My Final Days, a Reverie


A vision for my future is to spend my final days in a hospital bed at home. In this dream, I would experience something very similar to what I experience now in a hospital or nursing home….but a little better. I would still be able to go to a hospital or skilled nursing facility if there was a reason to go there, for example, for surgery, but otherwise, why leave home? I press a call button and don’t have to wait 20 minutes to tell the nurse what I need. My overhead screen pops on and I talk to one of those nice kids in India. And lickety-split, in just a few minutes, a nurse shows up with the bed pan I needed. But I’m home. I don’t have to put up with the lame ass cable channels at the hospital. I’m home and I still get my Red Zone football channel. I can yell at the dog when it barks too much and feed him peanut butter like I’m not supposed to. Family and friends can come and go…..no visiting hours here. Just like in the hospital, aides and orderlies come and go to clean my room, change my linens, bathe me, and chastise my wife for bringing me milkshakes. I will be home. That is my dream.

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The Home Care Agency of the 21st Century (Part 2)


By Mark Shea, MCDM

The Home Care Agency of the 21st Century will be the same as it is now in very many ways and in the most important way. We provide human companionship, human care, human assistance, and most importantly, human touch. Humans will die without these things. We not only crave the companionship, care, and touch of others. We need it. Without it, we fail to thrive and this is particularly true for babies and the elderly. We know this at our core as humans. This is why solitary confinement is considered an extreme punishment. The work of a caregiver is to comfort, to assist, and to love, whatever may come and with any luck, it might be a healing. We are there to help people die too. We help them to die with dignity and as comfortably as we can manage. We soothe families. We laugh with them and cry with them. We cannot be replaced by machines. We are the human element that must remain.

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The Home Care Agency of the 21st Century (Part 1)


By Mark Shea, MCDM

I try to think of every link that I create on the Web as a promise. Please don’t go away. This really is an essay about the Home Care Agency of the 21st Century.

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1/1/2011: The Beginning of the End for Healthcare as We Know It


By Mark Shea, MCDM

A wave of change has arrived for the health care industry. Even the most powerful representatives of health care, government and business will be unable to stop this incoming tide. I can say this with relative certainty because I am a Baby Boomer. 79 million people, 26% of the US population, are about to get old. According to Pew Research, as of January 1, 2011, 10,000 Baby Boomers per day are having their 65th birthday. This will continue for the next 19 years.

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