to a TV Manufacturer, say Sony for example.  Sony uses lots of different vendors for the parts...

Caregivers often don’t recognize when they are in over their heads until they reach a breaking point.  Short-term the caregiver can handle it. Long-term, help is often needed. A typical pattern with an overloaded caregiver may unfold as follows: 1 to 18 months - the caregiver is confident, has everything under control and is coping well. Other friends and family are lending support. 20 to 36 months - the caregiver may be taking medication to sleep and control mood swings. Outside help dwindles away and except for trips to the store or doctor, the caregiver has severed most social contacts. The caregiver feels alone and helpless. 38 to 50 months - Besides needing tranquilizers or antidepressants, the caregiver's physical health is beginning to deteriorate. Lack of focus and sheer fatigue cloud judgment and the caregiver is often unable to make rational decisions or ask for help. It is often at this stage that family or friends intercede and find other solutions for care. This may include respite care, hiring home health aides or putting the disabled loved one in a facility. Without intervention, the caregiver may become a candidate for long term care as well. At Home Care Solution provides nurse case management, social worker case management, and high quality certified nursing assistants, home health aides and caregivers to assist when families become overwhelmed.  We provide care on an hourly basis and we specialize in high quality and affordable live-in care for 24 hour peace of mind. With the holiday season upon us, caregivers feel even more stress -- with planning, shopping and participating in holiday activities. This is a perfect time for family and friends to step up and provide some respite time and caregiving help.  Whether it is provided personally or arranged as a gift of services to be provided by a professional respite company or home care provider, it is a welcome gift. An article in “Today’s Caregiver” states: “Nearly one in four caregivers of people with Alzheimer’s disease and other dementias provide 40 hours a week or more of care. Seventy-one percent sustain this commitment for more than a year, and 32 percent do so for five years or more. One of the best gifts you can give someone caring for Alzheimer’s is something that provides a bit of respite and relieves the caregivers stress. The Gift of time: Cost-effective and truly meaningful gifts are self-made coupons for cleaning the house, preparing a meal, moving lawn/shoveling driveway, respite times that allow the caregiver time off to focus on what he/she needs.” It is also important to note that hiring professional care provider services can provide valuable ongoing support to an overloaded caregiver. A financial planner, care funding specialist or a reverse mortgage specialist may find the funds to pay for professional help to keep a loved one at home. A care manager can guide the family and the caregiver through the maze of long term care issues. The care manager has been there many times -- the family is experiencing it for the first time. An elder law...

This past month At Home Care Solution teamed with Lorian Home Health Care, CVS pharmacy and other CAHSAH certified home care agencies in San Diego County to celebrate everyday heros in the home. As part of National Home Care month, parties were thrown across San Diego County at various CVS stores and 8 family and unpaid caregivers were awarded a combined $4000. [caption id="attachment_84" align="alignright" width="300"] Christy Stevenson gives a five minute makeover.[/caption]   At Home Care Solution helped to organize the party at the Encinitas CVS, where Christy Stevenson of Charisma by Christy donated her skills as a make up artist to give five minute make-overs. Diana Harvey of Healing Hands donated chair massages, which led to big smiles and relaxed shoulders. [caption id="attachment_81" align="alignleft" width="300"] Diana Harvey of Healing Hands provides a much needed back break.[/caption]   Denise Callas, Nursing Supervisor for At Home Care Solution, gave free blood pressure screenings. It was a fun afternoon that gave a much needed break to men and women who typically give care and rarely get care for themselves. The person recognized at the Encinitas party was Linda, a mother of four who is caring for her parents with chronic illness.  She was given a $500 prize and said, "Having just lost my car, everyday is a challenge, this money is so unexpected, thank you all." At Home Care Solution would like to thank CVS, Lorian Home Health, Christy Stevenson and Diana Harvey for donating their time and expertise to this worthwhile event. If you or someone you love needs home care in San Diego CA, remember to select a CAHSAH certified agency, such at At Home Care Solution.  CAHSAH certification means the agency screens and monitors its employees, has worker's compensation insurance, general liability and employee bonding, puts rates in writing and gets each employee screened for TB. For more information, visit CAHSAH online.    ...

“I found that when I didn’t have pain, I could forget I had cancer" - Cancer patient Chronic or excessive pain does not need to be part of aging, healing, or dying, a fact that Timothy Corbin, M.D. expressed to a crowd of nurses and social workers who gathered to learn more about alleviating pain. "Sometimes pain relief medications have scary names, which makes family members or patients want to avoid them," explained Dr. Corbin.  But the fear is needless, he commented. [caption id="attachment_68" align="alignright" width="300"] left to rt: Aviara's William Adams & Connie Garcia, Timothy Corbin, MD, Lauren Reynolds, At Home Care Solution & Aviara's Ana Morfin[/caption] Dr. Corbin is a hospitalist and palliative care consultant with Scripps Memorial Hospital, Encinitas, and he's also Regional Medical Director of The Elizabeth Hospice.  He spoke at a continuing education seminar for nurses, social workers, fiduciaries and nursing home administrators.  The seminar was held at Aviara Healthcare Center in Encinitas and was sponsored by Aviara and At Home Care Solution. Dr. Corbin explained that pain is the most common symptom of illness, and that unrelieved pain interferes with healing and diminishes quality of life. Sadly, he said that many dying patients continue to suffer from unrelieved pain during their last months  of life.  He also pointed out a 2007 Meta-Analysis which found pain present in 64% of patients with advanced cancer.  Additionally, he sited a JAMA study which said that 25% of long term care patients who complain of pain receive no treatment. The good news is that most pain during the terminal phase of life can be controlled relatively easily.  Dr. Corbin cited prescribing Morphine on a 24 hour schedule as one of the basic techniques of pain control in a palliative setting. One common concern about morphine at the end of life is a fear of addiction, which Dr. Corbin called an undue concern.  He pointed out that physical dependence is an expected result of long term use but should not be confused with addiction. He recommended increasing the dose of pain medications if they don't start working within a short period of time and said that the types of medications given should increase in strength if the first options do not provide relief. The nurses, social workers and fiduciaries in the audience appreciated learning about how to advocate for their patients and clients who are suffering with pain. At Home Care Solution is a California approved provider of continuing education. We would like to thank Aviara Healthcare Center, Dr. Corbin, and The Elizabeth Hospice of Escondido for providing this important information on elderly pain management as a service to our community. Contact us or read our blog to learn more about the importance of medication management for seniors. ...