One Sacramento-based company has quietly and efficiently carved a niche into the home health care business by providing superlative care for patients and caregivers alike. The “whole-istic” business model of Advanced Home Health and Hospice (AHHH) has earned them not only professional accolades and a thriving business, but a stellar reputation for their positive results for even the most complex patient care. The beating heart of this organization is founder Angela Sehr. Sehr is a woman with a mission and a vision with patient wellbeing in the Sacramento area.
Born in Xian, China, home of the famous Terra Cotta Warriors, Sehr started college at 15 and became a nurse at 18. The youngest of nine children, her siblings are also high achievers with a judge, college professor, engineer and a teacher among her immediate family.
Shyly self-admitted as a teacher’s pet, she loved science from a very young age. She says her mother encouraged her children to all be independent. “Marry well, she said, but always be able to stand on your own two feet,” was her mom’s advice.
Sehr may now be the boss, but she is far from being afraid to roll up her sleeves when it comes to patient care. She paid her dues with years in hands-on nursing. In fact, she still takes care of patients herself, in addition to her many other duties. AHHH offers patients around the clock care, just one of the many aspects that separate them from their competition. “I go out to patients’ homes at 2 in the morning if they need it, just like everyone else on staff,” said Sehr.
Sehr is a Registered Nurse who has worked around the world with patients of all ages and many different health issues. She came to Sacramento, having worked in places like China and Saudi Arabia. She attended Sacramento State’s Nursing program and earned her BSN here, spending over a decade in pediatric care and found her way into Infusion care as a nurse for patients in need of this specialized help. She has built her company on years of caring for infusion patients. Her company carries her compassion forward, providing top-notch, compassionate care for patients and their families.
During a time when healthcare laws and models are in flux. Sehr’s company, AHHH has built a company that successfully and efficiently treats and maintains a base of anywhere from 600 to 800 patients, more than double similar programs of even healthcare giants like full-fledged local hospital systems. To meet the need AHHH has found, the company currently has a staff of approximately 400 highly-trained specialists performing an impressive array of care and support services, and specializes in “complex” patients, often avoiding such patients having to be readmitted to hospitals.
AHHH is as advertised. Staff is on-call 365 days a year, 24 hours a day. They provide truly advanced wound care, infusion nursing, orthopedic, occupation and physical rehabilitation, speech and swallow function therapy, specialized medical social workers and a chaplaincy ministering to the patients and their loved ones. The tiniest staff member is a therapy dog.
AHHH is a Medicare Certified Home Health Provider. They are licensed by the by the California Department of Public Health. They have provided care for premature babies, pre-and post op patients, patients such as diabetics with wounds that can be nearly impossible to heal. Many of these are patients the hospitals have given up on and AHHH has succeeded where others have failed, improving patient outcome in terms of health and healing. Sehr is intent that her teams utilize the latest technology to treat patients and makes available ultrasound and laser therapy, in addition to debridement if physician ordered.
The Low-Level Laser Therapy (LLLT) alone, per Sehr can be highly effective in treating, diabetic ulcers, venous stasis and arterial ulcers, and many other types of non-healing wounds.
The hospice care that Sehr’s company provides is a growing service, based on industry best practices, but also on her own experiences as a nurse. Most hospice patients they see are given six months or less to live, but that isn’t an outcome set in stone. “We don’t give up,” she says. “We’re not God, but people do ‘graduate’ from hospice. They do get better.”
Hospice care provides comfort care to patients and family. “Advanced hospice nurses are registered nurses specifically dedicated to end-of-life care. They are focused on pain and symptom management for our patients around the clock. In addition to serving the terminally ill, hospice clinical team counsel and educate caregivers and family members on the needs of the patient, guiding them through every issue that may arise. Our hospice nurses work as a part of an interdisciplinary team that develops and manages the care for our patients and their families.”
A vital part of their team are the hospice social workers who are there to support patients and their families. “Our social workers are trained to assist our patients and their families on developing an individualized plan of care, researching ways to relief stress and anxiety by non-medical means, and connecting them with appropriate local resources.
“We understand that our patients and their families may have financial problems. Our social workers are equipped with the necessary tools and knowledge to provide counseling in these areas, as well as coordinating possible aid from other organizations,” Sehr commented.
What does it mean to be an advanced hospice social worker? According to AHHH, “It means to be a supporter of our patients and their families. Our social workers are trained to assist our patients and their families on developing an individualized plan of care, researching ways to relief stress and anxiety by non-medical means, and connecting them with appropriate local resources.
“A loss of a loved one, even if anticipated, brings a slew of emotions and grief for surviving family and friends. Our hospice bereavement professionals and volunteers are trained to provide counseling and support by understanding the loss and compassionately walking step by step with surviving spouses, children, or parents.”
“To help our patients cope with the end of their life, AHHH provides spiritual services by certified chaplains to promote spiritual and emotional well-being. Our chaplains may also work with the patient’s clergy and coordinate spiritual nourishment and revitalization.”
Sehr credits hospice volunteers for the selfless work they do as part of the organization. “Our hospice volunteers spend time with patients and their loved ones. They run errands and provide caregiver relief, companionship, and supportive services. Volunteers are the backbone of our hospice team.”. Volunteers form bonds with patients and family members. Patients and families often tell volunteers things they feel they can’t tell their loved ones and help open the way for people to talk honestly. Volunteers work alongside paid staff in every area of hospice care.”
AHHH truly treat the entire family, and that includes monthly bereavement support group meeting. “At Advanced Hospice, patients are nearing and passing the end of their life, leaving behind husbands, wives, sons, and daughters,” according to the company website.
“When a patient is diagnosed with a serious illness or is recovering from an injury, our medical professionals, nurses, and therapists work hard to rejuvenate him/her to normal life. In addition to purely medical procedures, medications, and techniques, a huge part of a person’s recovery depends on his/her psychosocial condition.”
AHHH is making a concerted effort to reach America’s veterans. “Veterans have done everything asked of them in their mission to serve our country and we believe it is never too late to give them a hero’s welcome home. That’s why our hospice is taking part in the We Honor Veterans program. Our staff understand the unique needs of veterans and are prepared to meet the specific challenges that veterans and their families may face at the end of life.”
AHHH measures its success with data, not just good feelings. Their clinicians log every visit in detail, right down to wound and physical improvement, modality effectiveness, length of visit and many more details. That data is analyzed for the benefit of each patient, but the accumulation of data is used by the company to improve patient outcome and patient satisfaction. The company has recently broken ground on its next project, a free-standing Hospice Facility. While starting small, at 6 beds, it will be the only hospice in the area and unlike any other, due again to Sehr’s experience and personal touch.
On November 1, the Sacramento County Board of Supervisors approved an agreement for $360,000 with Sacramento Steps Forward (SSF) for the administration of the Winter Sanctuary Program. The Winter Sanctuary Program provides nighttime shelter with local faith-based organizations, including transportation and two meals, for Sacramento County’s homeless population from November 21 through April 30, 2017. “This is the fifth year of funding this program in order to provide 100 additional beds for Sacramento’s homeless each night during the winter,” said Chair of the Board Roberta MacGlashan. “We are pleased and grateful to the 19 congregations that have agreed to host and look forward to other organizations filling in the remaining open nights.”
As part of the agreement, SSF will provide monthly reports of the number of persons sheltered per night, including the breakdown of men, women and families served and their geographic origination. The data will be utilized to determine potential areas of focus for future funding opportunities.
Sacramento Steps Forward coordinates the shelter, transportation to and from the shelter sites, and meals with, as well as outreach and referral efforts for ongoing supportive services.
Currently, congregations have been lined up to provide services for every night except 52. Sac Steps Forward and its subcontractor, First Step Communities (FSC), are working to recruit congregations to fill out the list, including those that can accommodate pets, and two congregations to serve as intake sites for persons who are unable to travel to the main intake site of Loaves and Fishes.
In recruiting these additional intake sites, SSF and FSC are utilizing data to determine where the highest populations of homeless exist outside of the immediate geography of Loaves and Fishes.
The County is also providing $75,000 to Volunteers of America (VOA) for the period of November 21 through March 31, 2017 for the administration of the Winter Shelter Program for homeless families. Offered since 2011, this program has provided shelter to 876 adults and children since its inception.
The homeless are the invisible denizens of America's cities, says Dan Weber, president of the Association of Mature American Citizens. “But, the dirty little secret that has only come to light recently is the fact that the elderly are among the fastest growing populations living on the streets,” he reports.
The Department of Housing and Urban Development told Congress last year that there were more than 300,000 homeless Americans 50 years of age or more, 20% more than there were in 2007.
A recognized expert on the issue of the growing number of older individuals who are on the streets is University of Pennsylvania Professor Dennis P. Culhane. He says that in 1990 “the peak age of adults who were homeless was 30” and that today the peak age is 55.
Weber is calling on all candidates for election and re-election in November and those in the private sector to recognize the fact that more seniors are homeless than ever before and to take to heart the needs of “these hapless lost souls. Focus on their plight and let the truth be told, loud and clear. Everyone needs to pitch in if we are to solve this problem, which only grows bigger with each passing day.”
Some would blame the spike in homelessness among older Americans on the swiftly aging population. But, Weber says, it has more to do with the rising cost of health care and health insurance, the lagging economy, the impact of such diseases of old age as cancer and Alzheimer’s and, perhaps the most damaging cause of all, the lack of affordable housing.
“In fact, talk to any health provider who deals with the homeless and they will tell you that there has been a dramatic shift in recent years in the illnesses from which they suffer. It used to be that the homeless suffered mainly from drug abuse and mental illness. Nowadays they are more likely to have the chronic diseases of old age,” Weber notes.
Mel Martinez and Allyson Y. Schwartz are the co-chairs of the Bipartisan Policy Center Senior Health and Housing Task Force. Martinez is a former U.S. Senator from Florida and Schwartz is a former Congresswoman from Pennsylvania. They published an Opinion Article in U.S. News and World Report last month in which they concluded that “preventing and ending homelessness among older adults should become a major national priority in the United States. By setting goals to end homelessness; increasing available low-income senior housing; and by understanding that the challenge requires participation from public and private partners at all levels, we can and will find ways to ensure that all U.S. seniors have the shelter and security that they deserve.”
Meanwhile, Margot Kushel, professor of medicine at University of California, San Francisco, is an expert on the elderly who become homeless. She says that providing them with housing is the key to fixing the problem. “A lot of these people have been healthy their whole lives. But it doesn't take long for their health to plummet once they're homeless. Once someone is housed, depression often lifts, stress fades away, infections heal. It's instant.”
Says Weber, “everyone has his own set of priorities, but one thing we all have in common is that we are all growing older. It's one of the hardest things we will all do in this life and so we should have compassion for those who need our help.”
The Association of Mature American Citizens [www.amac.us] is a vibrant, vital senior advocacy organization that takes its marching orders from its members. We act and speak on their behalf, protecting their interests and offering a practical insight on how to best solve the problems they face today. Live long and make a difference by joining us today at www.amac.us/join-amac.
(NewsUSA) - Sponsored News - As spring blooms and temperatures warm up, it's time to open up the windows and go outside. This means getting into your garage and dusting off the cobwebs from your lawnmower, wiping down your outdoor table and chairs, and getting your car primed to take you where you want to go this summer season.
According to experts, outdoor equipment such as trimmers, blowers, chainsaws and even patio furniture need some time and attention to get them ready for use after sitting all winter. This is especially true for cars that have borne the brunt of snow, ice, slush and other winter-related weather.
Here are some tips for getting your machinery, vehicles and outdoor equipment ready for summer use and entertaining:
Get your lawnmower out of the corner of the garage. Wipe down all surfaces with a dry cloth, oil moving parts to ensure they are well lubricated, and make sure the blade is sharp. Sharp blades are better for your lawn and put less stress on the engine. If you added a fuel stabilizer like STA-BIL Storage prior to putting it away for the winter, it should start up smoothly. Should you have some hard starts, try a revitalizer like Start Your Engines! to get it revved up quickly.
Prime your automobile. With the cost of driving at a six-year low, you'll want to take that long-overdue road trip this summer, so ensuring that your auto is in tip-top shape is paramount. According to the AAA, driving costs are affected by how well your vehicle runs, and that includes the inside and outside of your car. Performing regular maintenance can ensure more efficient operation and help prevent costly repairs. One way to save money is by detailing the car yourself using products such as 303 Automotive Protectant to protect interior surfaces from cracking and fading. Originally engineered for aerospace and aviation applications, 303 Automotive Protectant safeguards against harmful UV rays that can cause discoloration. In addition, it keeps surfaces looking newer, leaves a dry matte finish so there's no oily feel, and helps repel dust. For the exterior, consider 303 Automotive Speed Detailer, which will instantly clean, protect and give your car a showroom shine. It's a great way to keep your car cleaner between washings. And at every fill-up to keep the engine running smoothly, use STA-BIL 360 Performance, a fuel treatment that protects your engine above and below the fuel line to keep your engine running cleaner, stronger and with greater performance.
Assess your outdoor furniture. No matter what material your outdoor furniture is made of, start by wiping down the surfaces. Plastic furniture, if left uncovered all winter, may just need a little soap and water to remove any dirt. To protect your outdoor furniture's hard surfaces from harmful UV Rays, apply a layer of 303 Protectant. You'll also want to protect your fabrics from water and other debris, so try 303 Fabric Guard.
For more information, please visit www.goldeagle.com.
The California Housing Consortium released the following statement from Executive Director Ray Pearl in support of a proposal released recently by 12 Democratic Assemblymembers that would deliver relief to Californians struggling to keep up with skyrocketing rents:
“CHC wholeheartedly supports the proposal introduced today by Asms. Chiu, Thurmond, and their colleagues with support from Speaker Rendon. This plan recognizes that our state’s housing affordability crisis is hurting California businesses and sending California jobs out of state. California’s affordable home developers are ready to deploy this much-needed investment to put affordable homes within reach of the state’s neediest individuals and families, create jobs, and strengthen communities.”
The Assemblymembers’ proposal comes as state investment needed to catalyze affordable development has plummeted by approximately $1.7 billion annually, or 79 percent, following the elimination of redevelopment agencies in 2012 and the exhaustion of state housing bonds.
California’s shortfall of 1.5 million apartments affordable to the neediest Californians is driving our state’s poverty rate to the highest in the nation.
The proposal introduced today would mark a turning point in California’s housing affordability crisis, and jumpstart building of affordable places to live for struggling individuals and families.
(BPT) - You’ve probably heard the chatter around how a handful of unusual foods are must-eat nutritional powerhouses - and wondered how you’ll ever get your kids to try kale or chia seeds. But you don’t have to stress over how to incorporate the latest health food fads into your family’s diet in order to get powerful nutrition.
The truth is, those headline-grabbers aren’t the only nutritional powerhouses. Most vegetables are packed with vitamins and minerals, so quit worrying about how to pronounce acai or where to find seaweed in the supermarket. Instead, improve your family’s diet and save some money by growing nutrition-packed vegetables right in your own backyard. Keep these tips in mind:
Growing squash is easier than finding chia seeds. Many vegetables are easy to grow in any home environment, whether it’s a large garden plot or pots on your patio. Leafy greens like lettuce, spinach, arugula and kale are full of nutrients and simple to grow, even for beginners. Transplants, like those offered by Bonnie Plants, make it even easier by helping you bypass the work of starting from seed. Plus, you’ll harvest six weeks sooner.
Healthy benefits go far beyond nutrition. Growing your own vegetables and herbs means you’ll always have a fresh supply of nutrient-rich food at home. But gardening also delivers healthful exercise, time in the fresh air, and it’s a relaxing and satisfying activity.
Gardens are good for Mother Nature. The more food you grow at home, the fewer natural resources will be needed to grow veggies in far off places and ship them to your local supermarket. Your garden is also a great opportunity to recycle household food waste as compost. Plus, when you choose Bonnie Plants in biodegradable pots, you’re saving millions of pounds of plastic from landfills. The pots decompose, add nutrients to the soil and help prevent transplant shock.
Gardening could get your kids excited about veggies - really! When kids participate in gardening, they take ownership of the plants they help grow. And with their hands in the dirt, they’re not on their cellphones or playing video games. Kids who grow veggies are much more likely to eat them, and make gardening an ongoing, healthy habit.
Save money at the supermarket. Growing your own food means you’ll spend much less money in the produce aisle. Plus, you can grow a wide variety of vegetables and herbs, even expensive, restaurant-style “foodie” greens you may not have tried otherwise.
The plant pros at Bonnie recommend these nutrient powerhouses to jumpstart your garden:
Strawberries - Just one cup of berries contains 3 grams of fiber and more than a full day’s recommended allowance of vitamin C. Phenols are potent antioxidants that work to protect the heart, fight cancer, block inflammation, and they give strawberries their red color.
Sweet potatoes - Alpha and beta carotene give sweet potatoes their bright orange color, and your body converts these compounds into vitamin A, which is good for your eyes, bones and immune system. A half cup of sweet potato provides nearly four times the daily recommended allowance of vitamin A, plus vitamins C, B6, potassium and manganese.
Broccoli - This green nutritional giant delivers vitamins C, A and K (associated with bone health), folate and sulforaphane that helps stimulate the body’s detoxifying enzymes.
Tomatoes - Tomatoes provide vitamins A, C and B, potassium and lycopene - an important phytonutrient thought to help fight various cancers and lower cholesterol.
Spinach - Spinach contains more than a dozen phytonutrients, and twice the daily recommended allowance of vitamin K. These nutrients contribute to cardiovascular and colon health, better brain function, eyesight and increased energy.
Kale - Kale contains vitamins A, C and K. A cup of cooked kale gives you more than 1,000 percent of the daily value for vitamin K. It’s also high in manganese, which promotes bone density.
Cauliflower - Low in calories and carbohydrates, cauliflower is packed with a long list of nutrients, including phytonutrients. They say cauliflower is the new kale!
For more information on growing nutritional powerhouse vegetables, visit www.bonnieplants.com. Bonnie Plants is the largest producer and supplier of vegetable and herb plants in North America. You’ll find their plants at Home Depot, Walmart, Lowes and 4,700 independent garden retailers.
(BPT) - Malaria, West Nile virus and heartworms - as if you didn’t already have enough reasons to fear and loathe mosquitoes and the illnesses they spread, now there’s Zika, a virus that is possibly linked to birth defects. Mosquitoes are much more than itchy nuisances; the illnesses they can transmit with their bite kill thousands of humans every year. In fact, some scientists believe malaria, a mosquito-borne illness, has killed one out of every two humans who has ever lived, according to a report in National Geographic.
Keeping mosquitoes away from your home, yard and family is much more than a matter of convenience; it may help preserve your health. Eliminating standing water from your property is the single most effective thing you can do as a homeowner to minimize the presence of mosquitoes around your property. Mosquitoes lay their eggs in still water - puddles and standing water in your yard can be a breeding ground.
“When warm weather arrives, that low spot in the backyard where water always collects becomes much more troublesome than just being an eyesore,” says Ryan Larsen, a civil engineer with NDS Inc., a leading manufacturer of water management solutions. “It will attract mosquitoes that will want to lay their eggs in that standing water, but first they need to bite a human or two.”
Homeowners may think solving their drainage problems will be difficult and costly, or that they’ll end up with an ugly drainage ditch on their property. But Larsen says it is possible to eliminate standing water cost-effectively and attractively. He suggests homeowners take these five simple steps:
1. Identify actual or potential trouble spots.
Is there a low area in the yard where water collects after rain? Are any downspouts or gutters on your home clogged with debris? Does water linger along a retaining wall, edging, walkway or patio after you’ve irrigated the lawn? Mosquitoes can lay their eggs in very shallow standing water, so anywhere water collects could be a breeding ground.
2. Address the easy fixes first.
The gutters, downspouts and minor collection spots are easily addressed by simply clearing away the obstructions. When those issues are resolved, homeowners should concentrate on addressing low areas, Larsen says. “These muddy, wet areas look bad, can kill grass, attract mosquitos and eventually lead to more serious damage to a property,” he says.
3. Determine the scope of the problem.
Standing water on a property can occur in multiple spots, from walkways to lawns. NDS offers an online Home Drainage Center to help you identify your problem, possible solutions and whether the resolution is a DIY project or if you’ll need to hire a professional.
4. Choose and install your solution.
French drains, underground drainage and catch basins are typical solutions for many home drainage problems. Placing drainage underground not only minimizes the risk of mosquitoes breeding in standing water, it can preserve the visual appeal of your landscape. For example, for NDS drainage solutions that involve catch basins, the company offers a wide selection of decorative catch basin grates, so the portion of the system you can’t hide will be visually appealing. Most drainage systems can be installed in just one weekend.
5. Take steps to protect yourself.
Mosquitoes have been around since the time of the dinosaurs (and they’ve been spreading malaria for that long, too), according to National Geographic. While eliminating standing water on your property will go a long way toward reducing the number of mosquitoes in your environment, it’s virtually impossible to remove them entirely. The American Mosquito Control Association says some mosquitoes will travel 40 miles or more in search of a meal. When outdoors, wear insect repellant on exposed skin and clothing. Choose repellants with an active ingredient like DEET, picaridin, IR3535 or oil of lemon eucalyptus. Dark colors attract mosquitoes, so wear lighter colored clothing, and burn citronella candles or run a fan near the ground when you’re enjoying your deck or patio.
For more information about home drainage solutions, visit www.ndspro.com/home-drainage, where you’ll also find instructional videos, the Home Drainage Center, production recommendations, installation instructions and helpful links. You can also email your home drainage questions to firstname.lastname@example.org.