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Our Eastern Shore subsidiary, Coastal Home Care, is proud to be the “Silver Sluggers” sponsor of the Demarva Shorebirds! Click here to learn more

The Delmarva Shorebirds are the Class “A” Minor League Baseball affiliate of the Baltimore Orioles and are located in Salisbury, MD. The Shorebirds welcomed Coastal Home Care as the new title sponsor of the Silver Sluggers program – the official 55-years of age and up ticket club. Silver Sluggers get tickets to all Wednesday home games (9 games) for only $18 total! Call Shawn Schoolcraft at 410-219-3112 ext. 168 to order.

Chronotherapy is timing the consumption of your medication for optimal benefits and minimal side effects

Medication and Care Management
Capital City Nurses offers two levels of assistance to make it easier for clients to set up and maintain their medication schedules:

Registered nurses are available to coordinate medication orders with a client’s physicians.  Registered nurses visit on a weekly or bi-weekly basis to prepare and pour medications for a client.

Nursing assistants help clients keep track of medication schedules and provide medication reminders.
Care Management services include a detailed nursing & psychosocial assessment. On-going services can include:

  • Regular nurse visits
  • Facilitation of needed resources
  • Advocacy & liaison between medical providers
  • Status reports to family

AARP reports on this important medication strategy
Michael Smolensky, adjunct professor of biomedical engineering at the University of Texas, Austin says, “The body doesn’t respond to medications in the same way at different times of the day, Some drugs are not as effective or as well tolerated if they’re taken at the wrong biological time. It’s not that they’re not effective at all, but they’re certainly much less effective.”

In fact, drugs labeled “take one a day” often work better when taken at night. Modifying the timing of drugs to achieve the greatest benefit with the lowest risk of unpleasant side effects is called drug chronotherapy.

There have been tremendous advances in timing treatments for hypertension and rheumatoid arthritis, for example, according to Smolensky.

Although chronotherapy is a hot topic these days, your doctor or pharmacist may not be aware of it.

“Unfortunately, there’s a disconnect between what’s taught to doctors and what we know from chronotherapy research,” says circadian biologist Georgios Paschos of the University of Pennsylvania School of Medicine. “Except for a few conditions, clinical medicine hasn’t yet caught up with our findings,” he says. But, he predicts, this will change in the next decade or two.

Click here for more information from AARP

The Alzheimer’s Association Walk to End Alzheimer’s® is the nation’s largest event to raise awareness and funds for Alzheimer’s care, support and research. Held annually in more than 600 communities nationwide, this inspiring event calls on participants of all ages and abilities to reclaim the future for millions. Together, we can end Alzheimer’s disease, the nation’s sixth-leading cause of death. Click here to learn more

Capital City Nurses’ TeamOn a beautiful day in October, the Capital City Nurses’ Team contributed to the total raised amount of $698,010.

If you can’t be with your loved one during the holidays (or any other time), our Daughter/Son Down the Street services may be the answer!

“Daughter/Son Down the Street” Companion Service
Some clients don’t require medical assistance, but would like a friendly visit or a companion on excursions about town.  A “Daughter/Son Down the Street” is available to visit the National Gallery of Art, take afternoon tea, have lunch at the club, play a game of chess, or attend a concert at the Kennedy Center.

A stimulating companion helps keep seniors involved in activities they’ve enjoyed in the past. Keeping their world as “open” as possible helps avoid depression & feelings of isolation.

Dr. Vicki Rackner, MD shares this advice about ‘holiday blues’ and depression
The holiday season is quickly coming upon us. If you are a caregiver for an elderly loved one, you may notice a change in your loved one’s mood as the holidays approach. Perhaps you are one of many, who visit elderly parents and family during the holidays who live a distance away. When you visit you may notice that loved ones are not as physically active, or they show symptoms of fatigue or sadness and have no interest in the holiday or in their surroundings.

According to the National Institutes of Health; of the 35 million Americans age 65 or older, about 2 million suffer from full-blown depression. Another 5 million suffer from less severe forms of the illness. This represents about 20% of the senior population — a significant proportion.

Depression in the elderly is difficult to diagnose and is frequently untreated. The symptoms may be confused with a medical illness, dementia, or malnutrition due to a poor diet. Many older people will not accept the idea that they have depression and refuse to seek treatment.

As a care giver or family member of a depressed older person, make it your responsibility to get involved. The elder person generally denies any problems or may fear being mentally ill. You can make the difference in and remove the Holiday Blues from seniors suffering from depression. The Geriatric Mental Health Foundation offers a “Depression Tool Kit.”

Click here for more information and the tool kit

A recent Wall Street Journal article reveals options
are expanding, but there are both upsides and risks
to consider

“Long-term care becomes necessary when people start struggling with tasks like bathing, dressing, getting around and taking medications—or with memory loss. Sometimes, food shopping becomes difficult, so older people don’t eat right, and the problem spirals into a hospital visit should they become weak and contract a disease such as pneumonia.

“When is the ‘Aha’ moment?” read more…

Home Care Providers Can Help Influenza and
Pneumonia Patients Get the Rest and Comfort They
Need for a Full Recovery

According to the American Lung Association, Influenza and pneumonia combined are the eighth leading cause of death among all Americans and the seventh leading cause of death among all Americans over the age of 65.

To help you recover more quickly and decrease your risk of complications, the Mayo Clinic advises the following:

  • Get plenty of rest. Even when you start to feel better, allow your home care provider to do the housekeeping and laundry.
  • Stay home until after your temperature returns to normal and you stop coughing up mucus. Because pneumonia can recur, it’s better not to return to outside activities until you’re sure you’re well. Your home care provider will be with you to provide companionship.
  • Drink plenty of fluids, especially water, to help loosen mucus in your lungs. Your home care provider will help to monitor your nutrition.
  • Take the entire course of any prescribed medications. If you stop medication too soon, your lungs may continue to harbor bacteria that can multiply and cause your pneumonia to recur. Your home care provider will help you manage your medications.
Influenza vaccination is also recommended since pneumonia often occurs as a complication of the flu. Pneumonia and influenza vaccines are covered by Medicare, as well as some state and private health insurance.

Caitlin joins the CCN team after serving as a bedside cardiology nurse at the University of Maryland Medical Center in Baltimore. She received her B.A. in biology from Colgate University in 2003, where she was a four-year member of the Women’s Lacrosse Team. She obtained her Master of Science degree from the University of Maryland School of Nursing in 2011 upon completion of the Clinical Nurse Leader (CNL) program. Prior to her career change, Caitlin spent five years as a Middle School Science teacher at Gilman School in Baltimore and has written science curriculum for a London-based international school system. Her clinical interests include the psychobiological care of elders, lateral integration of healthcare, and caregiver fatigue.