Florida Elder Care

🤔 **Medicare or Medicare Advantage: Which is Right for You?** 🤔

Choosing the right Medicare coverage can be confusing! Let's break down the key differences between Original Medicare and Medicare Advantage to help you make an informed decision.

➡️ Original Medicare (Parts A & 😎

👍 Upsides:
* Flexibility: See any doctor or hospital that accepts Medicare nationwide.
* No referrals needed for specialists.
* Can add a Medigap plan for extra coverage and predictable costs.

👎 Downsides:
* Doesn't usually cover prescription drugs (need a separate Part D plan).
* May have higher out-of-pocket costs without a Medigap plan.
* Doesn't typically include extra benefits like dental or vision.

➡️ Medicare Advantage (Part C)

👍 Upsides:
* Often includes prescription drug coverage.
* May offer extra benefits like dental, vision, or gym memberships.
* Can have lower monthly premiums.
* May have a cap on out-of-pocket costs.

👎 Downsides:
* Network Restrictions: You typically need to use healthcare providers within the plan's network, limiting your choices compared to Original Medicare.

* Referrals and Prior Authorizations: You may need referrals to see specialists or get pre-approval for certain services or procedures.

* Limited Coverage Outside Your Area: If you travel frequently, you might have limited or no coverage outside your plan's service area.

* Plan Changes: Plans can change their benefits, provider networks, and premiums each year, requiring you to review your plan during the annual enrollment period.

* Potential for Higher Out-of-Pocket Costs: While some plans have lower premiums, others might have higher copayments, coinsurance, or deductibles, especially if you use out-of-network providers or need services not covered by the plan.

Dementia Caregivers, you're not alone.

Caring for someone with dementia is a challenging journey. The GUIDE dementia program offers support, education, and resources to help you navigate this path.

Learn how we can help you provide the best possible care for your loved one.

Palm Beach Elder Care is Selected by Centers for Medicare & Medicaid Services to Test Medicare Dementia Care Model

Guiding an Improved Dementia Experience (GUIDE) Model Aims to Increase Care Coordination, Support for Caregivers

Today, Palm Beach Elder Care announced they have been selected by the Centers for Medicare & Medicaid Services (CMS) to participate in a new Medicare alternative payment model designed to support people living with dementia and their caregivers. Under CMS’ Guiding an Improved Dementia Experience (GUIDE) Model, Palm Beach Elder Care will be one of almost 390 participants building Dementia Care Programs (DCPs) across the country, working to increase care coordination and improve access to services and supports, including respite care, for people living with dementia and their caregivers.

“CMS is excited to partner with Palm Beach Elder Care under the GUIDE Model,” said CMS Administrator Chiquita Brooks-LaSure. “GUIDE is a new approach to how Medicare will pay for the care of people living with dementia. The GUIDE participants are envisioning new ways to support not only people living with dementia, but also to reduce strain on the people who care for them, so that more Americans can remain in their homes and communities, rather than in institutions.”

Launched on July 1, 2024, the GUIDE Model will test a new payment approach for key supportive services furnished to people living with dementia, including: comprehensive, person-centered assessments and care plans; care coordination; 24/7 access to an interdisciplinary care team member or help line; and certain respite services to support caregivers. People with dementia and their caregivers will have the assistance and support of a Care Navigator to help them access clinical and non-clinical services such as meals and transportation through community-based organizations.

Palm Beach Elder Care participation in the GUIDE Model will help people living with dementia and their caregivers have access to education and support, such as training programs on best practices for caring for a loved one living with dementia. The GUIDE Model also provides respite services for certain people, enabling caregivers to take temporary breaks from their caregiving responsibilities. Respite is being tested under the GUIDE Model to assess its effect on helping caregivers continue to care for their loved ones at home, preventing or delaying the need for facility care.

GUIDE Participants represent a wide range of health care providers, including large academic medical centers, small group practices, community-based organizations, health systems, hospice agencies, and other practices.

This model delivers on a promise in the Biden Administration’s Executive Order on Increasing Access to High-Quality Care and Supporting Caregivers and aligns with the National Plan to Address Alzheimer’s Disease. For more information on CMS’ GUIDE Model, please visit: https://www.cms.gov/priorities/innovation/innovation-models/guide.

Guiding an Improved Dementia Experience (GUIDE) Model | CMS Secure .gov websites use HTTPSA lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need a break from caregiving? Respite care can help!

Caring for a loved one is rewarding, but it can also be exhausting. Respite care offers temporary relief for caregivers, allowing you to recharge while your loved one receives professional care.

In Florida, respite care coverage can vary depending on your situation. Here's what you need to know:

Long-Term Care Insurance: Might cover respite care. Check your policy for details.

Medicaid Waiver Programs: May offer respite care for eligible individuals.

Florida Project R.E.L.I.E.F.: Provides FREE in-home respite care for caregivers of those with Alzheimer's or dementia.

Veterans Benefits: Respite care may be available through the VA.

Don't forget to contact your health insurance provider to explore potential coverage options.

For more information on respite care resources in Florida, visit the Department of Elder Affairs website: [https://elderaffairs.org/programs-services/caregiving/respite-for-elders-living-in-everyday-families-relief/](https://elderaffairs.org/programs-services/caregiving/respite-for-elders-living-in-everyday-families-relief/)

Remember, you're not alone! Take care of yourself so you can continue to care for your loved one.

Respite for Elders Living in Everyday Families (RELIEF) - DOEA The RELIEF Program offers in-home respite that is an expansion of respite currently available through other programs, including evening and weekend respite. The purpose of this service is to increase the ability of a family unit to continue to care Read More ...

💪 **Why Building Muscle Isn't Just About Looks** 💪

Did you know that having more muscle could actually help you live longer? 😮 It's true! Studies have shown that folks with higher muscle mass are less likely to face health issues as they age.

Not only that, but muscle can help prevent those nasty falls that can lead to serious problems. 🤕 So, it's not just about looking good at the beach – it's about staying strong and healthy for the long haul.

The key is to make building and maintaining muscle a regular part of your life. It's like brushing your teeth – a little effort each day can make a huge difference. 🏋️‍♀️

So, what are you waiting for? Let's get those gains!

Social isolation and loneliness are growing public health issues, particularly affecting older adults. 😔 While being alone doesn't always equate to loneliness, the two are often linked. Loneliness can impact physical and mental health, increasing the risk of heart disease, dementia, and depression. 💔

But there's hope! 💪 Building social connections is key to combating these issues. Let's prioritize spending time with loved ones, joining community activities, or even exploring online groups. Together, we can create a more connected and supportive world for everyone. 🤝

Here are 10 common signs of caregiver burnout when caring for someone with dementia:

1. Exhaustion and Sleep Problems: Feeling physically and emotionally drained, even after rest. Difficulty falling asleep or staying asleep.

2. Changes in Mood: Experiencing increased irritability, frustration, sadness, or feelings of hopelessness and overwhelm.

3. Social Withdrawal: Isolating yourself from friends and activities you used to enjoy.

4. Neglecting Your Own Needs: Skipping meals, not exercising, or ignoring your own health concerns to focus solely on your loved one's care.

5. Anxiety and Worry: Feeling constantly worried about your loved one's safety, potential worsening of their condition, or your own ability to cope.

6. Anger or Resentment: Feeling resentment towards the person with dementia, yourself, or other family members for the burden of care.

7. Increased Health Problems: Developing new health issues or worsening of existing ones (headaches, stomach problems, high blood pressure).

8. Difficulty Concentrating: Having trouble focusing on tasks, making decisions, or remembering things.

9. Substance Use: Turning to alcohol, drugs, or overeating as a way to cope with stress.

10. Thoughts of Hurting Yourself or Your Loved One: This is a serious sign that you need immediate professional help.

Did you know that a shocking 92% of people with mild cognitive impairment and over half of those with dementia go undiagnosed?
Early diagnosis is crucial for getting the right care and support. If you or a loved one are experiencing changes in memory or thinking, don't hesitate to talk to a doctor.

Feeling Stressed as a Caregiver? These Tips Can Help

Caring for a loved one with Alzheimer's can be overwhelming. Here are some ways to manage stress and take care of yourself:

1. Get Help! Community resources can lighten your load: adult day programs, in-home assistance, visiting nurses, even meal delivery!
2. Connect for Support: Caregiver support groups, the 24/7 Helpline (800.272.3900), or online communities offer comfort and advice.
3. Relax & Recharge: Simple techniques like deep breathing, meditation, or a walk can do wonders.
4. Move Your Body: Even a little exercise boosts mood and reduces stress.
5. Don't Go It Alone: Respite care gives you a much-needed break.
6. Care for Yourself, Too: Doctor visits, healthy eating, and rest make you a better caregiver.

Our geriatrics medical team is here to help!

Caring for a loved one can be overwhelming. Are you experiencing caregiver stress? Here are 10 signs to watch for:

1. Denying the reality of the situation: "I know things will get better, they have to."
2. Frustration and anger: "Why won't they just cooperate? They're doing this on purpose!"
3. Feeling isolated: "I don't have the energy for friends or hobbies anymore."
4. Worrying about the future: "What will I do when I can't handle this alone?"
5. Feeling hopeless and depressed: "It doesn't matter what I do, nothing changes."
6. Exhaustion that won't quit: "I'm too tired to even think straight."
7. Trouble sleeping: "My mind won't shut off. What if something happens?"
8. Short temper and irritability: "I snapped at them today, and I feel awful."
9. Losing focus: "My memory is shot, and I keep making mistakes."
10. Your own health is suffering: "I haven't had time to take care of myself."

If this sounds like you, you're not alone. Caregiver stress is REAL. Reach out to our medical team with expertise in geriatrics for help and support – you deserve it!

Exciting development in Alzheimer's research!

A new study published in Nature suggests that certain blood tests might be able to detect Alzheimer's and other forms of dementia early, even before symptoms appear. This could potentially happen up to 15 years before a traditional diagnosis!

Researchers analyzed over 52,000 blood samples and identified specific proteins linked to dementia and Alzheimer's. This opens doors for potential early detection and intervention strategies.

Want to learn more? Talk to our geriatrics team for insights and information.



Source:

Guo, Y. et al. Nature Aging https://doi.org/10.1038/s43587-023-00565-0 (2024)

Six Tips To Make Mealtimes Easier for People With Alzheimer’s Disease

www.nia.nih.gov

10 Key Points for a Longer, Healthier Life:

1. Nourish your body: Prioritize a balanced diet rich in fruits, vegetables, whole grains, and lean protein. Limit processed foods, sugary drinks, and excessive saturated and unhealthy fats.

2. Move your body: Engage in regular physical activity, aiming for at least 150 minutes of moderate-intensity exercise or 75 minutes of vigorous-intensity exercise per week. Find activities you enjoy, like walking, swimming, dancing, or sports.

3. Maintain a healthy weight: Excess weight puts strain on your body and increases the risk of chronic diseases. Aim for a healthy Body Mass Index (BMI) and manage your weight through balanced diet and exercise.

4. Don't smoke: Smoking is the leading cause of preventable death. Quitting smoking, regardless of when you start, significantly improves your life expectancy and overall health.

5. Limit excessive alcohol consumption: Excessive alcohol intake can damage organs and contribute to various health problems. Drink moderately, if at all, and follow recommended guidelines.

6. Prioritize sleep: Aim for 7-8 hours of quality sleep each night. Regular sleep deprivation disrupts hormones, weakens immunity, and increases health risks.

7. Manage stress: Chronic stress can negatively impact your physical and mental health. Practice stress-management techniques like meditation, yoga, spending time in nature, or hobbies you enjoy.

8. Engage in social connections: Strong social bonds contribute to happiness, well-being, and even longevity. Nurture relationships with family, friends, and community.

9. Regular preventive healthcare: Schedule regular checkups with your doctor, get recommended screenings, and manage any existing health conditions effectively.

10. Positive mindset: Cultivate a positive outlook and maintain a sense of purpose in life. Optimism and gratitude can improve your emotional well-being and potentially boost your health.

Here's a deeper dive into some common behavioral disturbances related to dementia and strategies for caregivers, exploring each beyond the initial points:

1. Memory Loss:

Embrace technology: Utilize memory aids like smartphone apps, calendars, and electronic notepads. Create digital photo albums to spark reminiscing.
Structure the environment: Label drawers, cupboards, and personal belongings. Establish consistent routines for daily tasks, offering familiarity and comfort.
Engage in memory-boosting activities: Play memory games, sing familiar songs, and revisit places from the past. Encourage storytelling and conversations about personal history.

2. Confusion and Disorientation:

Minimize environmental changes: Maintain the same furniture placement, color schemes, and decorations. Use large clocks and calendars with clear displays.
Provide personalized cues: Place photographs of loved ones and familiar objects in their room. Use simple, step-by-step instructions for daily tasks.
Address sensory impairments: Ensure adequate lighting, address hearing problems with hearing aids, and reduce background noise for better processing.

3. Wandering:

Create safe boundaries: Install childproof locks on doors and cabinets. Consider GPS trackers or alarm systems for added security.
Offer alternative outlets for exploration: Designate a safe walking area indoors or outdoors, like a secure garden or enclosed patio. Encourage supervised walks in familiar neighborhoods.
Address underlying causes: Wandering can be triggered by pain, anxiety, or unmet needs. Seek professional help to identify and address any underlying physical or psychological factors.

4. Repetitive Behaviors:

Understand the function: Repetitive behaviors may provide comfort or security. Observe and try to understand the underlying function before intervening.
Offer gentle redirection: Introduce new activities or distractions calmly. Encourage participation in group activities or physical exercise.
Seek therapeutic strategies: Occupational therapists can suggest adapted activities and calming techniques to manage repetitive behaviors.

5. Anxiety and Agitation:

Identify triggers: Loud noises, crowded spaces, or changes in routine can trigger anxiety. Observe and avoid potential triggers whenever possible.
Promote relaxation techniques: Encourage deep breathing exercises, gentle stretching, and mindfulness practices. Create a calming environment with soft music and dim lighting.
Provide reassurance and validation: Listen patiently, acknowledge their feelings, and offer calming words and physical comfort.

The FINGER study in The Lancet found a powerful way to slow cognitive decline and stay independent longer: a combo of healthy habits! ️‍♀️🩺

The recipe:

-Diet: Nourish your brain with the right fuel.
-Exercise: Get your heart pumping and neurons firing. ‍♀️‍♀️
-Brain training: Keep those mental muscles sharp.
-Cardiovascular care: Manage heart health for overall brain benefits.

The result: You could delay cognitive decline and maintain independence for longer.

Ready to level up your brain game? Share this tip with your loved ones and spread the word!

If you are 65 or older, here is why just seeing primary care doctor is not enough and must be seen by geriatrician when it comes to caring for older adults. Here are five things that geriatricians can do which primary care doctors might not specialize in:

1. Specialized knowledge: Geriatricians have extensive training in the unique health needs and conditions that affect older adults. They are well-versed in addressing complex medical issues and managing multiple chronic conditions commonly found in geriatric patients.

2. Deep Understanding of Age-Related Changes: Geriatricians are extensively trained in the physiological, psychological, and social changes that occur with aging. They can recognize subtle variations in symptoms that might be missed by a primary care doctor unfamiliar with these specificities. This deep understanding allows them to diagnose and manage age-related conditions like memory loss, frailty, falls, and geriatric syndromes with greater accuracy and effectiveness.

3. Comprehensive assessment: Geriatricians conduct comprehensive geriatric assessments to evaluate a patient's overall health, functional abilities, cognitive function, and social support systems. This holistic approach allows them to identify specific age-related challenges and develop tailored care plans.

4. Medication management: Older adults often take multiple medications, which can lead to medication interactions and adverse effects. Geriatricians have expertise in optimizing medication regimens, minimizing polypharmacy, and reducing the risk of medication-related complications.

5. Geriatric syndromes: Geriatricians are trained to recognize and manage geriatric syndromes such as falls, frailty, urinary incontinence, delirium, and dementia. They can provide specialized interventions and coordination of care to improve the quality of life and functional status of older adults.

6. Palliative and end-of-life care: Geriatricians have a deep understanding of the unique needs and preferences of older adults facing serious illness or nearing the end of life. They are skilled in providing compassionate and comprehensive care, ensuring that patients receive appropriate support, symptom management, and coordination with hospice services.

7. Coordination of Care and Resources: Geriatricians play a crucial role in coordinating care between specialists, home care providers, and social services. They can advocate for their patients, navigate the complex healthcare system, and ensure a smooth transition between different care settings. This comprehensive approach optimizes care delivery and improves quality of life for older adults.

While primary care doctors can still provide valuable care to older adults, geriatricians offer specialized knowledge, skills, and approaches designed specifically for the unique needs of aging populations.

Recommended activities to support dementia patients and improve their quality of life.

Activities

Physical:
Go for walks or do simple exercises together.
Engage in dancing, swimming, or other activities they enjoy.
Participate in gardening, light housework, or other familiar tasks.
Social:
Play board games, puzzles, or card games.
Listen to music and sing along to familiar songs.
Watch old movies or TV shows they enjoyed in their younger years.
Attend social gatherings or events specifically for people with dementia.
Mental:
Read books, articles, or poems together.
Do crossword puzzles, Sudoku, or other brain-stimulating activities.
Engage in reminiscing and conversation about their past life.
Work on art projects like painting, drawing, or sculpting.
Sensory Stimulation

Visual:
Look at family photo albums or scrapbooks.
Use bright colors and contrasting patterns in their environment.
Enjoy nature walks or look at pictures of beautiful landscapes.
Watch calming videos or nature documentaries.
Auditory:
Listen to calming music or nature sounds.
Sing familiar songs or play musical instruments.
Use audiobooks or podcasts to engage their mind.
Participate in group singing or music therapy sessions.
Tactile:
Provide objects with different textures for them to touch and explore.
Offer hand massages or other forms of tactile stimulation.
Encourage gardening or playing with clay, dough, or other tactile materials.
Use weighted blankets or lap pads for calming and sensory input.
Products

Adaptive clothing and aids:
Clothes with easy-to-close zippers or Velcro fasteners.
Bathroom aids like grab bars and shower chairs.
Utensils with built-up handles and non-slip grip.
Medication organizers and reminder systems.
Sensory aids:
Fidget toys and fidget blankets for calming and sensory input.
Light-up toys and objects to stimulate visual interest.
Music players with familiar tunes to provide comfort and familiarity.
Aroma diffusers with calming scents like lavender or chamomile.
Technology:
Tablets with dementia-specific apps for games, activities, and communication.
GPS trackers for safety and peace of mind.
Video chat platforms to connect with family and friends.
Smart home devices to control lights, appliances, and temperature easily.
Environment

Create a safe and predictable environment:
Keep furniture and belongings in familiar places.
Label doors and drawers with pictures or words.
Use good lighting to avoid confusion and falls.
Minimize clutter and distractions.
Promote a calm and relaxing atmosphere:
Play calming music or nature sounds.
Use soft lighting and avoid harsh contrasts.
Provide opportunities for relaxation and quiet time.
Offer soothing activities like aromatherapy or massage.
It's important to remember that each person with dementia is unique and will respond differently to different activities and products. It's important to personalize their care and environment to meet their specific needs and preferences.

Here are some additional resources that you may find helpful:

Alzheimer's Association: https://www.alz.org/
National Institute on Aging: https://www.nia.nih.gov/
Dementia Society of America: https://www.dementiasociety.org/
Alzheimer's Society: https://www.alzheimers.org.uk/

Alzheimer's Society From day one of dementia, we'll be right here with you. For support and advice. For pushing for change, and for life-changing treatments and care.

The Census Bureau predicts that by 2034, there will be more people in the United States age 65 or older than under 18, for the first time in history. Our team will be there to help you aging with independence and dignity, being free from aches and pains or having the strength to play with their grandchildren.

Your insurance policy might cover the cost of LEQEMBI medication, which is specially made to slow down memory decline in individuals with mild cognitive impairment or mild Alzheimer’s dementia. If you or someone you care about has been experiencing any of the following symptoms, we strongly advise scheduling an appointment with our board-certified geriatrician for an early diagnosis of mild dementia. This can help prevent further decline in memory. Our dedicated team can assess your eligibility for coverage and offer additional guidance.

Watch out for these symptoms:
- Forgetting recent events, important details, or experiencing memory lapses.
- Having difficulty finding your way in familiar places or getting disoriented.
- Struggling to follow directions or understand instructions.
- Facing challenges in finding the right words, making grammar mistakes, or having trouble understanding others' speech.
- Having trouble with simple tasks, making poor decisions, or feeling confused.
- Engaging in impulsive behavior, taking risks, or struggling to learn from past mistakes.
- Undergoing changes in behavior, such as withdrawing, becoming irritable, or feeling depressed.
- Displaying behavioral changes like wandering, getting lost, or becoming aggressive.

To schedule an appointment or to learn more about LEQEMBI medication, please contact us at 5616851522 or send an email to [email protected]. We are dedicated to providing exceptional care and support to individuals with cognitive impairments.

We are eager to assist you or your loved ones in achieving better cognitive health.

-As people age, their cognitive abilities decline.

-Both cognitive and behavioral symptoms of mild cognitive impairment tend to change as the condition progresses, so it is important to go to the doctor regularly and take care of problems promptly.

-Regular visits allow the doctor to monitor any changes in the person’s condition and modify treatment strategies as necessary.

-A good relationship with the doctor can help prolong a person’s independence and preserve their brain health.