July 2008    
Aunt Ann's Home Care Newsletter
In This Issue
Falls Fill Up ER
Not Following Doctor's Orders?
Abuse Stays in the Family
The CDC Recommends
Ladies, Have an Aching Back?
Try Tai Chi!
Extra Calories Up Dementia Risk
Recipe
Fall Prevention Resources
Happy 4th of July!  This is the time of year that we celebrate our freedom, and reflect on what freedom means to us.  We are lucky enough to live in a country where we have the opportunity to create our destiny, and pursue our dreams. 
 
With that in mind, I would like to present our July Newsletter to you.  Our focus this month is Fall Prevention.  This is a hot topic these days as we are becoming more aware of how a fall in the elderly can have such a wide range of negative impacts on their lives, with the most critical being death.
 
Take a look, and educate yourself on how to prevent falls, and keep your loved one, patient or client safe so they have the freedom to enjoy all that life has to offer.  Also, remember that by calling Aunt Ann's Home Care when someone you care about needs help after a fall, you will benefit from 50 years of home care experience!  Our caregivers are carefully screened, covered by all insurances and payroll related expenses.  Our Nurse is here to customize  a care plan for the best possible outcome!
 
This month's recipe is meatloaf.  This is as American as apple pie, and brings to the table feelings of comfort and family.  This is a recipe that I created and I hope you will enjoy it too!  From our family to yours...
 
Kind Regards,
 
Marla Zelko
Community Relations Manager

 
Each year, U.S. hospitals have 300,000 admissions for broken hips, and falling is often the cause of those fractures

Balance exercises help avoid the disability - often permanent - that may result from falling. There is a lot of overlap between strength and balance exercises; very often, one exercise serves both purposes.

Any of the lower-body exercises for strength are also balance exercises. They include plantar flexion, hip flexion, hip extension, knee flexion, and side leg raise. Just doing regularly scheduled strength exercises will improve balance at the same time. However, doing strength exercises too often can do more harm than good. Simply do strength exercises, and incorporate balance techniques slowly.

Read more.
"Non-compliant" patients lead to advense outcomes

Recent studies show that more than 70% of patients do not receive recommended preventative care, while over 50% of chronic disease patients do not receive the follow-up care indicated by evidence-based guidelines.  According to results from the 2006 DOQ-IT Study and the 2005 HEDIS Study, patients who are "non-compliant" with preventative and follow-up care recommendations often fall off the radar screen, leading to adverse outcomes for the patients. New software is now available to physicians' offices that tracks recommended care from annual physicals, to diabetics getting their HbA1c checked, to vaccinations, immunizations, and health screenings. See www.phytel.com for more information on the software that automatically notifies patients of needed health care actions and tracks patients for compliance, while measuring quality. The study referenced can be found here:

http://www.mass.gov/
The National Committee for the Prevention of Elder Abuse estimates that more than a million elderly are abused or neglected in the U.S. each year

Most often, the culprit is a blood relative. It's estimated that 90 percent of elderly abuse is committed by family members -- with adult children making up 40% of that total and spouses comprising 27%. In Indiana, the Elder Crimes Task Force, in collaboration with the Monroe County prosecutor's office, Indiana Legal Services, and Bloomington Hospital, produced a DVD video called "Power of Attorney: What You Need to Know." It educates people on how to protect themselves when signing a power of attorney document, and on other matters, such as how to appoint a health care representative to make decisions regarding their health care should they become incapacitated.

The DVD can be purchased at www.savingourparents.com for $29.95.
Shingles vaccine recommended by the CDC

Officials at the U.S. Centers for Disease Control and Prevention (CDC) say people over age 60 should get the Zostavax vaccine to protect themselves from shingles. Researchers have found the vaccine cuts the occurrence of shingles by about 50% in people age 60 and older, and it reduces the risk by 64% in people ages 60 to 69. The CDC says people ages 60 years and older should get the single dose of Zostavax even if they have already suffered a bout of shingles.

Read more.
Women with vitamin D deficiency are nearly twice as likely to have back pain

Scientists at the University of Delaware have found that older women who have low levels of vitamin D may have a higher risk of suffering back pain. The researchers looked at blood levels of vitamin D in 958 people 65 and older. 58% of the women in the study, and 27% of the men, had at least moderate pain in some part of their body. For men, there was no relationship between vitamin D levels and pain. But the researchers found that women with vitamin D deficiency were nearly twice as likely to have back pain that was moderate or worse.

Read more.
 
Balance exercises improve stability, and help prevent falls

Studies suggest that tai chi may improve balance and help prevent falls in older adults. Tai chi is a noncompetitive, self-paced system of gentle physical exercise. Tai chi is performed standing with a defined series of postures or movements in a slow, graceful manner. Each movement or posture flows into the next without pausing. Long-term tai chi practitioners have improved knee joint stability, which aids in balance.

To review simple exercises that help in maintaining balance as one ages, visit:

http://www.mayoclinic.com/health/balance-exercises/SM00049
Just say "no" to those calories and reduce dementia risk

A recent study showed that obese people with a large waist size were the most likely to develop Alzheimer's. This new study found that keeping that fat on in your 40s could double or even triple your risk of Alzheimer's disease. Researchers looked at 6,583 people and followed their progress over 30 years. They found that those who had larger waists during middle age were in some cases 270% more likely to develop dementia than the people who had smaller waists. This remained true even if people did not have a body mass index (BMI) that qualified them as obese.

http://news.bbc.co.uk/2/hi/health/7314458.stm
 
Tradition of Caring
Aunt Ann's has had a tradition of caring since 1958. We would like to share one of our favorite recipes - from our family to yours.

Meatloaf
2 shallots chopped
3 cloves of garlic chopped
2 T olive oil
1 lb of ground beef
1 lb of ground pork
1 pack onion soup mix
1 egg
1.5 cups bread crumbs
1 t Worcestershire sauce
dash of salt and pepper
12 slices pepper jack cheese
 
Topping
1 small can tomato paste
2 T brown sugar
ð c. water
 
Heat the olive oil in a pan.  Saute shallots and garlic in olive oil until translucent.  Put the beef, pork, soup mix, egg, bread crumbs, Worcestershire sauce, salt and pepper in a bowl and mix until everything is incorporated.  Add the shallots and garlic.  Mix well.  Put half the mixture in a loaf pan.  Layer 6 slices of the pepper jack cheese on the half filled loaf pan.  Add the rest of the meat mixture into the loaf pan and layer the rest of the cheese on top. 
 
In a separate bowl mix the tomato paste, brown sugar and water together. Spread on top of meatloaf.
 
Bake at 400 for 45 minutes.  Let set for 10 minutes before serving.