Amatulla's Home Care Services Inc.

Working with Amatulla at Nursing Homes

2010-05-19T01:03:12Z

I had beautiful times working at nursing homes, it was like having a second family, A second mother and father, second grandmother and grandfather, and second great-grandmother and great-grandfather.

What I like most about working at the nursing homes was being able to be my silly happy-go-lucky self while living my lifelong dream of caring for the elderly, disabled, and sick.

Working the career that I love really gave me the motivation of waking up bright and early and going to work on time with a first-class attitude which brings the best spirits out of all my residents.

As I entered the bedroom to get my resident’s dressed for the day I was singing, dancing and even rapping. I really loved to sing, rap and dance to the residents while dressing them for the day. Making my resident’s happy was a genuine way to make me happy.

I always came in their bedrooms with a beautiful smile on my face and wearing fascinating colors on my uniforms which stood out and that really made a huge difference.

All of my residents were cheerful. I know because they always told me they were cheerful and that meant the world to me, but more importantly my presents uplifted their spirits.

The residents at the nursing home really appreciated a down-to-earth your lady with little talent who is comfortable with just being herself and loving her career unconditionally.

The enjoyment I receive when I gave my residents TLC (Tender, Loving, Care) gives me a complete peace-of-mind.

On the day shift I would give beauty touch up such as pretty curls, haircuts, facial makeup’s, and even nail care. I would add astonishing colors to my resident’s nails of their choice, which would always do wonders to their personality by making them really zestful!

At night I would give back rubs, foot rubs and roller sets. Just adding my little touch of Love for my resident goes a long way.

Love your Elderly

2010-02-28T21:27:05Z

How hard is it for an individual to have compassion for their chosen career? We all hear horror stories of Nurses and STNA’s abusing those in their care, yet we hear no reason to their madness. As a human being, I myself have issues with nursing staff purposely hurting elderly, and I am appalled at what I see on the news.

It is time for people to start paying more attention to those loved ones that cannot fend for themselves. If we, as a whole, start asking more questions, doing surprise visits, then we can greatly impact the care that we feel our loved ones deserve.

So many times we get wrapped up in our own lives, that we don’t make the effort to visit our loved ones in a nursing facility. We assume that they are being cared for by the best in the field, but that is not always true.

Remember the old saying “You get what you pay for.” What we pay for are overworked nurses, understaffed facilities, and pissed off STNA’s. If we don’t make the effort, how much effort are total strangers going to make when it comes to the care of your mother, father, aunt, uncle or grandparent.

Reducing Stress and Coping Strategies in the Elderly

2010-02-23T00:07:01Z

One way you can reduce stress is to avoid it or escape the stress if possible. When a stressful event have little or no personal purpose or when there is little likelihood of having a positive outcome of the event, avoidance may be the best choice. It is often simpler and wiser to avoid stress than to endure it. When facing a major stressor, it is wise to eliminate as many smaller stressors as possible so that Energy is available to cope with the Major Problem.

When Stress cannot be avoided, when the person strongly believes he or she can affect the outcome, other methods can be used. Confrontational, Cognitive, and Problem-Solving methods are effective means of dealing with these types of stressful situations.

To use problem solving methods the person must first identify and examine his or her stressors. Once the stressors are identified, the importance to the Elderly Adult can be determined. Only then alternative actions to reduce the stress are Explored.

Examples, (An annoying person riding a train) and live with the consequences Confrontational), (move to another seat on the train (Escape), decrease contact with the stressor (Avoidance), or work to change the person’s attitude toward the annoying person (Emotional Distancing).

Ways to Reduce Stressors in the Elderly:

Concentration Meditation-A variety of activities focusing on breathing, body sensation, may keep the mind from worries and concerns that increase stress.

Movement Meditation-Activities such as yoga, tai chi, walking, or dancing use motions and focused attention to reduce both mental and physical stress.

Prayer and Reflection-Prayers and reflection used with your sacred verses or poems, either alone or in a group can reduce stress.

Message-Focused manipulation on muscles reduces tension, decreases pain, and promotes a bond of caring all of which reduce stress.

Stressful Life Events in the Elderly

2010-02-21T19:00:50Z

Stress and Illness are closely linked. Research has shown that both Mental and Physical Illness results in stress and can increase health problems in the Elderly. An elderly person is less able to cope with additional physical or psychological stressors, which take energy away from them and decrease the ability to Cope, Learn, Function, and Follow through with the Plan of Care.

Decreasing the number of Stressors can Prevent Illness and improve an elderly person ability to cope with Activities of Daily Living (ADL’s).

Stress has been shown to have negative effects on the elderly body system. Stress activates the sympathetic nervous systems (Fight-or-Flight Response) an elderly person under HIGH levels of stress is at increase of Angina, Heart Rhythm Abnormalities, and even Heart Attack.

Stress is in connection with Hypertension and may even increase the risk of having a Stroke. The Immune System is affected, increasing susceptibility to infections such as Pneumonia. Stress may also exacerbate sleep problems and often trigger painful Headaches and Muscle Spasms.

Elderly people differ in their ability to cope with stress. Those who do not learn to cope with normal day-to-day stressors cannot function normally when the stress is HIGH and the Elderly are at a very HIGH risk for becoming Physically and Mentally Ill.

Resident Rights vs. Family Choices

2010-02-11T23:50:50Z

The rights of a Legally Competent Resident always override what the family wants for their love one. If a competent resident choose to withhold any type of medical information from their family they have the right to do so, and they can have the staff withhold information from the family members also. Most residents do not do this but they have the right to withhold information if they choose.

The bottom line is residents have the Right to Privacy and Self-Determination. The family may desire to be informed and involved at all times, but if the resident does not want this the resident have the right to privacy, this may create a very Frustrating Situation, but please understand this from a legal Point of View.

All residents have the Right to Freedom of Religious, (Privacy), Political, and Sexual Practices, unless the resident Violates the rights of others. Family members do not have the federally ensured legal right that residents do.

Signs of Suicide in Nursing Home Patients

2010-02-12T00:00:46Z

While Older Adult age ripen so does the risk of Suicide in Nursing Home Patients. Older European males are at greater suicidal risk with increase of age. Caregivers and Nursing Home Staff should be aware of signs of suicidal behavior in residents. Here is what you should look for, as well as what you should do when you witness these signs and symptoms.

What to look for

Loss of Interest in common daily activities and relationships
Always feeling Helpless
Feeling trapped and having few options and No Good Choices
Not having any Hopes and Dreams about the Future
Feeling like a Burden to everyone or other thinking people would be better off without you
Talking about Suicide (Example: “I wish God would just take me”)
Any type of behavior that would Harm the Nursing Home Patient

What to do

If you see your love one showing signs or symptoms of suicide Tell the charge nurse of the nursing home that your love one is in or their doctor right away. The physician will probably put the patient on Suicide Precautions and ask for an urgent psychiatric evaluation.

This is an extremely important situation that you defiantly Do Not want to Ignore, so please if you notice any of the following signs or symptoms that were mentioned above report it immediately you might just save a life.

Signs of Abuse, Neglect, or Exploitation in the Elderly

2010-02-09T16:59:54Z

Being dependent on a caregiver is bad enough; the following symptoms may indicate that Abuse, Neglect, or Exploitation of the care receiver has taken place-a very serious situation. Please by all means take these signs very seriously. Never, ever Ignore these signs:

Physical Symptoms

Bruises, fractures, burns, or “impossible” injuries (for example a Dislocated arm in a Bed Rest Patient)
Dehydration or malnutrition residents
Exposure injuries (for example, Hypothermia)
Medication given improperly

Psychological Symptoms

Hyper vigilance (“hyper-alertness”)
Not concern with what the caregiver wants
Develop new fears and phobias
Persistent signs of being upset when the caregiver arrives (for example, pleading that you do not leave me alone)

Financial Signs

Unexplained withdrawals from checking or savings accounts
Disappearance of valuables
Unnecessary services have been ordered
Change in caregivers legal and financial status
Unusual contributions to charities

You have an obligation to report abuse, neglect, or exploitation if you see the signs or symptoms in a caregiver. You will not only protect your love ones you will protect others, future care receivers that might be harmed. If you detect any of the above signs that were mentioned earlier please report it immediately.

How to Choose an Independent Provider for your Loved One

2010-01-31T02:42:16Z

When you find an Independent Provider, how do you evaluate the quality of their services? The very First thing you do is to meet with them personally.

There’s nothing like a face-to-face interview to help you determine a potential Independent Provider for your loved one.

Second, you should check their references and credentials. Everything should be in order no- flaws, no-excuses.

Third, ask other people about the Independent Provider’s performance. Past clients are the best source of information. Finally, trust your instincts, your inner feelings and thoughts. If you feel bad about anything then it probably is bad.

When you begin the evaluation process you can take this check list with you. This check list will make sure that you cover all the important issues.

Don’t be ashamed to thoroughly evaluate the Independent Provider services. Any good Caregiver will appreciate a thorough interview of their services. The caregiver will be impressed that you mean business.

In your evaluation you should cover a quick summary of topics such as:

How long have you been in the area?
What are your customer satisfaction ratings?
Can you guarantee a backup provider?
What are the procedures of addressing complaints or problems?
Were you trained at an accredited institution?
Are you licensed in your profession?
What professional groups or organizations do you belong to?
How long have you been doing this kind of work?
Have you ever been accused or convicted of a crime?

10. Have you received any awards for your work?

11. Do you have professional business partners whom you can turn to in short notice, in case an emergency should happen?

In return an excellent Independent Provider/Care Giver should have at least six good qualities.

A professional appearance
Good observational skills
Good communication skills
Quiet self-confidence
An open mind
A sense of Humor

As a Professional Independent Provider at Amatulla’s Home Care Services, I know to expect the unexpected. Clients are often stressed and even Cranky. Accidents happened food gets spilled on the floor, clothes get soiled, and sometimes equipment gets broken.

But you have to understand that is why you are assisting them with Activities of Daily Living (ADL’s) because they need assistant with everyday living.

How to Choose the Right Adult Family Home For Mom or Dad

2010-02-08T18:09:08Z

Maybe it happened without warning, or maybe the signs and symptoms were there for some time now. But the day has defiantly arrived: your loved one just cannot live at home alone anymore. This is a Devastating and Emotional Journey and everyone has a million questions to ask about this change in life.

How do I know if my mother really needs to live in an Adult Family Home?

How can I convince my family that an Adult Family Home is the Right Option?

Where can I find a good Adult Family Home for my spouse?

How do I find the right Adult Family Home for my loved one?

Where will we find the Money to pay for this Adult Family Home?

When someone you Love needs an Adult Family Home to provide care and Activities of Daily Living (ADL’s) for them. Amatulla’s Home Care Services is the 1^st and best choice to make.

We are Professional Home Care Providers and we provide care with Dignity and Compassion. Amatulla’s Home Care Services in currently Seeking Ohio Medicaid Waiver clients to live in a Model Suburban Shaker Heights Adult Family Home.

Services Include: Promotes independent living, furnished home, assists with Activities of Daily Living, three meals a day, snacks and refreshments, laundry, monitoring medication, security, cable television, telephone services, close to RTA, rapid routes and shopping, and it has wheelchair accessibility.

Caring for the Elderly with Cancer in Adult Family Homes

2010-01-29T22:47:38Z

As an Independent Provider at Amatulla’s Home Care Services we provide professional care that is needed for caring for people with Cancer. The role of a Care giver in Cancer Care has very well increased tremendously.

People with Cancer are living much longer, and treatment for Cancer patients that once was done at hospitals are being giving in the comfort of their very own homes or Adult Care Homes of their choice.

Cancer patient may be discharged early from the hospital, most of the time while they are still experiencing a lot of pain, discomfort, and many other side effects from the many different treatments or procedures that were preformed in the hospital.

Caregivers unexpectedly have to perform many different tasks that are usually done by Doctors or Nurses, such as administering medications, monitoring symptoms, and hooking up intravenous antibiotics.

Whether or not the Caregiver is a Spouse, Relative, Adult Child, or even a Good Friend of the Family, this person fills a vital role-one that requires a lot of Humanity, Strength, and Courage, as well as Knowledge about health care issues.

Amatulla’s Home Care Services is an Adult Family Home that provides Professional Health Care for the Elderly, Disabled, and Sick we are a loving family a Home away from Home.

Hoyer Lift Training at Amatulla’s Home Care Services

2010-01-19T19:54:01Z

It was a Fantastic day at Amatulla’s Home Care Services Adult Family Home! Today we went over an exciting review on How to Properly use a Hoyer Lift.

Roll the resident completely on their side, then center the Hoyer Sling under the resident with the bottom of the sling directly at the knees. Properly position half of the sling flat under the resident’s back with the other half bunched against the center of the resident’s back. Roll the resident the other way, then straighten out the bunched-up portion of the sling. This procedure places the Hoyer Sling completely flat under the resident without lifting.

(HINT: Right is Tight/Close – Left is Loose/Open)

First you raise the boom of the Hoyer Lift after closing the hydraulic valve. Spread the Hoyer Lift’s legs and roll the legs under the bed so the boom is over the resident.

Release the hydraulic valve control to lower the chains to attach the Hoyer Sling. Gently attach the Hoyer Hooks to the Hoyer Sling. Always attach the shorter chains to the shoulder; on the other hand attach the longer chains to the hooks near the legs.

Close the hydraulic valve control, and then pump the boom up so the resident will be raised up in the air directly over the bed. Make sure the Hoyer Sling is positioned properly under the resident so he/she will not fall. Always have the resident rest their arms on the stomach or inside of the sling.

Maneuver the Hoyer Lift slower away from the bed. While the other caregiver is guiding the resident’s body, with caution maneuver the resident directly over the wheelchair and lock the wheels.

Open the hydraulic valve control with caution and lower the resident into the wheelchair. Always make sure that the patient is completely positioned with the bottom is comfortably sitting completely to the back of the wheelchair. Finally remove the Hoyer Hooks from the Hoyer Sling, which will remain under the resident until the resident goes back to bed, at that time you will reverse this same procedure.

Antidepressants Medications that are used in Adult Family Homes

2010-01-17T02:30:27Z

Antidepressants are used to treat Depression. Most Antidepressant medication takes about ten days to three weeks to start working. You should not expect your client symptoms of depression to change immediately to the antidepressant medication that the doctor has prescribed him/her.

There are many types of Antidepressant Medications. Most Antidepressant Medications are called Tricyclics, because they have Three-Cycle Structures.

This is a list of some of the Antidepressants Medications Generic Names and their common “Trade Names:”

Amitriptyline, Elavil, Endep; Imipramine, Tofranil, Presamine; Amooxapine, Asendin; Nortipyline, Pamelor, Aventyl; Desipramine, Pamelor, Aventyl; Protripyline, Vivactil, Maprotilene, Ludiomil; Trazodone, Desyrel; Nefazodone, Serzone; Velafaxine, Effexor

It is extremely important to know all the signs of possible overdose if you notice any of the following signs please report to your primary physician immediately.

Different Types of Psychotropic Medications used in Adult Family Homes

2010-01-16T01:22:38Z

The purposes for Antipsychotic drugs are to treat the sole purpose of Schizophrenia. These medications help to reduce Hallucinations, Delusions, and Illogical Thinking.

There are many types of antipsychotic drugs, and each has different jobs. Some require very low doses to achieve the desired effect, while other antipsychotic medications require large doses.

Some medications work differently than other medications and will depend on many different factors. Each resident’s medication type and dosage have to be individually measured. This may take a lot of time because many types of medications have to be tried before an effective drug and dosage are found.

The type and dose of medications will depend on many factors such as height, weight, activity, diet, physical health, other medications that may be taken at the same time, speed of digestion, body fat etc.

This is a list of some of the Psychotropic Medications and their common “Trade Names:”

Chlorpromazine, Thorazine; Thiothixene, Mellaril; Thiothixene, Navane; Haloperidol, Haldol, Loxapine, Loxitane; Molindone, Moban; Mesoridazine, Serentil; Perphenazine, Trilafon, Trifluoperazine, Stelazine; Chlorprothixane, Taractan; Fluphenazine Hydrochloride Prolixin; Risperidone, Risperdal.

Facts about Psychotropic Medications in Adult Family Homes

2010-01-13T01:10:26Z

Psychotropic medications do not cure mental illness, nor do they solve all symptoms that your resident may have. All psychotropic medications have side effects. All psychotropic medications are very dangerous if taken in too large of a dosage.

Individual residents will vary widely in their side effects to psychotropic medications. Mostly all psychotropic medications have a sedative effect; the medication may make the resident very drowsy.

In fact, your residents must use great caution while taken psychotropic medications, especially if they are using alcohol or are taking any other type of medications which is a sedative. (For example, some cold and cough medications are sedatives).

Any type of change in your resident’s mental or physical status could possibly be side effects of psychotropic medications, or could indicate a withdrawal. Change in mental or physical status could also indicate a toxic level of medication overdose.

When new medications are prescribed be sure to find out all side effects, as well as signs of an overdose. Notify the physician immediately if any of these signs are noticed.

Do your Mom or Dad sleep mostly all day or slur when they speak? What medications are they taken? Did you do your research on your parent’s medications that they are taken? If so what are the side effects? Do these drugs actually help reduce or treat hallucinations, delusions, or illogical thinking?

Please Subscribe to Amatulla’s Home Care Services subscription or give me a comment, I really need your feed back in this matter.

Nutrition Labels for the Elderly

2010-01-08T02:28:10Z

All foods in the grocery store must have a Nutrition Label on them, and ingredient list.

The Nutrition Label has “Nutrition Facts” at the top. This label will help you make good decisions about the foods you should purchase.

Serving Size- Your Serving Size should be the same as the one on the label. If you eat double the serving size listed on the label, you need to double the nutrient and calorie values.

Calories- The Calories that are listed are calories per serving.

Total Fat- Total Fat is also listed as per serving. A lot of people should cut back on their fat intake.

Saturated Fat- This is a type of fat that is a part of total fat in food. This is an important factor because it will raise your Blood Cholesterol and your risk of Heart Disease. PLEASE EAT LESS!

Cholesterol- Too much Cholesterol may lead to Heart Disease. Try your best to eat less than 300 mg. each day.

Sodium- Please keep your Sodium intake less than 2,000 to 3,000 mg. per day or less. Too much sodium may give you Hypertension.

Carbohydrates- Some Carbohydrates are in foods like breads, potatoes, fruits, and vegetables. Please eat these foods often they give you Nutrients and Energy.

Dietary Fiber- Fruits, vegetables, whole grain foods, beans and peas are all good sources of fiber and may reduce the risk of Heart Disease and Cancer.

Protein- Lots of people get more protein than they may need. Anywhere there is animal protein, there is also fat and cholesterol. Please eat small servings of lean meat, fish, and poultry. Use low fat milk, yogurt and cheese.

Vitamins and Minerals- Please get 100% of vitamins and minerals every day by eating a wider variety of foods with vitamins and minerals.

Daily Value- Daily Value is listed for people who eat 2,000-2,500 calories each day. If you eat more your daily value is higher than usual. If you eat less, your daily value is lower.

Please choose foods with low percent daily value for Fat, Saturated Fat, Cholesterol and Sodium.

Every Adult Family Home Must Have a First Aid Kit

2010-01-06T22:30:31Z

Amatulla’s Home Care Services Comply With the Following First Aid Kit Standard Rules.

Every Adult Family Home must have at least one First Aid Kit, ready and available, on the premises, easy to grab and ready for use in case of an emergency.

The First Aid Kit should include a list of contents it contains. In addition, keep in the First Aid Kit emergency phone numbers such as physicians, and the Regional Poison Control Center. If 911 is not available, include phone numbers for emergency services such as the local police, fire department and ambulance services.

NOTE: The Home Care Provider shall provide a locked area for all medications and information that your clients may have for any life-threatening allergies to food, medications or bee stings, include a list of allergies for each client, as well as all of the medications that your clients use.

In Every First Aid Kit the supplies are as follows:

One two-inch gauze roller bandage

One pair of scissors

One flashlight with good working batteries

One pair of tweezers

One emergency blanket

Antiseptic towelettes

Gauze pads

Adhesive tape

Antiseptic ointment

Disposable gloves

Plastic bags

One cold pack

One breathing barrier

Adhesive bandage strips in assorted sizes

Triangular bandages

All First Aid Kits must be refilled as needed.

Infection Control Precautions in Adult Family Homes

2010-01-05T15:34:28Z

As an Independent Home Care Provider for Amatulla’s Home Care Services we comply with the following Infection Control Precautions.

Hand Washing- Always wash your hands with soap and warm water before and after caring for a resident, after contact with contaminated items, after removing gloves, before preparing or eating food and after using the bathroom.

Gloves- Always use gloves with any contact of bodily fluid and handling soiled linen. Gloves are not necessary with casual contact with a resident. Always use disposable gloves and dispose them after each use with contact of a resident.

Disposal Waste- Place all contaminated trash, waste, tissues, diapers, sanitary napkins and dressings in a plastic bag. Dispose body fluids into the toilet, pouring directly in the toilet to avoid any splashing.

Needles- (For residents who administer their own injections) Be very cautious when disposing all needles in a puncture resistant container. Do not bend, break or recap needles after use.

Cleaning- Household detergents are very good for cleaning the house on the regular basis: floors, furniture, etc. Wash all dishes in hot soapy water.

Cleaning soiled linen that has bodily fluids: Clean with hot, soapy water. Always disinfect with a solution of one (1) part of household bleach to nine (9) parts of waters. (Note: use to clean counters, toilets, and floors).

Laundry- Keep soiled linen in a plastic bag. Add one (1) cup of bleach to hot, soapy water in the washing machine. If caregiver’s clothes are soiled same rule applies.

Masks/Eye Ware- If bodily fluids is likely to splash on the face wear eye protection and masks. (Protecting the mucus membranes of the mouth and eyes is necessary).

Amatulla’s Home Care Services Demonstrates CPR.

2010-01-03T23:13:05Z

CPR in Three Easy Steps: CALL, BLOW, PUMP

Check the scene to see if it is safe! Check the victim for consciousness. If there is no response, CALL 911 for help and return to the victim. In most situations emergency dispatcher can assist you with CPR instructions.

Tilt the head back and listen for breathing. If there is no breathing, pinch nose with your fingers and cover the mouth with your mouth, then BLOW until you see the chest rise. Give two breaths. Each breath should only take one second.

If the victim is still not breathing regularly, coughing or moving, begin chest compressions. PUSH down on the chest 1½ to 2 inches 30 times right between the nipples. Pump at the rate of 100/minute, faster than once per second.

Continue with 2 breaths and 30 pumps until help arrives. This procedure is the same for one-person or two-person CPR. In two persons CPR the person pumping the chest stops while the other gives mouth-to-mouth breathing.

PLEASE EVERYONE TRY TO ATTEND A CPR CLASS

Alcohol Abuse in the Elderly

2010-01-03T17:43:56Z

Among the elderly there are three forms of alcoholism: Chronic Alcohol Abusers are people who start drinking very heavy in their early twenties or thirties. As a result of their drinking they may survive to reach middle age while having ongoing medical, social and emotional problems.

Late-Onset Drinkers are people who was not heavy drinkers while they were younger or may not have done any drinking at all. They begin to drink later in their years of life as a result of a great loss or change.

Intermittent Drinkers are people who have been drinking back and forth for many years with no type of major problem. When faced with a problem they revert back to alcohol to try to cover up any problem they may have, but have the potential to progress rapidly into dependency.

Forgetfulness in the Elderly

2010-01-03T01:10:25Z

Most of the time residents know when something is wrong with their memory. When talking with a resident at your Adult Family Home use different techniques to decrease your residents’ anxiety. Use active listening, empathy, and non-verbal skills to show acceptance of the person.

Present only one idea at a time when talking about something to a resident then allow time for a response. Do things one step at a time and plan activities that are repetitive. Encourage your resident to do things for themselves when they are able to do so. And provide reminders of person, place and time.