This inspection took place on 17 September 2018 and was carried out by one inspector. The provider was given 48 hours’ notice of the inspection visit because it is a small domiciliary care agency and we needed to be sure that they would be in the office. We also needed them to get people’s consent for us to visit them at home or telephone them as part of the inspection.

Fast recognition and treatment can not only make the difference between life and death, but it can also decrease long-term disabilities. To develop a streamlined response to potential stroke patients, the American Heart Association developed the Stroke Chain of Survival. The chain involves eight links or steps to be taken by patients, family members, prehospital and emergency room personnel in caring for stroke patients.


Few of the ingredients that are used by Pantene are fragrance, Propylparaben, isobutene, Methylisothiazolinone, Bis-peg-4 Dimethicone, Octinoxate, Triisopropanolamine, Methylchloroisothiazolinone, Potassium Hydroxide, Benzyl Alcohol, Triethanolamine and many more. Due to their various available brands for hair products, Pantene is regarded as one of the top cosmetic brands in the world.
A distinction is generally made between medical and non-medical care, the latter not being provided by medical professionals and much less likely to be covered by insurance or public funds. In the US, 67% of the one million or so residents in assisted living facilities pay for care out of their own funds.[38] The rest get help from family and friends and from state agencies. Medicare does not pay unless skilled-nursing care is needed and given in certified skilled nursing facilities or by a skilled nursing agency in the home. Assisted living facilities usually do not meet Medicare's requirements. However, Medicare pays for some skilled care if the elderly person meets the requirements for the Medicare home health benefit. [39]

Blood tests. You may have several blood tests, which tell your care team how fast your blood clots, whether your blood sugar is abnormally high or low, whether critical blood chemicals are out of balance, or whether you may have an infection. Managing your blood's clotting time and levels of sugar and other key chemicals will be part of your stroke care.
In most western countries, care facilities for older adults are residential family care homes, freestanding assisted living facilities, nursing homes, and continuing care retirement communities (CCRCs).[8] A family care home is a residential home with support and supervisory personnel by an agency, organization, or individual that provides room and board, personal care and habilitation services in a family environment for at least two and no more than six persons.[9]
Geriatric care managers (GCMs) are usually social workers, psychologists, nurses, gerontologists or others with training and experience in various aspects of elder care. Geriatric care managers not only assess a senior’s needs, they can also handle crises (such as an emergency hospitalization), help place the senior in a residential care community, help resolve family conflicts, locate community resources or fill in for family caregivers at doctor’s appointments, among other services.
Love means wanting the best for somebody. At Andrews Senior Care, we know that when you’re trying to care for your aging parents and loved ones, you’re not fully able to enjoy the time you have with them. The most caring thing you can do is to trust their care to highly-rated professionals who believe that potential only grows with age. At Andrews Senior Care, we take care of needs, so your loved ones can do what they want. Enjoy your time with your parents, knowing they’re in the best hands.
Considered to be one of the best stroke rehabilitation centers in America, the Rehabilitation Institute of Chicago, also known as RIC, takes care of more patients who have suffered from strokes than most other hospitals in the entire country. The medical staff includes specialists in physical medicine and rehabilitative techniques who are renowned for their expertise. Some of the finest speech language pathologists will guide your loved one in relearning how to speak or swallow if necessary. RIC also offers some innovative technologies that are hard to find at other stroke centers. The robot-assisted walking therapy is one of these cutting-edge technologies; it uses robotic devices that are attached to the patient, helping him move his legs in a natural manner. Physical therapy is complemented by patient training, education, and support groups to maximize the treatment’s effectiveness.
The Ninth Five-Year Plan included policies in an attempt to care for the elderly left without children as caretakers.[30] A Senior Health Facilities Fund has been established in each district.[30] The Senior Citizens Health Facilities Program Implementation Guideline, 2061BS provides medical facilities to the elderly, and to those that are poverty stricken, free medicine and health care in all districts.[30] In its yearly budget, the government has planned to fund free health care to all heart and kidney patients older than 75.[30] Unfortunately, many of these plans are overly ambitious, which has been recognized by the Nepali government.[30] Nepal is a developing nation and may not be able to fund all of these programs after the development of an Old Age Allowance, or OAA. OAA provides a monthly stipend to all citizens over 70 and widows over 60.[30]
AIVC offers speech-based support in this Android app. Use your own voice, despite any regional accent you may have, to create tasks, write texts or emails, set alarms, dial phone numbers, and more. Control home devices like lights, thermostat, or fans, as long as devices are accessible via an HTTP-Interface. This free version does include ads. Alice is available on Google Play.

While the apps listed above are all free, there are still others on the market that come at a cost. Despite the added fees, you may find you’d prefer more personal assistance via paid apps that utilize actual human beings to complete requested tasks, such as Magic, Fin, PleaseDo, Hello Alfred, and Trove. Take some time to do your research and determine which is best for you and your business. Depending on your needs, you may find that it’s just as economical to use an online sites and apps like Care.com to hire a personal assistant near you.


Angelina and Arnie, I wanted you to know that I will be forever indebted to you for all the things you’ve done for my Michael the past 8-9 years. There is absolutely no doubt in my mind that you watched over him when I could not , that you’ve always provided excellent medical care , always provided a good quality life for Michael and that you genuinely care about him. I know the only reason he is alive today is because of your care and your kindness.
When a weakened blood vessel ruptures and spills blood into brain tissue, it’s called a hemorrhagic stroke. The most common cause for the rupture is uncontrolled hypertension (high blood pressure). There are two other types of weakened blood vessels that can also cause hemorrhagic stroke: aneurysms (swellings within vessels) and arteriovenous malformations or AVMs (abnormal tangles of blood vessels).
NYU Langone’s Comprehensive Stroke Care Center is a leading center of its type in our region and offers a sophisticated rehabilitation program that includes care from a rehabilitation physician (known as a physiatrist), physical therapist, occupational therapist, specialized nurses, speech-language pathologists and psychologists. Other facilities like nursing homes may provide adequate rehabilitation services, but the point here is to maximize recovery.

After a stroke, you may need rehabilitation (rehab) to help you recover. Before you are discharged from the hospital, social workers can help you find care services and caregiver support to continue your long-term recovery. It is important to work with your health care team to find out the reasons for your stroke and take steps to prevent another stroke.


Your doctor will check your blood pressure and use a stethoscope to listen to your heart and to listen for a whooshing sound (bruit) over your neck (carotid) arteries, which may indicate atherosclerosis. Your doctor may also use an ophthalmoscope to check for signs of tiny cholesterol crystals or clots in the blood vessels at the back of your eyes.
Around the clock care is ideal for someone coming home from the hospital after surgery, suffering from a debilitating condition such as a stroke, or someone with Alzheimer’s or other dementia-related conditions and is at risk when left alone unattended. Around-the-clock care is also a good option for family caregivers who need a break or will be away on vacation. Some families even opt for around-the-clock care to ensure their loved one has someone to assist them with the activities of everyday life, to escort them to appointments and outings and to provide care and support as required.
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