Updated: Mar 16, 2020
Longterm-in-home exercise training or Home Fitness Care is personalized exercise training that is aimed to help older adults regain function and maintain functional independence for as long as possible. Home Fitness Care is delivered by certified health/fitness professionals with geriatric exercise experience and may also be provided by a physical therapist.
The training sessions are delivered two, three to five times per week at an ongoing basis to ensure the older adults receives needed physical activity maintain living skills such as getting up from a chair, climbing stairs, getting in/out of a car, walking ability, participated in recreational and family activities, and self-care etc.
Home Fitness Care is provided by accredited and certified fitness professionals and
is not to be confused with Home Health Care.
Without regular and consistent exercise, too much sitting and lying down, the skills gained through physical therapy will be lost quickly and leaves the individual with often less function than prior to receiving physical therapy. Keep the skills you have gained through physical therapy and further improve functional ability with Home Fitness Care.
Consistent and ongoing appropriately supervised exercise is aimed at helping clients maintain skills gained through physical therapy and further improve in function and fitness.
slow down age- and disease-related declines
prevent falls and injury
prevent frailty, muscle weakness, and instability
improve mood, reduce pain, and feel better
stay independent longer
perform and execute exercises correctly and safely which is especially important with cognitive declines and memory problems
avoid inactivity-related declines in functional ability and health
add years to your life and quality of life to your years
Staying Safe during the Threat of Covid-19
During this time with the chance of attracting Covid-19 from the corona virus, our trainers and physical therapists take the highest possible safety precautions and follow national guidelines. Not exercising and remaining sedentary, too much sitting and lying down causes a loss of strength and bone density, declines in balance and agility and can cause a fall and fall-related injuries. This is not the best time to break a hip with an all-ready overly extended and taxed hospital system. As an alternative, our trainers and physical therapist can take you through your exercises using your smart phone, tablet or lap top computer.
Why our clients choose Home Fitness Care
Making sure the older adult receives the necessary exercises carefully supervised for safety and optimal benefit and can be provided two to six times per week.
When exercises are recommended by healthcare provider or physical therapist are being continued under appropriate supervision
To monitor vital signs such as blood pressure and pulse, when appropriate we remind client to check blood sugar or oxygen level
Monitor fall risk, balance and mobility as part of the training session and conduct further assessment when stays changes
Exercise programs are specifically tailored to the client's health, medical status and wellness goal and are adapted to changes in health and medical status throughout the age-span
How to get started with Home Fitness Care
A Medical Release for Exercise and Testing will be requested from your health care provider. We will also ask you to complete a Health/Medical History Questionnaire and Fall Risk Questionnaire, administrative forms, we may also request physical therapy discharge notes or documentation of exercises your physical therapist want you to continue with. After we receive the signed medical release from your health care provider we can perform the initial assessment and schedule your in-home training sessions,
An individualized exercise program may include the following
(1) resistance training exercises
(2) stretching and range of motion exercise
(3) multisensory balance and mobility training
(4) cardiovascular exercise training
(5) falls prevention and intervention programming
Many of our clients 90+ years of age (our oldest client is currently 98) have been able to avoid and eliminate assisted living or nursing home care.
Where we provide Home Fitness Care
We provide Home Fitness Care in the comfort and privacy of our client's home, independent living, assisted living, adult care home or other senior living residence.
Palliative exercise is provided for clients in the advanced stages of a life-threatening illness. Studies demonstrate positive effects of exercising in palliative care patients especially cancer patients, are increasing in numbers day by day. Exercise in palliative care should definitely be considered since it is easily administered and safe and is beneficial for the patient. Therapeutic exercise program are designed to slow down functional declines due to the disease process, improve circulation and digestion, reduce pain, maintain muscle strength and prevent frailty, help decrease fatigue, reduce symptoms and improve mood.
Palliative Exercise in Cancer Patients
For cancer patients it was found that the desire to be physically active came first even during the last three days of life. Although the exercises given did not affect the individuals’ quality of life associated with cancer, they improved their physical conditions, body compositions and general well-being. There is increasing evidence that exercise therapy is beneficial during palliative care of cancer patients. Studies have reported that 30% of total cancer deaths are associated with lack of exercise and malnutrition and 250.000 early deaths occur every year due to inactivity.
Exercises have positive effects on energy use, insulin resistance, inflammation, and on many tissues and organs. The cardiovascular capacities and quality of life of the cancer patients who exercise increase, their fatigue, sleeping problems, body structures and immune responses improve and therefore a general well-being occurs. Exercise has been shown to have positive effects not only on physical and functional condition but also on psychological symptoms in cancer patients. This positive effect on both physical and psychological symptoms may explain the increase in life expectancy in these patients.