Excellentiam aims to assist high quality Intensive Care Unit's at home. Finding an ICU at home can be very taxing, both emotionally and monetarily. Excellentiam bridges this gap by providing the most complete and sound supportive critical care at home.

Home-basedcare is where healing happens best are for Patients who are no longer in the acute phase of their illness but still require intensive care.

ICUatHome services include the care and supervision of highly trained critical care therapists, experts and nurses and at a significantly and comparatively lower price than that of a hospital stays.

Our clinical procedures have been developed in consultation with leading hospitals and renowned experts, ensuring the highest quality medical care. We make critical care at home a great choice for the patient and her family.

When Do You Need Critical intensive Care?

When a family member essentially needs anextended or long term ICU care, a lot of doctors and hospitals advise for such care to be provided at home if possible, in case there are no active interventions to be done.

The patient is happier at home and healing can happen without the threat of hospital acquired infections. This is financially easier for the family as well considering such care at home comes at least 20-35% cheaper than in a hospital.

Equipment used in Critical Care

Equipment used in an Intensive Care Unit ranges from familiar equipment, such as blood pressure monitors, to highly specialized devices, such as dialysis machines. Here you will find straightforward explanations of some of the most commonly used equipment.

The information contained on these pages is general in nature and therefore cannot reflect individual patient circumstances. If you are concerned or unsure about anything you read, please ask the healthcare professionals caring for your family member or friend.

However, we do not have to accept this as an inevitable part of ageing. While physiotherapy cannot stop ageing it can help to reduce the impact that it has on our bodies and our lives. Physiotherapists are trained to identify physical and other factors that prevent people from being as active and independent as they can be, and then they find ways of overcoming them. This makes them ideally placed to help older people stay as active as they can be. In fact physiotherapy has been shown to improve many of the factors associated with ageing including strength, balance, coordination, flexibility and pain levels. Ultimately physiotherapy has been proven by research to help older adults to maintain their health, well-being, functional ability and independence.

Physiotherapy has been shown to improve many of the factors associated with ageing including strength, balance, coordination, flexibility and pain levels— Janet Levingstone - Chartered Physiotherapist.

Physiotherapists can provide advice on how to safely exercise so that older people can realise the benefits of exercise. Studies have shown that older adults who engage in regular physical activity gain many benefits including improved balance, strength, coordination, motor control, flexibility, endurance and even memory. Exercise can also help to reduce the risk and impact of illnesses that are more likely to affect older people. Research also shows how effective physiotherapists are at treating and preventing joint problems, balance disorders, risk of falls, strength decline and reducing high blood pressure and obesity.

If you decide that you could benefit from physiotherapy your physiotherapist should start by carrying out a detailed assessment to determine the specific areas that may be having an impact you. This assessment would typically include looking at your strength, range of movement, balance and walking.

Together you and your physiotherapist will set specific goals to help you address the areas that are difficult for you. They will then use this information to design a tailor made program.

Physiotherapy interventions that are proven to be effective for older people include stretching and strengthening exercise programs and practicing activities that challenge balance. They can also provide equipment such as walking aids to facilitate independent living. Ultimately they will work with you to ensure that you can remain as independent as possible.

We at ‘Excellentiam Elderly Care are strongly suggesting to all our Elderly People to be in constant guidance of reputed Physiotherapist.

During the "golden years," good nutrition is just as important as ever. But, many older adults become malnourished for a variety of reasons. If you or someone you care for is having trouble getting proper nutrition, here are some practical tips.

Malnutrition and Older Adults
While many people seem to focus their diets solely around trying to lose weight and prevent disease, the nutrition problems facing the elderly can be quite different.

For many elders, it is not a matter of eating too much, but rather a matter of not getting enough. And this all comes at a time of life when getting adequate nutrition—including protein, fiber, hydration, vitamins, and minerals—may be more difficult.Adding to the problem is that many older people deal with a variety of chronic medical conditions. These conditions can contribute to poor nutrition and can also be worsened by poor nutrition.

Contributing Factors
Several factors can cause malnutrition in older adults, including the following:

• Loss of appetite—Older adults lose their appetites for many reasons, such as having a medical condition, having a mental health problem, or taking certain medications.
• Decreased sense of taste and/or smell —Many of the conditions that affect older adults and the medications they take can reduce the sense of smell and taste, making it difficult and even unpleasant to eat.
• Difficulty chewing and/or swallowing—Having dental problems affects many older adults and can contribute to a vicious cycle of malnutrition. As older people become malnourished and lose weight, their dentures may not fit correctly, making it even more difficult to eat. Swallowing problems also affect many older adults, making eating difficult.
• Loss of physical strength or mobility—Elders who are frail or immobile are often unable to shop and cook. Even something as simple as opening a can of soup or a frozen dinner and putting it into the microwave can be difficult for someone who is physically limited.
• Chronic conditions and medications—Older adults often have at least one chronic condition and take several medications. These can interfere with digestion, and even absorption of certain nutrients.
• Mental and emotional factors—Mental illness, such as depression, dementia, and social isolation affect many elders and can dampen their desire and ability to eat.
• Financial insecurity—Financial problems can make it difficult for many older adults to get the nutrition they need.
Practical Tips
Although there are many reasons why older people may become malnourished, there are also many practical ways for dealing with the problem. If you or someone you care for is experiencing malnutrition or unintentional weight loss, the best first step is to see the doctor, who may be able to diagnose an underlying condition or alter a medication regimen that may be contributing to the problem. A doctor can also provide a referral to a registered dietitian, who can design a personalized eating plan. In addition, here are some everyday tips for preventing malnutrition in older adults:

Make Meals and Snacks Nutrient-dense
This means making nutrient-rich foods the focus of the meal. For example, instead of plain chicken broth, try a hearty chicken and vegetable soup. Casseroles, stews, and roasts are also good meal ideas.

Add Extra Calories Without Extra Volume
For people who have a small appetite, there are ways to boost nutrition without adding lots of extra food. For example:

• Add extra sauces, gravies, and grated cheese to entrees and side dishes.
• Stir powdered skim milk into milk, milkshakes, and cold and hot cereals.
• Add honey, molasses, or maple syrup to hot cereal.
• Sprinkle wheat germ into hot and cold cereals, and add it to baked goods, such as breads and muffins.

Use Herbs and Spices When Preparing Foods Because many elders have diminished sense of taste and smell, making food as flavorful as possible is important. Try cooking with garlic and onion powder, salt-free seasoning blends, and fresh and dried herbs, such as basil, oregano, thyme, rosemary, and cilantro. Make Meals Colorful and Appealing Instead of regular mashed potatoes, try mashed sweet potatoes for a colorful and nutritious boost. Instead of plain buttered noodles, try pasta with a vibrant red tomato sauce.

Serve Several Small Meals and Snacks Older people with diminished appetites are often overwhelmed by large meals, so eating smaller, more frequent meals and snacks can be less overwhelming. Do Not Fill Up on Non-nutritious Items For people with a small appetite, it is important not to fill up on things like coffee, tea, and soft drinks, which can take the place of more nutritious items. Serve up a variety of foods. Research shows that elderly adults eat more when presented with a variety of foods to choose from. Here are some strategies to increase the variety on the table:

• Strive to include foods from every food group and of all different colors.
• Invite friends over for a potluck dinner.
• Go out for a buffet-style Sunday brunch.

Make Mealtime Enjoyable and Social
When possible, invite friends or family over for meal times or visit community-based senior meal sites for social interaction during meals. Use Nutrition Supplements When Necessary While a well-balanced diet is the best bet, some people may find it easier to sip a nutrition supplement drink than to eat a meal. But, talk to your doctor or dietitian to see if this is something that you should do.