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Industry Trends

Why Choose Home Health Care:
  • According to The Wall Street Journal, "Taking better care of yourself could not only help you feel better, but prevent damage to your own health. Research shows the strain of caring for a spouse elevates the caregiver's risk of death 63% above average levels."
  • Family Caregiver Alliance, a San Francisco nonprofit, recommends building more respite time into your schedule. Consider having the aide come earlier and get your spouse out of bed; or have the aide stay later some days, so you could see a friend, go shopping, or watch a movie.
  • In a 2006 study prepared by insurance company MetLife, the average rate of a private room in a nursing home was $206 a day, or over $72,000 annually. Home health care may provide a financially viable alternative to nursing or assisted living facilities.
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Population Growth:
  • Currently, there are an estimated 38 million people in this country over the age of 65. By 2025, population projections indicate there will be an estimated 62 million seniors who are 65+1.
  • Over 80% of surveyed Americans age 45 and over indicate they would prefer to stay in their own homes rather than move to a relative's house or care facility should the need for care arise2.
  • Every year, it is clear the need for home care will rise substantially. Home Health Mates provides you with an opportunity to take advantage of and capitalize on these trends, while allowing you to help the people in your community thrive where they feel most comfortable.
The Downside of Nursing Homes:
  • Nearly 30% of the total nursing-home population is receiving antipsychotic drugs, according to the Centers for Medicare & Medicaid Services, known as CMS. In a practice known as "off label" use of prescription drugs, patients can get these powerful medicines whether they are psychotic or not. CMS says nearly 21% of nursing-home patients who don't have a psychosis diagnosis are on antipsychotic drugs.
  • "You walk into facilities where you see residents slumped over in their wheelchairs, their heads are hanging, and they're out of it, and that is unacceptable," says Christie Teigland, director of informatics research for the New York Association of Homes and Services for the Aging, a not-for-profit industry group. Her research, which she believes reflects national trends, shows that about one-third of dementia patients in New York's nursing homes are on antipsychotics; some facilities have rates as high as 60% to 70%. "These drugs are being given way too much to this frail elderly population," Dr. Teigland says
  • Nursing homes often find it difficult to balance the demands of caring for certain patients against the pressure to keep staff costs down. The economics of elderly care can work in favor of drugs, because federal insurance programs reimburse more readily for pills than people.
  • The Centers for Medicare & Medicaid -- the federal agency that oversees the two huge tax-funded insurance programs that cover the elderly and the poor -- has "initiated a more rigorous process to oversee appropriate use of medicine," says Chief Medical Officer Barry Straube. He says the number of nursing-home inspections that result in citations for violating drug-misuse rules has jumped by nearly 50% between 2004 and this year.
  • High use of antipsychotics in a nursing home can be an indicator of inadequate staffing, says Bruce Pollock, president-elect of the American Association of Geriatric Psychiatry. "We know the more staffing there is and the higher quality of care, the less the antipsychotic usage," he says.
Source: The Wall Street Journal, "Prescription Abuse Seen In U.S. Nursing Homes," December 4th, 2007

Alzheimer's Disease (AD)*:
  • As many as 5.2 million people in the United States are living with Alzheimer's (13% of those over 65 years old and nearly 50% of those 85 and older)4.
  • By 2050, the number of individuals with the disease may reach 16 million4.
  • 10 million baby boomers will develop Alzheimer's in their lifetime.
  • Because 70% of those with Alzheimer’s live at home, its impact extends to millions of family members, friends and caregivers4.
  • Over 60% of those with dementia will wander at some point during the course of the disease4.
  • Every 71 seconds, someone develops Alzheimer's.
  • Alzheimer's is the seventh-leading cause of death.
  • The direct and indirect costs of Alzheimer's and other dementias to Medicare, Medicaid and businesses amount to more than $148 billion each year.
  • Recent statistics estimate that roughly five million people are inflicted with Alzheimer's disease, the most common form of dementia3. While the majority of these individuals are in the age group over 65, the disease is starting to become more prevalent in younger people. In fact, according to the Alzheimer's Association, there are up to 500,000 people under the age of 65 with "early-onset" AD or related dementia.
  • While there are many different variables that lead to AD, the most prevalent cause of the disease comes with age4. With the older demographic of our population living longer, based on the advances witnessed in medicine, the prevalence of AD is expected to surge.
  • Therefore, based on these trends, it is estimated that by 2010 nearly 400,000 new cases of AD will be diagnosed annually; by 2030, there will be 959,000 new cases every year. In total, there could be well over seven million people with various stages of AD by 2030.
  • The current direct and indirect costs associated with caring for people suffering from AD now total a staggering $148 billion. Specifically, it is estimated that a private room in a nursing home could cost well over $75,000 annually. Home Health Mates could help reduce this financial burden by helping people with AD remain in their homes.
Parkinson's Disease (PD):
  • Recent statistics estimate that roughly 1.5 million people suffer from Parkinson's, a debilitating disease that affects overall movement, walking and speech. In addition, as the disease progresses, most people with PD will develop some form of dementia5.
  • Currently, one in 200 people will develop PD; however, this figure increases with age, as one in 100 people over the age of 60 will be diagnosed with this disease6.
  • Current estimates reveal the total cost to our country for helping people with PD is upwards of $6 billion annually. Home Health Mates could help reduce the cost to individuals and their families by helping them remain in their own home7.
Urinary Incontinence
  • Approximately 13 million Americans are incontinent; 85 percent of who are women. Incontinence is most common among the elderly. Fifty percent or more of elderly persons living at home or in long-term care facilities are incontinent. Sufferers may experience emotional as well as physical discomfort. Many people affected by loss of bladder or bowel control isolate themselves for fear of ridicule and lose self-esteem. Scheduling Toileting is one the ways incontinence is treated - The caregiver prompts the incontinent patient to go to the bathroom every two to four hours. This puts the patient on a regular voiding schedule. The goal is simply to keep the patient dry and is a frequently recommended therapy for frail, elderly, bedridden or Alzheimer's patients.

    --Illinois Department of Health – Website
Falls Risk
  • More than one third of adults 65 and older fall each year in the United States (Hornbrook et al. 1994; Hausdorff et al. 2001).
  • Among older adults, falls are the leading cause of injury deaths. They are also the most common cause of nonfatal injuries and hospital admissions for trauma (CDC 2006).
  • In 2005, 15,800 people 65 and older died from injuries related to unintentional falls;
  • About 1.8 million people 65 and older were treated in emergency departments for nonfatal injuries from falls, and more than 433,000 of these patients were hospitalized (CDC 2008).
  • The rates of fall-related deaths among older adults rose significantly over the past decade (Stevens 2006).
  • Falls are the most common cause of traumatic brain injuries, or TBI (Jager et al. 2000). In 2000, TBI accounted for 46% of fatal falls among older adults (Stevens et al. 2006).
  • Many people who fall, even those who are not injured, develop a fear of falling. This fear may cause them to limit their activities, leading to reduced mobility and physical fitness, and increasing their actual risk of falling (Vellas et al. 1997).


  • -- www.cdc.gov -- Website
1 = U.S. Census Bureau
2 = U.S. Department of Health and Human Services
3 = National Institutes of Aging
4 = Alzheimer's Association
5 = Parkinson's Foundation
6 = Healingwithnutrition.com
7 = Medicinenet.com
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