Aging, Geriatrics / 29.01.2021

There are many types and levels of support available for senior citizens, ranging from wellness checks to full-time care. Start planning for your senior years and ensure you get the retirement you desire! Explore the possibilities and consider every option: test yourself with ‘what if?’ scenarios to help you make an informed and considerate choice.

Domiciliary care

Domiciliary care provides support with activities and hygiene regimes within your own home. Typically, domiciliary care provides a set number of hours of care per day; however, live-in domiciliary carers are also available to provide more intensive care. Choose a domiciliary care provider to support you in your senior years.

What are the benefits?

Domiciliary care promotes independent living and allows the service user to remain at home, which can be beneficial to wellbeing. The user also retains their independence with the ability to set their schedule (bathing, eating, and drinking) at a time that suits them. Implementing domiciliary care staff also has the advantage of both being a source of social interaction, as well as not interrupting your surrounding social life! In-home care is also very flexible, which means that your personalized plan can be adapted as needs change. (more…)
Author Interviews, Cost of Health Care, Geriatrics, Nursing / 11.12.2014

Karen Dorman Marek, PhD, MBA, RN, FAAN Bernita 'B' Steffl Professor of Geriatric Nursing Arizona State University College of Nursing & Health Innovation Phoenix, AZ Interview with: Karen Dorman Marek, PhD, MBA, RN, FAAN Bernita 'B' Steffl Professor of Geriatric Nursing Arizona State University College of Nursing & Health Innovation Phoenix, AZ 85004-0696 Medical Research: What is the background for this study? What are the main findings? Response: For many older adults, self-management of chronic illness is an overwhelming task, especially for those with mild cognitive impairment or complex medication regimens. The purpose of this study was to evaluate cost outcomes of a home-based program that included both nurse care coordination and technology to support self-management of chronic illness, with as an emphasis on medications in frail older adults. A total of 414 older adults, identified as having difficulty self-managing their medications, were recruited at discharge from three Medicare-certified home health care agencies in a large Midwestern urban area. A prospective, randomized, controlled, three-arm, longitudinal design was used. A team consisting of both Advanced Practice Nurses (APNs) and Registered Nurses (RNs) coordinated care to two groups: home-based nurse care coordination (NCC) plus mediplanner group and NCC plus the MD.2 medication-dispensing machine group. Major findings were:
  • Total Medicare costs were $447 per month lower in the NCC + mediplanner group (p=0.11) when compared to the control group.
  • For participants in the study at least 3 months, total Medicare costs were $491 lower per month in the NCC + mediplanner group (p=0.06) compared to the control group.
  • The cost of the NCC intervention was $151 per month, yielding a net savings of $296 per month or $3552 per year for the NCC + mediplanner group.
  • Participants who received the nurse care coordination intervention scored significantly better than the control group in depression (p < 0.001), functional status (p < 0.001), cognition (p < 0.001), and quality of life (p < 0.001) than participants in the control group.